Differences between genders in relation to factors associated with risk of diabetic foot in elderly persons: A cross-sectional trial

• Main Authors: Fabiana Magalhães Navarro-Peternella, Ana Patrícia A. Torquato Lopes, Guilherme Oliveira de Arruda, Elen Ferraz Teston, Sonia Silva Marcon
• Format: Article
• Language: English
• Published: Elsevier 2016-12-01
• Series: Journal of Clinical & Translational Endocrinology
• Subjects: Elderly; Diabetes mellitus; Gender; Risk factors; Diabetic foot
• Online Access: http://www.sciencedirect.com/science/article/pii/S2214623716300369

Aims: This trial aims to identify differences between genders in relation to factors associated with the risk of diabetic foot in elderly persons. Methods: We evaluated 187 older adults diagnosed with diabetes type 2. The variables investigated were sociodemographic data, clinical history of diabetes mellitus and complaints about the feet. The plantar sensitivity was evaluated on both feet, with the use of Semmes–Weinstein monofilaments. For data analysis we used chi-square test and binary logistic regression (p < 0.05; 95% CI). Results: We included 174 elderly people who had no history of stroke and peripheral vascular disease. Most (58.6%) were female and among them the risk factors for diabetic foot were older age (p < 0.021; OR 6.0), presence of calluses (p < 0.046; OR 2.83) and claw toes (p < 0.041; OR 3.18). And among men, the risk factors for diabetic foot were insulin use (p < 0.008; OR 5.22), presence of sensory comorbidities (p < 0.007; OR 5.0), ulcers (p < 0.001), numbness (p < 0.002; OR 6.6) and stiffness in the feet (p < 0.009; OR 5.44). Conclusion: The factors associated with the development of diabetic foot were presented differently in women and men, so a targeted and more specific preventive approach is required.