Volume 20 Issue 3
Mar.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(3): 424-427
QI Qian-qian, XIN Hong-ju, ZHOU Zhou-Wei, RUAN Chun-yan, ZHAO Jing. Effect of geriatric syndrome on physical function and fall risk in elderly patients with type-2 diabetes[J]. Chinese Journal of General Practice, 2022, 20(3): 424-427. doi: 10.16766/j.cnki.issn.1674-4152.002368
Citation: QI Qian-qian, XIN Hong-ju, ZHOU Zhou-Wei, RUAN Chun-yan, ZHAO Jing. Effect of geriatric syndrome on physical function and fall risk in elderly patients with type-2 diabetes[J]. Chinese Journal of General Practice, 2022, 20(3): 424-427. doi: 10.16766/j.cnki.issn.1674-4152.002368
shu

Effect of geriatric syndrome on physical function and fall risk in elderly patients with type-2 diabetes

doi: 10.16766/j.cnki.issn.1674-4152.002368
  • 1.

    Outpatient Department, Zhejiang Hospital, Hangzhou, Zhejiang 310030, China

Funds:

 2019KY268

  • Received Date: 2021-06-08
    Available Online: 2022-08-13
    Abstract
  •   Objective  To investigate the effects of geriatric syndrome on the physical function and the risk of fall in elderly patients with type-2 diabetes.  Methods  A total of 165 elderly patients with type-2 diabetes who were treated or hospitalised in our hospital from February 2019 to February 2020 were selected as the research subjects. According to the type and quantity of geriatric syndrome, the patients were divided into 0-1 type group (n=36), 2-3 type group (n=73), and 4-6 type group (n=56). The effects of geriatric syndrome on physical function and fall risk in elderly patients with type-2 diabetes were compared and analysed.  Results  The proportion of age, proportion of divorce/widowed, proportion of fear of falling, use rate of assistive devices, incidence of falling history in the past 1 year, incidence of high risk of falling, impairment of daily living and decline of balance gait in 4-6 groups were significantly higher than those in 0-1 group and 2-3 group (all P < 0.05). Univariate and multivariate logistic regression analysis showed that fattening was the only risk factor for impairment of daily living ability, decline in balance and gait function, and fall in recent 1 year in elderly patients with type 2 diabetes (all P < 0.01). Cognitive decline was an independent risk factor for increased risk of fall, decreased balance and gait function, and the occurrence of fall in the past 1 year (all P < 0.01). Malnutrition was an independent risk factor for daily living impairment, increased risk of falls, reduced balance and gait function, and falls in the past 1 year (all P < 0.01).  Conclusion  Geriatric syndromes such as frailty, malnutrition, and cognitive decline, can lead to decreased physical function and increased fall risk in elderly patients with type-2 diabetes. Comprehensive geriatric assessment and intervention measures should be taken to improve the quality of life of elderly patients with this disease.

     

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