Special Issue "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).

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 Pistoia 51100, Italy
Interests: diabetes; diabetic foot; obesity; metabolic syndrome; epidemiology; physical activity; sport; telemedicine; data analysis
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 Pistoia 51100, Italy
Interests: diabetes; diabetic foot; metabolic syndrome; obesity; physical activity; sport; biomechanics; posture; telemonitoring; data analysis

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

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Keywords

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

Published Papers (1 paper)

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Research

Article
Effectiveness of Yoga Lifestyle on Lipid Metabolism in a Vulnerable Population—A Community Based Multicenter Randomized Controlled Trial
Medicines 2021, 8(7), 37; https://0-doi-org.brum.beds.ac.uk/10.3390/medicines8070037 - 13 Jul 2021
Viewed by 1143
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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