Footwear used by older people and a history of hyperkeratotic lesions on the foot A prospective observational study

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Footwear used by older people and a history of hyperkeratotic lesions on the foot A prospective observational study

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Title: Footwear used by older people and a history of hyperkeratotic lesions on the foot A prospective observational study
Author: Palomo López, Patricia; Becerro de Bengoa Vallejo, Ricardo; Losa Iglesias, Marta Elena; Rodríguez Sanz, David; Calvo Lobo, César; López López, Daniel
Abstract: Calzado inadecuado, lesiones dolorosas e hiperqueratósicas (LH) son problemas extremadamente comunes entre las personas mayores. Tales problemas aumentan el riesgo de caídas, dificultan la movilidad, la reducción de la calidad de vida, la dignidad y la capacidad de permanecer independiente. La etiología de las condiciones dolorosas y de los pies es poco conocida. Para descubrir las preferencias de calzado de las personas mayores, la tolerancia al dolor puede favorecer la presencia de LH para el uso de calzado inadecuado en la vejez. Una muestra de 100 participantes con una edad media de 74.90 ± 7.01 años asistió a una clínica ambulatoria donde se registraron datos demográficos autoinformados, la frecuencia con la que revisaron sus pies y se tomaron mediciones de la sensibilidad del pie. Además, todos los zapatos de los participantes se asignaron en categorías óptimas, adecuadas y peligrosas según el diseño, las características estructurales y de seguridad, y los materiales. Solo el 12% de la población de la muestra revisó sus pies todos los días, el 37% reveló síntomas de neuropatía, el 14% utilizó zapatos óptimos y el 61% presentó HL. En un análisis bivariado, no se observaron diferencias significativas. El HL se asocia con calzado inadecuado, pérdida de sensibilidad y baja frecuencia en las revisiones de la salud del pie.Inadequate footwear, painful and hyperkeratotic lesions (HL) are an extremely common problems amongst older people. Such problems increase the risk of falls, hamper mobility, reduction of quality of life, dignity, and ability to remain independent. The etiology of painful and feet conditions is poorly understood. To discover footwear preferences of older people, pain tolerance may favor presence of HL for the use of inadequate footwear in old age. A sample of 100 participants with a mean age of 74.90±7.01 years attended an outpatient clinic where self-reported demographic data, frequency with which they checked their feet were recorded and measurements were taken of foot sensitivity. Additionally, all participants’ shoes were allocated into optimal, adequate, and dangerous categories based on design, structural and safety features, and materials. Only 12% of the sample population checked their feet every day, 37% revealed symptoms of neuropathy, 14% used optimal shoes, and 61% presented HL. In a bivariate analysis, no significant differences were observed. HL are associated with inadequate footwear, loss of sensitivity, and low frequency of foot health checks.
URI: http://hdl.handle.net/10662/8963
Date: 2017


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