Evidence map›Paper›PMID 26834078›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2016

Epidemiology of Shoe Wearing Patterns Over Time in Older Women: Associations With Foot Pain and Hallux Valgus.

Hylton B Menz, Edward Roddy, Michelle Marshall, Martin J Thomas, Trishna Rathod, George M Peat, Peter R Croft

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06335459 (The Epidemiology and Risk Factors of Hallux Valgus in Upper Egypt), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06335459 unknown statusnot on this mapstarted 2024, after this paper: background citation

The Epidemiology and Risk Factors of Hallux Valgus in Upper Egypt

TypeobservationalSponsorAssiut UniversityRan2024 to 2025Enrolled2,000ConditionsHallux Valgus and BunionArmsepidemiology
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Observational
  5. Article
  6. Factors Related to the Etiology of Hallux Abducto Valgus: A Systematic Review.Journal of functional morphology and kinesiology · 2026
    Review
  7. Article
  8. Article
  9. Effect of toe box size on basketball-specific movement performance.Frontiers in bioengineering and biotechnology · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Evaluation of Foot Deformities in Patients With Ingrown Nails.Dermatology practical & conceptual · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Footprint Curvature in Spanish Women: Implications for Footwear Fit.International journal of environmental research and public health · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Hylton B MenzArthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Staffordshire, UK. h.menz@latrobe.edu.au.
Edward RoddyArthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Staffordshire, UK.
Michelle MarshallArthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Staffordshire, UK.
Martin J ThomasArthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Staffordshire, UK.
Trishna RathodArthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Staffordshire, UK.
George M PeatArthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Staffordshire, UK.
Peter R CroftArthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Staffordshire, UK.
Keele University · GBLa Trobe University · AU

Funding

Arthritis Research UK 18174Department of Health WMCLAHRC-2014-1Versus Arthritis 18174
6 · The paper itself

Abstract

backgroundFoot problems are prevalent in older women and are thought to be associated with footwear. This study examined women's shoe wearing patterns over time and evaluated associations between footwear characteristics and foot pain and hallux valgus.

methodsWomen aged 50-89 years (n = 2,627) completed a survey that included drawings of four toe-box shapes and four heel heights. For each life decade, participants indicated which footwear style they wore most of the time. Foot pain in the past 12 months and hallux valgus were documented by self-report. Logistic regression examined associations between heel height, toe-box shape, foot pain and hallux valgus.

resultsWearing shoes with a high heel and very narrow toe box between the ages of 20 and 29 was common, but decreased to less than 10% by the age of 40. Compared with women who had worn shoes with a very wide toe box, the likelihood of hallux valgus increased in those who had worn shoes with a wide (odds ratio [OR] 1.96, 95% CI 1.03-3.71), narrow (2.39, 1.29-4.42) and very narrow (2.70, 1.46-5.00) toe box between the ages of 20 and 29 and those who wore shoes with a very narrow toe box (1.93, 1.10-3.39) between the ages of 30 and 39.

conclusionsWomen wear shoes with a lower heel and broader toe box as they age. Wearing constrictive footwear between the ages of 20 and 39 may be critical for developing hallux valgus in later life.

Indexed as

AgedAged, 80 and overFemaleGeriatric AssessmentHallux ValgusHumansMiddle AgedPain MeasurementRisk FactorsSelf ReportShoesSurveys and QuestionnairesEpidemiologyFoot painFootwearHallux valgus

Identifiers

PMID26834078
PMCPMC5106851
OpenAlexW2299610867

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.