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Consensus-based recommendations on physical activity and exercise in patients with diabetes at risk of foot ulcerations: a Delphi study

BACKGROUND: Patients with diabetes mellitus are exposed to important complications. Currently little evidence exist on the guidelines that these patients, at some risk of foot ulceration, should follow for physical exercise. OBJECTIVES: To reach a consensus among multidisciplinary and international...

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Autores principales: Gracia-Sánchez, Alba, López-Pineda, Adriana, Lázaro-Martínez, José Luis, Pérez, Antonio, Pomares-Gómez, Francisco J., Fernández-Seguín, Lourdes María, Gil-Guillén, Vicente F., Chicharro-Luna, Esther
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201453/
https://www.ncbi.nlm.nih.gov/pubmed/37079949
http://dx.doi.org/10.1016/j.bjpt.2023.100500
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author Gracia-Sánchez, Alba
López-Pineda, Adriana
Lázaro-Martínez, José Luis
Pérez, Antonio
Pomares-Gómez, Francisco J.
Fernández-Seguín, Lourdes María
Gil-Guillén, Vicente F.
Chicharro-Luna, Esther
author_facet Gracia-Sánchez, Alba
López-Pineda, Adriana
Lázaro-Martínez, José Luis
Pérez, Antonio
Pomares-Gómez, Francisco J.
Fernández-Seguín, Lourdes María
Gil-Guillén, Vicente F.
Chicharro-Luna, Esther
author_sort Gracia-Sánchez, Alba
collection PubMed
description BACKGROUND: Patients with diabetes mellitus are exposed to important complications. Currently little evidence exist on the guidelines that these patients, at some risk of foot ulceration, should follow for physical exercise. OBJECTIVES: To reach a consensus among multidisciplinary and international experts on physical activity/exercise recommendations for patients with diabetes, according to foot ulcer risk. METHODS: Using a three-round Delphi method, a panel composed of 28 multidisciplinary experts in the management of diabetic foot assessed 109 recommendations on physical activity/exercise for patients with diabetes mellitus, according to their risk of foot ulcer. Consensus was assumed when 80% of responses matched the same category (agreement/disagreement). RESULTS: Twenty-nine experts participated in the first and second rounds of consultation, and twenty-eight did so in the third, reaching final agreement on 86 of the 109 recommendations considered (78.9%). The study, thus, generated a consensus set of recommendations concerning different aspects of diabetic footcare before, during, and after exercise (e.g. when to examine the foot, how to assess it, what type of sock and insole to use, what types of exercise to perform, and when it is advisable to return to activity after an ulceration). CONCLUSION: This Delphi study generated recommendations based on the consensus of international experts on physical activity and exercise by patient with diabetes at risk of ulceration. Recommendations considered the state of the foot and the patient's history and status before physical activity and included information on intensity, duration, frequency, and progressions of physical activity/exercise, and the use of custom-made plantar orthoses, shoe prescription, and the convenience of returning to physical activity after an ulceration.
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spelling pubmed-102014532023-05-23 Consensus-based recommendations on physical activity and exercise in patients with diabetes at risk of foot ulcerations: a Delphi study Gracia-Sánchez, Alba López-Pineda, Adriana Lázaro-Martínez, José Luis Pérez, Antonio Pomares-Gómez, Francisco J. Fernández-Seguín, Lourdes María Gil-Guillén, Vicente F. Chicharro-Luna, Esther Braz J Phys Ther Original Research BACKGROUND: Patients with diabetes mellitus are exposed to important complications. Currently little evidence exist on the guidelines that these patients, at some risk of foot ulceration, should follow for physical exercise. OBJECTIVES: To reach a consensus among multidisciplinary and international experts on physical activity/exercise recommendations for patients with diabetes, according to foot ulcer risk. METHODS: Using a three-round Delphi method, a panel composed of 28 multidisciplinary experts in the management of diabetic foot assessed 109 recommendations on physical activity/exercise for patients with diabetes mellitus, according to their risk of foot ulcer. Consensus was assumed when 80% of responses matched the same category (agreement/disagreement). RESULTS: Twenty-nine experts participated in the first and second rounds of consultation, and twenty-eight did so in the third, reaching final agreement on 86 of the 109 recommendations considered (78.9%). The study, thus, generated a consensus set of recommendations concerning different aspects of diabetic footcare before, during, and after exercise (e.g. when to examine the foot, how to assess it, what type of sock and insole to use, what types of exercise to perform, and when it is advisable to return to activity after an ulceration). CONCLUSION: This Delphi study generated recommendations based on the consensus of international experts on physical activity and exercise by patient with diabetes at risk of ulceration. Recommendations considered the state of the foot and the patient's history and status before physical activity and included information on intensity, duration, frequency, and progressions of physical activity/exercise, and the use of custom-made plantar orthoses, shoe prescription, and the convenience of returning to physical activity after an ulceration. Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia 2023 2023-04-06 /pmc/articles/PMC10201453/ /pubmed/37079949 http://dx.doi.org/10.1016/j.bjpt.2023.100500 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Research
Gracia-Sánchez, Alba
López-Pineda, Adriana
Lázaro-Martínez, José Luis
Pérez, Antonio
Pomares-Gómez, Francisco J.
Fernández-Seguín, Lourdes María
Gil-Guillén, Vicente F.
Chicharro-Luna, Esther
Consensus-based recommendations on physical activity and exercise in patients with diabetes at risk of foot ulcerations: a Delphi study
title Consensus-based recommendations on physical activity and exercise in patients with diabetes at risk of foot ulcerations: a Delphi study
title_full Consensus-based recommendations on physical activity and exercise in patients with diabetes at risk of foot ulcerations: a Delphi study
title_fullStr Consensus-based recommendations on physical activity and exercise in patients with diabetes at risk of foot ulcerations: a Delphi study
title_full_unstemmed Consensus-based recommendations on physical activity and exercise in patients with diabetes at risk of foot ulcerations: a Delphi study
title_short Consensus-based recommendations on physical activity and exercise in patients with diabetes at risk of foot ulcerations: a Delphi study
title_sort consensus-based recommendations on physical activity and exercise in patients with diabetes at risk of foot ulcerations: a delphi study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201453/
https://www.ncbi.nlm.nih.gov/pubmed/37079949
http://dx.doi.org/10.1016/j.bjpt.2023.100500
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