{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:29:08Z","timestamp":1786987748425,"version":"build-2736575974"},"reference-count":45,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2018,5,1]],"date-time":"2018-05-01T00:00:00Z","timestamp":1525132800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/501100008530","name":"FEDER","doi-asserted-by":"crossref","award":["000016"],"award-info":[{"award-number":["000016"]}],"id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"crossref"}]},{"name":"European Regional Development Fund [ERDF]"},{"name":"NORTE"}],"content-domain":{"domain":["diabetesresearchclinicalpractice.com","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.fr","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Research and Clinical Practice"],"published-print":{"date-parts":[[2018,5]]},"DOI":"10.1016\/j.diabres.2018.02.020","type":"journal-article","created":{"date-parts":[[2018,2,23]],"date-time":"2018-02-23T00:11:42Z","timestamp":1519344702000},"page":"81-90","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":84,"special_numbering":"C","title":["Physical activity and exercise on diabetic foot related outcomes: A systematic review"],"prefix":"10.1016","volume":"139","author":[{"given":"Monica","family":"Matos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3806-438X","authenticated-orcid":false,"given":"Romeu","family":"Mendes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 B.","family":"Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7904-7631","authenticated-orcid":false,"given":"Nelson","family":"Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.diabres.2018.02.020_b0005","doi-asserted-by":"crossref","first-page":"153","DOI":"10.4239\/wjd.v7.i7.153","article-title":"Diabetic foot disease: from the evaluation of the \u201cfoot at risk\u201d to the novel diabetic ulcer treatment modalities","volume":"7","author":"Amin","year":"2016","journal-title":"World J Diabetes"},{"issue":"Suppl 1","key":"10.1016\/j.diabres.2018.02.020_b0010","doi-asserted-by":"crossref","first-page":"S6","DOI":"10.1002\/dme.1996.13.s1.6","article-title":"The epidemiology of diabetic foot problems","volume":"13","author":"Reiber","year":"1996","journal-title":"Diabet Med"},{"key":"10.1016\/j.diabres.2018.02.020_b0015","first-page":"67","article-title":"Current endovascular management of the ischaemic diabetic foot","volume":"12","author":"Gerassimidis","year":"2008","journal-title":"Hippokratia"},{"key":"10.1016\/j.diabres.2018.02.020_b0020","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1056\/NEJM199409293311307","article-title":"Assessment and management of foot disease in patients with diabetes","volume":"331","author":"Caputo","year":"1994","journal-title":"N Engl J Med"},{"key":"10.1016\/j.diabres.2018.02.020_b0025","unstructured":"Frykberg RG, Armstrong DG, Giurini J, Edwards A, Kravette M, Kravitz S, et al. Diabetic foot disorders. A clinical practice guideline. For the American College of Foot and Ankle Surgeons and the American College of Foot and Ankle Orthopedics and Medicine. J Foot Ankle Surg. 2000;Suppl:1\u201360."},{"key":"10.1016\/j.diabres.2018.02.020_b0030","doi-asserted-by":"crossref","first-page":"216","DOI":"10.2337\/diacare.18.2.216","article-title":"The independent contributions of diabetic neuropathy and vasculopathy in foot ulceration. How great are the risks?","volume":"18","author":"McNeely","year":"1995","journal-title":"Diabetes Care"},{"key":"10.1016\/j.diabres.2018.02.020_b0035","first-page":"129","article-title":"Neuropathic diabetic foot ulcers \u2013 evidence-to-practice","volume":"5","author":"Ndip","year":"2012","journal-title":"Int J Gen Med"},{"key":"10.1016\/j.diabres.2018.02.020_b0040","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1007\/s13300-012-0004-9","article-title":"Management of diabetic foot ulcers","volume":"3","author":"Alexiadou","year":"2012","journal-title":"Diabetes Ther"},{"key":"10.1016\/j.diabres.2018.02.020_b0045","first-page":"65","article-title":"Foot ulcers in the diabetic patient, prevention and treatment","volume":"3","author":"Wu","year":"2007","journal-title":"Vasc Health Risk