TY - JOUR
T1 - Factors associated with hallux valgus in a population-based study of older women and men
T2 - the MOBILIZE Boston Study
AU - Nguyen, U. S.D.T.
AU - Hillstrom, H. J.
AU - Li, W.
AU - Dufour, A. B.
AU - Kiel, D. P.
AU - Procter-Gray, E.
AU - Gagnon, M. M.
AU - Hannan, M. T.
N1 - Funding Information:
This research was supported in part by the following grants from the NIA: AG 026316, 3R01AG026316-03S1, AG028738, and AG 004390. The study sponsors, however, have no involvement in the study design, collection, analysis, or interpretation of the data; or in the writing and submission of this manuscript for publication.
PY - 2010/1
Y1 - 2010/1
N2 - Objective: To examine potential risk factors for hallux valgus in community-dwelling elders. Method: Data from 600 MOBILIZE Boston Study participants (386 women and 214 men) were analyzed. Hallux valgus was defined as >15° angular deviation of the hallux with respect to the first metatarsal bone toward the lesser toes. Associations of hallux valgus with age, body mass index (BMI), race, education, pes planus, foot pain, and in women, history of high heel shoe use, were assessed using sex-specific Poisson regression with robust variance estimation for risk ratios (RR) and 95% confidence intervals (CI). Results: Hallux valgus was present in 58% of women and 25% of men. Higher BMI was inversely associated with presence of hallux valgus in women (P trend = 0.001), with the strongest inverse association observed in those with BMI of 30.0 or more compared to those with normal BMI (RR = 0.7, 95% CI: 0.5, 0.9). Women, who usually wore high-heeled shoes during ages 20-64 years compared to those who did not, had increased likelihood of hallux valgus (RR = 1.2, 95% CI: 1.0, 1.5). Among men, those with BMI between 25.0 and 29.9 had increased likelihood of hallux valgus compared to those with normal BMI (RR = 1.9, 95% CI: 1.0, 3.5). Men with pes planus were more likely to have hallux valgus (RR = 2.1, 95% CI: 1.3, 3.3) compared to men without pes planus. Conclusion: In women, hallux valgus was associated with lower BMI and high heel use during ages 20-64, while in men, associations were observed with higher BMI and pes planus. Our results suggest that the etiologic mechanisms for hallux valgus may differ between men and women.
AB - Objective: To examine potential risk factors for hallux valgus in community-dwelling elders. Method: Data from 600 MOBILIZE Boston Study participants (386 women and 214 men) were analyzed. Hallux valgus was defined as >15° angular deviation of the hallux with respect to the first metatarsal bone toward the lesser toes. Associations of hallux valgus with age, body mass index (BMI), race, education, pes planus, foot pain, and in women, history of high heel shoe use, were assessed using sex-specific Poisson regression with robust variance estimation for risk ratios (RR) and 95% confidence intervals (CI). Results: Hallux valgus was present in 58% of women and 25% of men. Higher BMI was inversely associated with presence of hallux valgus in women (P trend = 0.001), with the strongest inverse association observed in those with BMI of 30.0 or more compared to those with normal BMI (RR = 0.7, 95% CI: 0.5, 0.9). Women, who usually wore high-heeled shoes during ages 20-64 years compared to those who did not, had increased likelihood of hallux valgus (RR = 1.2, 95% CI: 1.0, 1.5). Among men, those with BMI between 25.0 and 29.9 had increased likelihood of hallux valgus compared to those with normal BMI (RR = 1.9, 95% CI: 1.0, 3.5). Men with pes planus were more likely to have hallux valgus (RR = 2.1, 95% CI: 1.3, 3.3) compared to men without pes planus. Conclusion: In women, hallux valgus was associated with lower BMI and high heel use during ages 20-64, while in men, associations were observed with higher BMI and pes planus. Our results suggest that the etiologic mechanisms for hallux valgus may differ between men and women.
KW - BMI
KW - Foot pain
KW - Hallux valgus
KW - High-heeled shoes
KW - Pes planus
KW - Population-based cohort study
UR - http://www.scopus.com/inward/record.url?scp=72449195680&partnerID=8YFLogxK
U2 - 10.1016/j.joca.2009.07.008
DO - 10.1016/j.joca.2009.07.008
M3 - Article
C2 - 19747997
AN - SCOPUS:72449195680
SN - 1063-4584
VL - 18
SP - 41
EP - 46
JO - Osteoarthritis and Cartilage
JF - Osteoarthritis and Cartilage
IS - 1
ER -