患有2型糖尿病的老年人中跌倒的危险因素:一个横截面研究
Chia-Ling Lin1, Hsueh-Ching Wu2, Neng-Chun Yu3
1Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
Medicine
|December 17, 2024
概括
在患有2型糖尿病 (T2D) 的老年人中,跌倒很常见. 抑郁症显著增加了跌倒风险,突出了在T2D护理中需要进行心理健康干预的需要.
科学领域:
- 老年学是指老年学的学科.
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 布对老年人,特别是患有2型糖尿病 (T2D) 的老年人构成重大健康风险.
- 了解这种人群中跌倒的患病率和风险因素对于制定有效的预防策略至关重要.
研究的目的:
- 估计患有T2D的社区老年人中跌倒的发生率.
- 调查相关的风险因素,重点关注心理健康,认知功能和身体能力.
主要方法:
- 一项涉及242名来自糖尿病诊所的T2D患者的横截面研究.
- 通过医疗记录和调查问卷收集的数据评估了日常活动,认知功能 (迷你精神状态检查),抑郁 (台湾老年抑郁量表) 和虚弱.
- 使用多变量逻辑回归分析来确定显著的风险因素.
主要成果:
- 整体跌倒流行率为19.7%.
- 确定的危险因素包括女性性别,较低的教育程度,先前的跌倒,肥胖 (BMI ≥29 kg/m2),日常生活中的仪器活动的功能限制,认知障碍,抑郁症,握力差,步行时间长.
- 抑郁症得分的每一个单位增加都与跌倒风险增加11.9%有关 (AOR,1.19;95% CI,1.02-1.38;P = .027).
结论:
- 抑郁症是T2D老年人跌倒的重要,独立的风险因素.
- 针对性别,年龄和心理健康的多方面的临床干预措施对于降低跌倒风险和改善这一群体的生活质量至关重要.
相关概念视频
01:22Diabetes Mellitus: Type 2 and Gestational
2.2K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.2K
01:15Diabetes: Symptoms, Diagnosis, and Complications
503
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
503
01:36Carbohydrate Metabolism
10.8K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
10.8K
01:19Psychoneuroimmunology: Diabetes and Cancer
23
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
23
01:22Diabetes Mellitus: Overview and Type I Subtype
2.4K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.4K
01:20Pathophysiology of Diabetes
862
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
862