Nutritional profile of older adults with chronic venous leg ulcers: A pilot study

Abstract

The purpose of this cross-sectional descriptive pilot study was to describe daily intake of select nutrients important for efficient wound healing and general health in a sample of older adults (64.25 ± 9.49 years of age) with chronic venous leg ulcers (CVLUs; N = 12), compared to recommended dietary allowances (RDA). Anthropometric data were also collected. Compared to RDA, participants on average consumed lower vitamin C (60.03 ± 49.73 mg/d) and higher sodium (3197.07 ± 1455.04 mg/d), sugar (181.21 ± 115.45 g/d), and saturated fat (33.75 ± 1.06 g/d). They also demonstrated a relatively high plasma n-6/n-3 polyunsaturated fatty acid ratio, a biomarker of inflammation (11.25 ± 1.99). The mean body mass index indicated extreme obesity (41.48 ± 11.47). A multidisciplinary treatment approach that includes routine dietary assessments followed by tailored dietary interventions may improve wound healing and long-term health outcomes in this population.

Effects and associations of nutrition in patients with venous leg ulcers: A systematic review

“…Zinc intake was inadequate in three of eight patients in one study (Tobon et al., ), but average intake was found to meet recommended daily allowances in another study with 12 patients (McDaniel et al., ).…”

“…All participants had ulcers classified by the CEAP classification as C5 or C6. Six studies reported patient comorbidities, which included diabetes mellitus, arterial hypertension, chronic heart failure and cardiovascular disease (Abbade et al., , ; Apollonio et al., ; Legendre et al., ; McDaniel et al., ; Wojcik et al., ). Sample sizes of included studies were generally small with a median size of 84, ranging from 2 to 639.…”

“…In eight of the 13 studies reporting weight status, the majority of VLU patients were found to have a BMI >25 (Table ) (Abbade et al., , ; Finlayson et al., ; McDaniel et al., ; Serra et al., ; Tobon et al., ; Vines et al., ; Wojcik et al., ). Of the seven studies that measured obesity exclusively, prevalence ranged from 21.8‐81.8% of participants (Abbade et al., ; Apollonio et al., ; De Franciscis et al., ; Legendre et al., ; McDaniel et al., ; Tobon et al., ; Vines et al., ). Overweight and obesity were found to be related to poor healing of VLUs in three studies (Apollonio et al., ; Labropoulos et al., ; Milic et al., ).…”

Validation of Nursing Outcomes and Interventions to Older Adults Care with Risk or Frail Elderly Syndrome: Proposal of Linkages Among NOC, NIC, and NANDA‐I to clinical practice

“…Therefore, the socialization enhancement and cognitive stimulation are also important to improve the elderly quality of life (Dunlop et al. ; Gobbens et al., ; Heuberger & Wong, ; Hickman et al., ; Luzia, Almeida, & Lucena, ; Luzia, Victor, & Lucena, ; McDaniel, Kemmner, & Rusnak, ).…”

Prevalência E Caracterização De Feridas Crônicas Em Idosos Assistidos Na Atenção Básica

“…Além disso, a incidência global da UV está prevista para aumentar de forma significativa, em conjunto com o aumento do número da população idosa, pois está diretamente associada às patologias crônicas que surgem com o envelhecimento (3) .…”