Foot Disorders and Falls in a Population-Based Cohort

基于人群的足部疾病和跌倒

• 批准号: 7624037
• 负责人: Marian T. Hannan
• 金额: $ 1.38万
• 依托单位: HEBREW REHABILITATION CENTER FOR AGED
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7624037
• 关键词: Accounting; Adverse event; Affect; Age; Aging; Athletic; Body mass index; Bone callus; Caring; Categories; Clinical; Clinical Medicine; Comorbidity; Data; Data Collection; Databases; Devices; Disease; Dose; Elderly; Elderly man; Equilibrium; Esthesia; Evaluation; Fall prevention; Flatfoot; Funding; Future; Gait; Gender; Grant; Hallux Valgus; Hammer Toes; Heel; Impairment; Individual; Intervention; Lead; Link; Literature; Maize; Measures; Mediator of activation protein; Nail Diseases; Nature; Numbers; Nursing Homes; Pain; Pathway interactions; Performance; Population; Prevalence; Program Research Project Grants; Public Health; Pump; Recruitment Activity; Reporting; Research; Research Personnel; Resources; Risk; Risk Factors; Role; Sensory; Shoes; Skin; Testing; Woman; Work; Zea mays; base; cohort; cost; design; falls; follow-up; foot; impression; interest; men; programs; response; toe corn

Foot Disorders and Falls in a Population-Based Cohort Despite the clinical impression that foot disorders are a common cause of falls and adverse events in older persons, little population-based data exist to support this view. Foot disorders are often overlooked as important potential causes of falls and ittle work has evaluated important mediators, such as balance or gait in older persons. Both falls and foot disorders represent major public health problems that will only increase in importance as the population ages. We propose to examine the impact of specific foot disorders upon falls, and further to evaluate whether balance or gait affect this relation. We will link a comprehensive assessment of foot disorders to observed falls over a 2-year follow- up, as we 1as to the observed physical performance, balance and gait measures that might modify the relation. Our 3 specific aims of this project will examine the longitudinalrelationsbetween 1) foot disorders and falls, 2) foot disorders and falls considering a pathway via poor balance, 3) foot disorders and falls, considering a pathway via impaired gait, and a secondary aim exploring the relation between footwear and falls. It is important to examine intervening variables, or mediators, as they may clarify the nature of the relation between foot disorders and falls, and also since they are potential targets for future interventions. No other cohort has linked detailed information on foot disorders in elders to comprehensive longitudinal falls information and no study thusfar, has examined the roles of balance, gait, or footwear in an population evaluation of foot disorders and falls. The proposed study will provide essential information on associations of keen interest both to clinical medicine and public health in 'he field of aging. Results will help us to design future interventions, such as foot care, shoes and specific devices to reduce the risk of falls among elderly people. This project will make extensive use of the recruitment resources and data collection from an already funded program project grant (PI:L. Lipsitz, Grant # AG04390, 7/01/04 - 06/30/0f>, "HRCA/Harvard Research Nursing Home"). Based on preliminary data, this study will provide new and important information about the role of foot disorders upon new falls in elderly men and women over a 2-year follow- up. A greater understanding of foot disorders in older individuals may lead to better understanding of the strategies to prevent falls.

足部疾病，属于基于人群的队列 尽管临床印象是足部疾病是老年人跌倒和不良事件的常见原因，但很少 存在基于人群的数据来支持此观点。脚部疾病通常被忽略为重要的潜在原因 Falls and Thertle工作评估了重要的调解人，例如老年人的平衡或步态。瀑布和脚 疾病代表了主要的公共卫生问题，随着人口年龄的增长，其重要性只会增加。我们 建议检查特定的足部疾病对跌倒的影响，并进一步评估平衡还是步态 影响这一关系。我们将对足部疾病的全面评估与观察到的全面评估联系在一起，在2年的后续时间内跌落 - 向上，正如我们对观察到的身体表现，平衡和步态措施可能改变关系的过程。我们的3 该项目的具体目的将检查1）足部疾病和跌倒之间的纵向。 跌倒考虑通过差的平衡，3）脚部疾病和跌倒，考虑步态受损的途径， 以及探索鞋类与瀑布之间关系的次要目标。 重要的是检查中间变量或调解人，因为它们可能会阐明之间的关系性质 足部疾病和跌倒，也是因为它们是未来干预措施的潜在目标。没有其他队列链接 关于长老中的足部疾病的详细信息，以至于全面的纵向瀑布信息，没有研究，因此 已经检查了平衡，步态或鞋类在人群对足部疾病和跌倒的评估中的作用。这 拟议的研究将提供有关临床医学和公众兴趣关联协会的基本信息 健康领域的健康。结果将帮助我们设计未来的干预措施，例如足部护理，鞋子和特定的干预措施 降低老年人跌倒风险的设备。该项目将广泛使用招聘 来自已经资助的计划项目赠款（PI：LIPSITZ，授予AG04390，7/01/04）的资源和数据收集 -06/30/0f>，“ HRCA/Harvard Research疗养院”）。基于初步数据，本研究将提供新的和 关于足部障碍在2年的后续男女中，老年男女新跌倒的作用的重要信息 - 向上。对老年人的足部疾病有更多的了解可能会更好地理解策略 防止跌倒。