Foot Disorders and Falls in a Population-Based Cohort

基于人群队列的足部疾病和福尔斯 尽管临床上认为足部疾病是老年人福尔斯和不良事件的常见原因， 基于人口的数据支持这一观点。足部疾病往往被忽视的重要潜在原因， 福尔斯和小的工作已经评估了重要的调解人，如平衡或步态的老年人。福尔斯和脚 这些疾病是主要的公共卫生问题，随着人口老龄化，其重要性只会增加。我们 建议检查特定足部疾病对福尔斯的影响，并进一步评估平衡或步态是否 影响这种关系。我们将在2年随访期间将足部疾病的综合评估与观察到的福尔斯联系起来- 向上，因为我们1至于观察到的身体表现，平衡和步态措施，可能会修改的关系。我们的3 本项目的具体目标是研究1）足部疾病和福尔斯，2）足部疾病之间的关系 和福尔斯，考虑通过平衡不良的途径，3）足部疾病和福尔斯，考虑通过受损步态的途径， 第二个目的是探索鞋类和福尔斯之间的关系。 重要的是要检查干预变量，或调解人，因为他们可以澄清之间的关系的性质， 足部疾病和福尔斯，也因为它们是未来干预的潜在目标。没有其他队列与 关于老年人足部疾病的详细信息到全面的纵向福尔斯信息和迄今为止的研究， 研究了平衡、步态或鞋类在足部疾病和福尔斯人群评估中的作用。的 拟议的研究将提供临床医学和公众都非常感兴趣的协会的重要信息 健康在老龄化领域。结果将有助于我们设计未来的干预措施，如足部护理，鞋子和具体的 降低老年人福尔斯跌倒风险的设备。本项目将广泛利用招聘 资源和数据收集从一个已经资助的计划项目赠款（PI：L。Lipsitz，授权编号AG 04390，2004年7月1日 - 06/30/0 f>，“HRCA/哈佛研究疗养院”）。根据初步数据，这项研究将提供新的和 关于老年男性和女性在2年随访中足部疾病对新福尔斯的作用的重要信息- 起来更好地了解老年人的足部疾病可能会导致更好地了解 防止福尔斯。

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.