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Updated: May 21, 2026

Evaluating the Function of the Foot Core System in the Elderly
08:25

Evaluating the Function of the Foot Core System in the Elderly

Published on: March 11, 2022

Racial differences in foot disorders and foot type.

Yvonne M Golightly1, Marian T Hannan, Alyssa B Dufour

  • 1University of North Carolina, Chapel Hill, USA. golight@email.unc.edu

Arthritis Care & Research
|June 8, 2012
PubMed
Summary

Racial differences in foot health are evident in older adults. African Americans have higher rates of pes planus and hallux valgus, while whites show more pes cavus.

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Published on: September 14, 2017

Area of Science:

  • Orthopedics
  • Podiatry
  • Public Health

Background:

  • Structural foot disorders and specific foot types (pes planus, pes cavus) are prevalent in aging populations.
  • Understanding racial disparities in foot health is crucial for targeted interventions.

Purpose of the Study:

  • To investigate racial differences in the frequency of structural foot disorders and foot types (pes planus, pes cavus) among older African American and white adults.

Main Methods:

  • Analysis of 1,691 participants (mean age 69) from the Johnston County Osteoarthritis Project.
  • Foot disorders and types identified via validated examination; logistic regression used to compare racial groups, controlling for age, BMI, sex, and education.

Main Results:

  • Hallux valgus (64%), hammer toes (35%), overlapping toes (34%), and pes planus (23%) were common.
  • African Americans were more likely to have pes planus (3x) and less likely to have Tailor's bunions or pes cavus (5x) compared to whites.
  • Among nonobese individuals, African Americans had higher odds of hallux valgus, hammer toes, and overlapping toes.

Conclusions:

  • Foot disorders are common in adults aged 50 and older, with significant racial variations.
  • Further research into the etiology of these race-based foot problems is necessary to develop effective prevention strategies.