PMID- 27825536 OWN - NLM STAT- MEDLINE DCOM- 20180226 LR - 20181202 IS - 1873-460X (Electronic) IS - 1056-8727 (Linking) VI - 31 IP - 2 DP - 2017 Feb TI - Are falls prevention programs effective at reducing the risk factors for falls in people with type-2 diabetes mellitus and peripheral neuropathy: A systematic review with narrative synthesis. PG - 504-516 LID - S1056-8727(16)30469-X [pii] LID - 10.1016/j.jdiacomp.2016.10.004 [doi] AB - BACKGROUND: Diabetic peripheral neuropathy (DPN) is a common complication of type-2 diabetes mellitus (T2DM) that predisposes the elderly to a higher falls risk. Falls prevention programs with a component of weight-bearing exercises are effective in decreasing future falls in the elderly. However, weight-bearing exercise was only recently recommended in guidelines for exercise for people with T2DM and DPN. Since then, there have been an increasing number of studies to evaluate the effectiveness of falls prevention programs on this targeted population. OBJECTIVES: A systematic literature review was undertaken to determine the effectiveness of falls prevention programs for people with T2DM and DPN. MAJOR FINDINGS: Nine published studies that investigated the effect of exercise training on falls risk among people with T2DM and DPN were included in the review. Interventions included lower limb strengthening, balance practice, aerobic exercise, walking programs, and Tai Chi. CONCLUSIONS: The preliminary evidence presented in this review suggests that people with T2DM and DPN can improve their balance and walking after a targeted multicomponent program without risk of serious adverse events. There is insufficient long-term follow-up data to determine whether the improvements in balance or strength resulted in a decrease falls risk in the community setting. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Gu, Yu AU - Gu Y AD - Faculty of Health Sciences, University of Sydney, 75 East Street, Lidcombe, NSW 2141. Electronic address: yugu5468@uni.sydney.edu.au. FAU - Dennis, Sarah M AU - Dennis SM AD - Faculty of Health Sciences, University of Sydney, 75 East Street, Lidcombe, NSW 2141. Electronic address: dennis@sydney.edu.au. LA - eng PT - Comparative Study PT - Journal Article PT - Review PT - Systematic Review DEP - 20161008 PL - United States TA - J Diabetes Complications JT - Journal of diabetes and its complications JID - 9204583 SB - IM MH - Accidental Falls/*prevention & control MH - Aged MH - Diabetes Mellitus, Type 2/*complications MH - Diabetic Neuropathies/epidemiology/physiopathology/*therapy MH - *Evidence-Based Medicine MH - Exercise MH - Humans MH - Postural Balance MH - Practice Guidelines as Topic MH - *Resistance Training MH - Risk Factors MH - Tai Ji MH - Walking OTO - NOTNLM OT - Diabetic peripheral neuropathy OT - Exercise training OT - Falls prevention OT - T2DM OT - Type-2 diabetes mellitus EDAT- 2016/11/09 06:00 MHDA- 2018/02/27 06:00 CRDT- 2016/11/10 06:00 PHST- 2016/08/31 00:00 [received] PHST- 2016/10/01 00:00 [revised] PHST- 2016/10/03 00:00 [accepted] PHST- 2016/11/09 06:00 [pubmed] PHST- 2018/02/27 06:00 [medline] PHST- 2016/11/10 06:00 [entrez] AID - S1056-8727(16)30469-X [pii] AID - 10.1016/j.jdiacomp.2016.10.004 [doi] PST - ppublish SO - J Diabetes Complications. 2017 Feb;31(2):504-516. doi: 10.1016/j.jdiacomp.2016.10.004. Epub 2016 Oct 8.