Ethnic differences in plantar pressures in diabetic patients with peripheral neuropathy

NewsBot · Apr 5, 2008

Members do not see these Ads. Sign Up.
Ethnic differences in plantar pressures in diabetic patients with peripheral neuropathy.
Solano MP, Prieto LM, Varon JC, Moreno M, Boulton AJ
Diabet Med. 2008 Apr;25(4):505-7

Aims To compare plantar foot pressures between Caucasian and Hispanic diabetic patients with peripheral neuropathy (PN) without a history of foot ulceration and between Caucasian and Hispanic non-diabetic individuals.

Methods Forty-four Hispanic diabetic patients with PN (HDPN), 35 Caucasian diabetic patients with PN (CDPN), 41 non-diabetic Hispanic subjects and 33 non-diabetic Caucasian subjects participated. Total and regional peak plantar pressures (PPs) and pressure time integrals (PTIs) were assessed using the EMED-SF-4 plantar pressure system.

Results Hispanic diabetic patients with PN had significantly lower peak PP than Caucasian diabetic patients with PN in the entire foot (552.4 +/- 227.9 vs. 810.1 +/- 274.6 kPa; P < 0.001), forefoot (464.1 +/- 222.6 vs. 699.6 +/- 323.1 kPa; P < 0.001), hindfoot (296.3.4 + 101.8 vs. 398.1 + 178.3 kPa; P < 0.01) and at the fifth metatarsal head (MTH5; 204.3 +/- 143.2 vs. 388.2 +/- 273.9 kPa; P < 0.001). The PTI in the entire foot, forefoot and MTH5 were also lower in HDPN than in CDPN. The ethnic differences between the diabetic groups with PN for the entire foot, forefoot and MTH5 remained significant after adjusting for the effect of age, gender, weight and duration of diabetes. There were no significant differences in peak PP and PTI among non-diabetic individuals, except for a lower peak PP at the MTH5 in Hispanic compared with Caucasian subjects.

Conclusions Despite a well-known higher incidence of foot complications in diabetic Hispanic subjects, dynamic plantar pressures are lower in Hispanic diabetic patients with PN when compared with their Caucasian counterparts, suggesting that differences in other risk factors exist between these two ethnic groups.
Click to expand...

Admin2 · Apr 7, 2008

Related threads:
Threads tagged with plantar pressures
Threads tagged with peripheral neuropathy

IvoFlipse · Nov 28, 2008

Not entirely related, but Kristiaan D'Aout from the Functional Morphology department of the University of Antwerp has also done some interesting comparisons between Caucasian and Indian feet. The latter group probably also had a lot of diabetics involved

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

IvoFlipse Welcome New Poster

Foot health behavior among ethnic minority populations

Foot health behavior among ethnic minority populations

Foot morphological between ethnic groups

Ethnicity and running foot strike pattern

Ethnicity and diabetic foot complications

Ethnicity and diabetic amputations

Ethnic difference in foot function in elite rugby league players

Share This Page