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...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-11-01
|
| Series: | Frontiers in Bioengineering and Biotechnology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fbioe.2021.732628/full |
| _version_ | 1818842145540276224 |
|---|---|
| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-19T04:37:19Z |
| format | Article |
| id | doaj.art-99d80403efd74321b77d5da1a097243f |
| institution | Directory Open Access Journal |
| issn | 2296-4185 |
| language | English |
| last_indexed | 2024-12-19T04:37:19Z |
| publishDate | 2021-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Bioengineering and Biotechnology |
| spelling | doaj.art-99d80403efd74321b77d5da1a097243f2022-12-21T20:35:43ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852021-11-01910.3389/fbioe.2021.732628732628Effect of Exercise Volume on Plantar Microcirculation and Tissue Hardness in People With Type 2 DiabetesWeiyan Ren0Yijie Duan1Yih-Kuen Jan2Yih-Kuen Jan3Wenqiang Ye4Jianchao Li5Wei Liu6Hongmei Liu7Hongmei Liu8Junchao Guo9Fang Pu10Yubo Fan11Yubo Fan12Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, Key Laboratory of Human Motion Analysis and Rehabilitation Technology of the Ministry of Civil Affairs, National Research Center for Rehabilitation Technical Aids, Beijing, ChinaKey Laboratory for Biomechanics and Mechanobiology of Chinese Education Ministry, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, ChinaKey Laboratory for Biomechanics and Mechanobiology of Chinese Education Ministry, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, ChinaRehabilitation Engineering Laboratory, Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, United StatesKey Laboratory for Biomechanics and Mechanobiology of Chinese Education Ministry, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, ChinaKey Laboratory for Biomechanics and Mechanobiology of Chinese Education Ministry, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, ChinaKey Laboratory for Biomechanics and Mechanobiology of Chinese Education Ministry, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, ChinaKey Laboratory of Rehabilitation Technical Aids for Old-Age Disability, Key Laboratory of Human Motion Analysis and Rehabilitation Technology of the Ministry of Civil Affairs, National Research Center for Rehabilitation Technical Aids, Beijing, ChinaKey Laboratory for Biomechanics and Mechanobiology of Chinese Education Ministry, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, ChinaKey Laboratory of Rehabilitation Technical Aids for Old-Age Disability, Key Laboratory of Human Motion Analysis and Rehabilitation Technology of the Ministry of Civil Affairs, National Research Center for Rehabilitation Technical Aids, Beijing, ChinaKey Laboratory for Biomechanics and Mechanobiology of Chinese Education Ministry, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, ChinaKey Laboratory for Biomechanics and Mechanobiology of Chinese Education Ministry, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, ChinaSchool of Engineering Medicine, Beihang University, Beijing, ChinaObjective: 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.https://www.frontiersin.org/articles/10.3389/fbioe.2021.732628/fulldiabetic footweight-bearing exerciseplantar microcirculationtissue hardnessexercise volume |
| spellingShingle | 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 Frontiers in Bioengineering and Biotechnology diabetic foot weight-bearing exercise plantar microcirculation tissue hardness exercise volume |
| title | 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_short | 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 |
| topic | diabetic foot weight-bearing exercise plantar microcirculation tissue hardness exercise volume |
| url | https://www.frontiersin.org/articles/10.3389/fbioe.2021.732628/full |
| work_keys_str_mv | AT weiyanren effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT yijieduan effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT yihkuenjan effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT yihkuenjan effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT wenqiangye effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT jianchaoli effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT weiliu effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT hongmeiliu effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT hongmeiliu effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT junchaoguo effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT fangpu effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT yubofan effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes AT yubofan effectofexercisevolumeonplantarmicrocirculationandtissuehardnessinpeoplewithtype2diabetes |