Evidence map›Paper›PMID 31595458›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2019

Index of Plantar Pressure Alters with Prolonged Diabetes Duration.

Lei Xu, Hui Zeng, Jun Zhao, Jungong Zhao, Jun Yin, Hua Chen, Yimin Chai, Yuqian Bao, Fang Liu, Weiping Jia

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Pedobarographic evaluations in physical medicine and rehabilitation practice.Turkish journal of physical medicine and rehabilitation · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Lei XuShanghai Key Laboratory of Diabetes, Department of Endocrinology and Metabolism, Shanghai Clinical Medical Center of Diabetes, Shanghai Key Clinical Center of Metabolic Diseases, Shanghai Institute for Diabetes, Multi-disciplinary Collaboration Diabetic Foot Group Shanghai Diabetes Institute, Shanghai Jiao-Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Hui ZengShanghai Key Laboratory of Diabetes, Department of Endocrinology and Metabolism, Shanghai Clinical Medical Center of Diabetes, Shanghai Key Clinical Center of Metabolic Diseases, Shanghai Institute for Diabetes, Multi-disciplinary Collaboration Diabetic Foot Group Shanghai Diabetes Institute, Shanghai Jiao-Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Jun ZhaoDepartment of Vascular Surgery, Shanghai Jiao-Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Jungong ZhaoDepartment of Interventional Radiology, Shanghai Jiao-Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Jun YinShanghai Key Laboratory of Diabetes, Department of Endocrinology and Metabolism, Shanghai Clinical Medical Center of Diabetes, Shanghai Key Clinical Center of Metabolic Diseases, Shanghai Institute for Diabetes, Multi-disciplinary Collaboration Diabetic Foot Group Shanghai Diabetes Institute, Shanghai Jiao-Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Hua ChenDepartment of Orthopedics, Shanghai Clinical Medical Center of Orthopedics, Shanghai Jiao-Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Yimin ChaiDepartment of Orthopedics, Shanghai Clinical Medical Center of Orthopedics, Shanghai Jiao-Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Yuqian BaoShanghai Key Laboratory of Diabetes, Department of Endocrinology and Metabolism, Shanghai Clinical Medical Center of Diabetes, Shanghai Key Clinical Center of Metabolic Diseases, Shanghai Institute for Diabetes, Multi-disciplinary Collaboration Diabetic Foot Group Shanghai Diabetes Institute, Shanghai Jiao-Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Fang LiuShanghai Key Laboratory of Diabetes, Department of Endocrinology and Metabolism, Shanghai Clinical Medical Center of Diabetes, Shanghai Key Clinical Center of Metabolic Diseases, Shanghai Institute for Diabetes, Multi-disciplinary Collaboration Diabetic Foot Group Shanghai Diabetes Institute, Shanghai Jiao-Tong University Affiliated Sixth People's Hospital, Shanghai, China. f-liu@sjtu.edu.cn.
Weiping JiaShanghai Key Laboratory of Diabetes, Department of Endocrinology and Metabolism, Shanghai Clinical Medical Center of Diabetes, Shanghai Key Clinical Center of Metabolic Diseases, Shanghai Institute for Diabetes, Multi-disciplinary Collaboration Diabetic Foot Group Shanghai Diabetes Institute, Shanghai Jiao-Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Shanghai Jiao Tong University · CNShanghai Sixth People's Hospital · CN

Funding

National Natural Science Foundation of China 81270397National Natural Science Foundation of China 81770802Science and Technology Commission of Shanghai Municipality (CN) 20152232
6 · The paper itself

Abstract

introductionDiabetic foot ulcers develop with deviations in the distribution of plantar pressure. It is difficult to interpret any alteration in plantar pressure under different conditions of type 2 diabetes mellitus (T2DM). The aim of this study was to gain a better insight into the variations in plantar pressure with increased duration of diabetes.

methodsPlantar pressure was examined in 1196 participants with or without T2DM. Subjects with normal glucose tolerance (NGT) and impaired glucose tolerance (IGT) were assigned to control groups, and those with T2DM were divided into five groups according to diabetes duration (< 2 years, 2-5 years, 5-10 years, 10-15 years, and > 15 years). The clinical characteristics, plantar peak pressure, and pressure-time integral (PTI) were compared among the seven study groups, and factors associated with peak pressure and the PTI were analyzed.

resultsAt the hallux, peak pressure exhibited an upward trend in patients with T2DM within 5 years of diabetes duration, followed by a distinct downward slope with further progression of the disease (trend analysis, p  < 0.05). An uneven distribution of peak pressure was found at other locations, but this unevenness was ultimately lower than that in the two control groups (p  < 0.05). No obvious trend was noted for PTI among patients with different diabetes duration; however, those with diabetes for > 10 years manifested a significantly sharper increase in the PTI at the metatarsus (11.63 Ns/cm

conclusionsThere would appear to be an association between longer diabetes duration and decreased peak pressure for the hallux, suggesting that individuals with diabetes for > 10 years will have an increased PTI for the metatarsus and heel. The reduced pressure on the hallux is believed to be transferred to the metatarsus. Age, BMI, and VPT are distinct risk factors of abnormal plantar pressure.

Indexed as

Diabetes durationPeak pressurePlantar pressurePressure–time integralType 2 diabetes

Identifiers

PMID31595458
PMCPMC6848324
OpenAlexW2980177600

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.