Manage"},{"key":"10.1016\/j.diabres.2018.02.020_b0050","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/S0140-6736(03)13169-8","article-title":"Diabetic foot ulcers","volume":"361","author":"Jeffcoate","year":"2003","journal-title":"Lancet"},{"key":"10.1016\/j.diabres.2018.02.020_b0055","doi-asserted-by":"crossref","first-page":"75","DOI":"10.4103\/0973-3930.62596","article-title":"Understanding diabetic foot","volume":"30","author":"Pendsey","year":"2010","journal-title":"Int J Diabetes Dev Countries"},{"key":"10.1016\/j.diabres.2018.02.020_b0060","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1136\/bmj.326.7396.977","article-title":"The diabetic foot","volume":"326","author":"Watkins","year":"2003","journal-title":"BMJ"},{"key":"10.1016\/j.diabres.2018.02.020_b0065","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1177\/193229681100500636","article-title":"Diabetic foot ulcers and vascular insufficiency: our population has changed, but our methods have not","volume":"5","author":"Armstrong","year":"2011","journal-title":"J Diabetes Sci Technol"},{"key":"10.1016\/j.diabres.2018.02.020_b0070","first-page":"897","article-title":"Wound bed preparation for ischemic diabetic foot ulcer","volume":"8","author":"Zhang","year":"2015","journal-title":"Int J Clin Exp Med"},{"issue":"Suppl 1","key":"10.1016\/j.diabres.2018.02.020_b0075","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1002\/dmrr.2753","article-title":"Lower limb ischaemia in patients with diabetic foot ulcers and gangrene: recognition, anatomic patterns and revascularization strategies","volume":"32","author":"Mills","year":"2016","journal-title":"Diabetes Metab Res Rev"},{"issue":"Suppl 1","key":"10.1016\/j.diabres.2018.02.020_b0080","doi-asserted-by":"crossref","first-page":"S84","DOI":"10.1002\/1520-7560(200009\/10)16:1+<::AID-DMRR113>3.0.CO;2-S","article-title":"International consensus and practical guidelines on the management and the prevention of the diabetic foot. International Working Group on the Diabetic Foot","volume":"16","author":"Apelqvist","year":"2000","journal-title":"Diabetes Metab Res Rev"},{"key":"10.1016\/j.diabres.2018.02.020_b0085","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1136\/bmj.332.7538.407","article-title":"Diabetic foot ulcers","volume":"332","author":"Edmonds","year":"2006","journal-title":"BMJ"},{"key":"10.1016\/j.diabres.2018.02.020_b0090","doi-asserted-by":"crossref","first-page":"A64","DOI":"10.1093\/eurheartj\/suv023","article-title":"Overview on diabetic foot: a dangerous, but still orphan, disease","volume":"17","author":"Dalla Paola","year":"2015","journal-title":"Eur Heart J Suppl"},{"key":"10.1016\/j.diabres.2018.02.020_b0095","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1111\/dme.13054","article-title":"Association of diabetic foot ulcer and death in a population-based cohort from the United Kingdom","volume":"33","author":"Walsh","year":"2016","journal-title":"Diabet Med"},{"key":"10.1016\/j.diabres.2018.02.020_b0100","doi-asserted-by":"crossref","first-page":"2879809","DOI":"10.1155\/2016\/2879809","article-title":"Increased mortality in diabetic foot ulcer patients: the significance of ulcer type","volume":"2016","author":"Chammas","year":"2016","journal-title":"J Diabetes Res"},{"key":"10.1016\/j.diabres.2018.02.020_b0105","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1111\/iwj.12404","article-title":"The impact of foot ulceration and amputation on mortality in diabetic patients. I: from ulceration to death, a systematic review","volume":"13","author":"Jupiter","year":"2016","journal-title":"Int Wound J"},{"key":"10.1016\/j.diabres.2018.02.020_b0110","doi-asserted-by":"crossref","first-page":"S6","DOI":"10.12968\/bjon.2017.26.6.S6","article-title":"Foot ulceration in patients with diabetes: a risk analysis","volume":"26","author":"Rossaneis","year":"2017","journal-title":"Brit J Nurs"},{"key":"10.1016\/j.diabres.2018.02.020_b0115","doi-asserted-by":"crossref","first-page":"302","DOI":"10.4103\/0970-0358.197238","article-title":"Healing ulcers and preventing their recurrences in the diabetic foot","volume":"49","author":"Sabapathy","year":"2016","journal-title":"Indian