The association between fear of falling and functional tests in older adults with diabetes mellitus
Background: The number of older adults with diabetes mellitus (DM) is increasing. Falling during walking and the fear of it are prevalent in older adults with DM. Objective: This study aimed to examine the association between fear of falling (FoF) and functional tests in older adults with DM and to...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2020-01-01
|
Series: | Nursing and Midwifery Studies |
Subjects: | |
Online Access: | http://www.nmsjournal.com/article.asp?issn=2322-1488;year=2020;volume=9;issue=3;spage=163;epage=170;aulast=Arani |
id |
doaj-7a832d237d794890baaaf72f50b62880 |
---|---|
record_format |
Article |
spelling |
doaj-7a832d237d794890baaaf72f50b628802020-11-25T03:06:00ZengWolters Kluwer Medknow PublicationsNursing and Midwifery Studies2322-14882322-16742020-01-019316317010.4103/nms.nms_86_19The association between fear of falling and functional tests in older adults with diabetes mellitusSakineh Jaddi AraniMahboubeh RezaeiMansour DianatiFatemeh AtoofBackground: The number of older adults with diabetes mellitus (DM) is increasing. Falling during walking and the fear of it are prevalent in older adults with DM. Objective: This study aimed to examine the association between fear of falling (FoF) and functional tests in older adults with DM and to determine other factors affecting functional tests in these people. Methods: A cross-sectional study was conducted on 134 older adults with DM who had referred to the diabetes clinic of Matini Hospital in Kashan, Iran. The participants were selected through sequential sampling and then were categorized into two groups of “with” and “without FoF.” In addition to responding to a demographic questionnaire, the participants were assessed by the Mini-Mental State Examination, Diabetic Neuropathy Symptom Score, and Falls Efficacy Scale-International version. Walking performance of the participants was also measured using the Timed Up-and-Go, 5-Sit-to-Stand, and 50-Foot Timed Walk tests. Data were analyzed using the Chi-square, t-, and Mann–Whitney U-tests and linear regressions analysis. Results: Significant associations were found between FoF and education level, body mass index, waist-to-hip ratio, and having neuropathy (P < 0.05). In addition to FoF, a number of demographic, anthropometric, and clinical variables affected the patients' performance in all functional tests; however, gender was the variable that affected the results of all three tests (P < 0.05). Conclusion: FoF is associated with the performance of older adults with DM in functional tests. Thus, the FoF should be assessed in older adults with DM in order to provide better health care for them.http://www.nmsjournal.com/article.asp?issn=2322-1488;year=2020;volume=9;issue=3;spage=163;epage=170;aulast=Aranidiabetes mellitusfeargeriatric assessment |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sakineh Jaddi Arani Mahboubeh Rezaei Mansour Dianati Fatemeh Atoof |
spellingShingle |
Sakineh Jaddi Arani Mahboubeh Rezaei Mansour Dianati Fatemeh Atoof The association between fear of falling and functional tests in older adults with diabetes mellitus Nursing and Midwifery Studies diabetes mellitus fear geriatric assessment |
author_facet |
Sakineh Jaddi Arani Mahboubeh Rezaei Mansour Dianati Fatemeh Atoof |
author_sort |
Sakineh Jaddi Arani |
title |
The association between fear of falling and functional tests in older adults with diabetes mellitus |
title_short |
The association between fear of falling and functional tests in older adults with diabetes mellitus |
title_full |
The association between fear of falling and functional tests in older adults with diabetes mellitus |
title_fullStr |
The association between fear of falling and functional tests in older adults with diabetes mellitus |
title_full_unstemmed |
The association between fear of falling and functional tests in older adults with diabetes mellitus |
title_sort |
association between fear of falling and functional tests in older adults with diabetes mellitus |
publisher |
Wolters Kluwer Medknow Publications |
series |
Nursing and Midwifery Studies |
issn |
2322-1488 2322-1674 |
publishDate |
2020-01-01 |
description |
Background: The number of older adults with diabetes mellitus (DM) is increasing. Falling during walking and the fear of it are prevalent in older adults with DM. Objective: This study aimed to examine the association between fear of falling (FoF) and functional tests in older adults with DM and to determine other factors affecting functional tests in these people. Methods: A cross-sectional study was conducted on 134 older adults with DM who had referred to the diabetes clinic of Matini Hospital in Kashan, Iran. The participants were selected through sequential sampling and then were categorized into two groups of “with” and “without FoF.” In addition to responding to a demographic questionnaire, the participants were assessed by the Mini-Mental State Examination, Diabetic Neuropathy Symptom Score, and Falls Efficacy Scale-International version. Walking performance of the participants was also measured using the Timed Up-and-Go, 5-Sit-to-Stand, and 50-Foot Timed Walk tests. Data were analyzed using the Chi-square, t-, and Mann–Whitney U-tests and linear regressions analysis. Results: Significant associations were found between FoF and education level, body mass index, waist-to-hip ratio, and having neuropathy (P < 0.05). In addition to FoF, a number of demographic, anthropometric, and clinical variables affected the patients' performance in all functional tests; however, gender was the variable that affected the results of all three tests (P < 0.05). Conclusion: FoF is associated with the performance of older adults with DM in functional tests. Thus, the FoF should be assessed in older adults with DM in order to provide better health care for them. |
topic |
diabetes mellitus fear geriatric assessment |
url |
http://www.nmsjournal.com/article.asp?issn=2322-1488;year=2020;volume=9;issue=3;spage=163;epage=170;aulast=Arani |
work_keys_str_mv |
AT sakinehjaddiarani theassociationbetweenfearoffallingandfunctionaltestsinolderadultswithdiabetesmellitus AT mahboubehrezaei theassociationbetweenfearoffallingandfunctionaltestsinolderadultswithdiabetesmellitus AT mansourdianati theassociationbetweenfearoffallingandfunctionaltestsinolderadultswithdiabetesmellitus AT fatemehatoof theassociationbetweenfearoffallingandfunctionaltestsinolderadultswithdiabetesmellitus AT sakinehjaddiarani associationbetweenfearoffallingandfunctionaltestsinolderadultswithdiabetesmellitus AT mahboubehrezaei associationbetweenfearoffallingandfunctionaltestsinolderadultswithdiabetesmellitus AT mansourdianati associationbetweenfearoffallingandfunctionaltestsinolderadultswithdiabetesmellitus AT fatemehatoof associationbetweenfearoffallingandfunctionaltestsinolderadultswithdiabetesmellitus |
_version_ |
1724675967824166912 |