Diabetes has been one of the most common chronic diseases all over the world. The purpose of this study was to quantitatively assess the foot loading characteristics of diabetic patients with fifth-toe deformity through a comparative analysis with diabetic patients with healthy and normal feet. Six neuropathic diabetic female subjects with the fifth-toe deformation and six age-matched neuropathic diabetic controls without any feet deformities participated in the walking test. Dynamic barefoot plantar pressure was measured with Novel EMED force plate. Peak pressure and pressure-time integral for all 7 foot regions (rearfoot, midfoot, lateral forefoot, central forefoot, medial forefoot, great toe, and other toes) were collected. Peak pressure was significantly higher in the patients with toe deformity in rearfoot, central forefoot, and great toe regions compared with the control group. Meanwhile, loading sustaining period extended longer in great toe region of deformed group than in that of the control group, and the center of pressure was nearly in the big toe region during toe offstage. Diabetic patients with fifth-toe deformity could have plantar contact area reduction in the other toes part and increased loading to the great toe part. The result showed that fifth-toe deformity was associated with potential ulceration risk especially in hallux region.
The purpose of this systematic review and meta-analysis was to qualitatively synthesize and quantitatively assess the evidence of the relationship between objectively determined volumes of physical activity (PA) and cardiometabolic health in women. Four databases (PubMed, Web of Science, Scopus, and the Cochrane library) were searched and, finally, 24 eligible studies were included, with a total of 2105 women from eight countries. A correlational meta-analysis shows that moderate-to-vigorous intensity physical activity (MVPA) was favorably associated with high-density lipoprotein (r = 0.16; 95% CI: 0.06, 0.25; p = 0.002); however, there was limited evidence for the effects of most of the other cardiometabolic biomarkers recorded from steps, total physical activity, light- and moderate-intensity physical activity and MVPA. It is most compelling and consistent that being more physically active is beneficial to the metabolic syndrome. Overall, PA levels are low in adult women, suggesting that increasing the total volume of PA is more important than emphasizing the intensity and duration of PA. The findings also indicate that, according to the confounding effects of body composition and cardiorespiratory fitness, meeting the minimal level of 150 min of moderate-intensity physical activity recommended is not enough to obtain a significant improvement in cardiometabolic indicators. Nonetheless, the high heterogeneity between studies inhibits robust conclusions.
Cryotherapy as a measurement of sports recovery and treatment has been utilized by more and more athletes and coaches. The aim of this study was to investigate the effect of different temperature cryotherapies on leg extension performance. Thirty-one male participants from a University volunteered to join two different temperature cryotherapies. The peak power and peak force of right leg extension performance of each participant was measured by Keiser, before and after cryotherapy, respectively. The results of this study show that there was a significant difference in peak power (t = −3.203, p value = 0.003) and peak force (t = −4.662, p value = 0) before and after 0 °C cryotherapy. In addition, there was a significant difference in peak force (t = −4.36, p value = 0) before and after −5 °C cryotherapy. Besides, the changing rates of peak power (3.03%) and peak force (11.51%) in the 0 °C group were higher than those of peak power (2.80%), as well as peak force (7.45%), in the −5 °C group. The PF in the 0 °C and −5 °C groups both significantly increased after cryotherapy. Peak power significantly increased after 0 °C cryotherapy, but did not significantly increase after −5 °C cryotherapy. The changing rates of peak power and peak force in the 0 °C group were both higher than the −5 °C group. A short period of cold treatment at 0 °C may increase the leg extension ability. A 0 °C cold therapy for a short period of time is more suitable than a −5 °C one for athletes to recover during the interval within a competition. Athlete and coach could choose an appropriate temperature to help increase performance of physical level and recovery.
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