Specific foot health‐related quality‐of‐life impairment in patients with type II versus type I diabetes

Palomo‐López, Patricia; Losa‐Iglesias, Marta Elena; Becerro-de-Bengoa-Vallejo, Ricardo; López‐López, Daniel; Rodríguez‐Sanz, David; Romero‐Morales, Carlos; Calvo‐Lobo, César

doi:10.1111/iwj.12984

Cited by 20 publications

(22 citation statements)

References 19 publications

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“…Vozarova et al compared cardiovascular diseases and diabetes in the Roma and non-Roma population reporting a high prevalence in Roma population [42], in line with Ramos-Morcillo et al [39]. Furthermore, Palomo-López et al reported that foot problems, including those arising from chronic diseases such as diabetes, can provoke limitations, deformities and disabilities [24]. The prevalence of foot health problems was higher in Roma women than in Roma men and such disorders can be prevented or minimized, among other measures, by adopting a healthy lifestyle "healthy behaviour" and by entrusting foot care to qualified specialists.…”

Section: Discussionmentioning

confidence: 80%

“…This is an under-researched population, and as such the work is of interest. National health surveys of the Roma population in Spain and Europe have been carried out within the framework of the European project entitled "Health and the Roma community, analysis of the situation in Europe" [9] [36], which has been adapted and translated to know foot health in certain pathologies [18] [23] [24], and on populations with certain characteristics [19] [20] [22].…”

Section: Discussionmentioning

confidence: 99%

“…Measuring the quality of life of a population is the initial step in the approach to prevention strategies and action protocols to reduce health problems [24]. According to these authors, to date there have been no studies on the foot health needs of the minority ethnic groups.…”

Section: Introductionmentioning

confidence: 99%

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Foot health among the Roma population of southern Spain according to the foot health status questionnaire

et al. 2020

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Background: Foot health of the Roma population is a challenge for the health professionals where this minority is significant, as is the case in Spain. At present, little is known about foot health of the Roma population and their knowledge would promote the training of these professionals at the community level. Foot pain is common and a reason for consulting podiatry services. The purpose of this study was to determine foot health among the Roma population according to the Foot Health Status Questionnaire. Method: An observational, cross-sectional and quantitative study conducted at the Roma population living in Spain in 2018. Self-reported data and the Foot Health Status Questionnaire were recorded. Examining the general health and foot health (foot pain, foot function, footwear and general health) and general (general health, social capacity, physical activity and vigour). This questionnaire is recommended as a valid and reliable patient-reported outcome. The obtained scores were compared. Results: A sample made up of 624 men and women from the Roma population took part in this study. 45% were Roma men and 55% Roma women. In the first section of the FHSQ, a lower score of values was recorded in the footwear domain (62.5) and in the general foot health domain (60). Gypsy women obtained lower scores in all the domains. In the second section, lower scores were obtained in the vigour (56) domain and in the general health (60) domain. A large effect size (r-Rosenthal) was found by gender in the footwear domain (0.334) and in the vigour domain (0.195). Roma women showed higher values in cardiac disorders, serious illnesses, doctor visits and foot problems. 67.8% reported that they had never been assisted by a podiatrist. Conclusions: The studied Roma population has foot health problems, and these are more pronounced among women. They show lower values in the footwear and vigour domains. More professional training is required for health workers in this field to avoid cultural diversity stereotypes.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

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Foot health among the Roma population of southern Spain according to the foot health status questionnaire

et al. 2020

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“…Of all the variables included in the model, we observed that “low educational level” increases the risk of losing protective sensitivity (OR: 31.4, 95% CI: 2.5‐383.3, P = .007); however, the confidence interval is quite high, so the risk—although present—may be overestimated by the sample size. Those with a lower level of education typically have poorer health habits, causing increased obesity, physical inactivity, and susceptibility to psychosocial risks, which increases the risk of suffering from neuropathy . Therefore, it is important to establish preventative programs aimed at less educated populations to reduce the prevalence of PN.…”

Section: Discussionmentioning

confidence: 99%

Predictive model to identify the risk of losing protective sensibility of the foot in patients with diabetes mellitus

