Effect of frailty syndrome on falls in Chinese elderly diabetics in the communities: a prospective cohort study.
10.3760/cma.j.issn.0254-6450.2018.06.016
- VernacularTitle:衰弱综合征对社区老年糖尿病患者跌倒影响的队列研究
- Author:
F YANG
1
;
S WANG
1
;
H QIN
2
;
K TAN
1
;
Q Q SUN
1
;
L X WANG
3
;
S S NIE
4
;
J N LIU
1
;
Y CHEN
5
,
6
;
M ZHANG
7
;
Y Y CHEN
1
Author Information
1. The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China.
2. Internal Medicine Department, The Pingyi Community Health Service Center in Dujiangyan City, Chengdu 610000, China.
3. Geriatric Department, The Fifth People's Hospital of Chengdu, Chengdu 611130, China.
4. General Medicine Department, The Affiliated Central Hospital of Qingdao University, Qingdao 266071, China.
5. The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China
6. Department of Palliative Medicine, NO.4 West China Teaching Hospital, Sichuan University, Chengdu 610041, China.
7. Department of Elderly Endocrinology, Sichuan Provincial People's Hospital, Chengdu 610072, China.
- Publication Type:Journal Article
- Keywords:
Community dwelling;
Diabetes mellitus;
Falls;
Frailty syndrome
- MeSH:
Accidental Falls/statistics & numerical data*;
Aged;
Cohort Studies;
Frail Elderly/statistics & numerical data*;
Frailty/epidemiology*;
Geriatric Assessment/methods*;
Humans;
Independent Living;
Odds Ratio;
Prevalence;
Prospective Studies;
Risk Assessment/methods*;
Surveys and Questionnaires;
Syndrome
- From:
Chinese Journal of Epidemiology
2018;39(6):776-780
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the relationship between frailty syndrome and falls in the elderly diabetics, in the communities. Methods: A three-year cohort study involving 653 community-dwelling adults who were over 65 years of age and participated in the Survey of Disease, Psychological and Social Needs in Dujiangyan Pingyi Community. Diabetic patients would include those who self-reported as having histories of diabetes or on anti-hyperglycemic therapies. Frailty, functional and other geriatric status were assessed respectively. Falls was defined as having had multiple falls or at least one event but with injury. Results: The highest prevalence of falls was found in the group of frail diabetic group (62.5%). Data showed that baseline frailty was associated with falls in both diabetic and non-diabetic groups but the odds ratio in the diabetic group was higher than that of the non-diabetic group (OR=3.87, 95%CI: 1.45-10.28 vs. OR=6.68, 95%CI: 1.14-38.99). Conclusion: Frailty could be used as a strong clinical predictor to prevent falls, for the elderly diabetic Chinese living in the communities.
