Cultura

Knowledge, Attitude, And Practice Of Physical Activity Among Diabetic Patients

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Moneerah Abdulmotheeb Alhemedi, Mashaer Omar Fallatah, Ghofran Siraj Khogeer, Salma Abdulkarim Al-Khoutani, Lowloh Abdullah Al otaibi
Jamala Aidrous Bawahab, Wafaa Dakhel Alahmadi, Samera Abdulrahman Mugharbil, Tamara Adnan Alsharif, Laila mohammedAyman AlNouri

Abstract

Introduction: Diabetes mellitus is one of the most common non-communicable diseases and is the fifth leading cause of death in most developing countries. Regular physical activity (PA) is strongly recommended for individuals with diabetes for its beneficial effects in improving blood glucose control and insulin sensitivity, prevention and reduction of morbidities and complications, and its cardiovascular benefits.                                                                            

Objective: To assess the knowledge, attitude and practices of PA among patients with diabetes in Jeddah, Saudi arabi  .                                                                                                              

Research design and methods: A cross-sectional study was conducted from march to September 2023 among 2000 patients with diabetes aged 18 years and above receiving care from diabetic clinics in Jeddah, Saudi Arabia, 2023    . Data were analysed using SPSS V.20. Categorical variables were summarised using frequencies and percentages, and continuous variables using means and SDs. The Χ2 test was used to compare the proportion of PA across participant characteristics.                                                                                                                            

Results: The vast majority (90%) of the participants were physically active, and from our findings, most of it was contributed by work   and transport-related   activities. Participants had high levels of knowledge  and positive attitudes  towards PA. These were mainly contributed by a healthcare provider or doctors' advice   on PA benefits to patients with diabetes. There was a strong statistical association   between knowledge and attitude towards PA with PA practice.    

Conclusion: The vast majority of the participants were physically active. High levels of PA were associated with a high level of knowledge and positive attitudes towards PA. Healthcare provider or doctors' advice in diabetic clinics is essential in promoting PA practice in this population and in diabetes management.                         

Keywords : physical activity ; Diabetes ; Jeddah, Saudi Arabia..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty