Dunn J E, Link C L, Felson D T, Crincoli M G, Keysor J J, McKinlay J B
New England Research Institutes, Watertown, MA 02472, USA.
Am J Epidemiol. 2004 Mar 1;159(5):491-8. doi: 10.1093/aje/kwh071.
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.
2001 - 2002年，在马萨诸塞州斯普林菲尔德市，对784名年龄在65岁及以上的社区居住成年人进行了一项基于社区的多民族（非西班牙裔白人、非裔美国人和波多黎各人）随机抽样调查，以确定足踝疾病的患病率。总体而言，最常见的五种情况是趾甲疾病（74.9%）、小趾畸形（60.0%）、鸡眼和胼胝（58.2%）、拇囊炎（37.1%）以及脚趾间真菌感染、裂纹/裂隙或浸渍的迹象（36.3%）；30.9%的人足部或踝关节触诊时有压痛，14.9%的人在过去4周的大多数日子里踝关节疼痛。趾甲疾病、真菌症状以及溃疡或撕裂伤在男性中更为常见，而拇囊炎、鸡眼和胼胝在女性中更为常见（p < 0.001）。在大多数趾畸形、扁平足以及鸡眼和胼胝、真菌迹象、水肿、踝关节疼痛、触压痛和感觉丧失的患病率方面，发现了与教育程度或性别无关的显著种族/民族差异。足踝疾病在这些老年人中很常见。研究它们在社区不同群体中的患病率可能为未来确定病因和预防方法的研究提供信息。
