Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre Study

Abstract

The abnormal plantar pressure distribution and value play a key role in the formation of plantar calluses and diabetic foot ulcer. The prevalence of the highest pressure different distribution and its association with various factors among patients with diabetes is not well known. The study purpose was to evaluate the prevalence of different regions for the highest pressure on the sole and its association with selected factors among patients with diabetes. Medical records of nonulcer patients were retrospectively analysed. The relationship between pressure patterns on the sole obtained during a pedobarographic test as a semiquantitative assessment with colourful print analysis and neuropathy, gender, age, and BMI was searched. The most common location of the highest pressure was the central part of the forefoot. No association was found between the different highest pressure regions and age, sensory neuropathy, calluses, and foot deformities. The highest pressure on the lateral part of the foot and midfoot was observed more often in females and in patients with a BMI≥35. The prevalence of the highest pressure on the forefoot was more common in patients with a BMI<35. Conclusions. The most frequent regions of the highest pressure on the sole in patients with diabetes were the central part of the forefoot (2-3 metatarsal heads) with no simple relationship to the assessed variables other than BMI<35. Female gender and higher BMI seem to be responsible for shifting the place of the highest pressure to other places of the foot.

Is bodyweight affecting plantar pressure distribution in children?

“…Considering that the foot is the most inferior part of the body, it serves as a base of support as well as propulsion for movement during activities of daily living. [ 1 , 2 ] Indeed, there is a general agreement that proper biomechanics of the foot is responsible for preserving the symmetrical distribution of plantar pressure, and consequently to maintain proper body posture. [ 1 ] Furthermore, several researchers have reported that pressure distribution in the human foot varies considerably by participant's posture and health condition of the foot.…”

A Prediction Model Based on Noninvasive Indicators to Predict the 8-Year Incidence of Type 2 Diabetes in Patients with Nonalcoholic Fatty Liver Disease: A Population-Based Retrospective Cohort Study

“…Obesity has become a major global epidemic affecting more than 300 million people, and it is the most important risk factor leading to the onset of T2D [36,37]. BMI has been used as a surrogate marker of obesity and as one of the predictor variables in most diabetes risk models [38][39][40][41]. However, BMI does not reflect central obesity.…”

Feet Plantar Pressure Distribution Among Female School Teachers

“…The structure of bones, muscles and joints facilitates stability by sustaining and supporting vigorous strain or pressure during standing and walking. The physiological pattern of distribution of pressure on the sole is almost symmetrical and gives the foot, and hence our body, an optimum exibility [21]. Most people comprise a signi cant part of their lives in a standing position.…”