TY - JOUR
T1 - Macronutrient and micronutrient intake of individuals with diabetic foot ulceration
T2 - A short report
AU - Collins, Rebecca
AU - Burrows, Tracy
AU - Donnelly, Hailey
AU - Tehan, Peta Ellen
N1 - Funding Information:
We thank all of the participants who gave their time to participate in this study, and also the assistance of Dr Megan Rollo who assisted with developing the methods in the initial stages of the project. Professor Tracy Burrows is supported by a National Health and Medical Research Council investigator grant.
Publisher Copyright:
© 2021 The British Dietetic Association.
PY - 2022/10
Y1 - 2022/10
N2 - 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.
AB - 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.
KW - diabetes
KW - diabetic foot disease
KW - diabetic foot ulceration
KW - dietary intake
KW - nutrients
KW - wound
UR - http://www.scopus.com/inward/record.url?scp=85120868399&partnerID=8YFLogxK
U2 - 10.1111/jhn.12974
DO - 10.1111/jhn.12974
M3 - Article
C2 - 34894370
AN - SCOPUS:85120868399
SN - 0952-3871
VL - 35
SP - 786
EP - 790
JO - Journal of Human Nutrition and Dietetics
JF - Journal of Human Nutrition and Dietetics
IS - 5
ER -