{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T22:52:42Z","timestamp":1772751162998,"version":"3.50.1"},"reference-count":24,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>\nBackground\n<\/jats:title>\n<jats:p>Diabetic foot is one of the important causes of disability and death in diabetic patients, and effective measures can reduce or prevent the occurrence of diabetic foot, among which, the screening of diabetic high-risk foot helps to identify the risk groups that may progress to diabetic foot, and targeted intervention for this group of people can effectively reduce the prevalence of diabetic foot and the incidence of adverse consequences.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>\nObjective\n<\/jats:title>\n<jats:p>To investigate the occurrence of high-risk foot with type 2 diabetes in elderly people in a community in Beijing and analyze its influencing factors, so as to provide evidence for preventing the occurrence of diabetic foot.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>\nMethods\n<\/jats:title>\n<jats:p>269 elderly patients with type 2 diabetes in Xinjiekou community of Beijing were selected for foot examination by convenient sampling, and the high-risk foot was classified according to the international Diabetic Foot Working Group grading system.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>\nResults\n<\/jats:title>\n<jats:p>The detection rate of high risk foot of type 2 diabetes was 51.7%. Binary Logistic regression analysis showed that age, glycosylated hemoglobin, hyperlipidemia, insulin therapy, and diabetic retinopathy were independent influencing factors for the occurrence of diabetic High-risk foot.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>\nConclusion\n<\/jats:title>\n<jats:p>The incidence of high-risk foot in elderly type 2 diabetes patients is high in this community. Community health care workers should pay attention to elderly diabetic patients with hyperlipidemia, insulin therapy, high glycated hemoglobin, and diabetic retinopathy to reduce the occurrence of foot ulcers.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0313794","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T18:53:48Z","timestamp":1742928828000},"page":"e0313794","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Analysis of the incidence and influencing factors of high-risk foot in elderly patients with type 2 diabetes in a community in Beijing"],"prefix":"10.1371","volume":"20","author":[{"given":"Gaoqiang","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2611-3284","authenticated-orcid":true,"given":"Qian","family":"Lu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bing","family":"Wen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huijuan","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0918-2128","authenticated-orcid":true,"given":"Yanming","family":"Ding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"issue":"5","key":"pone.0313794.ref001","doi-asserted-by":"crossref","first-page":"250","DOI":"10.31128\/AJGP-11-19-5161","article-title":"The diabetic foot ulcer","volume":"49","author":"R Reardon","year":"2020","journal-title":"Aust J Gen Pract"},{"key":"pone.0313794.ref002","doi-asserted-by":"crossref","first-page":"m997","DOI":"10.1136\/bmj.m997","article-title":"Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association: national cross sectional study","volume":"369","author":"Y Li","year":"2020","journal-title":"BMJ"},{"issue":"01","key":"pone.0313794.ref003","first-page":"2","article-title":"Chinese clinical guidelines for the prevention and treatment of type 2 diabetes in the elderly (2022 edition)","volume":"30","year":"2022","journal-title":"Chin J Diabetes"},{"issue":"Suppl 1","key":"pone.0313794.ref004","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1002\/dmrr.2696","article-title":"IWGDF guidance on the prevention of foot ulcers in at-risk patients with diabetes","volume":"32","author":"SA Bus","year":"2016","journal-title":"Diabetes Metab Res Rev"},{"issue":"24","key":"pone.0313794.ref005","doi-asserted-by":"crossref","first-page":"2367","DOI":"10.1056\/NEJMra1615439","article-title":"Diabetic foot ulcers and their recurrence","volume":"376","author":"D Armstrong","year":"2017","journal-title":"N Engl J Med"},{"issue":"22","key":"pone.0313794.ref006","first-page":"120","article-title":"Research progress of monitoring and intervention of diabetic foot in elderly people at home in community","volume":"38","author":"S Yuan","year":"2023","journal-title":"J Nurs"},{"issue":"Suppl 1","key":"pone.0313794.ref007","doi-asserted-by":"crossref","first-page":"e3272","DOI":"10.1002\/dmrr.3272","article-title":"Diabetic foot ulcer classifications: A critical review","volume":"36","author":"M Monteiro-Soares","year":"2020","journal-title":"Diabetes Metab Res Rev"},{"issue":"7","key":"pone.0313794.ref008","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1002\/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S","article-title":"Definition, diagnosis and classification of diabetes mellitus and its complications. 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