Evaluate the Results of Fall Prevention in Older Adults With Type 2 Diabetes Mellitus

Launched by NATIONAL GERIATRIC HOSPITAL · Apr 2, 2024

Keywords

ClinConnect Summary

This clinical trial is studying how to prevent falls in older adults who have type 2 diabetes. Falls can be a serious problem for elderly people, especially those with diabetes, and this research aims to understand the risk factors and find effective prevention strategies. Participants in the study will be divided into two groups: one group will receive special training through the Otago Training Program to help reduce their risk of falling, while the other group will continue with standard care for their diabetes. The main goal is to see how many falls occur in each group after six months and to assess their physical performance.

To be eligible for this trial, participants must be between 60 and 80 years old, have a diagnosis of type 2 diabetes, and have specific blood sugar levels. They also need to be at moderate or high risk of falling. However, some individuals may not qualify if they have certain health issues, such as severe heart problems or conditions that affect their ability to move or think clearly. Those who join the study can expect to participate in training sessions and assessments over the course of the six months, helping to contribute to important research that could improve safety for older adults with diabetes.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• For the first objective (Cross-sectional study):
• • Type 2 diabetic patients diagnosed using American Diabetes Association 2022 criteria
• • HbA1c ≥ 7.0 and ≤ 9%
• • Age ≥ 60 and ≤ 80
• For the second objective (Longitudinal study):
• • All patients recruited from the first objective are at moderate or high risk of falls according to the criteria of World Guidelines for Falls Prevention and Management for Older Adults - British Geriatric Society.
• Exclusion Criteria:
• • Acute diabetic complications
• • Patients are in the acute phase of musculoskeletal disorders: acute gout, progressing low-grade arthritis, acute joint pain due to joint degeneration, sciatic pain, and infectious arthritis.
• • Patients suffer from conditions significantly affecting cognition and mobility: sequelae of stroke (with weakness, limb paralysis), muscular weakness, limb disabilities, severe heart failure, severe cognitive decline, and psychiatric disorders.
• • Patients have been bedridden due to illness for more than one month within the past three months up to the recruitment time.
• • Patients with cardiovascular diseases: chest pain, uncontrolled blood pressure ≥160/100 mmHg, untreated cardiac arrhythmia, a history of congestive heart failure, severe valvular heart disease, myocarditis or pericarditis, and hypertrophic cardiomyopathy.