Foot muscle energy reserves in diabetic patients without and with clinical peripheral neuropathy.
Foot muscle energy reserves in diabetic patients without and with clinical peripheral neuropathy.
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DOI:
10.2337/dc09-0536
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发表时间:
2009-08
期刊:
影响因子:
16.2
通讯作者:
Veves A
中科院分区:
文献类型:
--
作者:
Dinh T;Doupis J;Lyons TE;Kuchibhotla S;Julliard W;Gnardellis C;Rosenblum BI;Wang X;Giurini JM;Greenman RL;Veves A
To investigate changes in the foot muscle energy reserves in diabetic non-neuropathic and neuropathic patients. We measured the phosphocreatinine (PCr)/inorganic phosphate (Pi) ratio, total 31P concentration, and the lipid/water ratio in the muscles in the metatarsal head region using MRI spectroscopy in healthy control subjects and non-neuropathic and neuropathic diabetic patients. The PCr/Pi ratio was higher in the control subjects (3.23 ± 0.43) followed by the non-neuropathic group (2.61 ± 0.36), whereas it was lowest in the neuropathic group (0.60 ± 1.02) (P < 0.0001). There were no differences in total 31P concentration and lipid/water ratio between the control and non-neuropathic groups, but both measurements were different in the neuropathic group (P < 0.0001). Resting foot muscle energy reserves are affected before the development of peripheral diabetic neuropathy and are associated with the endothelial dysfunction and inflammation.
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影响因子:
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通讯作者:
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