Journals / Ağrı / 2018 / Cilt: 30 - Sayı: 4

Effect of lifestyle interventions on diabetic peripheral neuropathy in patients with type 2 diabetes, result of a randomized clinical trial

Tip 2 diyabetli hastalarda yaşam tarzı müdahalelerinin diyabetik periferik nöropati şiddeti üzerine etkisi, randomize klinik çalışmanın sonucu

Journal
Ağrı
Pages
165–170
Publication Date
2022-10-11
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

DPN severity in both groups measured using modified Toronto Clinical Neuropathy Score(mTCNS) at the beginning of study and at the end of counseling for 12 weeks.Results: Comparing differences of mean of DNP severity before and after lifestyle intervention between two groups of study,there was a significant difference (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: Diabetic peripheral neuropathy (DPN) is the most common and troublesome complication of diabetes leadingto great morbidity and resulting in a huge economic burden for diabetes care.
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Key Findings & Data:The aim of this study was evaluating the effects of lifestyle interventions on diabeticneuropathy severity in diabetes type 2 outpatients.Methods: This clinical trial conducted on 74 patients with DPN that divided with random allocation into intervention or control group.
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Conclusion & Impact:DPN severity in both groups measured using modified Toronto Clinical Neuropathy Score(mTCNS) at the beginning of study and at the end of counseling for 12 weeks.Results: Comparing differences of mean of DNP severity before and after lifestyle intervention between two groups of study,there was a significant difference (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Diabetic peripheral neuropathy (DPN) is the most common and troublesome complication of diabetes leadingto great morbidity and resulting in a huge economic burden for diabetes care. Over half of people with diabetes developneuropathy. Also, DPN is a major cause of reduced quality of life due to pain, sensory loss, gait instability, fall-related injury,and foot ulceration and amputation. The aim of this study was evaluating the effects of lifestyle interventions on diabeticneuropathy severity in diabetes type 2 outpatients.Methods: This clinical trial conducted on 74 patients with DPN that divided with random allocation into intervention or control group. The lifestyle interventions applied in the intervention group beginning four educational sessions on lifestyle thatemphasize strategies for lowering blood sugar, increasing physical activity, promoting weight loss, prudent diet, and foot caring. Each session was lasted for1.5 hour. Then patients followed for 12 weeks. During this period, they received counseling onmentioned lifestyle interventions. DPN severity in both groups measured using modified Toronto Clinical Neuropathy Score(mTCNS) at the beginning of study and at the end of counseling for 12 weeks.Results: Comparing differences of mean of DNP severity before and after lifestyle intervention between two groups of study,there was a significant difference (p

Özet

Amaç: Diyabetik periferik nöropati (DPN) diyabetin en sık karşılaştığı ve sıkıntılı bir komplikasyondur ve büyük bir morbiditeye yol açar ve diyabet bakımı için büyük bir ekonomik yük oluşturur. Nöropati diyabetli kişilerin yarısından fazlasında gelişir. Ayrıca, ağrı, duyusal kayıp, yürüme instabilitesi, düşme ile ilişkili yaralanma, ayak ülseri ve amputasyon nedeniyle, DPN yaşam kalitesinin azalmasının temel nedenidir. Bu çalışmanın amacı, ayakta tedavi edilen diyabet tip 2 hastalarda; yaşam tarzı müdahalelerinin diyabetik nöropati şiddeti üzerine etkilerini değerlendirmekti. Gereç ve Yöntem: Bu klinik çalışma, DPN’si olan ve rastgele yöntemi ile; müdahale ya da kontrol grubuna ayrılanan, 74 hasta üzerinde gerçekleştirildi.Kan şekerini düşürmek, fiziksel aktiviteyi arttırmak, kilo kaybını teşvik etmek, ihtiyatlı beslenme ve ayak bakımı için stratejileri vurgulayan yaşam tarzı üzerine dört eğitim oturumu ile başlanan yaşam tarzı müdahaleleri müdahale grubunda uygulanmaya başladı. Her eğitim seansi 1.5 saat sürdü. Daha sonra hastalar 12 hafta boyunca takip edildiler ve bu dönemde yaşam tarzı müdahaleleri konusunda danışmanlık aldılar. Her iki grupta da DPN`nin şiddeti, çalışmanın başlangıcında, ve 12 haftalık danışmanlık sonunda modifiye Toronto Clinical Neuropathy Score (mTCNS) kullanılarak ölçüldü. Bulgular: Çalışma gruplarının DNP şiddeti, yaşam tarzı müdahaleleri öncesi ve sonrası, ortalamaları arasındaki farklılıkların karşılaştırıldığında anlamlı bir fark bulundu (p

