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Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
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Gait Characteristics Related to Fatigue in Patients With Type 2 Diabetes: Cross-Sectional Study
Daisuke Iwaki1,2, Makoto Takahashi2, Toshihiro Kawae3
1Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, JPN.
Cureus
|August 8, 2025
Summary
Patients with type 2 diabetes experiencing fatigue show reduced gait regularity. This vertical acceleration abnormality may hinder exercise adherence, impacting diabetes management.
Area of Science:
- Biomechanics
- Endocrinology
- Gerontology
Background:
- Walking is recommended for type 2 diabetes management but fatigue limits exercise.
- Fatigue in type 2 diabetes patients can lead to gait abnormalities.
- Understanding these abnormalities is crucial for improving exercise adherence.
Purpose of the Study:
- To identify gait abnormalities associated with exercise-induced fatigue in type 2 diabetes patients.
- To investigate the relationship between gait regularity and fatigue levels.
- To explore factors contributing to exercise barriers in this population.
Main Methods:
- Cross-sectional study of 50 type 2 diabetes patients using accelerometers for gait analysis.
- 16-meter free walking test to measure gait parameters.
- Exercise Benefits and Barriers Scale used to categorize participants into fatigue and no-fatigue groups.
Main Results:
- The fatigue group exhibited significantly lower vertical autocorrelation coefficient (ACVT), indicating reduced gait regularity.
- Activity energy expenditure (AEE) was significantly higher in the fatigue group.
- Multivariate analysis revealed age and ACVT as significant factors influencing fatigue.
Conclusions:
- Reduced regularity in vertical acceleration during walking is a key factor contributing to fatigue in type 2 diabetes.
- Gait abnormalities, specifically decreased gait regularity, may act as a barrier to consistent exercise.
- Interventions targeting gait regularity could potentially improve exercise capacity and adherence in type 2 diabetes patients.
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