Prevalence of foot and ankle conditions in a multiethnic community sample of older adults
Prevalence of foot and ankle conditions in a multiethnic community sample of older adults
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DOI：
10.1093/aje/kwh071
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发表时间：
2004-03-01
影响因子：
5
通讯作者：
McKinlay, JB
中科院分区：
文献类型：
--
作者：
Dunn, JE;Link, CL;McKinlay, JB
2001-2002年，在马萨诸塞州斯普林菲尔德，对784名65岁或以上的社区居民进行了基于社区的多种族（非西班牙裔白色、非裔美国人和波多黎各人）随机抽样，确定了足踝疾病的患病率。总的来说，五种最常见的疾病是趾甲疾病（74.9%），小脚趾畸形（60.0%）、鸡眼和老茧（58.2%），拇囊炎（37.1%），以及真菌感染、裂缝/裂缝或脚趾间浸渍的迹象30.9%的患者在过去4周内大多数时间有足部或踝关节触痛，14.9%的患者踝关节疼痛。趾甲疾病、真菌症状、溃疡或撕裂伤在男性中更常见，而姆囊炎、鸡眼和老茧在女性中更常见（p < 0.001）。在大多数脚趾畸形和扁平足、鸡眼和老茧、真菌体征、水肿、踝关节疼痛、触诊压痛和感觉丧失的患病率方面，发现了显著的种族/民族差异，与教育或性别无关。足部和踝关节疾病在这些老年人中很常见。对社区不同阶层的患病率进行检查可能会为未来的研究提供信息，以确定病因和预防手段。
The prevalence of foot and ankle disorders was determined in a community-based, multiethnic (non-Hispanic White, African American, and Puerto Rican) random sample of 784 community-dwelling adults aged 65 or more years in 2001-2002 in Springfield, Massachusetts. Overall, the five most common conditions were toenail disorders (74.9%), lesser toe deformities (60.0%), corns and calluses (58.2%), bunions (37.1%), and signs of fungal infection, cracks/fissures, or maceration between toes (36.3%); 30.9% had some tenderness to palpation of the foot or ankle, and 14.9% had ankle joint pain on most days in the past 4 weeks. Toenail conditions, fungal symptoms, and ulcers or lacerations were more common in men, while bunions and corns and calluses were more common in women (p < 0.001). Significant racial/ethnic differences, independent of education or gender, were found for the prevalence of most toe deformities and flat feet, as well as for corns and calluses, fungal signs, edema, ankle joint pain, tenderness to palpation, and sensory loss. Foot and ankle disorders are common in these older adults. Examination of their prevalence in different segments of the community may inform future studies to determine etiology and means of prevention.