Martínez-Gallardo Prieto Lorenza, Hermida Galindo Luis Felipe, D'hyver de Las Deses Carlos
Centro Médico ABC, Ciudad de México, México. Departamento de Geriatría, Residencia Mater-TEA (Techo, Educación y Ayuda), Ciudad de México, México.
Rev Esp Geriatr Gerontol. 2012 Jan-Feb;47(1):19-22. doi: 10.1016/j.regg.2011.05.004. Epub 2011 Oct 14.
Foot disease is common among the elderly. Little is known about its prevalence and impact over mobility, gait and tendency to fall.
A geriatric history was taken from 171 women living in a long-term care facility. Photographs were taken of the feet and evaluated by an orthopaedic surgeon and a dermatologist. A multivariate analysis was made to assess de effect of the independent variables over mobility, gait and tendency to fall.
The foot diseases most commonly found were hammer toes (122), callus (79) and peripheral vascular disease (74). Hallux rigidus (OR 24.897, 95% CI, 1.231-503.542) and peripheral vascular disease (OR 2.481, 95% CI, 1.095-5.623) seemed to be associated with changes in gait; both where associated with dependency on instrumental activities of daily living (OR 44.166, 95% CI, 2.402-812.233, and OR 2.659, 95% CI, 1.069-6.615). Hallux rigidus was related to falls (OR 19.27, 95% CI, 1.102-337.26). Tinea pedis was associated with dependency in activities of daily living (OR 11.52, 95% CI, 1.325-100.125).
Foot disorders are common in the elderly. Only hallux rigidus and peripheral vascular disease had an impact on function and gait.
足部疾病在老年人中很常见。关于其患病率以及对活动能力、步态和跌倒倾向的影响，人们了解甚少。
对居住在一家长期护理机构的171名女性进行了老年病病史采集。拍摄了足部照片，并由一名骨科医生和一名皮肤科医生进行评估。进行了多变量分析，以评估自变量对活动能力、步态和跌倒倾向的影响。
最常见的足部疾病是槌状趾（122例）、胼胝（79例）和外周血管疾病（74例）。僵硬性拇趾（比值比24.897，95%可信区间，1.231 - 503.542）和外周血管疾病（比值比2.481，95%可信区间，1.095 - 5.623）似乎与步态改变有关；二者均与日常生活工具性活动的依赖性有关（比值比44.166，95%可信区间，2.402 - 812.233，以及比值比2.659，95%可信区间，1.069 - 6.615）。僵硬性拇趾与跌倒有关（比值比19.27，95%可信区间，1.102 - 337.26）。足癣与日常生活活动的依赖性有关（比值比11.52，95%可信区间，1.325 - 100.125）。
足部疾病在老年人中很常见。只有僵硬性拇趾和外周血管疾病对功能和步态有影响。
