Influencing factors of malnutrition in patients with diabetic foot ulcers:a Meta-analysis
10.3761/j.issn.0254-1769.2025.20.015
- VernacularTitle:糖尿病足溃疡患者营养不良影响因素的Meta分析
- Author:
Guiling ZHOU
1
;
Rong XU
1
;
Xuna BIAN
1
;
Jing TAO
1
;
Qinghua LIU
1
;
Hui XIANG
1
Author Information
1. 430000 武汉市 华中科技大学同济医学院附属同济医院护理部
- Publication Type:Journal Article
- Keywords:
Diabetes Foot Ulcer;
Malnutrition;
Root Cause Analysis;
Meta Analysis;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2025;60(20):2527-2534
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate malnutrition risk factors in diabetic foot patients through systematic review and inform evidence-based nutritional interventions.Methods A top-down search of the literature on risk factors for malnutrition in patients with diabetic foot was conducted according to the"6S"pyramid model,using a computerized decision-making system,clinical guideline websites,professional association websites and databases,with a timeframe of up to March 2025 for the search.Totally 2 researchers independently performed literature screening,quality assessment,and data extraction.Meta-analysis was conducted using Stata 18 software.Results Totally 23 studies with a total sample size of 5 068 cases were included.There were 10 influencing factors being extracted,including age(OR=2.709),BMI(MD=0.709),duration of diabetes mellitus(OR=2.589),glyco-sylated hemoglobin(OR=2.190),albumin(MD=0.578),hemoglobin(OR=2.948),infection(OR=1.816),C-reactive protein(OR=2.228),Wagner classification of diabetic foot(OR=4.620)and degree of self-care(OR=0.220).The incidence of malnutrition in DFU patients who were assessed by the MNA-SF tool,the MNA tool and GLIM tool were 52.2％,70.2％and 41.4％.Conclusion The incidence of malnutrition in DFU patients is relatively high.Healthcare providers should continuously monitor the nutritional status of diabetic foot patients and implement personalized intervention plans to prevent malnutrition.
