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• W2000412452 abstract "<h3>Background</h3> Although orthostatic hypotension (OH) is more prevalent in old age, and in patients with diabetes, the prevalence of OH in older patients with type 2 diabetes mellitus is unknown. <h3>Aim</h3> To establish the prevalence of OH, and its association with falling, in home-dwelling older participants with and without type 2 diabetes. <h3>Design and setting</h3> A cross-sectional study in primary care in the Netherlands. <h3>Method</h3> A total of 352 patients with type 2 diabetes, and 211 without participated in this study. OH was defined as a fall in blood pressure of at least 20 mmHg systolic or 10 mmHg diastolic after either 1 or 3 minutes in an upright position. Feelings of dizziness, light-headedness, or faintness during the standing period were documented as orthostatic complaints. Fall risk was assessed with a validated risk profile instrument. <h3>Results</h3> The prevalence of OH was 28% (95% CI = 24% to 33%) and 18% (95% CI = 13% to 23%) in participants with and without type 2 diabetes, respectively. OH was not related to falling, while the presence of orthostatic complaints in itself was associated with both previous fall incidents as well as a high fall risk, even after adjustment for OH. The adjusted odds ratios were 1.65 (95% CI = 1.00 to 2.72) and 8.21 (95% CI = 4.17 to 16.19), respectively. <h3>Conclusion</h3> OH is highly prevalent in home-dwelling older people with and without type 2 diabetes. Those with orthostatic complaints had an increased risk for falling, whereas those with OH were not." @default.
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• W2000412452 date "2012-10-01" @default.
• W2000412452 modified "2023-10-16" @default.
• W2000412452 title "Orthostatic hypotension, diabetes, and falling in older patients: a cross-sectional study" @default.
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• W2000412452 doi "https://doi.org/10.3399/bjgp12x656838" @default.
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