Evidence mapPaperPMID 38413865Full record

SynthesisBMC geriatrics2024

Risk factors for falls in older adults with diabetes mellitus: systematic review and meta-analysis.

Larissa Barros Freire, Joaquim Pereira Brasil-Neto, Marianne Lucena da Silva, Milena Gonçalves Cruz Miranda, Lorrane de Mattos Cruz, Wagner Rodrigues Martins, Leonardo Petrus da Silva Paz

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
57.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Does osteosarcopenia synergistically increase risk for incident falls and fractures? A systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
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  16. Age at diabetes diagnosis and fracture risk in women: a cohort study from the Australian Longitudinal Study on Women's Health.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Larissa Barros FreirePostgraduate course in Health Sciences and Technologies, University of Brasília (UnB) - Campus Ceilândia, Brasília, DF, Brazil.
Joaquim Pereira Brasil-NetoFaculty of Medicine, Centro Universitário Euro-Americano (Unieuro), Brasília, Brazil.
Marianne Lucena da SilvaDepartment of Collective Health, University of Brasilia, Brasília, Brazil.
Milena Gonçalves Cruz MirandaGraduate program of Physical Therapy, University of Brasilia - Campus Ceilândia, Brasília, Brazil.
Lorrane de Mattos CruzGraduate program of Physical Therapy, University of Brasilia - Campus Ceilândia, Brasília, Brazil.
Wagner Rodrigues MartinsUniversity of Brasilia, Faculty of Ceilândia, Rehabilitation Sciences and Physical Education Postgraduate Program, Brasília, DF, Brazil.
Leonardo Petrus da Silva PazPostgraduate course in Health Sciences and Technologies, University of Brasília (UnB) - Campus Ceilândia, Brasília, DF, Brazil. leonardopaz@unb.br.
Universidade de Brasília · BRCentro Universitário Euroamericano · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify risk factors for falls in older adults with Type 2 Diabetes Mellitus (T2DM).

methodsThe eligible studies identified factors associated with the risk of falls in older adults with T2DM. We searched PubMed, Cinahl, Web of Science, Scopus, and the Cochrane Library databases. The review has been updated and the last review date was November 30, 2023 (CRD42020193461).

resultsTwelve studies met the inclusion criteria, and eight studies were included in the meta-analysis. These studies included a total of 40,778 older adults with T2DM, aged 60 to 101 years. The risk of developing the outcome falls in older adults with T2DM is 63% higher compared to the risk in older adults without T2DM (HR 1.63; 95% CI [1.30 - 2.05]). The overall chance of falling in older adults with T2DM is 59% higher than that of non-diabetic older adults (OR 1.59; 95% CI [1.36 -1.87]), and in older adults with T2DM who take insulin the chance of falling is 162% higher (OR 2.62; 95% CI [1.87 - 3.65]). No results on diabetic polyneuropathy were found in the studies.

conclusionOlder adults with T2DM present a higher risk of falls compared to non-diabetics. Among the included older adults with T2DM, the most important factor associated with a higher risk of falls was insulin use.

trial registrationRegistered in the International Prospective Register of Systematic Reviews (CRD42020193461).

Indexed as

Diabetes Mellitus, Type 2Accidental FallsAgedHumansInsulinRisk FactorsInsulinAccidental fallsFallsOlder adultsRisk of fallsType 2 diabetes mellitus

Identifiers

PMID38413865
PMCPMC10900672
OpenAlexW4392235635

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.