Factors contributing to wound chronicity in diabetic foot ulceration

Tehan, Peta Ellen; Linton, C. S.; White, Diane; Chuter, Vivienne; Norbury, Kate

doi:10.33235/wpr.27.3.111-115

Cited by 3 publications

(2 citation statements)

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“…Adults with diabetes (type 1 and 2) and current DFU were recruited from four high risk foot clinics across New South Wales, Australia between 2018 and 2020, with the full assessment protocol described previously. 6 A convenience sample was utilised, with participants invited to participate if they had a diagnosis of type 1 or 2 diabetes and an active foot ulceration (at or below the level of the malleoli). Participants attended a single session, where general medical history, diabetes duration, HbA1c levels, co-morbidities and smoking status were elicited.…”

Section: Methodsmentioning

confidence: 99%

Macronutrient and micronutrient intake of individuals with diabetic foot ulceration: A short report

Collins

Burrows

Donnelly

et al. 2021

J Human Nutrition Diet

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Background Adequate nutrition is essential in individuals with diabetic foot ulceration (DFU); therefore, an assessment of dietary intake is critical. A lack of nutrients including protein, zinc and vitamins C and D have all been associated with poor wound healing. However, the comprehensive dietary intake of Australian adults with DFU is poorly understood. The aim of this cross‐sectional study was to describe the dietary intake of adults with DFU in an Australian setting. Methods Participants (n = 115) with diabetes (type 1 and 2), a mean body mass index of 36 and current foot ulceration were recruited from across New South Wales, Australia. Dietary intake was assessed using the Australian Eating Survey, a self‐reported validated food frequency questionnaire. Results The mean (SD) reported energy intake was 9.57 (±SD 4.43) MJ day–1. A mean protein intake of 104 (±SD 49) g day–1 is below recommended intake for wound healing; however, the mean protein intake contribution to energy (19%E) was within recommendations for normal populations. The mean carbohydrate intake (43%E) was within recommended ranges for healthy populations; however, the mean total fat intake (36%E) was above recommendations. Micronutrient intake was adequate, apart from folate, which was below the recommended intake, and sodium, vitamin C, vitamin A and selenium, which were above the recommended intake. Conclusions A lack of adequate folate may have a negative impact on healing, with folate proposed to play a role in tissue repair. Wound management of individuals with DFU should include a regular assessment of dietary intake to recognise deficiencies in macro‐ and micronutrients, and subsequently address these inadequacies to optimise healing.

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Section: Methodsmentioning

confidence: 99%

Macronutrient and micronutrient intake of individuals with diabetic foot ulceration: A short report

Collins

Burrows

Donnelly

et al. 2021

J Human Nutrition Diet

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“…Every hour in Australia, one person with diabetes has their foot or leg amputated [1]. Diabetes-related foot ulceration (DFU) and related amputations are estimated to cost the Australian healthcare system over AUS $600 million dollars annually [2]. In most cases, chronic DFU precedes amputation, with a range of factors implicated in reduced healing capacity [3].…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Diet Quality, Advice, and Dietary Interventions in Individuals with Diabetes-Related Foot Ulceration; A Qualitative Research Study

et al. 2022

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Background: Dietary intake is a recognised contributor to healing in diabetes-related foot ulceration (DFU). However, it is currently unknown how individuals with DFU perceive their diet, and what is deemed an acceptable dietary intervention. Therefore, the aims of this study were to explore perceptions of diet quality, previous dietary advice, and dietary interventions in individuals with DFU, and secondly to determine acceptable dietary interventions in individuals with DFU to assist with wound healing. Methods: A qualitative study using reflexive thematic analysis was undertaken. Individuals with active or recent history of DFU were recruited from a high-risk foot service. Semi-structured interviews were undertaken. Results: Nineteen participants were included with three themes identified: A complex relationship with food, perceptions of food, diet and dietitians, and self-management. Dietary misconceptions were common. Self-perceived diet quality varied, with most unaware of how diet could impact wound healing. Many expressed barriers relating to food agency (purchasing, preparing, and accessing food). Participants expressed a strong preference for personalised, face-to-face dietary advice and nutritional supplementation. Conclusions: There is a need for personalised dietary re-education and assistance with food agency in this cohort to overcome commonly held misconceptions of diet and improve dietary intake to facilitate wound healing.

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Multifunctional nanofibrous scaffolds for enhancing full-thickness wound healing loaded with Bletilla striata polysaccharides

Zhao,

Huang,

Tang

et al. 2024

International Journal of Biological Macromolecules

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Factors contributing to wound chronicity in diabetic foot ulceration

Cited by 3 publications

References 0 publications

Macronutrient and micronutrient intake of individuals with diabetic foot ulceration: A short report

Macronutrient and micronutrient intake of individuals with diabetic foot ulceration: A short report

Perceptions of Diet Quality, Advice, and Dietary Interventions in Individuals with Diabetes-Related Foot Ulceration; A Qualitative Research Study

Multifunctional nanofibrous scaffolds for enhancing full-thickness wound healing loaded with Bletilla striata polysaccharides

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