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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Onset and persistence of disabling foot pain in community-dwelling older adults over a 3-year period: a prospective cohort study.
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Onset and persistence of disabling foot pain in community-dwelling older adults over a 3-year period: a prospective cohort study.

机译:在社区居住的老年人中,三年内禁用脚痛的发作和持续存在:一项前瞻性队列研究。

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BACKGROUND: Foot pain and related disability in older adults are common yet understudied problems. This study aimed to determine the onset and persistence of disabling foot pain in community-dwelling older adults over a 3-year period. METHODS: A 3-year follow-up postal survey was conducted in a population sample of older adults aged 50 years and older, recruited previously as part of the North Staffordshire Osteoarthritis Project. Disabling foot pain was defined as the report of problems on at least 1 of the 10 function items of the Manchester Foot Pain and Disability Index occurring on most/every day(s). RESULTS: Of persons without disabling foot pain at baseline, 8.1% had developed it at 3 years. Onset was greater with increasing age (50-59 years, 6.7%; 60-69 years, 9.1%; and >/=70 years, 9.5%; p = .037), in females (2.5% difference; 95% confidence interval 0.3%-4.8%), and in those with nondisabling foot pain at baseline than those without foot pain (14.2% difference; 95% confidence interval: 10.0%-19.1%). Persistence of disabling foot pain at 3 years was 71.7%, more common in females (9.3% difference; 95% confidence interval: 0.8%-18.0%) but not associated with age. CONCLUSIONS: Accelerated onset with increasing age and frequent persistence suggests considerable public health impact of disabling foot pain as the population ages. Prevention of disabling foot pain in later life should be prioritized and predisposing factors identified as potential intervention targets.
机译:背景:老年人的脚痛和相关的残疾是普遍但尚未被研究的问题。这项研究旨在确定在社区居住的老年人中三年内禁用脚痛的发生和持续性。方法:对50岁及以上的老年人进行了为期3年的邮政追踪调查,该样本是北斯塔福德郡骨关节炎项目的一部分。禁用脚痛的定义是在大多数/每天发生的曼彻斯特足痛和残疾指数的10个功能项目中至少有一项发生问题的报告。结果:在基线时未使足部疼痛解除的人中,有8.1%的人在3年时出现了脚痛。女性的发病率随年龄的增加而增加(50-59岁,6.7%; 60-69岁,9.1%;> / = 70岁,9.5%; p = .037)(差异2.5%; 95%置信区间) 0.3%-4.8%),基线时无残疾脚痛的患者比无脚痛的患者(差异为14.2%; 95%置信区间:10.0%-19.1%)。 3年时禁用脚痛的持续性为71.7%,在女性中更为常见(差异9.3%; 95%的置信区间:0.8%-18.0%),但与年龄无关。结论:随着年龄的增长和频繁的持续发作而加速发作,这表明随着人口老龄化,禁用脚痛对公共卫生产生了相当大的影响。应优先防止在以后的生活中使脚部疼痛致残,并确定易患因素为潜在的干预目标。

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