Journal article
Foot bone density in diabetes may be unaffected by the presence
Journal of Diabetes and Its Complications, Vol.30(6), pp.1087-1092
2016
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Source: InCites
Abstract
<p><h3 id="x-x-st0010">Aims</h3> <p id="x-x-sp0005">Neuropathies are common complications of diabetes and are proposed to influence peripheral bone, principally via an altered vascular supply. This study aimed to determine the relationship between subtypes of neuropathy and vascular reactivity on foot bone density in people with diabetes. <h3 id="x-x-st0015">Methods</h3> <p id="x-x-sp0010">A case–control observational design was utilised with two groups: those with diabetic peripheral large fibre neuropathy (n = 23) and a control group with diabetes but without neuropathy (n = 23). Bone density in 12 foot bones was determined with computed tomography scanning. Additionally, post-occlusive reactive hyperemia, presence of small fibre neuropathy and heart rate variability were determined. T-tests and hierarchical regression were used to examine the relationships among the variables. <h3 id="x-x-st0020">Results</h3> <p id="x-x-sp0015">No difference in foot bone density was found between those with and those without large fibre neuropathy. Furthermore, no association between heart rate variability or reactive hyperemia and bone density was found. Small fibre neuropathy was associated with increased cuboid trabecular bone density (p = 0.006) with its presence predictive of 14% of the variance. <h3 id="x-x-st0025">Conclusions</h3> <p id="x-x-sp0020">This study found no clear association between presence of diabetic neuropathies and foot bone density. Furthermore, vascular reactivity appears to have no impact on bone density.</p>
Details
- Title
- Foot bone density in diabetes may be unaffected by the presence
- Creators
- Alex Barwick - University of New CastleJohn W Tessier - University of New CastleXanne Janse deJonge - University of NewcastleVivienne H Chuter - University of Newcastle
- Publication Details
- Journal of Diabetes and Its Complications, Vol.30(6), pp.1087-1092
- Identifiers
- 3478; 991012821030102368
- Academic Unit
- Faculty of Health; School of Health and Human Sciences; Allied Health and Midwifery
- Resource Type
- Journal article