Nutritional status of elderly patients with venous ulceration of the leg–report of a pilot study

Lewis, Brynda K.; Hitchings, Helen; Bale, Sue; Harding, Keith G

doi:10.1111/j.1365-277x.1993.tb00395.x

Cited by 6 publications

(5 citation statements)

References 21 publications

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“…or by a research nurse for nutritional assessment and a dietary interview. A more complete description of the nutritional status, using the Mini Nutritional Assessment (MNA), in relation to ulcer history, physical activity, and ulcer‐related problems from the patients’ point of view has been presented in a previous publication ( Wissing & Unosson, 1999).…”

Section: Methodsmentioning

confidence: 99%

“…If an individual is unable to get or to eat the nutrients required, malnutrition will occur sooner or later. Various studies indicate that patients with chronic leg ulcers are at risk of malnutrition ( Lewis et al ., 1993 ; Balaji & Mosley, 1995; Wissing & Unosson, 1999). Diseases and restrictions in mobility may decrease the leg ulcer patient’s ability to purchase and prepare their own food.…”

Section: Introductionmentioning

confidence: 99%

“…Diseases and restrictions in mobility may decrease the leg ulcer patient’s ability to purchase and prepare their own food. Many patients with leg ulcers are living alone ( Lindholm et al ., 1992 ; Wissing & Unosson, 1999), and in those ages where leg ulcers are a common health problem the social network may be reduced by natural reasons. Preparing meals for eating alone may afford little pleasure, and therefore proper meals may be replaced by less nutrient‐dense snacks or a diet lacking variety.…”

Section: Introductionmentioning

confidence: 99%

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Meal patterns and meal quality in patients with leg ulcers

Wissing

Lennernäs

et al. 2000

J Human Nutrition Diet

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Background Wound healing is a complex process, which requires adequate energy sources, proteins, and specific minerals and vitamins. If an individual is unable to get or to eat the nutrients required, the wound healing process might be disrupted. The aim of this study was to investigate food‐related factors, meal patterns and meal quality in relation to nutritional status in elderly out‐patients with leg ulcers. Methods Nutritional status was assessed by use of the Mini Nutritional Assessment in 70 patients living in their own homes. Fifty‐six of the patients recorded actual meals and snacks over four consecutive days. Meal patterns and meal quality were evaluated with the help of a qualitative classification system, the Food Based Concept for Classification of Eating Episodes. Results Thirty‐six patients were classified as well‐nourished, 32 were at risk of malnutrition and two were malnourished. More patients in the risk group for malnutrition did not buy their own food, and usually ate alone. Incomplete Meals and Low Quality Snacks were the most common eating types. The patients at risk of malnutrition had significantly fewer prepared Complete Meals than the well‐nourished patients. Conclusion The results show a diet and meal quality which hardly meets the requirements for nutrients that are important in wound healing, especially for those patients assessed at risk of malnutrition.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Meal patterns and meal quality in patients with leg ulcers

Wissing

Lennernäs

et al. 2000

J Human Nutrition Diet

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“…Many observers have identified calorie, protein, vitamin, and essential minerals deficiencies among patients admitted to the hospital, many of whom have ongoing wounds or are about to undergo surgery. 1,2 Managing any deficiencies detected and then optimizing patients' nutrition with supplements may make the desired difference.…”

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confidence: 99%

The Role of Nutrition in the Management of Lower Extremity Wounds

Patel

2005

The International Journal of Lower Extremity Wounds

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From 3000 BC, healers have understood the importance of nutrition in wound care and used nutritional supplements to aid healing. Many of the teachings from Hippocrates, the father of modern-day medicine, clearly state his firm belief that good health can be achieved through nutrition. In the early 1900s when advances in biochemistry were frequent, many of the essential constituents of nutrition were characterized, which formed the basis for many animal and human wound-healing experiments. This led to the discovery of vitamin C, zinc, and many other components essential for the orderly progression of healing. Modern-day research has concentrated on finding nutritional components that can enhance healing through supra-physiological doses, such as in the use of the amino acids arginine and carnitine. However, clinicians need to be aware that approximately 50% of patients admitted to the hospital are malnourished, requiring dietary supplementation; appropriate nutritional assessment and advice therefore should be an integral part of all wound management. This review provides an up-to-date commentary on the role of nutrition in wound care, with specific emphasis on lower limb wounds, from a historical perspective, and within it both the biomedical approach and current herbalist practices are considered.

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“…Atualmente, os cuidados destinados aos pacientes que apresentam feridas não cicatrizadas, ou mesmo aqueles que se submeterão à cirurgia de grande porte, incluem o acompanhamento do estado nutricional e a identificação de possíveis deficiências de calorias, proteínas, vitaminas e minerais (Lewis et al, 1993).…”

Section: Dos Efeitos Das Dietas Sobre a Cicatrização Cutâneaunclassified

Influência de dieta enteral suplementada com arginina e antioxidantes sobre a cicatrização cutânea experimental

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Nutritional status of elderly patients with venous ulceration of the leg–report of a pilot study

Cited by 6 publications

References 21 publications

Meal patterns and meal quality in patients with leg ulcers

Meal patterns and meal quality in patients with leg ulcers

The Role of Nutrition in the Management of Lower Extremity Wounds

Influência de dieta enteral suplementada com arginina e antioxidantes sobre a cicatrização cutânea experimental

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