Effect of Exercise Volume on Plantar Microcirculation and Tissue Hardness in People With Type 2 Diabetes

Objective: Exercise has been reported to be beneficial for people with type 2 diabetes (T2DM), but exercise, especially weight-bearing exercise, may increase the risk of diabetic foot ulcers (DFUs). This study aimed to explore the associations between different volumes of weight-bearing physical act...

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Autores principales: Weiyan Ren, Yijie Duan, Yih-Kuen Jan, Wenqiang Ye, Jianchao Li, Wei Liu, Hongmei Liu, Junchao Guo, Fang Pu, Yubo Fan
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/99d80403efd74321b77d5da1a097243f
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spelling oai:doaj.org-article:99d80403efd74321b77d5da1a097243f2021-12-01T01:30:19ZEffect of Exercise Volume on Plantar Microcirculation and Tissue Hardness in People With Type 2 Diabetes2296-418510.3389/fbioe.2021.732628https://doaj.org/article/99d80403efd74321b77d5da1a097243f2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fbioe.2021.732628/fullhttps://doaj.org/toc/2296-4185Objective: Exercise has been reported to be beneficial for people with type 2 diabetes (T2DM), but exercise, especially weight-bearing exercise, may increase the risk of diabetic foot ulcers (DFUs). This study aimed to explore the associations between different volumes of weight-bearing physical activities and plantar microcirculation and tissue hardness in people with T2DM.Methods: 130 elderly people with T2DM were enrolled for this cross-sectional study. They were classified into the high exercise volume group and the low exercise volume group based on their weekly energy expenditure (metabolic equivalents per week) in the past year. Weekly energy expenditure was calculated using the International Physical Activity Questionnaire and the Compendium of Physical Activities. The plantar oxygen saturation (SO2) and soft tissue hardness of each participant’s right foot were measured.Results: A total of 80 participants completed the trial. The average exercise energy expenditure of the high exercise volume group and the low exercise volume group were significantly different (p < 0.05). The results showed that the SO2 of the high exercise volume group (67.25 ± 6.12%) was significantly higher than the low exercise volume group (63.75 ± 8.02%, p < 0.05). The plantar tissue hardness of the high exercise volume group was lower than the low exercise volume group in the big toe, midfoot and hindfoot regions (p < 0.05).Conclusion: This study demonstrates that higher volumes of exercise are associated with better plantar microcirculation and lower plantar tissue hardness in people with T2DM. The findings of this study indicate that weight-bearing exercise may not increase risk of developing diabetic foot ulcers.Weiyan RenYijie DuanYih-Kuen JanYih-Kuen JanWenqiang YeJianchao LiWei LiuHongmei LiuHongmei LiuJunchao GuoFang PuYubo FanYubo FanFrontiers Media S.A.articlediabetic footweight-bearing exerciseplantar microcirculationtissue hardnessexercise volumeBiotechnologyTP248.13-248.65ENFrontiers in Bioengineering and Biotechnology, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic diabetic foot
weight-bearing exercise
plantar microcirculation
tissue hardness
exercise volume
Biotechnology
TP248.13-248.65
spellingShingle diabetic foot
weight-bearing exercise
plantar microcirculation
tissue hardness
exercise volume
Biotechnology
TP248.13-248.65
Weiyan Ren
Yijie Duan
Yih-Kuen Jan
Yih-Kuen Jan
Wenqiang Ye
Jianchao Li
Wei Liu
Hongmei Liu
Hongmei Liu
Junchao Guo
Fang Pu
Yubo Fan
Yubo Fan
Effect of Exercise Volume on Plantar Microcirculation and Tissue Hardness in People With Type 2 Diabetes
description Objective: Exercise has been reported to be beneficial for people with type 2 diabetes (T2DM), but exercise, especially weight-bearing exercise, may increase the risk of diabetic foot ulcers (DFUs). This study aimed to explore the associations between different volumes of weight-bearing physical activities and plantar microcirculation and tissue hardness in people with T2DM.Methods: 130 elderly people with T2DM were enrolled for this cross-sectional study. They were classified into the high exercise volume group and the low exercise volume group based on their weekly energy expenditure (metabolic equivalents per week) in the past year. Weekly energy expenditure was calculated using the International Physical Activity Questionnaire and the Compendium of Physical Activities. The plantar oxygen saturation (SO2) and soft tissue hardness of each participant’s right foot were measured.Results: A total of 80 participants completed the trial. The average exercise energy expenditure of the high exercise volume group and the low exercise volume group were significantly different (p < 0.05). The results showed that the SO2 of the high exercise volume group (67.25 ± 6.12%) was significantly higher than the low exercise volume group (63.75 ± 8.02%, p < 0.05). The plantar tissue hardness of the high exercise volume group was lower than the low exercise volume group in the big toe, midfoot and hindfoot regions (p < 0.05).Conclusion: This study demonstrates that higher volumes of exercise are associated with better plantar microcirculation and lower plantar tissue hardness in people with T2DM. The findings of this study indicate that weight-bearing exercise may not increase risk of developing diabetic foot ulcers.
format article
author Weiyan Ren
Yijie Duan
Yih-Kuen Jan
Yih-Kuen Jan
Wenqiang Ye
Jianchao Li
Wei Liu
Hongmei Liu
Hongmei Liu
Junchao Guo
Fang Pu
Yubo Fan
Yubo Fan
author_facet Weiyan Ren
Yijie Duan
Yih-Kuen Jan
Yih-Kuen Jan
Wenqiang Ye
Jianchao Li
Wei Liu
Hongmei Liu
Hongmei Liu
Junchao Guo
Fang Pu
Yubo Fan
Yubo Fan
author_sort Weiyan Ren
title Effect of Exercise Volume on Plantar Microcirculation and Tissue Hardness in People With Type 2 Diabetes
title_short Effect of Exercise Volume on Plantar Microcirculation and Tissue Hardness in People With Type 2 Diabetes
title_full Effect of Exercise Volume on Plantar Microcirculation and Tissue Hardness in People With Type 2 Diabetes
title_fullStr Effect of Exercise Volume on Plantar Microcirculation and Tissue Hardness in People With Type 2 Diabetes
title_full_unstemmed Effect of Exercise Volume on Plantar Microcirculation and Tissue Hardness in People With Type 2 Diabetes
title_sort effect of exercise volume on plantar microcirculation and tissue hardness in people with type 2 diabetes
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/99d80403efd74321b77d5da1a097243f
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