Risk Factors for Falls in Elderly People with Diabetes Mellitus: Systematic Review and Meta-analysis
Keywords:Type 2Diabetes mellitus; falls; risk of falls; older adults; accidental falls.
ABSTRACT
FREIRE, Larissa Barros.RiskFactors forFalls in theOlder AdultwithDiabetesMellitus:
Systematic Review and Meta-Analysis.p. Dissertation (master’s degree)-Graduate
Program in Science and Technology in Health,College ofCeilândia, Universityof
Brasília, Brasília, 2022.
Aim:To compare the incidence of fallsbetween the risk of falls in diabetic and non-
diabetic older adults, as well as whether diabetics on insulin or with polyneuropathy have
a higher risk of falls than other diabetic patients.
Methods:The studies considered eligible identified thefactors associated with the risk
of falls in older adults with DM. We searched PubMed, Cinahl, Web of Science, Scopus,
and Cochrane Library databases for studies up to July 2021.
Results:Twelve studies met the inclusion criteria, and eight studies were included in the
meta-analysis. These studies included a total of 40,778 participants and the age ranged
from 60 to 101 years in diabetic older adults.The risk of falls in diabetic older adults is
63% compared to developing falls in the non-diabetic (HR 1.63; 95% CI [1.30-2.05]).
While the chance of falls in older adults with diabetes is59% than non-diabetic older
adults (OR 1.59; 95% CI [1.36-1.87]) and the chance of falls in older adults with diabetes
who take insulin is 162% (OR 2.62; 95% CI [1.87-3.65]).
Conclusion:Diabetic older adults have a higher risk of falls compared to non-diabetics.
Among the diabetic older adults, the factors associated with a higher risk of falls were the
use of insulin or other medications.