Prevention of Falls and Frailty in Older Adults with Diabetes
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Purpose of Review
Type 2 diabetes mellitus (T2DM) is a major risk factor for falls and frailty in older adults. The purpose of this review was to survey, the current literature on risk factors and interventions for prevention of falls and frailty in older adults with T2DM.
Screening for falls and frailty in the clinical setting is recommended. Exercise to improve balance, strength, and mobility; health education; and diabetes self-management are potential interventions for falls and frailty in older adults with T2DM. Pharmacologic agents are the focus of current studies which may lead to potential future interventions for both falls and frailty.
Evidence-based guidelines and tools for prevention and management of falls and frailty have been developed for clinicians caring for older adults. Because of the reciprocal relationship between falls and frailty, interventions to prevent one may also improve the other geriatric syndrome.
KeywordsFalls Frailty Type 2 diabetes mellitus Older adults
Action to Control Cardiovascular Risk in Diabetes
American Diabetes Association
American Geriatrics Society
Area under the curve
British Geriatrics Society
Bone mineral density
Centers for Disease Control
Diabetes support and education
Diabetic peripheral neuropathy
Health-related quality of life
Intensive lifestyle intervention
Lifestyle Interventions and Independence for Elders
Stopping Elderly Accidents, Deaths, & Injuries
Type 2 diabetes mellitus
Whole body vibration
Compliance with Ethical Standards
Conflict of Interest
Sara Espinoza and Helen Hazuda declare no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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