Low physical activity in patients with type 2 diabetes: The role of obesity

Fagour, C.; González, C.; Pezzino, S.; Florenty, S.; Rosette-Narece, M.; Gin, H.; Rigalleau, Vincent

doi:10.1016/j.diabet.2012.09.003

Cited by 54 publications

(39 citation statements)

References 13 publications

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“…Estimated daily steps , energy expenditure and METs and lying and sleep durations have been validated in comparison to the gold standard criterion measures of manual step counts , indirect calorimetry or doubly labelled water techniques and polysomnography, respectively . Furthermore, the armband is now regularly used as the research gold standard criterion measure to test consumer‐wearable activity monitors (such as Fitbits) , has been used to measure daily activity outcomes in numerous studies investigating cohorts of people with diabetes and by studies conducted by members of our team . For this study, the armband captured the following estimated daily activity outcomes of interest: steps, energy expenditure (kJ), average METs, physical activity (>3 METs) duration (minutes) and energy expenditure (kJ), lying duration (minutes) and sleep duration (minutes) .…”

Section: Methodsmentioning

confidence: 99%

Differences in the daily activity of patients with diabetic foot ulcers compared to controls in their free‐living environments

Sheahan

Canning

Refausse

et al. 2017

International Wound Journal

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The aims of our study were to investigate multiple daily activity outcomes in patients with diabetic foot ulcers (DFU) compared to diabetic peripheral neuropathy (DPN) and diabetes (DM) controls in their free-living environments. We examined daily activity outcomes of 30 patients with DFU, 23 DPN and 20 DM. All patients wore a validated multi-sensor device for > 5 days (>22 hours per day) to measure their daily activity outcomes: steps, energy expenditure (kJ), average metabolic equivalent tasks (METs), physical activity (>3·0 METs) duration and energy expenditure, lying duration, sleep duration and sleep quality. We found that DFU patients recorded fewer median (interquartile ranges, IQR) daily steps [2154 (1621-4324)] than DPN [3660 (2742-7705)] and DM [5102 (4011-7408)] controls (P < 0·05). In contrast, DFU patients recorded more mean ± SD daily energy expenditure (kJ) (13 006 ± 3559) than DPN (11 085 ± 1876) and DM (11 491 ± 1559) controls (P < 0·05). We found no other differences in daily activity outcomes (P > 0·1). We conclude that DFU patients typically take fewer steps but expend more energy during their normal daily activity than DPN and DM controls. We hypothesise that the increased energy expenditure for DFU patients may be due to wound healing or an inefficient gait strategy. Further investigations into this energy imbalance in DFU patients may improve healing in future.

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Section: Methodsmentioning

confidence: 99%

Differences in the daily activity of patients with diabetic foot ulcers compared to controls in their free‐living environments

Sheahan

Canning

Refausse

et al. 2017

International Wound Journal

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“…A few studies directly compare the AEE in free-living conditions of patient with DM and a control group and indicate a lower AEE in patients with DM than in healthy people (694 vs 1,086 kcal/day, respectively) (24, 38). Taken together, the results of these studies suggest that people with DM present a total AEE less than that of healthy people.…”

Section: Energy Expenditure In Subjects With Dmmentioning

confidence: 99%

Energy Expenditure in People with Diabetes Mellitus: A Review

et al. 2016

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Physical activity (PA) is an important non-therapeutic tool in primary prevention and treatment of diabetes mellitus (DM). To improve activity-based health management, patients need to quantify activity-related energy expenditure and the other components of total daily energy expenditure. This review explores differences between the components of total energy expenditure in patients with DM and healthy people and presents various tools for assessing the energy expenditure in subjects with DM. From this review, it appears that patients with uncontrolled DM have a higher basal energy expenditure (BEE) than healthy people which must be considered in the establishment of new BEE estimate equations. Moreover, studies showed a lower activity energy expenditure in patients with DM than in healthy ones. This difference may be partially explained by patient with DMs poor compliance with exercise recommendations and their greater participation in lower intensity activities. These specificities of PA need to be taken into account in the development of adapted tools to assess activity energy expenditure and daily energy expenditure in people with DM. Few estimation tools are tested in subjects with DM and this results in a lack of accuracy especially for their particular patterns of activity. Thus, future studies should examine sensors coupling different technologies or method that is specifically designed to accurately assess energy expenditure in patients with diabetes in daily life.

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“…[10][11][12][13][14] Recent reviews have summarised studies that objectively measured PA in people with T2DM in general, but the strength of these findings specific to older community dwelling people with T2DM are limited given large participant age variation, small sample sizes, reliance on clinic-based samples and use of volunteers in interventional research. [15][16][17][18][19] A further two population-based studies have objectively measured PA in community dwelling older people, but had small numbers of participants with diabetes and failed to distinguish between different types of diabetes in the analyses. 20,21 The effect of gender on ambulatory PA levels also remains uncertain in older age groups.…”

Section: Introductionmentioning

confidence: 99%