{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:32:37Z","timestamp":1787243557186,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2007,4,2]],"date-time":"2007-04-02T00:00:00Z","timestamp":1175472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetic Medicine"],"published-print":{"date-parts":[[2007,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Aims\u2003<\/jats:bold>\n                    To determine the profile of foot abnormalities in Canadian Aboriginal adolescents with Type 2 diabetes and the risk factors associated with these abnormalities.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods\u2003<\/jats:bold>\n                    Aboriginal adolescents with Type 2 diabetes underwent an interview, medical record review and foot examination in a tertiary care, paediatric hospital diabetes clinic and two geographically remote outreach clinics. The notes of 110 subjects were reviewed [mean age 15\u00a0\u00b1\u00a03\u00a0years; mean duration of diabetes, 30\u00a0\u00b1\u00a020\u00a0months; 71 (66%) female and 39 (34%) male] and 77 (70%) of the subjects were examined.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results\u2003<\/jats:bold>\n                    Foot abnormalities were identified by either interview or notes review, and included poor toenail condition in 85 (77%), paronychia in 29 (26%), ingrowing toenails in 16 (15%) and neuropathic symptoms in 13 (12%) subjects. Foot abnormalities were identified by examination in many subjects, including poor toenail condition in 38 (49%), calluses in 34 (44%) and paronychia in 13 (17%) subjects. Eighteen (24%) of 75 subjects did not have running water in the home. Factors that significantly increased the presence of foot abnormalities included: foot care provided by a person other than self; absence of running water in the home; decreased frequency of bathing; and decreased frequency of nail clipping. A greater percentage of subjects living on a reservation or rural community had specialized consultations for retinal examination, footwear, or both than of those living in an urban or unknown residence.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions\u2003<\/jats:bold>\n                    A high prevalence of foot abnormalities was noted in Aboriginal adolescents with Type 2 diabetes. These findings highlight the associated comorbidities in this population, emphasizing the need for early detection and intervention.\n                  <\/jats:p>","DOI":"10.1111\/j.1464-5491.2007.02133.x","type":"journal-article","created":{"date-parts":[[2007,4,2]],"date-time":"2007-04-02T11:58:41Z","timestamp":1175515121000},"page":"747-752","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Foot abnormalities in Canadian Aboriginal adolescents with Type 2 diabetes"],"prefix":"10.1111","volume":"24","author":[{"given":"J.","family":"Chuback","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. M.","family":"Embil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Sellers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Trepman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Cheang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Dean","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,4,24]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"35","article-title":"Prevalence of foot pathology and lower extremity complications in a diabetic outpatient clinic","volume":"26","author":"Holewski JJ","year":"1989","journal-title":"J Rehabil Res Dev"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/dme.1996.13.s1.6"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600109"},{"key":"e_1_2_7_5_2","first-page":"1073","article-title":"Diabetic foot complications in a northern Canadian Aboriginal community","volume":"27","author":"Reid KS","year":"2006","journal-title":"Foot Ankle Int"},{"key":"e_1_2_7_6_2","unstructured":"National Center for Health Statistics.Prevalence of Overweight Among Children and Adolescents Ages 6\u201319 Years.Available athttp:\/\/www.cdc.gov\/nchs\/products\/pubs\/pubd\/hestats\/over99fig1.htmLast accessed10 February 2006."},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.160.5.523"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(04)00058-8"},{"key":"e_1_2_7_9_2","first-page":"1429","article-title":"Secular trends in the body mass index of Canadian children","volume":"163","author":"Tremblay MS","year":"2000","journal-title":"CMAJ"},{"key":"e_1_2_7_10_2","unstructured":"United States Department of Health & Human Services.Revised Definition Means Millions More Have Pre\u2010diabetes.News Release29 April 2004. Available athttp:\/\/www.os.dhhs.gov\/news\/press\/2004pres\/20040429.htmLast accessed 12 February 2006."},{"key":"e_1_2_7_11_2","first-page":"364","article-title":"The Sioux Lookout Diabetes Program: diabetes prevention and management in northwestern Ontario","volume":"57","author":"Morrison N","year":"1998","journal-title":"Int J Circumpolar Health"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.atherosclerosis.2005.03.024"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2000.103504"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)60329-7"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.1999.00030.x"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1515\/JPEM.2002.15.5.613"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-097X.2004.00596.x"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.2.215"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.1991.tb01667.x"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.7547\/87507315-93-3-214"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.2003.00947.x"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc05-2470"},{"key":"e_1_2_7_23_2","volume-title":"Report of the Royal Commission on Aboriginal Peoples.","author":"Dussault R","year":"1996"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1515\/JPEM.2003.16.5.751"},{"key":"e_1_2_7_25_2","first-page":"S1","article-title":"Canadian Diabetes Association 2003 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada","volume":"27","author":"Canadian Diabetes Association.","year":"2003","journal-title":"Can J Diab"},{"key":"e_1_2_7_26_2","first-page":"154","article-title":"Diabetic neuropathy in childhood","volume":"12","author":"Donaghue KC","year":"1999","journal-title":"Diabetes Nutr Metab"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8227(91)90034-B"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6874-4-S1-S16"},{"key":"e_1_2_7_29_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.124.1.51"},{"key":"e_1_2_7_30_2","doi-asserted-by":"publisher","DOI":"10.1161\/hs0102.101169"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1464-5491.2007.02133.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1464-5491.2007.02133.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T03:27:44Z","timestamp":1697426864000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1464-5491.2007.02133.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,4,24]]},"references-count":29,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2007,7]]}},"alternative-id":["10.1111\/j.1464-5491.2007.02133.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1464-5491.2007.02133.x","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,4,24]]},"assertion":[{"value":"2007-04-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}