Mild-to-Moderate Hallux Valgus Does Not Decrease Ankle Muscle Strength in Middle-Aged Japanese Women: A Comparative Study

Although low socioeconomic status (SES) and decreased muscle strength have been found to be associated with the risk factors of non-alcoholic fatty liver disease (NAFLD), including insulin resistance, obesity, and metabolic syndrome, the associations among SES, muscle strength, and NAFLD are still unclear. We aimed to investigate the combined effect of SES and relative handgrip strength (HGS) on the risk of NAFLD in middle-aged adults. Data from 5272 middle-aged adults who participated in the Korea National Health and Nutrition Examination Surveys (KNHANES) from 2014–2018 were analyzed. NAFLD was defined using the hepatic steatosis index (HSI) > 36 and the comprehensive NAFLD score (CNS) ≥ 40 in the absence of other causes of liver disease. SES was based on a self-reported questionnaire. Overall, individuals with low SES (odds ratio (OR) = 1.703, 95% confidence interval (CI): 1.424–2.037, p < 0.001) or low HGS (OR = 12.161, 95% CI: 9.548–15.488, p < 0.001) had a significantly higher risk of NAFLD. The joint association analysis showed that a low SES combined with a low HGS (OR = 2.479, 95% CI: 1.351–4.549, p = 0.003) further significantly increased the risk of NAFLD when adjusted for all the covariates, compared with individuals with a high SES and a high HGS (OR = 1). The current findings suggest that both low SES and low HGS were independently and synergistically associated with an increased risk of NAFLD in middle-aged Korean adults.

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A6737 Comparative Study of the Influence Factor of Orthostatic Hypotension between Plateau and Plain Region among Middle-Aged and Older Adults

Journal of Hypertension ◽

10.1097/01.hjh.0000549251.23988.90 ◽

2018 ◽

Vol 36 ◽

pp. e306

Author(s):

Xinran Li ◽

Xiaoping Chen

Keyword(s):

Older Adults ◽

Comparative Study ◽

Orthostatic Hypotension ◽

Influence Factor ◽

Middle Aged ◽

Plain Region

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Circulating levels of IGF1 are associated with muscle strength in middle-aged- and oldest-old women

Acta Endocrinologica ◽

10.1530/eje-10-0703 ◽

2011 ◽

Vol 164 (2) ◽

pp. 189-196 ◽

Cited By ~ 37

Author(s):

Diana G Taekema ◽

Carolina H Y Ling ◽

Gerard Jan Blauw ◽

Carel G Meskers ◽

Rudi G J Westendorp ◽

...

Keyword(s):

Muscle Strength ◽

Physical Performance ◽

Handgrip Strength ◽

Oldest Old ◽

Muscle Growth ◽

Serum Levels ◽

Middle Aged ◽

Cross Sectional ◽

The Relationship ◽

Circulating Levels

ObjectiveIn aging populations, poor handgrip strength has been associated with physical disability and mortality. IGF1 is an important mediator of muscle growth and regeneration affecting muscle function. We studied the relationship between circulating levels of IGF1, its binding protein 3 (IGFBP3), and handgrip strength and physical performance in middle-aged- and oldest-old subjects.DesignCross-sectional analysis in two different cohorts composed of middle-aged- (n=672, mean 63.9±6.7 years) and oldest-old subjects (n=272, all 89 years).MethodsHandgrip strength, functional performance and ability, and serum levels of IGF1 and IGFBP3 were measured in all subjects and analyzed by linear regression for men and women separately.ResultsIGF1 and IGFBP3 levels declined with chronological age and were positively associated with handgrip strength in middle-aged- and oldest-old women (both, P<0.05), but not in men of either age group. Furthermore, higher serum levels of IGF1 were associated with slower walking speed in oldest-old men (P=0.012), and serum levels of IGFBP3 were positively associated with activities of daily living in the oldest-old women (P=0.002).ConclusionThe significant relationship between IGF1 levels and muscle strength found in women but not in men suggests a gender-specific influence of IGF1 on muscle strength. Further studies are necessary to test the relationship with physical performance.

