The Effect of Body Fat, Aging, and Diabetes on Vertical and Shear Pressure in and Under a Waist Belt and Its Effect on Skin Blood Flow
Autor: | Gurinder Bains, Scott W. Lee, Jerrold S. Petrofsky, Lee Berk, Michelle Prowse, Katie McLellan |
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Rok vydání: | 2010 |
Předmět: |
Adult
Male medicine.medical_specialty Waist Endocrinology Diabetes and Metabolism Endocrinology Physical medicine and rehabilitation Diabetes mellitus Diabetes Mellitus Transducers Pressure medicine Humans Exercise Skin Pressure mapping Skin blood flow business.industry Age Factors Anatomy Middle Aged medicine.disease Medical Laboratory Technology Adipose Tissue Shear (geology) Female Older people business |
Zdroj: | Diabetes Technology & Therapeutics. 12:153-160 |
ISSN: | 1557-8593 1520-9156 |
DOI: | 10.1089/dia.2009.0123 |
Popis: | Much attention has been given to the effect of pressure on skin blood flow in the feet of older people and people with diabetes. However, little attention has been paid to other areas of the body, especially under the belt at the waist where pressure might be high during body movements associated with exercise. This may be very important when devices such as heat packs are worn during the day under the belt because their safety relies on appropriate skin blood flow to dissipate the heat; in diabetes populations burns have been seen.Forty male and female subjects, with and without diabetes, were examined in two series of experiments to assess the vertical and shear pressure under a belt worn during different common exercises. Vertical and shear pressure under the belt, belt tension, and shear pressure were measured with a Tactilus (Sensor Products, Madison, NJ) pressure mapping system. Eleven different body movements were examined. Then, from the recorded pressures, a second series of experiments examined skin blood flow at these same pressures.The results of the experiments showed that there was little shear and vertical pressure in thin subjects during 10 different exercises. However, for overweight subjects, pressure under the belt was as high as 150 kPa. At these high levels of pressure, skin circulation was occluded.In subjects with diabetes who are generally overweight and have impaired circulation, hot packs should be used with caution because of the low blood flows at rest and occlusion of the circulation under the belt with body movement. |
Databáze: | OpenAIRE |
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