Ulkus bei Adipositas-assoziierter chronischer Veneninsuffizienz

Scholl, Lisa; Dörler, Martin; Stücker, Markus

doi:10.1007/s00105-017-3971-y

Cited by 16 publications

(11 citation statements)

References 15 publications

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“…Interesting to note is that just every second (56%) of the sample received self-care advice on physical activity at the same time, it seems that this measure has no significant impact on healing time. Nevertheless, physical activity can be beneficial in terms of the influence of weight loss which can have a positive relation to ulceration [58] since patients with obesity are at higher risk for VLUs [22]. Furthermore, an activation of calf muscles facilitates the venous reflux [23,24].…”

Section: Discussionmentioning

confidence: 99%

Associations between self-care advice and healing time in patients with venous leg ulcer– a Swedish registry-based study

Rosenburg,

Tuvesson,

Lindqvist

et al. 2024

BMC Geriatr

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Background Venous leg ulcers take time to heal. It is advocated that physical activity plays a role in healing, and so does the patient’s nutritional status. Additionally, malnutrition influences the inflammatory processes, which extends the healing time. Therefore, the staff’s advising role is important for patient outcomes. Thus, this study aimed to investigate the associations between given self-care advice and healing time in patients with venous leg ulcers while controlling for demographic and ulcer-related factors. Methods The sample consisted of patients registered in the Registry of Ulcer Treatment (RUT) which includes patient and ulcer-related and healing variables. The data was analyzed with descriptive statistics. Logistic regression models were performed to investigate the influence of self-care advice on healing time. Results No associations between shorter healing time (less than 70 days) and the staff´s self-care advice on physical activity was identified, whilst pain (OR 1.90, CI 1.32–2.42, p < 0.001) and giving of nutrition advice (OR 1.55, CI 1.12–2.15, p = 0.009) showed an association with longer healing time. Conclusions Neither self-care advice on nutrition and/or physical activity indicated to have a positive association with shorter healing time. However, information and counseling might not be enough. We emphasize the importance of continuously and systematically following up given advice throughout ulcer management, not only when having complicated ulcers.

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Section: Discussionmentioning

confidence: 99%

Associations between self-care advice and healing time in patients with venous leg ulcer– a Swedish registry-based study

Rosenburg,

Tuvesson,

Lindqvist

et al. 2024

BMC Geriatr

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“…Having established the severity of venous disease in our cohort, we then sought to determine whether this was correlated with obesity. In fact, the correlation between obesity and venous disease is somewhat controversial, with several studies confirming a positive correlation 19–21 and coining the term “phlebesity”, 22 while other studies have failed to replicate this finding 19,23 . Patients with grade 3 obesity had severe leg symptoms, typical of chronic venous insufficiency, but approximately two‐thirds of the limbs had no anatomical evidence of venous disease.…”

Section: Discussionmentioning

confidence: 99%

Effect of obesity on venous blood flow in the lower limbs

Langan,

Wienandt,

Bayer

et al. 2023

J Deutsche Derma Gesell

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Summary Background and objectives Although obesity is a recognized risk factor for the development of lower limb venous disease, less attention has been paid to objectively measuring the effect of centripetal obesity on blood flow in the lower limbs. Patients and methods The diameter of lower limb veins and venous blood flow were measured in 44 patients (65.6 ± 12.5 years, 25 females, 19 males) with centripetal obesity and chronic venous disease. Results The mean diameter of both common femoral veins (CFV) increased significantly in the semi‐supine position following elevation of the panniculus (right: ∆0.73 ± 1.21 mm; p ≤ 0.001, left: ∆1.16 ± 1.42 mm; p ≤ 0.001). Moreover, there was a significant increase in venous flow volume in the left CFV (∆62.96 ± 117.85 ml/min; p = 0.001). Similarly, there was an increase in the diameter of left great saphenous vein (∆0.24 ± 0.41 mm; p = 0.002), measured at the mid‐thigh, when the patient lifted their abdominal panniculus. Finally, the grade of obesity correlated with the extent of the venous disease. Conclusions These data provide preliminary evidence that centripetal obesity results in both structural and hemodynamic changes in the lower limb veins, even in the absence of classical reflux.

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“…caused by peripheral arterial disease, diabetes mellitus, or malignancies [20]. Though not showing any vein obstruction or reflux at ultrasonography, obese patients (stage 1-3 = BMI 35-≥ 40) can develop VLUs, indicating a correlation between CVD and obesity because of increased intraabdominal pressure [21]. It was confirmed that obesity contributes to hindered venous backflow [22].…”

Section: Vein and Tissue Physiology And Pathophysiologymentioning

confidence: 99%

Physiotherapy in Chronic Venous Disease

Eidenberger

2023

Physical Therapy - Towards Evidence-Based Practice

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Chronic venous disease is a highly prevalent disorder. Risk factors are obesity, smoking, orthostasis, and family history. Pathophysiology encompasses changes such as venous hypertension, reflux, valve incompetencies, and calf-muscle weakness. Patients complain about skin changes, leg edema, pain, and ulcers. Possible recurrence of varicoses and surgery complications shift the focus on conservative approaches. The mainstay is compression therapy, applied by using multi-layer compression bandages or adequate compression stockings. Active exercises tackle muscle pump weakness, ankle joint restrictions, and physical activity. Aerobic exercises focus on lower limb activities (walking, cycling, aqua exercises) and are complemented by resistance exercises and muscle stretching. The gait pattern needs analysis and adaptation. Breathing exercises and manual lymphatic drainage act as a supplement. A critical factor for success is the patient’s adherence to lifestyle changes and health behavior. Therapists must motivate, guide, and educate their patients. They advise them on clothes/shoes and activities of daily life.

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Ulkus bei Adipositas-assoziierter chronischer Veneninsuffizienz

Cited by 16 publications

References 15 publications

Associations between self-care advice and healing time in patients with venous leg ulcer– a Swedish registry-based study

Associations between self-care advice and healing time in patients with venous leg ulcer– a Swedish registry-based study

Effect of obesity on venous blood flow in the lower limbs

Physiotherapy in Chronic Venous Disease

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