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Higher lifetime weight trajectories associated with foot pain

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WASHINGTON — Patients with trajectories of higher weight during their lifetimes also had an increased risk for foot pain, according to findings presented at the American College of Rheumatology Annual Meeting.

“These results provide evidence that having a lower weight over one’s lifetime can reduce the likelihood of foot problems,” Alyssa B. Dufour, PhD, instructor of medicine at Harvard Medical School, said during her presentation.

Dufour and colleagues used 28 different weight measures during the course of 57 years to identify trajectories of weight in 2,445 members of the Framingham Foot Study, in which foot examinations between 2002 and 2008 identified the presence of foot pain, hallux valgus, claw toes, hammer toes and overlapping toes. Researchers determined the association between weight group and foot problems, after they adjusted findings for age and sex.

Researchers identified five individual trajectories of weight, which represented constant patterns during follow-up, with weight increasing from group E to A. Those in group E were more likely to be older. Group E had the lowest prevalence of foot pain at 14%, while investigators found group A had the highest incidence at 22%. Group A had the lowest prevalence of hallux valgus at 14%, while researchers discovered group E had the highest at 36%. Compared with group E, groups A (odds ratio = 3.5), B (odds ratio = 1.57), C (odds ratios = 2.16) and D (odds ratio = 2.63) were more likely to have foot pain. Groups A (odds ratio = 3.97), C (odds ratio = 2.24) and D (odds ratio = 3.1) were more likely to have claw toes; and groups A (odds ratio = 2.4) and D (odds ratio = 1.35) were more likely to have hammer toes vs. group E. However, there were no association between groups and the presence of overlapping toes. – by Will Offit

Reference:

Dufour AB, et al. Abstract #2026. Presented at: American College of Rheumatology Annual Meeting; Nov. 11-16, 2016; Washington.

Disclosure: The researchers report no relevant financial disclosures.