J Plast Surg"},{"key":"10.1016\/j.diabres.2018.02.020_b0120","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1136\/postgradmedj-2015-133441","article-title":"Thermography: a technique for assessing the risk of developing diabetic foot disorders","volume":"91","author":"Mendes","year":"2015","journal-title":"Postgrad Med J"},{"key":"10.1016\/j.diabres.2018.02.020_b0125","doi-asserted-by":"crossref","first-page":"1980","DOI":"10.2337\/diacare.27.8.1980","article-title":"Variability in activity may precede diabetic foot ulceration","volume":"27","author":"Armstrong","year":"2004","journal-title":"Diabetes Care"},{"key":"10.1016\/j.diabres.2018.02.020_b0130","doi-asserted-by":"crossref","unstructured":"Boulton AJ. The diabetic foot: a global view. Diabetes Metabol Res Rev 2000;16: S2\u2013S5.","DOI":"10.1002\/1520-7560(200009\/10)16:1+<::AID-DMRR105>3.0.CO;2-N"},{"key":"10.1016\/j.diabres.2018.02.020_b0135","doi-asserted-by":"crossref","first-page":"2065","DOI":"10.2337\/dc16-1728","article-title":"Physical activity\/exercise and diabetes: a position statement of the american diabetes association","volume":"39","author":"Colberg","year":"2016","journal-title":"Diabetes Care"},{"key":"10.1016\/j.diabres.2018.02.020_b0140","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph14091057","article-title":"Implementing low-cost, community-based exercise programs for middle-aged and older patients with Type 2 diabetes: what are the benefits for glycemic control and cardiovascular risk?","volume":"14","author":"Mendes","year":"2017","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.diabres.2018.02.020_b0145","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1016\/j.apmr.2012.12.015","article-title":"Weight-bearing versus nonweight-bearing exercise for persons with diabetes and peripheral neuropathy: a randomized controlled trial","volume":"94","author":"Mueller","year":"2013","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.diabres.2018.02.020_b0150","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1186\/1471-2474-15-137","article-title":"Effects of strengthening, stretching and functional training on foot function in patients with diabetic neuropathy: results of a randomized controlled trial","volume":"15","author":"Sartor","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.diabres.2018.02.020_b0155","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.2522\/ptj.20080019","article-title":"Effect of weight-bearing activity on foot ulcer incidence in people with diabetic peripheral neuropathy: feet first randomized controlled trial","volume":"88","author":"Lemaster","year":"2008","journal-title":"Phys Ther"},{"key":"10.1016\/j.diabres.2018.02.020_b0160","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.jdiacomp.2005.07.005","article-title":"Exercise training can modify the natural history of diabetic peripheral neuropathy","volume":"20","author":"Balducci","year":"2006","journal-title":"J Diabetes Complicat"},{"key":"10.1016\/j.diabres.2018.02.020_b0165","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.jdiacomp.2013.12.006","article-title":"Effect of aerobic exercise on peripheral nerve functions of population with diabetic peripheral neuropathy in type 2 diabetes: a single blind, parallel group randomized controlled trial","volume":"28","author":"Dixit","year":"2014","journal-title":"J Diabetes Complicat"},{"key":"10.1016\/j.diabres.2018.02.020_b0170","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1093\/ptj\/83.8.713","article-title":"Reliability of the PEDro scale for rating quality of randomized controlled trials","volume":"83","author":"Maher","year":"2003","journal-title":"Phys Ther"},{"key":"10.1016\/j.diabres.2018.02.020_b0175","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1089\/acm.2011.0690","article-title":"Effects of Tai Chi Exercise on glucose control, neuropathy scores, balance, and quality of life in patients with type 2 diabetes and neuropathy","volume":"18","author":"Ahn","year":"2012","journal-title":"J Altern Complement Med"},{"key":"10.1016\/j.diabres.2018.02.020_b0180","doi-asserted-by":"crossref","first-page":"924","DOI":"10.2340\/16501977-0445","article-title":"Effect