Prevalance of heel spurs in diabetes and obesity

NewsBot · May 6, 2014

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Increased Calcaneal Spur Frequency in Patients with Obesity
and Type-2 Diabetes Mellitus
Aydoğan AYDOĞDU et al
Turk J Phys Med Rehab 2014;60:12-6

Objective: Obesity is a risk factor for calcaneal spur (CS) formation.
Diabetes mellitus may contribute to the risk of CS due to the decreased
ability of tissue repair and peripheral neuropathy. Thus, we aimed to
determine the frequency of CS in asymptomatic obese subjects with
and without type 2 diabetes mellitus (T2DM). Also, we tried to find the
related factors of CS in patients with T2DM.
Material and Methods: Ninety-three obese patients with type-2
diabetes mellitus (T2DM) and 42 obese control subjects without glucose
metabolism disturbances were enrolled in the study. A questionnaire
was made about the duration of T2DM, age, and occupations of the
participants. Physical, laboratory, and x-ray examinations of all cases were
made. SPSS 15.0 was used for statistical analyses.
Results: Patients with T2DM and control groups were similar in mean
age and body mass index (BMI) (p=0.196, p=0.073, respectively).
The existence of CS in the T2 diabetic group was significantly higher
than in the control group (p=0.023). T2 diabetic patients with CS had
significantly higher neuropathy existence, mean age, and BMI than T2
diabetic patients without CS (p=0.001, p=0.016, p=0.043, respectively).
There was a positive correlation between the existence of CS and
peripheral neuropathy and age (p=0.025, p=0.001, respectively).
Conclusion: Increased ratio of CS in obese T2 diabetic patients may
be important because of the relation between CS existence and
complications of diabetes mellitus. Clinicians should pay more attention
to increased frequency of CS in patients with T2DM, to avoid diabetic
foot complications and other malformations.
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Admin2 · May 6, 2014

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