Physical activity, ambulation, and comorbidities in people with diabetes and lower-limb amputation.
Physical activity, ambulation, and comorbidities in people with diabetes and lower-limb amputation.
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DOI：
10.1682/jrrd.2015.08.0161
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发表时间：
2016-01-01
影响因子：
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通讯作者：
Christiansen, Cory L
中科院分区：
文献类型：
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作者：
Paxton, Roger J;Murray, Amanda M;Christiansen, Cory L
我们研究了糖尿病并经胫骨截肢(AMP)患者、无AMP的糖尿病患者和未患糖尿病或AMP的非残疾成年人的体力活动(PA)及其与身体功能和合并症数量的关系。22名2型糖尿病(DM)和经胫骨截肢(DM+AMP)患者、11名DM患者和13名非残疾参与者参加了这项横断面队列研究。测量方法包括PA容量和强度、计时起跳试验、2分钟步行试验和合并症数量。非残疾组进行的PA量比DM组多，DM组比DM+AMP组进行的PA量多。在DM组和DM+AMP组中，PA与身体功能相关，而在非致残组中不存在这种关系。PA与任何组别的合并症数均无相关性。这些发现表明，行走能力可能会影响PA的整体表现。或者，PA可能会缓解行走问题。这种可能性是有意义的，因为步行的问题可能会被PA水平和强度的提高所改变。PA与合并症的数量缺乏相关性，这表明除了多种疾病以外的因素也是PA的群体差异的原因。
We characterized physical activity (PA) and its relation to physical function and number of comorbidities in people with diabetes and transtibial amputation (AMP), people with diabetes without AMP, and nondisabled adults without diabetes or AMP. Twenty-two individuals with type 2 diabetes mellitus (DM) and transtibial amputation (DM+AMP), 11 people with DM, and 13 nondisabled participants were recruited for this cross-sectional cohort study. Measures included PA volume and intensity, a Timed Up and Go test, a 2-min walk test, and number of comorbidities. The nondisabled group performed greater amounts of PA than the DM group, who performed greater amounts of PA than the DM+AMP group. PA was related to physical function in the DM group and in the DM+AMP group, whereas no such relationship existed in the nondisabled group. PA was not related to number of comorbidities in any group. These findings suggest the ability to walk may affect overall performance of PA. Alternately, PA may alleviate walking problems. This possibility is of interest because issues with walking may be modifiable by improved levels and intensity of PA. PA's lack of relation to number of comorbidities suggests that factors beyond multiple morbidities account for group differences in PA.