Cognitive status and foot self care practice in overweight diabetics, engaged in different levels of physical activity

Abstract

BackgroundType 2 diabetes along with chronic hyperglycemia may result in cognitive impairment. This can negatively affect the patient’s adherence to diabetes treatment. The purpose of this study was to compare the cognitive status and foot self care practice in overweight type 2 diabetic patients who exercised regularly and those who did not.MethodsThe comparative study was conducted on 160 consecutive patients from an outpatient diabetes clinic. They were divided into two groups: The active group comprised of 80 patients engaged in regular exercise for at least 15–30 minutes, three times per week during the past 6 months. The control group included 80 patients who had not exercised regularly for the past 12 months, matched for sex, age, education, diabetes duration, hemoglobin A1C and body mass index (BMI: 25–29.9Kg/m2). Data on the patients’ demographic information, foot care practice and physical activity habits were gathered using a questionnaire. The Mini Mental Status examination (MMSE) was applied to assess cognitive status.ResultsMMSE score was significantly higher in the active group. A significant negative correlation was noted between MMSE scores and BMI in the control group (r = −0.2, P = 0.03). A significant difference was noted in the four domains of foot self care practice between the active (4.77 ± 0.77) and control (4.45 ± 0.83) groups (P < 0.01).ConclusionsRegular physical activity can help promote cognitive status and foot self care practice in overweight patients with type 2 diabetes.

Cognitive Function and Self-Management Behaviors in Older Adults With Type 2 Diabetes

“…In addition, the direction of the correlation between the Mini-MoCA orientation and physical activity was the reverse of what was initially hypothesized. Unlike the current study results, evidence has shown a positive association between cognitive function and physical activity in older adults with T2D (Feil et al, 2012; Madarshahian et al, 2014). The reversed findings observed in this study may be attributable to the homogeneous characteristics of the sample.…”

Social determinants of diabetes‐related foot disease among older adults in New South Wales, Australia: evidence from a population‐based study

“…Our choice of study variables was based on similar studies that examined the relationship between DFD (or diabetes) and other factors [19][20][21][22][34][35][36][37][38][39][40]. For instance, the study by included age, sex, socioeconomic status, education level, smoking status and depression while investigating the associated factors of foot complications in a representative inpatient population of Australia [20].…”

Diabetic Foot scientific activities in Endocrinology and Metabolism Research Institute

“…With regards to the health care providers progression and their role, Shokoohi et al, showed that residents of Internal Medicine as Educational Influentials (EIs) in clinical settings, play a key role in knowledge transfer [11]. Moreover, considering continuous education about foot self-care practice is necessary for patients with DM, a study with the aim of comparing the cognitive status and foot self-care practice in overweight patients with type 2 diabetes, conducted and the result showed that regular physical activity could promote the cognitive status and foot self-care practice [12].…”