Diabetic Polyneuropathy and Physical Activity in Type 1 Diabetes Mellitus: A Cross-Sectional Study
Background: The purpose of this study is to access whether a personal attitude to physical activity (PA) may influence the appearance of diabetic polyneuropathy (DPN) patients with well-controlled type 1 diabetes mellitus. Methods: Ninety patients attending the diabetes technology outpatient clinic...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/20/6597 |
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| author | Simona Zaccaria Pasquale Di Perna Laura Giurato Chiara Pecchioli Patrizia Sperti Flavio Arciprete Alessandra Del Grande Isabella Nardone Sium Wolde Sellasie Cesare Iani Luigi Uccioli |
| author_facet | Simona Zaccaria Pasquale Di Perna Laura Giurato Chiara Pecchioli Patrizia Sperti Flavio Arciprete Alessandra Del Grande Isabella Nardone Sium Wolde Sellasie Cesare Iani Luigi Uccioli |
| author_sort | Simona Zaccaria |
| collection | DOAJ |
| description | Background: The purpose of this study is to access whether a personal attitude to physical activity (PA) may influence the appearance of diabetic polyneuropathy (DPN) patients with well-controlled type 1 diabetes mellitus. Methods: Ninety patients attending the diabetes technology outpatient clinic were enrolled. DPN was investigated according to the Toronto consensus diagnostic criteria. PA was assessed using the International Physical Activity Questionnaire. Results: PA was low in 21.1%, moderate in 42.2% and high in 36.7% of patients. According to Toronto criteria, we defined two categories: the first one with DPN absent or possible (57 (63.3%)) and a second one with DPN certain or probable (33 (36.7%)). The χ<sup>2</sup>-test of the PA groups and the DPN categories showed a statistically significant difference (<i>p</i> < 0.001), with less neuropathy in patients belonging to the group of moderate/high PA. Exposure to a minimum of 600 MET minutes/week was protective factor against the onset of DPN (odd ratio 0.221, c.i. 0.068–0.720, <i>p</i> = 0.012). Conclusions: This study suggests that DPN is less present in type 1 diabetic patients with good metabolic control and a good personal habit of PA. Moderate-to-vigorous PA of at least 600 MET minutes/week might be a protective factor against DPN. |
| first_indexed | 2024-03-10T21:09:42Z |
| format | Article |
| id | doaj.art-4497e8fd28604d169d65cb9b8e8246c2 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:09:42Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-4497e8fd28604d169d65cb9b8e8246c22023-11-19T16:53:18ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011220659710.3390/jcm12206597Diabetic Polyneuropathy and Physical Activity in Type 1 Diabetes Mellitus: A Cross-Sectional StudySimona Zaccaria0Pasquale Di Perna1Laura Giurato2Chiara Pecchioli3Patrizia Sperti4Flavio Arciprete5Alessandra Del Grande6Isabella Nardone7Sium Wolde Sellasie8Cesare Iani9Luigi Uccioli10Division of Endocrinology and Diabetes, CTO Andrea Alesini Hospital, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDivision of Endocrinology and Diabetes, CTO Andrea Alesini Hospital, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDivision of Endocrinology and Diabetes, CTO Andrea Alesini Hospital, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDivision of Endocrinology and Diabetes, CTO Andrea Alesini Hospital, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDivision of Endocrinology and Diabetes, CTO Andrea Alesini Hospital, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDivision of Neurology, Sant’Eugenio Hospital, 00144 Rome, ItalyDivision of Neurology, Sant’Eugenio Hospital, 00144 Rome, ItalyDivision of Endocrinology and Diabetes, CTO Andrea Alesini Hospital, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDivision of Endocrinology and Diabetes, CTO Andrea Alesini Hospital, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDivision of Neurology, Sant’Eugenio Hospital, 00144 Rome, ItalyDivision of Endocrinology and Diabetes, CTO Andrea Alesini Hospital, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyBackground: The purpose of this study is to access whether a personal attitude to physical activity (PA) may influence the appearance of diabetic polyneuropathy (DPN) patients with well-controlled type 1 diabetes mellitus. Methods: Ninety patients attending the diabetes technology outpatient clinic were enrolled. DPN was investigated according to the Toronto consensus diagnostic criteria. PA was assessed using the International Physical Activity Questionnaire. Results: PA was low in 21.1%, moderate in 42.2% and high in 36.7% of patients. According to Toronto criteria, we defined two categories: the first one with DPN absent or possible (57 (63.3%)) and a second one with DPN certain or probable (33 (36.7%)). The χ<sup>2</sup>-test of the PA groups and the DPN categories showed a statistically significant difference (<i>p</i> < 0.001), with less neuropathy in patients belonging to the group of moderate/high PA. Exposure to a minimum of 600 MET minutes/week was protective factor against the onset of DPN (odd ratio 0.221, c.i. 0.068–0.720, <i>p</i> = 0.012). Conclusions: This study suggests that DPN is less present in type 1 diabetic patients with good metabolic control and a good personal habit of PA. Moderate-to-vigorous PA of at least 600 MET minutes/week might be a protective factor against DPN.https://www.mdpi.com/2077-0383/12/20/6597diabetic polyneuropathytype 1 diabetesphysical activityIPAQ |
| spellingShingle | Simona Zaccaria Pasquale Di Perna Laura Giurato Chiara Pecchioli Patrizia Sperti Flavio Arciprete Alessandra Del Grande Isabella Nardone Sium Wolde Sellasie Cesare Iani Luigi Uccioli Diabetic Polyneuropathy and Physical Activity in Type 1 Diabetes Mellitus: A Cross-Sectional Study Journal of Clinical Medicine diabetic polyneuropathy type 1 diabetes physical activity IPAQ |
| title | Diabetic Polyneuropathy and Physical Activity in Type 1 Diabetes Mellitus: A Cross-Sectional Study |
| title_full | Diabetic Polyneuropathy and Physical Activity in Type 1 Diabetes Mellitus: A Cross-Sectional Study |
| title_fullStr | Diabetic Polyneuropathy and Physical Activity in Type 1 Diabetes Mellitus: A Cross-Sectional Study |
| title_full_unstemmed | Diabetic Polyneuropathy and Physical Activity in Type 1 Diabetes Mellitus: A Cross-Sectional Study |
| title_short | Diabetic Polyneuropathy and Physical Activity in Type 1 Diabetes Mellitus: A Cross-Sectional Study |
| title_sort | diabetic polyneuropathy and physical activity in type 1 diabetes mellitus a cross sectional study |
| topic | diabetic polyneuropathy type 1 diabetes physical activity IPAQ |
| url | https://www.mdpi.com/2077-0383/12/20/6597 |
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