Document Detail


Plantar pressure distribution patterns of individuals with prediabetes in comparison with healthy individuals and individuals with diabetes.
MedLine Citation:
PMID:  24124936     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Since elevated mechanical stress along with loss of plantar protective sensation are considered relevant factors in skin breakdown resulting in diabetic foot ulcerations, the assessment of plantar pressure is important for the prevention of diabetic foot complications. Prediabetes subjects are at risk of chronic hyperglycemia complications, among them neuropathy, but information about plantar loading in this population is not available. We aimed to compare baropodometric parameters of individuals with prediabetes versus healthy persons and persons with diabetes mellitus (DM).
METHODS: Baropodometric data from 73 subjects (15 with prediabetes (pre-DM), 28 with type 2 DM, 30 healthy) aged between 29 and 69 years of both genders were registered through a pressure platform with self-selected gait speed and first-step protocol. Peak plantar pressure, stance time, percentage of contact time, percentage of contact area and pressure-time integral were assessed in five plantar foot regions: heel, midfoot, metatarsals, hallux, and toes 2 to 5. Groups were compared by one-way analysis of variance with Scheffé post hoc (α = 0.05).
RESULTS: Age, body mass index, gender, and arch height index did not differ between groups. Pre-DM and DM subjects presented increased peak pressure and pressure-time integral in metatarsals (p = .010; p > .001), as well as increased percentage of contact time in midfoot (p = .006) and metatarsals (p = .004) regions when compared with healthy subjects. Stance time was significantly higher (p = .017) in DM subjects.
CONCLUSIONS: Pre-DM subjects seem to exhibit an altered plantar pressure distribution pattern similar to that often found in DM subjects.
Authors:
Caroline Cabral Robinson; Luciane Fachin Balbinot; Marcelo Faria Silva; Matilde Achaval; Milton Antônio Zaro
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-09-01
Journal Detail:
Title:  Journal of diabetes science and technology     Volume:  7     ISSN:  1932-2968     ISO Abbreviation:  J Diabetes Sci Technol     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-10-15     Completed Date:  2014-05-28     Revised Date:  2014-09-02    
Medline Journal Info:
Nlm Unique ID:  101306166     Medline TA:  J Diabetes Sci Technol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1113-21     Citation Subset:  IM    
Copyright Information:
© 2013 Diabetes Technology Society.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Diabetes Mellitus / physiopathology*
Diabetic Foot / physiopathology*
Diabetic Neuropathies / physiopathology*
Female
Foot / innervation
Humans
Male
Middle Aged
Prediabetic State
Pressure
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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