Type 2 & other diabetes

Increased fall risk in people with type 2 diabetes and cardiovascular disease: a systematic review and meta-analysis

Osteoporos IntPublished Systematic review and meta-analysis

Pooled result · FallsResult — go to the resultPooled odds ratio 1.29 95% CI 1.03–1.63

Authors' conclusion

This review and meta-analysis found an increased fall risk in people with T2D and coexisting CVD; however, current evidence remains insufficient to establish a definitive causal relationship between CVD and fall risk, despite the observed higher fall prevalence.

Study context

Population
People with T2D, with or without cardiovascular disease (CVD); studies from PubMed, Embase and Cochrane
Comparison
T2D with coexisting CVD vs T2D without CVD
Outcome
Risk of falls
Methodological detailsPRISMA guidelines, quality assessment with JADAD, NOS and GRADE
  • PRISMA guidelines
  • Quality assessment with JADAD, NOS and GRADE

Pooled result

Falls

Pooled odds ratio

1.29

95% CI 1.03–1.63

T2D + CVDvs T2D without CVD
pooled OR 1.29 (95% CI 1.03–1.63)

As reported in the abstract

Further pooled results

Specific CV conditions (hypertension, orthostatic hypotension, HF, AF, ischemic disease) and fall risk

Clear associations with fall risk remained inconclusive

Autonomic dysfunction, postural instability and blood pressure dysregulation

Some studies indicated a contribution to fall risk, but findings were inconsistent

Original publication

Increased fall risk in people with type 2 diabetes and cardiovascular disease: a systematic review and meta-analysis. Osteoporos Int. Published 24 August 2025. doi:10.1007/s00198-025-07662-3

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