Diabetes and incorrectly fitting shoes

Reddy, P V K; Vaid, Megha; Child, D F

doi:10.1002/pdi.1960060109

Cited by 15 publications

(14 citation statements)

References 2 publications

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“…None of the six patients with diabetes were wearing shoes of the correct size (compare with Reddy et al 6 ). This may relate to difficulties in purchasing shoes of varying width fittingsvery wide or very narrow shoes are not always readily available.…”

Section: Resultsmentioning

confidence: 96%

“…4 5 On searching the literature it was evident that a surprisingly high number of adults wear ill fitting shoes-37% of diabetic outpatients and 24% of general medical outpatients wore shoes of the wrong size in one study. 6 The American Orthopaedic Foot and Ankle Society carried out a survey of women's shoes in 1993. This revealed that 60% of participants' feet had increased in size since the age of 20 yet 75% people had not had their feet measured in the past five years.…”

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confidence: 99%

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Older people and ill fitting shoes

Burns

Leese²,

McMurdo

2002

Postgraduate Medical Journal

114

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Background: Foot health is an important issue in older people. Inappropriate shoes increase the risk of callous and ulcer formation, as well as increasing the risk of falls. There are no data defining the size of this problem. Objective: The aim of the study was to investigate the proportion of elderly people on a general rehabilitation ward wearing incorrectly sized shoes and to look for the presence of complications. Methods: Sixty five consecutive patients (mental state questionnaire score >6) admitted to a rehabilitation ward had their foot length and width measured, and the size of their current footwear recorded. Sensation was tested with a standard 10 g monofilament. The presence of ulceration was noted. Foot pain was recorded by the patient on a visual analogue scale. Any history of diabetes mellitus, peripheral vascular disease, or peripheral neuropathy was noted. Results: The median age of the subjects was 82 (range 64-93). Six (9%) had a history of diabetes, seven (11%) had symptomatic peripheral vascular disease, and 17 (26%) had sensory impairment. Ten patients (15%) had foot ulceration present, and 47 patients (72%) had ill fitting shoes (a discrepancy in length of more than half a British shoe size fitting or more than one British width fitting, 7 mm).Incorrect shoe length was significantly associated with the presence of ulceration (odds ratio (OR) = 10.04, p = 0.016). Presence of ulceration was significantly associated with a history of peripheral vascular disease (OR = 11.56, p = 0.008). Pain was significantly associated with incorrect shoe length (p = 0.0238) and with sensory impairment (p = 0.0314). Conclusion: Most older people on a rehabilitation ward wore ill fitting shoes. An association was found between ill fitting shoes and self reported pain, and between ill fitting shoes and ulcer formation. A straightforward assessment of footwear in older people could improve comfort and avoid preventable foot disorders.

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Section: Resultsmentioning

confidence: 96%

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confidence: 99%

Older people and ill fitting shoes

Burns

Leese²,

McMurdo

2002

Postgraduate Medical Journal

114

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“…A frequently referenced component of prevention and treatment of foot problems is the use of properly fitting or specialized footwear. Current literature suggests that use of proper footwear plays a significant role in the prevention of foot lesions by reducing ulceration associated with peripheral neuropathy (1)(2)(3) and that it is vital in maintenance of an intact foot once an ulcer has healed (4,5).…”

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confidence: 99%

The Role of Footwear in the Prevention of Foot Lesions in Patients With NIDDM: Conventional wisdom or evidence-based practice?

1997

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“…In conclusion, elderly people with or without diabetic polyneuropathy require footwear broader than is currently available, if foot injuries from ill-fitting shoes [10] are to be avoided. Appropriate footwear to accommodate adequately the feet of elderly people and especially protective footwear for diabetic patients, need to be available in at least three different breadths (equivalent to widths 7-9, for example) to meet the medical requirements [11] of the majority of people in this particular high-risk group.…”

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Foot Dimensions of Elderly People with and without Diabetes mellitus – a Data Basis for Shoe Design

Chantelau

Gede²

2002

Gerontology

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Background: Injuries from footwear are common in elderly people, particularly in those with diabetes mellitus and polyneuropathy. A common cause is a mismatch between foot and shoe. Objective: To assess the length and the breadth of the feet by an automatic measuring device in 568 patients with diabetic polyneuropathy and in 100 nondiabetic control subjects of the same mean age of 64 years. Results: While the foot length in all cases matched well with the size of the normal footwear available on the market, more than two thirds of the feet were considerably broader than the normal footwear available. The foot breadth correlated variably with the foot length. Tables of foot dimensions for men and women are provided over the complete range of shoe sizes. Conclusions: This anthropometric data set on feet, which is the first conducted in elderly people, proves that most feet of elderly people with or without diabetic neuropathy do not fit ordinary casual footwear. Therefore, the construction of shoes according to the anthropometric data of elderly people is required in order to prevent foot injuries in this particular population.

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Diabetes and incorrectly fitting shoes

Cited by 15 publications

References 2 publications

Older people and ill fitting shoes

Older people and ill fitting shoes

The Role of Footwear in the Prevention of Foot Lesions in Patients With NIDDM: Conventional wisdom or evidence-based practice?

Foot Dimensions of Elderly People with and without Diabetes mellitus – a Data Basis for Shoe Design

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