School of Pharmaceutical Sciences, Mukogawa Women's University.
J Epidemiol. 2014;24(3):200-8. doi: 10.2188/jea.je20130110. Epub 2014 Apr 5.
We investigated the prevalence of hallux valgus (HV) and examined its association with various factors in a cross-sectional study of Japanese female university students.
A questionnaire survey of foot symptoms, lifestyle, and body mass index (BMI) was administered to 343 women who provided informed consent at a women's university. Footprints were obtained and bone density was measured. Associations of HV with various factors were analyzed by logistic regression analysis.
Big toe pain was reported in 26.5% of the women. HV (HV angle, ≥15°) was present in the left foot in 22.4%, the right foot in 20.7%, and unilaterally or bilaterally in 29.7% of women. Mild HV (HV angle, ≥15° to <20°) was noted in the left foot and right foot in 13.4% and 13.1% of women, respectively; no severe HV (HV angle, ≥40°) was observed. HV was associated with big toe pain (adjusted OR: 3.56, 95% CI: 2.01-6.32), history of HV in the mother or maternal grandmother (adjusted OR: 2.45, 95% CI: 1.19-5.02), and history of HV in other family members (adjusted OR: 3.09, 95% CI: 1.35-7.06). Moderate HV was associated with big toe pain (adjusted OR: 4.58, 95% CI: 2.17-9.66) and history of HV in the mother or maternal grandmother (adjusted OR: 3.36, 95% CI: 1.40-8.07). The proportion of women with big toe pain increased significantly with HV severity.
HV was present in about 30% of female university students. Young women with big toe pain or a family history of HV should be evaluated for HV.
我们在一项日本女大学生的横断面研究中，调查了踇外翻（HV）的患病率，并探讨了其与各种因素的关系。
在一所女子大学，对 343 名自愿参加的女性进行了足部症状、生活方式和体重指数（BMI）的问卷调查，并采集了足印，测量了骨密度。采用 logistic 回归分析 HV 与各种因素的相关性。
26.5%的女性报告大脚趾疼痛。22.4%的女性左足、20.7%的女性右足存在 HV（HV 角，≥15°），29.7%的女性为单侧或双侧 HV。13.4%的女性左足、13.1%的女性右足存在轻度 HV（HV 角，≥15°至<20°）；无重度 HV（HV 角，≥40°）。HV 与大脚趾疼痛相关（调整后的 OR：3.56，95%CI：2.01-6.32），母亲或外祖母有 HV 病史（调整后的 OR：2.45，95%CI：1.19-5.02），以及其他家庭成员有 HV 病史（调整后的 OR：3.09，95%CI：1.35-7.06）。中度 HV 与大脚趾疼痛相关（调整后的 OR：4.58，95%CI：2.17-9.66），与母亲或外祖母有 HV 病史相关（调整后的 OR：3.36，95%CI：1.40-8.07）。大脚趾疼痛和 HV 严重程度与 HV 患病率呈正相关。
约 30%的女大学生存在 HV。有大脚趾疼痛或 HV 家族史的年轻女性应评估 HV。
