Fear of Falling and Balance Confidence in Older Adults With Type 2 Diabetes Mellitus: A Scoping Review

Publication date: Available online 6 March 2018Source: Canadian Journal of DiabetesAuthor(s): Patricia Hewston, Nandini DeshpandeAbstractType 2 diabetes mellitus is highly prevalent in older adults (≥65 years of age) and increases fall risk. Fear of falling and low balance confidence are reported in both fallers and nonfallers and can potentially be more debilitating than a fall itself. Therefore, the objective of this scoping review was to examine and map the current research evidence of balance confidence and fear of falling in older adults with type 2 diabetes. A search of CINAHL, EMBASE and PubMed was conducted. The search included MeSH terms and the key terms diabet* AND fear OR falls AND self-efficacy OR balance confidence. Inclusion criteria were 1) population: older adults (≥65 years of age) with type 2 diabetes; and 2) outcome measure: balance confidence or fear of falling. We included 21 studies: fear of falling (n=14); balance confidence (n=7). We categorized them into 4 themes: prevalence, severity, determinants and interventions. Determinants were further categorized into physical, psychosocial and health-related domains. Fear of falling and low balance confidence were highly prevalent and more severe in older adults with type 2 diabetes. Determinants of fear of falling and balance confidence occurred beyond the physical domain and the presence of diabetic peripheral neuropathy. Targeted group-based interventions (e.g. gait and balance training, tai chi, yo...
Source: Canadian Journal of Diabetes - Category: Endocrinology Source Type: research

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Conclusions/interpretationOur data show no association between Lp(a) plasma levels and theLPA SNPs with known effect on Lp(a) plasma levels with the development of microvascular complications in type 2 diabetes. This indicates that Lp(a) does not play a major role in the development of microvascular complications. However, larger studies are needed to exclude minimal effects of Lp(a) on the development of microvascular complications.
Source: Diabetologia - Category: Endocrinology Source Type: research
AbstractBackgroundOlder adults with type 2 diabetes mellitus (DM) have high incidence of falls. The aim of this study was to compare sensorimotor functions, balance, mobility, fear of falling, and fall history in older people with DM (with and without neuropathy) and non-diabetic healthy controls.MethodsWe enrolled 153 participants aged 50 –70 years: 51 people with diabetic peripheral neuropathy (D-PN), 52 with diabetes without neuropathy (D-noPN), and 50 healthy controls (HC). Participants completed a fear of falling assessment and detailed test battery comprising sensorimotor functions, lower limb strength, co...
Source: International Journal of Diabetes in Developing Countries - Category: Endocrinology Source Type: research
Diabetes mellitus is a chronic disease of the endocrine system characterized by abnormal glucose metabolism, the most common variety being type 2 diabetes (T2DM), which usually occurs in adults. The WHO estimates that 422 million people have diabetes and there is an increasing global prevalence (W.H.O., 2016). Uncontrolled T2DM may be associated with the development of complications such as macrovascular disease peripheral neuropathy and retinopathy that may induce quality-adjusted life-years decrements in patients (Shao, Yang, Fonseca, Stoecker,&Shi, 2019).
Source: Archives of Psychiatric Nursing - Category: Nursing Authors: Source Type: research
PURPOSE: The first aim of this study was to compare nighttime voiding frequency (nocturia), serum hemoglobin A1c level, peripheral neuropathy score, and global sleep quality score in younger (>40 to 40 to
Source: Journal of Wound, Ostomy and Continence Nursing - Category: Nursing Tags: Continence Care Source Type: research
Authors: Younesian H, Farahpour N, Mazde M, Simoneau M, Turcot K Abstract Diabetes peripheral neuropathy (DPN) leads to balance impairment among diabetes mellitus (DM). The aims of this study were to (1) distinguish between DM patients who have/do not have DPN and to (2) compare quadriceps' strength and balance performance of DM, DPN, and healthy groups. Fifteen healthy females and 33 females with type 2 diabetic patients participated. The electrodiagnostic method was used to classify diabetic patients into DM and DPN. A dynamometer was used to measure quadriceps' strength. Single-leg standing on a force ...
Source: Journal of Applied Biomechanics - Category: Sports Medicine Tags: J Appl Biomech Source Type: research
This study aimed to determine financial burden and risk factors associated with T2DM-related foot amputation. METHODS: Retrospective hospital-based study from January 2017 to December 2018. Patients with T2DM with and without amputation were enrolled. The direct medical costs of amputation along with various risk factors were determined. Risk factors were evaluated by logistic regression analysis. RESULTS: A total 1460 patients with T2DMwere included; 484 (33%) patients had an amputation. Mean total cost of below knee, fingers and toe amputation were 886.63±23.91, 263.35 ±19.58 and 166.68 ± 8...
Source: Current Vascular Pharmacology - Category: Drugs & Pharmacology Authors: Tags: Curr Vasc Pharmacol Source Type: research
ConclusionsBased on their high negative predictive value, simple tools for DPN may prove useful to exclude CAN in type 2 diabetes mellitus. These encouraging results merit further evaluation to enable wider screening for CAN.
Source: Diabetes Therapy - Category: Endocrinology Source Type: research
Diabetic peripheral neuropathy (DPN) is the most common chronic complication of type 2 diabetes mellitus (T2DM), affecting almost 50% patients with T2DM [1]. It is widely considered as a major risk factor for foot ulcers and lower-extremity amputations [2]. Approximately 70% of patients with DPN die at the age of 10 years after the initial diagnosis of DPN, with 50% of these deaths being cardiovascular related [3]. The number of people with diabetes and the burden of DPN have increased with the aging of the population.
Source: Diabetes Research and Clinical Practice - Category: Endocrinology Authors: Source Type: research
Source: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy - Category: Endocrinology Tags: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Source Type: research
BACKGROUND: Older adults with type 2 diabetes (DM2) are at increased risk of falling due to complications including: diabetic peripheral neuropathy, diabetic retinopathy, autonomic neuropathy and diabetic foot ulcers. The purpose of this study was to deter...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news
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