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Columbia study shows elderly with diabetes at increased risk for falling

Bond In Investing Savings Diabetic nursing home residents four times more likely to fall than non-diabetics

In older women, onset (type II) diabetes of long duration has also been shown to increase the risk of developing NHL (Cerhan JR et al 1997b). Other clinical studies have also shown that diabetes sufferers are at greater risk of developing NHL (Natazuka T et al 1994), presumably because diabetes impairs the efficiency of the immune system (Jackson RM et al 1987; Kohn LD et al 2005).

Bond Investment Toledo Toledo NEW YORK, NY - Falling is the leading cause of accidental death for elderly people, and a new study from Columbia University Medical Center and NewYork-Presbyterian Hospital/The Allen Pavilion suggests that nursing home residents with diabetes are four times more likely to fall than those who are not diabetic.

Studies show that the human balance control system declines with age and that adults over the age of 65 years are at greater risk of falling, due to loss of appropriate sensory mechanisms. It is not clear what causes these balance mechanisms to change as people age. Nonetheless, poor balance may lead to inability to perform daily activities, increased need for home healthcare, and loss of independence. The new study suggests that vibrational insoles may benefit elderly people and younger adults with poor balance and help them achieve a better quality of life.

James Bond Trading Card The study, published in the September issue of the Journal of Gerontology, found that 78 percent of nursing home residents who had diabetes fell within the 299-day study period, compared to 30 percent of those without diabetes who had a similar fall. The study followed 139 residents of the Hebrew Home at Riverdale in New York.

Frailty in Elderly Linked to Inflammation In a study of almost 5, 000 elderly people, scientists discovered that frail seniors were more likely to have signs of increased inflammation than their more active counterparts. This study was published in the Archives of Internal Medicine (Walston et al. 2002) and showed that these frail seniors with elevated blood inflammatory markers also tended to show more clotting activity, muscle weakness, fatigue and disability than active elderly people.

Bond In Investing Stock Previous investigations have defined risk factors for falls among frail elderly nursing home residents, which include gait or balance disorder, vision impairment and medications, but until now diabetes has not been widely recognized as an important risk factor.

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Municipal Bonds Investment "Our study clearly indicated that nursing homes, assisted living facilities and others that care for the elderly should consider diabetes a significant risk factor for falling," said Mathew S. Maurer, M.D., Irving Assistant Professor of Medicine at Columbia University Medical Center and Director of the Clinical Cardiovascular Research Laboratory for the Elderly at NewYork-Presbyterian/The Allen Pavilion. "In an era of limited resources, knowing that diabetics are more likely to fall may facilitate identifying older individuals who are likely to benefit from interventions aimed at reducing falls and their consequences."

The study, funded by the American Diabetes Association, is published in the September issue of Diabetes Care. If the mother's gestational diabetes wasn't treated, a child's risk of being overweight or obese was 82 percent to 89 percent higher, according to the study. But if the mother was treated, "they had the same risk" as the children of women who did not have gestational diabetes, Hillier said. "There was no difference in their risk."

Bond Terms Trading "We will now add diabetes to the list of risk factors for falling and expect this to become standard practice," said Dr. Robert Zorowitz, Chief Medical Officer of the Hebrew Home at Riverdale, where the study was conducted. "By controlling diabetes, addressing the complications it causes and being vigilant about the other factors that contribute to falls, we may substantially reduce the risk."

Bond Debt High In Inside Although complications from diabetes include the drop of blood pressure when standing up, known as orthostatic hypotension, as well as visual impairments, the study found that neither of these were an explanation for the increased fall risk. Dr. Maurer speculates that problems with peripheral nerves that can affect the sensation in diabetic people's feet, known as peripheral neuropathy, could be the mechanism at fault for the higher fall rate in diabetic patients.

Bond Greenville Greenville Currently, 150 million people are estimated to have type 2 diabetes, and the number is expected to reach 300 million people by 2025.

Trading Stock And Bonds The study by Dr. Maurer, a geriatric cardiologist, was funded by the National Insitutute on Aging and the American Federation of Aging Research. The study was originally intended to assess if predicting fall risk could be improved by measuring blood pressure with a new method that records blood pressure continuously during the process of standing, rather than the traditional method that uses a cuff to record blood pressure while sitting and one or three minutes after standing. The study showed that this kind of measurement did not, in fact, help prediction, but instead showed that diabetes, in addition to gait and balance difficulties were the most potent predictors of falling in this population.

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