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Factors associated with prevalent and incident foot pain: data from the Tasmanian Older Adult Cohort Study

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Laslett, LL ORCID: 0000-0002-4336-0095, Menz, HB, Otahal, P ORCID: 0000-0003-4042-1769, Pan, F ORCID: 0000-0002-3403-0094, Cicuttini, FM and Jones, G ORCID: 0000-0002-9814-0006 2018 , 'Factors associated with prevalent and incident foot pain: data from the Tasmanian Older Adult Cohort Study' , Maturitas, vol. 118 , pp. 38-43 , doi: 10.1016/j.maturitas.2018.10.004.

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Abstract

Objectives: To describe factors associated with prevalent and incident foot pain in a population-based cohort ofolder adults (n=1092).Study design: Longitudinal observational study.Main outcome measures: Prevalent foot pain, incident foot pain after 5 years.Methods: Potential correlates included demographic factors, anthropometry, leg strength, metabolic factors,steps per day (using pedometer), pain at 6 other sites, and psychological wellbeing. Data were analysed using logbinomial models.Results: Participants were aged 50–80 years (mean 63 years), 49% male, mean body mass index (BMI)27.8 ± 4.7 at baseline. The prevalence of foot pain at baseline was 38% and the incidence of new pain over5 years was 20%. BMI, pain at other sites (neck, hands, knees, pain at three or more sites), and poorer psychologicalwellbeing were independently associated with baseline foot pain. Baseline BMI and pain in the neck,hands, and knees were independently associated with incident foot pain; but change in weight or BMI, totalnumber of painful joints and psychological wellbeing were not. Self-reported diabetes and cigarette smokingwere not associated with prevalent or incident foot pain.Conclusions: This study demonstrates that greater body weight and joint pain at multiple sites were consistentlyassociated with prevalent foot pain and predict incident foot pain. Addressing excess body mass and taking aglobal approach to the treatment of pain may reduce the prevalence and incidence of foot pain in older adults.

Item Type: Article
Authors/Creators:Laslett, LL and Menz, HB and Otahal, P and Pan, F and Cicuttini, FM and Jones, G
Keywords: foot, obesity, pain, aged, body composition, cohort studies, pain/epidemiology
Journal or Publication Title: Maturitas
Publisher: Elsevier Sci Ireland Ltd
ISSN: 0378-5122
DOI / ID Number: 10.1016/j.maturitas.2018.10.004
Copyright Information:

© 2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/

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