Habitual physical activity, peripheral neuropathy, foot deformities and lower limb function: characterising prevalence and interlinks in patients with type 2 diabetes mellitus

  • Ade Fatai Adeniyi University of Ibadan
  • Olawale Sola Aiyegbusi University of Ibadan
  • Omoyemi Olubunmi Ogwumike University of Ibadan
  • Prisca Olabisi Adejumo University of Ibadan
  • Adesoji Adedipe Fasanmade University of Ibadan
Keywords: diabetes mellitus, foot complications, physical activity

Abstract

Background: Patients with type 2 diabetes mellitus (T2DM) may have diverse foot problems, but how these problems are linked with physical activity is not clear. This study investigated the prevalence of foot problems among patients with T2DM and investigated how the problems were related to physical activity. Methods: Habitual physical activity, peripheral neuropathy, lower limb functions and foot deformities of 246 T2DM patients were respectively assessed with the Baecke Physical Activity Questionnaire, Michigan Neuropathy Screening Instrument, Lower Limb Function Scale, and a self-designed foot deformity audit form. Results: Habitual physical activity index (3.2 ± 0.83) was highest in work-related activities; 69 (26.1 %) patients presented with peripheral neuropathy and 52 (19. 7%) had the lowest limb function. Pes planus was the most prevalent foot deformity (20.1%). Significant differences existed in physical activity indices across deformity groups (p < 0.05) and total activity index was related to neuropathic and lower limb function scores (p < 0.05). Conclusion: A higher work-related but reduced participation in sports and leisure time physical activity among the patients was observed. Habitual physical activity was lowest in patients with a forefoot deformity, higher neuropathic scores and lesser lower limb function scores. Patients with T2DM in these categories may be a target for special physical activity intervention programmes.

Author Biographies

Ade Fatai Adeniyi, University of Ibadan
Senior Lecturer and Consultant Physiotherapist University of Ibadan
Olawale Sola Aiyegbusi, University of Ibadan
Research student University of Ibadan
Omoyemi Olubunmi Ogwumike, University of Ibadan
Lecturer and Consultant Physiotherapist University of Ibadan
Prisca Olabisi Adejumo, University of Ibadan
Senior Lecturer University of Ibadan
Adesoji Adedipe Fasanmade, University of Ibadan
Professor and Consultant Endocrinologist University of Ibadan
Published
2015-05-15
Section
Original Research