Achilles tendon and plantar fascia in recently diagnosed type II diabetes: role of body mass index
Achilles tendon and plantar fascia in recently diagnosed type II diabetes: role of body mass index
复制标题
DOI：
10.1007/s10067-012-1955-y
复制
发表时间：
2012-07-01
影响因子：
3.4
通讯作者：
Salini, Vincenzo
中科院分区：
文献类型：
--
作者：
Abate, Michele;Schiavone, Cosima;Salini, Vincenzo
先前的研究表明，糖尿病患者的足底筋膜和跟腱厚度增加。本研究的目的是评估肌腱的变化是否可以发生在疾病的早期阶段，并评估身体质量指数（BMI）的影响程度。研究人群包括51例新发II型糖尿病受试者，他们没有糖尿病并发症，根据BMI分为三组（正常体重、超重和肥胖）。18名非糖尿病、体重正常的受试者作为对照。超声测量足底筋膜和跟腱厚度。各组在年龄和性别方面均衡。在所有糖尿病受试者中，与对照组相比，足底筋膜和跟腱厚度增加（分别为p < 0.001，p = 0.01，p = 0.003）。足底筋膜厚度与BMI值之间存在显著相关性（r = 0.749，p < 0.0001），而BMI与跟腱之间的相关性较弱（r = 0.399，p = 0.004）。这项研究表明，足底筋膜和跟腱厚度增加，在早期阶段的II型糖尿病和体重指数是相关的足底筋膜比跟腱厚度。需要进一步的纵向研究来评估这些早期变化是否会使跖骨头过载并增加传递到足底软组织的应力，从而代表足部溃疡发展的额外风险因素。
Previous research has shown that plantar fascia and Achilles tendon thickness is increased in diabetes. The aims of present study were to assess whether tendon changes can occur in the early stages of the disease and to evaluate the extent of the influence of body mass index (BMI). The study population included 51 recent-onset type II diabetic subjects, who were free from diabetic complications, divided according to BMI into three groups (normal weight, overweight, and obese). Eighteen non-diabetic, normal-weight subjects served as controls. Plantar fascia and Achilles tendon thickness was measured by means of sonography. The groups were well balanced for age and sex. In all the diabetic subjects, plantar fascia and Achilles tendon thickness was increased compared to the controls (p < 0.001, p = 0.01, p = 0.003, respectively). A significant relationship was found between plantar fascia thickness and BMI values (r = 0.749, p < 0.0001), while the correlation between BMI and Achilles tendon was weaker (r = 0.399, p = 0.004). This study shows that plantar fascia and Achilles tendon thickness is increased in the early stages of type II diabetes and that BMI is related more to plantar fascia than Achilles tendon thickness. Further longitudinal studies are needed to evaluate whether these early changes can overload the metatarsal heads and increase the stress transmitted to plantar soft tissues, thus representing an additional risk factor for foot ulcer development.