Ababneh Anas, Bakri Faris G, Khader Yousef, Lazzarini Peter, Ajlouni Kamel
Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.
National Centre of Diabetes, Endocrinology and Genetics, Amman, Jordan.
Curr Diabetes Rev. 2020;16(5):471-482. doi: 10.2174/1573399815666191001101910.
To determine the prevalence of, and factors associated with, people with foot deformities, among patients with diabetes in Jordan.
A cross-sectional study was conducted on 1000 diabetic participants recruited from the National Center for Diabetes, Endocrinology, and Genetics in Jordan. Participants had their feet clinically examined to detect the following foot deformity outcomes: Hallux valgus, claw/hammer toe, prominent metatarsal heads, limited joint mobility, pes cavus, Charcot foot, and amputations. Sociodemographic and health variables were also collected from participants' interviews, medical records, or clinical examination. Logistic regression was used to analyse associations between variables and each foot deformity outcome.
Of the 1000 diabetic patients: Hallux valgus was found in 17.4%, claw\hammer toe in 16%, prominent metatarsal head in 14.2%, limited joint mobility in 9.4%, pes cavus in 3.2%, Charcot foot in 2.1%, and amputations in 1.7%. Hallux valgus was associated with gender (p=0.012), age (p<0.01) and shoe choices (p=0.031); claw\hammer toe was associated with age (p=0.04), retinopathy (p<0.001), sensory and painful neuropathy (p<0.001); limited joint mobility was associated with age only (p=0.001); Charcot foot was associated with glycemic control (p=0.016), hypertension (p<0.000), sensory neuropathy (p<0.001), and painful neuropathy (p<0.001); and, amputations were associated with duration of diabetes (p<0.043), sensory neuropathy (p=0.001), and painful neuropathy (p=0.001).
Prevalence of different foot deformities in Jordan variedbetween 1.7% - 17.4%. Sociodemographic factors such as age, gender and shoes choices or presence of diabetes-related microvascular complications (neuropathy and retinopathy) or hypertension were independently associated with foot deformities among the Jordanian diabetic population.
确定约旦糖尿病患者中足部畸形患者的患病率及其相关因素。
对从约旦国家糖尿病、内分泌与遗传学中心招募的1000名糖尿病参与者进行了一项横断面研究。对参与者的足部进行临床检查，以检测以下足部畸形结果：拇外翻、爪形/锤状趾、跖骨头突出、关节活动受限、高弓足、夏科氏足和截肢。还通过参与者访谈、病历或临床检查收集了社会人口统计学和健康变量。采用逻辑回归分析变量与每种足部畸形结果之间的关联。
在1000名糖尿病患者中：拇外翻的患病率为17.4%，爪形/锤状趾为16%，跖骨头突出为14.2%，关节活动受限为9.4%，高弓足为3.2%，夏科氏足为2.1%，截肢为1.7%。拇外翻与性别（p = 0.012）、年龄（p < 0.01）和鞋子选择（p = 0.031）有关；爪形/锤状趾与年龄（p = 0.04）、视网膜病变（p < 0.001）、感觉性和疼痛性神经病变（p < 0.001）有关；关节活动受限仅与年龄有关（p = 0.001）；夏科氏足与血糖控制（p = 0.016）、高血压（p < 0.000）、感觉神经病变（p < 0.001）和疼痛性神经病变（p < 0.001）有关；截肢与糖尿病病程（p < 0.043）、感觉神经病变（p = 0.001）和疼痛性神经病变（p = 0.001）有关。
约旦不同足部畸形的患病率在1.7%至17.4%之间。年龄、性别和鞋子选择等社会人口统计学因素，或糖尿病相关微血管并发症（神经病变和视网膜病变）或高血压的存在，与约旦糖尿病患者人群的足部畸形独立相关。
