Incidence of Falls, Risk Factors for Falls, and Fall-Related Fractures in Individuals With Diabetes and a Prior Foot Ulcer
- 1 November 2002
- journal article
- Published by American Diabetes Association in Diabetes Care
- Vol. 25 (11), 1983-1986
- https://doi.org/10.2337/diacare.25.11.1983
Abstract
OBJECTIVE—To describe the incidence of falls, risk factors for falls, and the frequency of fall-related fractures in a cohort of individuals with diabetes and a prior foot ulcer. RESEARCH DESIGN AND METHODS—A total of 400 individuals with diabetes and a prior foot ulcer were recruited from two western Washington State health care organizations and followed prospectively for 2 years. Diabetes, demographic, and health information was collected at baseline, 1 year, and 2 years. Data on falls were collected at baseline, 4 weeks, and every 17 weeks thereafter. Medical records were abstracted to confirm fall-related morbidity. RESULTS—The average age of the study population was 62 years, with 77% male and 23% female. Approximately 32% had fixed foot deformities, 58% had insensate feet, and 76% had comorbid conditions. Of the participants, 252 (64%) reported at least one fall during the 2-year study period. The overall incidence of falls in this cohort was 1.25 falls/person-year (95% CI 1.17–1.33). For the 164 participants (41%) who reported two or more falls, a BMI ≥30 kg/m2, the presence of one or more comorbid conditions, and insensate feet increased the risk. Two or more falls of any type were associated with a higher fracture risk. Although women were not at significantly greater risk for falls than men, their fracture incidence was 3.6 times higher. CONCLUSIONS—Falls are very common in individuals with diabetes and prior foot ulcers. A small percentage of falls resulted in fractures. The risk of a fall-related fracture was significantly higher in women than in men. Increased attention to falls and fall prevention is indicated for diabetes care providers.Keywords
This publication has 6 references indexed in Scilit:
- Diabetes and physical disability among older U.S. adults.Diabetes Care, 2000
- Reported and measured physical functioning in older inner-city diabetic African Americans.The Journals of Gerontology: Series A, 1999
- Falls among the elderly: distinguishing indoor and outdoor risk factors in Canada.Journal of Epidemiology and Community Health, 1994
- Incidence of and Risk Factors for Falls and Injurious Falls among the Community-dwelling ElderlyAmerican Journal of Epidemiology, 1993
- Prevention of Falls among the ElderlyNew England Journal of Medicine, 1989
- Northeastern Ohio trauma study III: Incidence of fracturesAnnals of Emergency Medicine, 1985