Article 2025 · 6 citations

Risk factors influencing fall risk in geriatric patients with type 2 diabetes: a comprehensive analysis

Bayrak, Muharrem, Kasali, Kamber, Guner, Merve, Cadirci, Kenan, Kilic, Adil Furkan, Binici, Dogan Nasir

Abstract

Background and objectivesType 2 diabetes mellitus (T2DM) is a common chronic disease in the elderly. Comorbidities, especially neuropathy and retinopathy, significantly increase fall risk in this group. This study aimed to identify fall risk factors in older adults with T2DM.Materials and methodsFrom January to June 2024, 242 T2DM patients aged 65 and older were followed at the internal medicine outpatient clinic. Fall risk was assessed using the Performance Oriented Mobility Assessment (POMA), Hendrich II Fall Risk Model (HIIFRM), Barthel Activities of Daily Living Index, and Clinical Frailty Scale (CFS).ResultsAmong the patients (median age = 70 years), 41.3% had experienced at least one fall in the previous year. Factors, such as age and diabetes duration were associated with falls. Notably, hypoglycemia (aPR: 1.90, p = 0.017), polypharmacy (aPR: 2.39, p = 0.004), osteoarthritis (aPR: 2.48, p = 0.017), (aPR: 1.70, p = 0.025), and malnutrition (aPR: 1.90, p = 0.007) were independently associated with fall risk.ConclusionsFall risk in elderly outpatients with T2DM was linked to various factors, including hospitalization, malnutrition, osteoarthritis, polypharmacy, neuropathy, and hypoglycemia. To mitigate this risk, patient-specific care plans are recommended.

Keywords

Type 2 diabetes mellitus fall risk POMA HIIFRM Barthel Index OLDER-ADULTS VALIDATION FRAILTY

WoS Categories

Endocrinology & Metabolism Urology & Nephrology

Sustainable Development Goals

Good Health and Well-being

Citation

Journal: AGING MALE
Year: 2025
Volume: 28
Issue: 1
ISSN: 1368-5538
eISSN: 1473-0790
DOI: 10.1080/13685538.2025.2469614
WoS UID: WOS:001434945500001

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