Chicharro‐Luna

Pomares

Ortega-Ávila

et al. 2019

International Wound Journal

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Diabetic neuropathy is defined as the presence of symptoms and signs of peripheral nerve dysfunction in diabetics. The aim of this study is to develop a predictive logistic model to identify the risk of losing protective sensitivity in the foot. This descriptive cross-sectional study included 111 patients diagnosed with diabetes mellitus. Participants completed a questionnaire designed to evaluate neuropathic symptoms, and multivariate analysis was subsequently performed to identify an optimal predictive model. The explanatory capacity was evaluated by calculating the R 2 coefficient of Nagelkerke. Predictive capacity was evaluated by calculating sensitivity, specificity, and estimation of the area under the receiver operational curve. Protective sensitivity loss was detected in 19.1% of participants. Variables associated by multivariate analysis were: educational level (OR: 31.4, 95% CI: 2.5-383.3, P = .007) and two items from the questionnaire: one related to bleeding and wet socks (OR: 28.3, 95% CI: 3.7-215.9, P = .001) and the other related to electrical sensations (OR: 52.9, 95% CI: 4.3-643.9, P = .002), which were both statistically significant. The predictive model included the variables of age, sex, duration of diabetes, and educational level, and it had a sensitivity of 81.3% and a specificity of 95.5%. This model has a high predictive capacity to identify patients at risk of developing sensory neuropathy.

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“…This supports the need for surgeons to attempt foot salvage procedures before performing a major amputation [7]. In 2019 Palomo-Lopez et al evaluated 62 patients by means of Foot Health Status Questionnaire and pointed out that the patients with type II diabetes present a negative impact on the speci c foot health-related QoL compared with type I diabetes patients [8]. In 2017 López-López et al studied the foot health-related beliefs of 282 patients and con rmed the positive social attitude to podiatry, which help the patients to lead a healthy life and avoid dependency [9].…”

Section: Introductionmentioning

confidence: 95%

Acceptance of illness, quality of life and nutritional status of patients after lower limb amputation due to diabetes mellitus

Szymańska–Chabowska

Łabuń

Tański

et al. 2020

Preprint

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Introduction. Diabetes mellitus is one of the most common chronic diseases with a high number of sufferers worldwide. Diabetic neuropathy and diabetic angiopathy lead to serious infectious complications which are very difficult to combat and may finally lead to the amputation of a lower limb. The aim of the study was to evaluate the quality of life, the level of acceptance of the illness and the nutritional status of patients after lower limb amputation due to diabetes. Methods. Ninety nine patients (23 men and 76 women) were enrolled into the study. They had all undergone lower limb amputation due to diabetic foot in the Department of General and Oncological Surgery. The following questionnaires were used: the WHO Quality of Life-BREF, the Mini Nutritional Assessment, the Acceptance of Illness Scale and the socio-demographic questionnaire. Results. The diabetes-related amputees had a higher QoL within the social domain (64.48), an intermediate QoL – within the environmental domain (63.04) and the mental domain (59.61), and a lower QoL – within physical (somatic) domain (54.69). There was no statistical correlation between genders or between all the domains of QoL (p>0.05). The patients were at risk of malnutrition (MNA was 22.66). There were statistical differences between women and men as regards nutritional status (p=0.034). The mean AIS score was 27.65, which means that the respondents accept their disease. There was no statistical correlation between gender and the acceptance of the disease (p=0.288). There was not statistical correlation between age and QoL (p>0.05). There were statistical differences between age and nutritional status (p<0.05), and between age and acceptance of the illness (p=0.044). Conclusions. The better the quality of life was in all the domains, the better the level of acceptance of illness was. The less malnourished the patient was, the better their quality of life was in all the domains.

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Specific foot health‐related quality‐of‐life impairment in patients with type II versus type I diabetes

Cited by 20 publications

References 19 publications

Foot health among the Roma population of southern Spain according to the foot health status questionnaire

Foot health among the Roma population of southern Spain according to the foot health status questionnaire

Predictive model to identify the risk of losing protective sensibility of the foot in patients with diabetes mellitus

Acceptance of illness, quality of life and nutritional status of patients after lower limb amputation due to diabetes mellitus

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