Vibha S P, Kulkarni Muralidhar M, Kirthinath Ballala A B, Kamath Asha, Maiya G Arun
Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Department of Statistics, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
BMC Endocr Disord. 2018 Jun 26;18(1):43. doi: 10.1186/s12902-018-0270-2.
Diabetic foot is one of the most significant and devastating complication of diabetes. The objective of this study was to assess the prevalence of diabetic foot syndrome (DFS) and the associated risk factors among people with diabetes mellitus.
A community based cross-sectional study was carried out among 620 subjects with diabetes mellitus (DM) in rural areas of Udupi district. The Michigan Neuropathy Screening Instrument was used to identify peripheral neuropathy. Ankle brachial index was used to identify peripheral arterial disease (PAD). Subjects with diabetic foot syndrome were classified according to the International Working Group on Diabetic Foot (IWGDF) classification system.
The overall prevalence of DFS was 51.8%. Among them 31.3, 11.9 and 8.5% belonged to category 1, 2 and 3 respectively. Multivariate logistic regression analysis showed advancing age, low socio-economic status, sedentary physical activity and longer duration of DM were significant independent correlates of DFS.
The overall prevalence of DFS was high among the study population; hence the screening for foot complications should start at the time of diagnosis of diabetes integrated with sustainable patient education at primary care level by training of health care providers at primary care level.
糖尿病足是糖尿病最严重且极具破坏性的并发症之一。本研究的目的是评估糖尿病足综合征（DFS）的患病率以及糖尿病患者中的相关危险因素。
在乌杜皮地区农村的620名糖尿病（DM）患者中开展了一项基于社区的横断面研究。采用密歇根神经病变筛查工具来识别周围神经病变。采用踝肱指数来识别外周动脉疾病（PAD）。根据国际糖尿病足工作组（IWGDF）分类系统对糖尿病足综合征患者进行分类。
DFS的总体患病率为51.8%。其中，分别有31.3%、11.9%和8.5%属于1、2和3类。多因素逻辑回归分析显示，年龄增长、社会经济地位低下、久坐不动的身体活动以及糖尿病病程较长是DFS的显著独立相关因素。
研究人群中DFS的总体患病率较高；因此，足部并发症的筛查应在糖尿病诊断时开始，并通过对基层医疗保健提供者进行培训，在基层医疗保健层面开展可持续的患者教育。
