Open AccessRelationship between limited joint mobility of the hand and diabetic foot risk in patients with type 2 diabetes
Author(s) -
Mineoka Yusuke,
Ishii Michiyo,
Tsuji Akiko,
Komatsu Yoriko,
Katayama Yuko,
Yamauchi Mitsuko,
Yamashita Aki,
Hashimoto Yoshitaka,
Nakamura Naoto,
Katsumi Yasukazu,
Isono Motohide,
Fukui Michiaki
Publication year - 2017
Publication title -
journal of diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.949
H-Index - 43
eISSN - 1753-0407
pISSN - 1753-0393
DOI - 10.1111/1753-0407.12460
Subject(s) - medicine , diabetes mellitus , odds ratio , glycemic , type 2 diabetes , confidence interval , body mass index , diabetic foot , risk factor , surgery , endocrinology
Background Foot ulceration is a serious problem for patients with type 2 diabetes (T2D), and the early detection of risks for this condition is important to prevent complications. The present cross‐sectional study in T2D patients determined the relationship between limited joint mobility (LJM) of the hand and diabetic foot risk classified using the criteria of the International Working Group on the Diabetic Foot (IWGDF). Methods Relationships between LJM of the hand and foot risk according to IWGDF category, HbA1c, age, body mass index, blood pressure, estimated glomerular filtration (eGFR), and diabetic complications (including diabetic peripheral neuropathy [DPN] and peripheral arterial disease [PAD]) were evaluated in 528 consecutive T2D patients. Poor glycemic control was defined as HbA1c ≥ 7%. Results Patients with LJM of the hand were older and had a longer duration of diabetes, a higher prevalence of diabetic complications, including DPN and PAD, and a higher IWDGF category (all P < 0.001). Multivariate logistic regression analysis revealed that the foot risk assessed with IWDGF category was correlated with age (odds ratio [OR] 1.04; 95% confidence interval [CI] 1.01–1.06; P = 0.001), poor glycemic control (OR 1.66; 95% CI 1.00–2.77; P = 0.04), eGFR (OR 0.98; 95% CI 0.97–0.99; P = 0.02), and the presence of LJM of the hand (OR 3.86; 95% CI 2.21–6.86; P < 0.001). Conclusions The results demonstrate a correlation between LJM of the hand and foot risk. Diagnosis of diabetic hand is simple and non‐invasive, and is thus a useful method for assessing the risk of diabetic foot in T2D patients.