Journal of Vascular Nursing
Volume 26, Issue 2 , Pages 43-52 , June 2008

Nutritional status and wound severity of overweight and obese patients with venous leg ulcers: A pilot study

  • Jeniffer Tobón, RN, MN, ARNP, CWCN

      Affiliations

    • Corresponding Author InformationCorresponding author: Jeniffer Tobón, RN, MN, ARNP, CWCN, Adult Nurse Practitioner, The Everett Clinic, Geriatric Extended Care Team, 3901 Hoyt Ave, Everett, WA 98201.
    • ,
  • JoAnne D. Whitney, RN, PhD, CWCN
    • ,
  • Monica Jarrett, RN, PhD

References 

  1. Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006;295:1549–1555
  2. Centers for Disease Control and Prevention. Atlanta: CDC. Defining Overweight and Obesity. Available at: http://www.cdc.gov/nccdphp/dnpa/obesity/defining.htm. Accessed October 7, 2007.
  3. Fowkes FGR, Evans CJ, Lee AJ. Prevalence and risk factors of chronic venous insufficiency. Angiology. 2001;52(Suppl 1):S5–S15
  4. Danielsson G, Eklof B, Grandinetti A, et al. The influence of obesity on chronic venous disease. Vasc Endovascular Surg. 2002;36:271–276
  5. Beebe-Dimmer JL, Pfeifer JR, Engle JS, et al. The epidemiology of chronic venous insufficiency and varicose veins. Ann Epidemiol. 2005;15:175–184
  6. Podnos YD, Williams RA, Tessier DJ. Chronic venous insufficiency. eMedicine. Available at: http://www.emedicine.com/med/topic2760.htm. Accessed October 7, 2007.
  7. Jawien A. The influence of environmental factors in chronic venous insufficiency. Angiology. 2003;54(Suppl 1):S19–S31
  8. Shai A, Halevy S. Direct triggers for ulceration in patients with venous insufficiency. Int J Dermatol. 2005;44:1006–1009
  9. Medina A, Scott PG, Ghahary A, et al. Pathophysiology of chronic nonhealing wounds. J Burn Care Rehabil. 2005;26:306–319
  10. Wipke-Tevis DD, Sae-Sia W. Management of vascular leg ulcers. Adv Skin Wound Care. 2005;18:437–445
  11. Bryant RA, Nix DP. Acute and chronic wounds: current management concepts. 3rd ed.. St Louis: Mosby; 2006;
  12. Hunter S, Langemo D, Hanson D, et al. Compression therapy for venous ulcers. Adv Skin Wound Care. 2005;18:404;407–8
  13. Kunimoto B, Cooling M, Gulliver W, et al. Best practices for the prevention and treatment of venous leg ulcers. Ostomy Wound Manage. 2001;47:34–4648-50
  14. Murray J. Leg ulceration part 2: patient assessment. Nurs Stand. 2004;19:44–53
  15. Langemo D, Anderson J, Hanson D, et al. Nutritional considerations in wound care. Adv Skin Wound Care. 2006;19:297–298300, 303
  16. Cunningham-Rundles S, McNeely DF, Moon A. Mechanisms of nutrient modulation of the immune response. J Allergy Clin Immunol. 2005;115:1119–1128
  17. Singer AJ, Clark RAF. Cutaneous wound healing. N Engl J Med. 1999;341:738–746
  18. Patel GK. The role of nutrition in the management of lower extremity wounds. Int J Low Extrem Wounds. 2005;4:12–22
  19. Thompson C, Fuhrman MP. Nutrients and wound healing: still searching for the magic bullet. Nutr Clin Pract. 2005;20:331–347
  20. Collins N. Obesity and wound healing. Adv Skin Wound Care. 2003;16:45–47
  21. Wilson JA, Clark JJ. Obesity: impediment to wound healing. Crit Care Nurs Q. 2003;26:119–132
  22. Davidson I, Smith S. Nutritional screening: pitfalls of nutritional screening in the injured obese patient. Proc Nutr Soc. 2004;63:421–425
  23. Shikora SA. Severe obesity: a growing health concern A.S.P.E.N. should not ignore. JPEN J Parenter Enteral Nutr. 2005;29:288–297
  24. Gallagher S, Gates JL. Obesity, panniculitis, panniculectomy, and wound care: understanding the challenges. J Wound Ostomy Continence Nurs. 2003;30:334–341
  25. Mathison CJ. Skin and wound care challenges in the hospitalized morbidly obese patient. J Wound Ostomy Continence Nurs. 2003;30:78–83
  26. Heinen MM, van Achterberg T, op Reimer WS, et al. Venous leg ulcer patients: a review of the literature on lifestyle and pain related interventions. J Clin Nurs. 2004;13:355–366
  27. Gates J. Venous stasis ulcers in the patient who is obese. J Wound Ostomy Continence Nurs. 2005;32:421–426
  28. Rojas AI, Phillips TJ. Patients with chronic leg ulcers show diminished levels of vitamins A and E, carotenes, and zinc. Dermatol Surg. 1999;25:601–604
  29. Balaji P, Mosley JG. Evaluation of vascular and metabolic deficiency in patients with large leg ulcers. Ann R Coll Surg Engl. 1995;77:270–272
  30. Wissing U, Unosson M. The relationship between nutritional status and physical activity, ulcer history and ulcer-related problems in patients with leg and foot ulcers. Scand J Caring Sci. 1999;13:123–128
  31. Wipke-Tevis DD, Stotts NA. Nutritional risk, status, and intake of individuals with venous ulcers: a pilot study. J Vasc Nurs. 1996;14:27–33
  32. Wipke-Tevis DD, Stotts NA. Nutrition, tissue oxygenation, and healing of venous leg ulcers. J Vasc Nurs. 1998;16:48–56
  33. Raffoul W, Far MS, Cayeux M, et al. Nutritional status and food intake of nine patients with chronic low-limb ulcers and pressure ulcers: Importance of oral supplements. Nutrition. 2006;22:82–88
  34. Woodbury MG, Houghton PE, Campbell KE, et al. Development, validity, reliability, and responsiveness of a new leg ulcer management tool. Adv Skin Wound Care. 2004;17(4 Pt 1):187–196
  35. Winkleby MA, Jatulis DE, Frank E, et al. Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease. Am J Public Health. 1992;82:816–820
  36. USDA National Nutrient Database for Standard Reference, Release 20 [database on the Internet]. Washington (DC): U.S. Department of Agriculture, Agricultural Research Service. c2007. Available at: http://www.ars.usda.gov/Services/docs.htm?docid=8964. Accessed October 7, 2007.
  37. Frankenfield DC, Rowe WA, Smith JS, et al. Validation of several established equations for resting metabolic rate in obese and nonobese people. J Am Diet Assoc. 2003;103:1152–1159
  38. Belch JJF, Topol EJ, Agnelli G, et al. Critical issues in peripheral arterial disease detection and management: a call to action. Arch Intern Med. 2003;163:884–892
  39. McDowell MA, Fryar CD, Hirsch R, et al. Anthropometric reference data for children and adults: U.S. population, 1999-2002. Adv Data. 2005;361:1–5

 Supported by the University of Washington School of Nursing's Biobehavioral Nursing and Health Systems Department and the Langenbach Fund.

PII: S1062-0303(08)00002-2

doi: 10.1016/j.jvn.2007.12.002

Journal of Vascular Nursing
Volume 26, Issue 2 , Pages 43-52 , June 2008

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