Measuring 24-h use of time in people with a diabetes-related foot ulcer: A feasibility study

dc.contributor.authorMurphy, A.
dc.contributor.authorGraham, K.
dc.contributor.authorOlds, T.
dc.contributor.authorLoughry, C.
dc.contributor.authorFraysse, F.
dc.contributor.authorDumuid, D.
dc.contributor.authorStanford, T.
dc.contributor.authorMatricciani, L.
dc.date.issued2024
dc.description.abstractBackground: Physical activity (PA), sleep and sedentary time are now recognised as mutually exclusive and exhaustive parts of the 24‐h day—if PA decreases, time spent sleeping, being sedentary or both must increase so that all components equate to 24 h. Recent advances in time‐use epidemiology suggest that we should not consider time‐ use domains (PA, sleep and sedentary time) in isolation from each other, but in terms of a composition—the mix of time‐use domains across the 24‐h day. While interrelated daily activities are known to be important in the management of diabetes mellitus, few studies have investigated the interrelated daily activities in people with an active diabetes‐related foot ulcer (DFU) and their impact on important outcomes such as wound severity, blood glucose control and health‐related quality of life (HRQoL). This feasibility study aims to determine the acceptability and practicality of measuring 24‐h use of time data in people with a DFU and its associations on important outcome measures for this population. Methods: Participants wore a wrist‐worn accelerometer for two weeks and completed demographic and HRQoL questionnaires. Outcomes were participant engagement, reported levels of study burden and value and compositional data analysis as a methodological approach for evaluating 24‐h use of time data. Results: Twenty‐six participants reported low levels of study burden and rated the study value highly. The protocol appears feasible in terms of recruitment (81%) and retention rate (86%). On average, participants were relatively sedentary spending 747, 172 and 18 min in sedentary time, light physical activity and moderate‐to‐vigorous activity, respectively. Sleep appeared adequate with participants obtaining an average of 485 min, but quality of sleep was notably poor with average sleep efficiency of 75%. Compositional data analysis was able to quantify the integrated associations of 24‐h use of time with HRQoL. Conclusion: The protocol provides an acceptable method to collect 24‐h use of time data in people with a DFU. Efforts to consider and analyse PA as part of a 24‐h activity composition may provide holistic and realistic understandings of PA in this clinical population.
dc.description.statementofresponsibilityAndrew Murphy, Kristin Graham, Timothy Olds, Cathy Loughry, François Fraysse, Dot Dumuid, Ty Stanford, Lisa Matricciani
dc.identifier.citationJournal of Foot and Ankle Research, 2024; 17(3):e12045-1-e12045-12
dc.identifier.doi10.1002/jfa2.12045
dc.identifier.issn1757-1146
dc.identifier.issn1757-1146
dc.identifier.orcidGraham, K. [0000-0002-1864-1856]
dc.identifier.urihttps://hdl.handle.net/2440/143900
dc.language.isoen
dc.publisherWiley
dc.relation.granthttp://purl.org/au-research/grants/arc/DE230101174
dc.rights© 2024 The Author(s). Journal of Foot and Ankle Research published by John Wiley & Sons Australia, Ltd on behalf of Australian Podiatry Association and The Royal College of Podiatry. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
dc.source.urihttp://dx.doi.org/10.1002/jfa2.12045
dc.subjectdiabetes
dc.subjectdiabetes mellitus
dc.subjectdiabetes‐related foot ulcer
dc.subjectphysical activity
dc.subjectsedentary behaviour
dc.subject.meshHumans
dc.subject.meshDiabetic Foot
dc.subject.meshExercise
dc.subject.meshActivities of Daily Living
dc.subject.meshFeasibility Studies
dc.subject.meshSleep
dc.subject.meshTime Factors
dc.subject.meshQuality of Life
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshMiddle Aged
dc.subject.meshFemale
dc.subject.meshMale
dc.subject.meshAccelerometry
dc.subject.meshSurveys and Questionnaires
dc.subject.meshSedentary Behavior
dc.titleMeasuring 24-h use of time in people with a diabetes-related foot ulcer: A feasibility study
dc.typeJournal article
pubs.publication-statusPublished

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
hdl_143900.pdf
Size:
1.06 MB
Format:
Adobe Portable Document Format
Description:
Published version

Collections