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We examined daily activity outcomes of 30 patients with DFU<\/jats:styled-content>, 23 DPN<\/jats:styled-content> and 20 DM<\/jats:styled-content>. All patients wore a validated multi\u2010sensor device for > 5 days (>22 hours per day) to measure their daily activity outcomes: steps, energy expenditure (kJ<\/jats:styled-content>), average metabolic equivalent tasks (METs<\/jats:styled-content>), physical activity (>3\u00b70 METs<\/jats:styled-content>) duration and energy expenditure, lying duration, sleep duration and sleep quality. We found that DFU<\/jats:styled-content> patients recorded fewer median (interquartile ranges, IQR<\/jats:styled-content>) daily steps [2154 (1621\u20134324)] than DPN<\/jats:styled-content> [3660 (2742\u20137705)] and DM<\/jats:styled-content> [5102 (4011\u20137408)] controls (P<\/jats:italic> < 0\u00b705). In contrast, DFU<\/jats:styled-content> patients recorded more mean \u00b1 SD<\/jats:styled-content> daily energy expenditure (kJ<\/jats:styled-content>) (13 006 \u00b1 3559) than DPN<\/jats:styled-content> (11 085 \u00b1 1876) and DM<\/jats:styled-content> (11 491 \u00b1 1559) controls (P<\/jats:italic> < 0\u00b705). We found no other differences in daily activity outcomes (P<\/jats:italic> > 0\u00b71). We conclude that DFU<\/jats:styled-content> patients typically take fewer steps but expend more energy during their normal daily activity than DPN<\/jats:styled-content> and DM<\/jats:styled-content> controls. We hypothesise that the increased energy expenditure for DFU<\/jats:styled-content> patients may be due to wound healing or an inefficient gait strategy. Further investigations into this energy imbalance in DFU<\/jats:styled-content> patients may improve healing in future.<\/jats:p>","DOI":"10.1111\/iwj.12782","type":"journal-article","created":{"date-parts":[[2017,7,14]],"date-time":"2017-07-14T02:22:45Z","timestamp":1499998965000},"page":"1175-1182","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Differences in the daily activity of patients with diabetic foot ulcers compared to controls in their free\u2010living environments"],"prefix":"10.1111","volume":"14","author":[{"given":"Helen","family":"Sheahan","sequence":"first","affiliation":[{"name":"Community Diabetes Service Metro North Hospital & Health Service Brisbane Australia"},{"name":"Department of Podiatry Metro North Hospital & Health Service Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberley","family":"Canning","sequence":"additional","affiliation":[{"name":"Community Diabetes Service Metro North Hospital & Health Service Brisbane Australia"},{"name":"Department of Podiatry Metro North Hospital & Health Service Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishka","family":"Refausse","sequence":"additional","affiliation":[{"name":"Community Diabetes Service Metro North Hospital & Health Service Brisbane Australia"},{"name":"Department of Podiatry Metro North Hospital & Health Service Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewan M","family":"Kinnear","sequence":"additional","affiliation":[{"name":"Department of Podiatry Metro North Hospital & Health Service Brisbane Australia"},{"name":"Allied Health Research Collaborative The Prince Charles Hospital Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"Jorgensen","sequence":"additional","affiliation":[{"name":"Department of Sleep Science The Prince Charles Hospital Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James R","family":"Walsh","sequence":"additional","affiliation":[{"name":"Heart Lung Institute The Prince Charles Hospital Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter A","family":"Lazzarini","sequence":"additional","affiliation":[{"name":"Department of Podiatry Metro North Hospital & Health Service Brisbane Australia"},{"name":"Allied Health Research Collaborative The Prince Charles Hospital Brisbane Australia"},{"name":"School of Clinical Science Queensland University of Technology Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,13]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67698-2"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010811"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(03)00118-9"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.7547\/87507315-91-9-451"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2697"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0099050"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.8.1980"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-006-0309-1"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2817"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-0995"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20100329"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00592-010-0240-2"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-1224"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00413.2015"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-7-7"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2695"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-2386"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.21.5.855"},{"key":"e_1_2_5_20_1","unstructured":"BodyMedia. 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