1Department of Hand, Foot and Ankle Surgery, the First Hospital of Yulin, Yulin city, China.
J Orthop Surg Res. 2024 Nov 28;19(1):805. doi: 10.1186/s13018-024-05300-y.
By analyzing data from NHANES, we aimed to evaluate the prevalence, characteristics, and associated factors of plantar heel pain in Americans aged 20 or above.
Plantar heel pain is a prevalent problem that affects a substantial number of adults and significantly impairing their quality of life.
To investigate the prevalence and characteristics of plantar heel pain, exploring the associated risk factors.
This is a cross-sectional study. We analyzed data from 4957 individuals aged 20 or above who participated in the 2009-2010 NHANES.
Among the total 4957 US participants ≥ 20 years of age, 549 (11.1%) participants reported plantar heel pain. There was a significant difference in distribution between female and male (p = 0.002). Furthermore, participants aged between 50 and 65 years had the highest plantar heel pain prevalence of 14.5% among the entire population, however, among the female participants, those aged ≥ 65 years demonstrated the highest prevalence (19.8%) of plantar heel pain. In addition, compared to those with BMI < 25 kg/m, BMI with 25-30 kg/m had 1.5-fold risk of plantar heel pain(OR:1.50, 95%CI:1.10-2.05), while BMI with 30-35 kg/m had a 2.1-fold higher risk and those with BMI ≧ 35 kg/m had a 2.7-fold risk to experience plantar heel pain. Age, BMI, female (OR:1.35, 95%CI:1.07-1.70), kidney stones history (OR:1.52, 95%CI:1.09-2.11), hypertension (OR:1.54, 95%CI:1.20-1.96) and osteoporosis (OR:1.75, 95%CI:1.10-2.78) were independent risk factors for plantar heel pain. Further subgroup analysis indicated that osteoporosis is the independent risk factor for women (OR:2.00, 95%CI:1.19-3.37) but not men (OR:0.65, 95%CI:0.15-2.86) for plantar heel pain.
Our findings might offer evidences for the prevention and treatment of plantar heel pain. Further prospective studies are needed to confirm our findings.
通过分析 NHANES 的数据，评估美国 20 岁及以上人群足底跟痛的患病率、特征和相关因素。
这是一项横断面研究。我们分析了 2009-2010 年 NHANES 中 4957 名年龄在 20 岁及以上的个体的数据。
在总共 4957 名美国≥20 岁的参与者中，有 549 名（11.1%）报告有足底跟痛。女性和男性之间的分布有显著差异（p=0.002）。此外，50-65 岁年龄组的人群中足底跟痛的患病率最高，为整个人群的 14.5%，然而，在女性参与者中，≥65 岁的人群足底跟痛的患病率最高（19.8%）。此外，与 BMI<25 kg/m 的人群相比，BMI 为 25-30 kg/m 的人群患足底跟痛的风险增加 1.5 倍（OR：1.50，95%CI：1.10-2.05），而 BMI 为 30-35 kg/m 的人群患足底跟痛的风险增加 2.1 倍，BMI≥35 kg/m 的人群患足底跟痛的风险增加 2.7 倍。年龄、BMI、女性（OR：1.35，95%CI：1.07-1.70）、肾结石史（OR：1.52，95%CI：1.09-2.11）、高血压（OR：1.54，95%CI：1.20-1.96）和骨质疏松症（OR：1.75，95%CI：1.10-2.78）是足底跟痛的独立危险因素。进一步的亚组分析表明，骨质疏松症是女性发生足底跟痛的独立危险因素（OR：2.00，95%CI：1.19-3.37），而不是男性（OR：0.65，95%CI：0.15-2.86）。
我们的研究结果为足底跟痛的预防和治疗提供了依据。需要进一步的前瞻性研究来证实我们的发现。