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Effects of Corrective Taping on Balance and Gait in Patients With Hallux Valgus

Foot & Ankle International ◽

10.1177/1071100716683347 ◽

2016 ◽

Vol 38 (5) ◽

pp. 532-540 ◽

Cited By ~ 5

Author(s):

Gozde Gur ◽

Ozden Ozkal ◽

Burcu Dilek ◽

Songul Aksoy ◽

Nilgun Bek ◽

...

Keyword(s):

Hallux Valgus ◽

Dynamic Balance ◽

Acute Effect ◽

Clinical Test ◽

Middle Aged ◽

Positive Effects ◽

Lack Of Information ◽

Computerized Posturography ◽

Significant Difference ◽

Middle Aged Adults

Background: Taping is an effective temporary therapy for improving hallux valgus (HV) in adults. Although HV has been demonstrated to impair postural balance, there is a lack of information about how corrective taping affects balance and gait patterns in adults with HV deformity. Methods: Eighteen middle-aged female patients (average age, 53.5 years) with HV were included. Corrective tape was applied to correct HV angulation. A series of balance and gait stability tests were performed before applying tape and 1 hour after the tape was applied with a Balance Master computerized posturography device. The study involved the following tests: modified clinical test of sensory interaction and balance (mCTSIB), unilateral stance (US), limit of stability (LoS), step up/over (SUO), and walk across (WA) tests. Results: No significant difference was found between the no-tape and taped condition in the static balance mCTSIB and US tests ( P > .05). The taping intervention resulted in significant improvement in the dynamic balance measures for the LoS test’s backward reaction time and left maximum excursion ( P < .05), a significantly higher impact index bilaterally in the SUO assessment ( P < .05), and an increase in step width mean and variability in the WA test ( P < .05). Conclusions: Taping for correcting HV angulation had negative acute effects on dynamic balance in the SUO and WA tests and positive effects in the LoS test. Clinical Relevance: Corrective taping, although a form of conservative treatment for hallux valgus, has been insufficiently studied in terms of effects on balance. Our results show that taping, as an acute effect, may impair balance in middle-aged adults when walking or ascending and descending stairs.

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Hallux Valgus Recurrence After Simple Bunionectomy: Algorithm Treatment

10.21203/rs.3.rs-1121623/v1 ◽

2022 ◽

Author(s):

Josep Torrent ◽

Raúl Figa ◽

Iban Clares ◽

Eduard Rabat

Keyword(s):

Comparative Study ◽

Hallux Valgus ◽

Treatment Algorithm ◽

Metatarsophalangeal Joint ◽

Salvage Procedure ◽

Bone Stock ◽

Level Of Evidence ◽

First Metatarsophalangeal Joint ◽

Retrospective Comparative Study ◽

End Stage

Abstract Background: Recurrences of hallux valgus can be difficult to manage, especially after a prior simple bunionectomy. This study aimed to present a treatment algorithm for the correction of recurrences after a simple bunionectomy.Methods: This was a single-center, descriptive, and retrospective comparative study. Thirty-four consecutive patients were classified according to the bone stock and the presence or absence of end-stage arthritis of the first metatarsophalangeal joint (MTPJ). According to our algorithm, we only performed an osteotomy as the salvage procedure in cases with sufficient bone stock and absence of or mild arthritis. In the other cases, we performed an MTPJ fusion. Exceptionally, we chose a Keller-Brandes arthroplasty for patients with advanced age and comorbidities. Results: We performed 17 scarf osteotomies (50%), 15 MTPJ arthrodeses (44.1%), and 2 Keller-Brandes arthroplasties (5.9%). Following the algorithm, we achieved an improvement of the AOFAS score of >30 points without severe complications in all groups.Conclusions: The proposed operative algorithm successfully addresses the recurrences considering the lack of bone stock and the presence of MTPJ arthritis.Level of EvidenceLevel 3: retrospective comparative study

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