| Autor: |
Quandt, Sara A., Stafford, Jeanette M., Bell, Ronny A., Smith, Shannon L., Snively, Beverly M., Arcury, Thomas A. |
| Předmět: |
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| Zdroj: |
Journals of Gerontology Series A: Biological Sciences & Medical Sciences; Apr2006, Vol. 61 Issue 4, p394-398, 5p, 2 Charts |
| Abstrakt: |
Background. Falls are a recognized danger for older adults with diabetes. Persons in rural communities with diabetes may face additional risks from falling due to environmental and activity differences. Methods. Data were obtained in a cross-sectional survey of a stratified random sample of 691 community-dwelling adults (42.7% white, 31.4% African American, and 25.9% Native American) at least 65 years old with two or more Medicare claims for diabetes in 1998-2000, living in two rural counties in North Carolina. Falls data were self-reported for the previous year. Demographic data foot-related symptoms, diabetes medications, and other health characteristics were reported. Results. Three hundred two persons (43.7%) reported falling at least once, including 171 (26.2%) who experienced two or more (frequent) falls. Frequent fallers were more likely to be male (odds ratio [OR] = 1.76; 95% confidence interval [CI] = 1.17, 2.66), report tingling or numbness in feet (OR = 1.75; 95% CI = 1.13, 2.70). have had a stroke (OR = 1.81; 95% CI = 1.19, 2.76), have longer duration of diabetes (OR = 1.21; 95% CI = 1.00, 1.47). have lower physical functioning (OR = 0.97; 95% CI = 0.96. 0.99) and mobility (OR = 0.89; 95% CI = 0.82. 0.96), and take a greater number of prescription medications (OR = 1.07; 95% CI = 1.01, 1.13). Conclusions. For rural older adults with diabetes, falls history should be screened to identify those at risk, Further research should investigate unique environmental factors contributing to falls for rural elderly persons. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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