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Diabetic Foot Prevention and Physical Activity
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Diabetic Foot Prevention and Physical Activity

A special issue of Medicines (ISSN 2305-6320). This special issue belongs to the section "Endocrinology and Metabolic Disorders".

Deadline for manuscript submissions: closed (30 June 2021) | Viewed by 8021

Special Issue Editors

Dr. Roberto Anichini

E-Mail Website
Guest Editor
Diabetes Unit and Diabetes Foot Unit, Azienda Unità Sanitaria USL CENTRO Toscana (Area Pistoiese), San Jacopo Hospital, Via Ciliegiole, 51100 Pistoia, Italy
Interests: diabetes; diabetic foot; obesity; metabolic syndrome; epidemiology; physical activity; sport; telemedicine; data analysis
Special Issues, Collections and Topics in MDPI journals
Dr. Piergiorgio Francia

E-Mail Website
Guest Editor
Diabetes Unit and Diabetes Foot Unit, Azienda Unità Sanitaria USL CENTRO Toscana (Area Pistoiese), San Jacopo Hospital, Via Ciliegiole, 51100 Pistoia, Italy
Interests: diabetes; diabetic foot; metabolic syndrome; obesity; physical activity; sport; biomechanics; posture; telemonitoring; data analysis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Lower extremity ulcers represent the most ominous, feared, and costly complications of diabetes mellitus. A deficit of muscle strength, joint mobility, balance, posture abnormalities, followed by gait alterations, can increase the risk of ulceration. Physical activity can play a key role in the management of patients with diabetes and in the prevention of ulcers; however, even if it has been reported that some of these risk factors significantly improve after a few weeks of exercise therapy, the real preventive role of exercise therapy and physical activity has not yet been demonstrated. These uncertain results can occur due to some limitations in the management of the same relationship between physical activity and diabetic foot prevention. Even if movement and especially gait are key elements of therapy for diabetic patients, it is important to consider that physical activity is, at the same time, stressful for feet and can cause foot lesions. For this, physical activity should be accurately assessed, monitored, and managed during structured and unstructured activities. Technological advances during recent years have enabled a timely management of overall daily physical activity. The use of these modern technologies and devices allows assessment and description of daily physical activity even in the long term. The data collected from these devices can be used to properly manage patients’ physical activity and thus contribute to the prevention of foot ulcers.

Dr. Roberto Anichini
Dr. Piergiorgio Francia
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicines is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • diabetic foot
  • prevention
  • physical activity
  • monitoring
  • strength
  • joint mobility
  • telemedicine
  • posture
  • balance
  • biomechanics

Published Papers (2 papers)

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Research

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16 pages, 1158 KiB  
Article
Effectiveness of Yoga Lifestyle on Lipid Metabolism in a Vulnerable Population—A Community Based Multicenter Randomized Controlled Trial
by Raghuram Nagarathna, Saurabh Kumar, Akshay Anand, Ishwara N. Acharya, Amit Kumar Singh, Suchitra S. Patil, Ramesh H Latha, Purnima Datey and Hongasandra Ramarao Nagendra
Medicines 2021, 8(7), 37; https://doi.org/10.3390/medicines8070037 - 13 Jul 2021
Cited by 5 | Viewed by 4726
Abstract
Background: Dyslipidemia poses a high risk for cardiovascular disease and stroke in Type 2 diabetes (T2DM). There are no studies on the impact of a validated integrated yoga lifestyle protocol on lipid profiles in a high-risk diabetes population. Methods: Here, we report the [...] Read more.
Background: Dyslipidemia poses a high risk for cardiovascular disease and stroke in Type 2 diabetes (T2DM). There are no studies on the impact of a validated integrated yoga lifestyle protocol on lipid profiles in a high-risk diabetes population. Methods: Here, we report the results of lipid profile values of 11,254 (yoga 5932 and control 5322) adults (20–70 years) of both genders with high risk (≥60 on Indian diabetes risk score) for diabetes from a nationwide rural and urban community-based two group (yoga and conventional management) cluster randomized controlled trial. The yoga group practiced a validated integrated yoga lifestyle protocol (DYP) in nine day camps followed by daily one-hour practice. Biochemical profiling included glycated hemoglobin and lipid profiles before and after three months. Results: There was a significant difference between groups (p < 0.001 ANCOVA) with improved serum total cholesterol, triglycerides, low-density lipoprotein, and high-density lipoprotein in the yoga group compared to the control group. Further, the regulatory effect of yoga was noted with a significant decrease or increase in those with high or low values of lipids, respectively, with marginal or no change in those within the normal range. Conclusion: Yoga lifestyle improves and regulates (lowered if high, increased if low) the blood lipid levels in both genders of prediabetic and diabetic individuals in both rural and urban Indian communities. Full article
(This article belongs to the Special Issue Diabetic Foot Prevention and Physical Activity)
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Review

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9 pages, 313 KiB  
Review
The Role of New Technological Opportunities and the Need to Evaluate the Activities Performed in the Prevention of Diabetic Foot with Exercise Therapy
by Piergiorgio Francia, Alessandra De Bellis, Giulia Iannone, Rosy Sinopoli, Leonardo Bocchi and Roberto Anichini
Medicines 2021, 8(12), 76; https://doi.org/10.3390/medicines8120076 - 2 Dec 2021
Cited by 2 | Viewed by 2720
Abstract
The diabetic foot (DF) is one of the most feared conditions among chronic complications of diabetes, which affects a growing number of patients. Although exercise therapy (ET) has always been considered a pillar in the treatment of patients at risk of DF it [...] Read more.
The diabetic foot (DF) is one of the most feared conditions among chronic complications of diabetes, which affects a growing number of patients. Although exercise therapy (ET) has always been considered a pillar in the treatment of patients at risk of DF it is not usually used. Several causes can contribute to hindering both the organization of ET protocols for Diabetes Units and the participation in ET programs for patients at different levels of risk of foot ulceration. The risk of favoring the occurrence of ulcers and the absence of clear evidence on the role played by ET in the prevention of ulcers could be considered among the most important causes leading to the low application of ET. The increased availability of new technologies and in particular of systems and devices equipped with sensors can enable the remote monitoring and management of physical activity performed by patients. Consequently, they can become an opportunity for introducing the systematic use of ET for the treatment of patients at risk. Considering the complexity of the clinical conditions that patients at risk or with diabetic foot ulcer can show, the evaluation of how patients perform the ET proposed can consequently be very important. All this can contribute to improving the treatment of patients and avoiding possible adverse effects. The aim of this brief review was to describe that the use of new technologies and the assessment of the execution of the ET proposed allows an important step forward in the management of patients at risk. Full article
(This article belongs to the Special Issue Diabetic Foot Prevention and Physical Activity)
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