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Cite This Article

SOHEILY, S., GHAVAMI, H., RADFAR, M., KHALKHALI, H. R., SHAMSI, S. A. (2022). Effect of lifestyle interventions on diabetic peripheral neuropathy in patients with type 2 diabetes, result of a randomized clinical trial. Ağrı, Cilt: 30 - Sayı: 4, 165–170. https://ajindex.com/articles/430644

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References (10)

  1. Timar B, Timar R, Gaiță L, Oancea C, Levai C, Lungeanu D. The Impact of Diabetic Neuropathy on Balance and on the Risk of Falls in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study. PLoS One 2016;11(4):e0154654. Vinik A, Casellini C, Nevoret ML. Diabetic Neuropathies. Endotext - NCBI Bookshelf – NIH. Last Update: February 5, 2018. Available at: https://www.ncbi.nlm.nih.gov/books/ NBK279175/. Accessed Jun 11, 2018. Look AHEAD Research Group. Effects of a long-term lifestyle modification programme on peripheral neuropathy in overweight or obese adults with type 2diabetes: the Look AHEAD study. Diabetologia 2017;60(6):980–8.
  2. Smith AG, Russell J, Feldman EL, Goldstein J, Peltier A, Smith S, et al. Lifestyle intervention for pre-diabetic neuropathy. Diabetes Care 2006;29(6):1294–9.
  3. Graf RJ, Halter JB, Pfeifer MA, Halar E, Brozovich F, Porte D Jr. Glycemic control and nerve conduction abnormalities in non-insulin-dependent diabetic subjects. Ann Intern Med 1981;94(3):307–11.
  4. Holman RR, Dornan TL, Mayon-White V, Howard-Williams J, Orde-Peckar C, Jenkins L, et al. Prevention of deterioration of renal and sensory-nerve function by more intensive management of insulin-dependent diabetic patients. A two-year randomised prospective study. Lancet 1983;1(8318):204–8.
  5. Pietri A, Ehle AL, Raskin P. Changes in nerve conduction velocity after six weeks of glucoregulation with portable insulin infusion pumps. Diabetes 1980;29(8):668–71.
  6. Kuwabara S, Ogawara K, Harrori T, Suzuki Y, Hashimoto N. The acute effects of glycemic control on axonal excitability in humandiabetic nerves. Intern Med 2002;41(5):360–5. Feldman EL. Pathogenesis and prevention of diabetic polyneuropathy. Available at: https://www.uptodate. com/contents/pathogenesis-and-prevention-of-diabeticpolyneuropathy Accessed: Oct 30, 2018.
  7. Callaghan BC, Hur J, Feldman EL. Diabetic neuropathy: one disease or two? Curr Opin Neurol 2012;25(5):536–41.
  8. Peltier A, Goutman SA, Callaghan BC. Painful diabetic neuropathy. BMJ 2014;348:g1799. Saint Onge JM, Krueger PM. Health Lifestyle Behaviors among U.S. Adults. SSM Popul Health 2017;3:89–98.
  9. Bril V, Tomioka S, Buchanan RA, Perkins BA, mTCNS Study Group. Reliability and validity of the modified Toronto Clinical NeuropathyScore in diabetic sensorimotor polyneuropathy. Diabet Med 2009;26(3):240–6.
  10. Udayashankar D, Premraj SS, Mayilananthi K, Naragon V. Applicability of Toronto Clinical Neuropathy Scoring and its Correlation with Diabetic Peripheral Neuropathy: A Pros