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      No se ha encontrado relación entre el Umbral de la Sensibilidad y el cuestionario FHSQ en personas con Diabetes Mellitus tipo 2 Translated title: No association can be determined between Peripheral Vibration Sensitivity Threshold and the Foot Health Status Questionnaire (FHSQ) in a population of people with Diabetes Mellitus Type 2

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          Abstract

          Resumen Objetivos. El propósito de este estudio es determinar la correlación entre el Umbral de Sensibilidad a la Vibración Periférica (USVP) y el cuestionario de salud del pie FHSQ. Configuración y Diseño. Estudio de corte transversal descriptivo (ISRCTN16866781). Materiales y Métodos. Un total de 88 personas con DM tipo 2 han sido incluidas en el análisis estadístico, siendo 55 hombres y 33 mujeres. A ambos grupos se les evaluó el USVP a través del Biotensiómetro Vibratron II y se les aplicó el cuestionario de salud del pie (FHSQ). Análisis Estadístico utilizado. Para comprobar que los grupos eran comparables en la línea base en cuanto a las características y el género de los participantes se realizó una prueba T para muestras independientes y un análisis de U-Mann Whitney. Para establecer el grado de correlación entre las 8 dimensiones del cuestionario FHSQ y el USVP se utilizó el coeficiente de correlación de Spearman, dado que las puntuaciones de las 8 dimensiones del FHSQ seguían una distribución no paramétrica. Para disminuir la probabilidad de cometer un error de tipo I, al tratarse de una correlación múltiple, se ha aplicado la corrección de Bonferroni, estableciendo el nivel de significación en p<.006. Resultados. No existe asociación estadísticamente significativa entre el USVP y las dimensiones del cuestionario de salud del pie FHSQ, tras aplicarle la corrección de Bonferroni. Conclusiones. En este estudio no se ha encontrado ninguna asociación estadísticamente significativa, tras la aplicación de la corrección de Bonferroni, entre el Umbral de la Sensibilidad a la Vibración Periférica y el cuestionario de la salud de pie Foot Health Status Questionnaire (FHSQ).

          Translated abstract

          Abstract Aims. The purpose of this study is to determine the correlation between the Peripheral Vibration Sensitivity Threshold (PVST) and the Foot Health Status Questionnaire (FHSQ). Settings and Design. A descriptive cross-sectional study (ISRCTN16866781). Methods and Material. A total of 88 people with DM type 2 were included in the statistical analysis, 55 men and 33 women. Both groups were evaluated the PVST through the Vibratron II Biotensiometer and the Foot Health Status Questionnaire (FHSQ). Statistical analysis used. To check that the groups were comparable at the baseline in terms of participant characteristics and gender, were carried out a T-test for independent samples and a U-Mann Whitney analysis. To establish the degree of correlation between the 8 dimensions of the FHSQ questionnaire and the PVST, the Spearman correlation coefficient was used, given that the scores of the 8 dimensions of the FHSQ followed a non-parametric distribution. To reduce the probability of committing a type I error, since it is a multiple correlation, the Bonferroni correction has been applied, establishing the significance level at p<.006. Results. There is no statistically significant association between the PVST and the dimensions of the FHSQ, after applying Bonferroni's correction. Conclusions. In this study no statistically significant association was found, after the application of Bonferroni's correction, between the recording of the Peripheral Vibration Sensitivity Threshold test and the Foot Health Status Questionnaire (FHSQ).

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          Most cited references26

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          IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040.

          To produce current estimates of the national, regional and global impact of diabetes for 2015 and 2040.
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            Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation.

            The classification of diabetes mellitus and the tests used for its diagnosis were brought into order by the National Diabetes Data Group of the USA and the second World Health Organization Expert Committee on Diabetes Mellitus in 1979 and 1980. Apart from minor modifications by WHO in 1985, little has been changed since that time. There is however considerable new knowledge regarding the aetiology of different forms of diabetes as well as more information on the predictive value of different blood glucose values for the complications of diabetes. A WHO Consultation has therefore taken place in parallel with a report by an American Diabetes Association Expert Committee to re-examine diagnostic criteria and classification. The present document includes the conclusions of the former and is intended for wide distribution and discussion before final proposals are submitted to WHO for approval. The main changes proposed are as follows. The diagnostic fasting plasma (blood) glucose value has been lowered to > or =7.0 mmol l(-1) (6.1 mmol l(-1)). Impaired Glucose Tolerance (IGT) is changed to allow for the new fasting level. A new category of Impaired Fasting Glycaemia (IFG) is proposed to encompass values which are above normal but below the diagnostic cut-off for diabetes (plasma > or =6.1 to or =5.6 to <6.1 mmol l(-1)). Gestational Diabetes Mellitus (GDM) now includes gestational impaired glucose tolerance as well as the previous GDM. The classification defines both process and stage of the disease. The processes include Type 1, autoimmune and non-autoimmune, with beta-cell destruction; Type 2 with varying degrees of insulin resistance and insulin hyposecretion; Gestational Diabetes Mellitus; and Other Types where the cause is known (e.g. MODY, endocrinopathies). It is anticipated that this group will expand as causes of Type 2 become known. Stages range from normoglycaemia to insulin required for survival. It is hoped that the new classification will allow better classification of individuals and lead to fewer therapeutic misjudgements.
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              Prevalence of foot and ankle conditions in a multiethnic community sample of older adults.

              The prevalence of foot and ankle disorders was determined in a community-based, multiethnic (non-Hispanic White, African American, and Puerto Rican) random sample of 784 community-dwelling adults aged 65 or more years in 2001-2002 in Springfield, Massachusetts. Overall, the five most common conditions were toenail disorders (74.9%), lesser toe deformities (60.0%), corns and calluses (58.2%), bunions (37.1%), and signs of fungal infection, cracks/fissures, or maceration between toes (36.3%); 30.9% had some tenderness to palpation of the foot or ankle, and 14.9% had ankle joint pain on most days in the past 4 weeks. Toenail conditions, fungal symptoms, and ulcers or lacerations were more common in men, while bunions and corns and calluses were more common in women (p < 0.001). Significant racial/ethnic differences, independent of education or gender, were found for the prevalence of most toe deformities and flat feet, as well as for corns and calluses, fungal signs, edema, ankle joint pain, tenderness to palpation, and sensory loss. Foot and ankle disorders are common in these older adults. Examination of their prevalence in different segments of the community may inform future studies to determine etiology and means of prevention.
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                Author and article information

                Journal
                jonnpr
                Journal of Negative and No Positive Results
                JONNPR
                Research and Science S.L. (Madrid, Madrid, Spain )
                2529-850X
                2020
                : 5
                : 9
                : 983-997
                Affiliations
                [2] Madrid Madrid orgnameUniversidad Rey Juan Carlos orgdiv1Centro de Estudios Deportivos Spain
                [1] Extremadura orgnameUniversidad de Extremadura orgdiv1Facultad de Ciencias del Deporte Spain
                Article
                S2529-850X2020000900983 S2529-850X(20)00500900983
                10.19230/jonnpr.3557
                1e000bba-97b0-4073-b1a4-5533bfc784f1

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 29 March 2020
                : 23 January 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 27, Pages: 15
                Product

                SciELO Spain

                Categories
                Original

                salud del pie,Diabetes,umbral de sensibilidad,FHSQ,Sensitivity Threshold,Foot Health

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