Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, 15403 Ferrol, Spain.
Faculty of Health Sciences, Universidad Rey Juan, 28922 Carlos, Spain.
Int J Environ Res Public Health. 2018 Feb 7;15(2):286. doi: 10.3390/ijerph15020286.
Alzheimer's disease (AD) shows a marked presence of physiologic changes and the start or aggravation of underlying diseases such as physical frailty in diverse anatomical regions. It is believed to have a particularly harmful effect on the health of the foot. We examined the foot health status in older persons with AD, with a specific focus on the extent to which people with AD may be using inadequate footwear in old age. Seventy-three community-dwelling people with probable, mild to moderate AD aged 65-95 years were recruited from a center of excellence for AD. A single trained physician evaluated health status and foot conditions. Current shoe and foot length and width measurements were taken using a calibrated Brannock device. The results indicate that sixty-five participants (89.04%) suffered from feet problems. Also, only twenty-two subjects (30.14%) used the correct shoes in width and size related with the morphology of their feet. Fifty-one participants (69.86%) were using incorrect shoes in length or width. The present study revealed that peoples with AD had a high presence of foot health problems. Also, the use of inappropriate shoes revealed measurable differences of association between shoe size and the morphology of the foot.
阿尔茨海默病（AD）在不同解剖区域表现出明显的生理变化和潜在疾病的开始或加重，如身体虚弱。据信，它对脚部健康有特别有害的影响。我们检查了患有 AD 的老年人的足部健康状况，特别关注 AD 患者在老年时可能使用不合适的鞋子的程度。从 AD 卓越中心招募了 73 名年龄在 65-95 岁之间、可能患有轻度至中度 AD 的社区居住者。一名经过培训的医生评估了健康状况和足部状况。使用校准的 Brannock 设备测量当前鞋子和足部的长度和宽度。结果表明，65 名参与者（89.04%）存在足部问题。此外，只有 22 名受试者（30.14%）在宽度和与足部形态相关的尺寸上使用了正确的鞋子。51 名参与者（69.86%）在长度或宽度上使用了不合适的鞋子。本研究表明，AD 患者的足部健康问题发生率很高。此外，鞋子尺寸与足部形态之间的关联的不合适的鞋子的使用显示出可测量的差异。