of 12-week tai chi chuan exercise on peripheral nerve modulation in patients with type 2 diabetes mellitus","volume":"41","author":"Hung","year":"2009","journal-title":"J Rehabil Med"},{"key":"10.1016\/j.diabres.2018.02.020_b0185","doi-asserted-by":"crossref","unstructured":"Bahador RS, Afrazandeh, SS, Ghanbarzehi N, Ebrahimi M. The impact of three-month training programme on foot care and self-efficacy of patients with diabetic foot ulcers. J Clin Diagn Res. 2017;11:IC01-IC4.","DOI":"10.7860\/JCDR\/2017\/29025.10261"},{"key":"10.1016\/j.diabres.2018.02.020_b0190","doi-asserted-by":"crossref","first-page":"2648","DOI":"10.2337\/dc10-0456","article-title":"Low peripheral nerve conduction velocities and amplitudes are strongly related to diabetic microvascular complications in type 1 diabetes: the EURODIAB prospective complications study","volume":"33","author":"Charles","year":"2010","journal-title":"Diabetes Care"},{"key":"10.1016\/j.diabres.2018.02.020_b0195","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1177\/193229680800200217","article-title":"Utilization of nerve conduction studies for the diagnosis of polyneuropathy in patients with diabetes: a retrospective analysis of a large patient series","volume":"2","author":"Kong","year":"2008","journal-title":"J Diabetes Sci Technol"},{"key":"10.1016\/j.diabres.2018.02.020_b0200","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1038\/ncpneuro0504","article-title":"Diabetic neuropathy\u2013a review","volume":"3","author":"Said","year":"2007","journal-title":"Nat Clin Pract Neurol"},{"key":"10.1016\/j.diabres.2018.02.020_b0205","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1111\/jdi.12583","article-title":"Four-year sequential nerve conduction changes since first visit in Japanese patients with early type 2 diabetes","volume":"8","author":"Kobori","year":"2017","journal-title":"J Diabetes Investig"},{"key":"10.1016\/j.diabres.2018.02.020_b0210","doi-asserted-by":"crossref","first-page":"e147","DOI":"10.2337\/dc10-9990","article-title":"Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement executive summary","volume":"33","author":"Colberg","year":"2010","journal-title":"Diabetes Care"},{"key":"10.1016\/j.diabres.2018.02.020_b0215","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1056\/NEJM200105033441801","article-title":"Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance","volume":"344","author":"Tuomilehto","year":"2001","journal-title":"N Engl J Med"},{"key":"10.1016\/j.diabres.2018.02.020_b0220","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.2337\/dc06-9910","article-title":"Physical activity\/exercise and type 2 diabetes: a consensus statement from the American Diabetes Association","volume":"29","author":"Sigal","year":"2006","journal-title":"Diabetes Care"},{"key":"10.1016\/j.diabres.2018.02.020_b0225","doi-asserted-by":"crossref","first-page":"140","DOI":"10.2337\/dc14-2441","article-title":"Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes","volume":"38","author":"Inzucchi","year":"2015","journal-title":"Diabetes Care"}],"container-title":["Diabetes Research and Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0168822717316686?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0168822717316686?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T11:22:46Z","timestamp":1603884166000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0168822717316686"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5]]},"references-count":45,"alternative-id":["S0168822717316686"],"URL":"https:\/\/doi.org\/10.1016\/j.diabres.2018.02.020","relation":{},"ISSN":["0168-8227"],"issn-type":[{"value":"0168-8227","type":"print"}],"subject":[],"published":{"date-parts":[[2018,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Physical activity and exercise on diabetic foot related outcomes: A systematic review","name":"articletitle","label":"Article Title"},{"value":"Diabetes Research and Clinical Practice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.diabres.2018.02.020","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}