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Vitamin D as adjuvant therapy for diabetic foot ulcers: Systematic review and meta-analysis approach.

Clinical nutrition ESPEN
April 1, 2023
Edwin Kinesya et al. (8 authors)
Meta-AnalysisSystematic ReviewJournal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to assess the reliability of vitamin D supplementation on clinical outcomes in diabetic foot ulcer patients through a meta-analysis.

Results Summary

The pooled analysis showed significant improvements in ulcer area, serum vitamin D levels, total cholesterol, fasting plasma glucose, triglyceride, C-reactive protein, and HbA1c, but no significant effects on erythrocyte sedimentation rate and high-density lipoprotein levels. Vitamin D supplementation was found beneficial as an adjuvant treatment for diabetic foot ulcers.

Population

Diabetic patients with foot ulcers (197 participants across 4 studies).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
vitamin D supplementation
decrease
ulcer area
diabetic foot ulcer patients
-
showed significant differences
#1
vitamin D supplementation
increase
serum Vitamin D
diabetic foot ulcer patients
-
showed significant differences
#2
vitamin D supplementation
decrease
Total Cholesterol
diabetic foot ulcer patients
-
showed significant differences
#3
vitamin D supplementation
decrease
Fasting Plasma Glucose
diabetic foot ulcer patients
-
showed significant differences
#4
vitamin D supplementation
decrease
Triglyceride
diabetic foot ulcer patients
-
showed significant differences
#5
vitamin D supplementation
decrease
C-Reactive Protein
diabetic foot ulcer patients
-
showed significant differences
#6
vitamin D supplementation
decrease
HbA1c
diabetic foot ulcer patients
-
showed significant differences
#7
vitamin D supplementation
no change
Erythrocyte Sedimentation Rate
diabetic foot ulcer patients
-
showed insignificant results
#8
vitamin D supplementation
no change
High Density Lipoprotein levels
diabetic foot ulcer patients
-
showed insignificant results
#9
vitamin D supplementation
increase
wound healing
diabetic foot ulcer patients
-
may fasten
#10
vitamin D supplementation
decrease
burden caused by diabetic foot ulcers
diabetic foot ulcer patients
-
decrease
#11
Abstract

BACKGROUND: Diabetic Foot Ulcer (DFU) is a combination of neuropathy and ischaemia on diabetic patient's lower limbs. It has a high burden of limb amputation rate, mortality rate, disability, economic burden, and lower quality of life on diabetic patients. It took mostly 3-6 months and up to 1 year for DFU to heal. DFU patients also have an increased risk of vitamin D deficiency. Meanwhile vitamin D has effects on immune response, insulin secretion, and sensitivity. The long duration of DFU healing is a problem for the patient's health, job, income, quality of life, economy and healthcare. Therefore, we aim to conduct a meta-analysis to assess reliability of vitamin D supplementation on diabetic foot ulcer clinical outcome. METHODS: We conducted systematic literature search according to PRISMA guideline on Cochrane Library, PubMed, Google Scholar, ProQuest, EBSCO and ScienceDirect from 16 until 24 June 2022. Effect of vitamin D supplementation on diabetic foot ulcer patients was analyzed with a comprehensive meta-analysis tool. Pooled ulcer area, total cholesterol, triglyceride, C-reactive protein, HbA1c, and fasting plasma glucose assessed with 95% confidence intervals were estimated using fixed-effects or random-effects models. RESULTS: We included 4 papers with 197 people as sample reporting vitamin D capability as treatment for DFU patients. The pooled analysis showed significant differences in ulcer area, serum Vitamin D, Total Cholesterol, Fasting Plasma Glucose, Triglyceride, C-Reactive Protein, and HbA1c. Insignificant results on Erythrocyte Sedimentation Rate and High Density Lipoprotein levels. CONCLUSION: Vitamin D supplementation is beneficial to be given as adjuvant treatment for diabetic foot ulcer. It may fasten the wound healing and decrease the burden caused by diabetic foot ulcers.

Medical Subject Headings (MeSH)
HumansDiabetic FootVitamin DC-Reactive ProteinGlycated HemoglobinBlood GlucoseQuality of LifeReproducibility of ResultsVitaminsCholesterolDiabetes Mellitus
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations4
Citations/Year2.0
Relative Citation Ratio1.25
NIH Percentile58.5%
Research Impact Scores
APT Score0.75
Weight Score2.54
Normalized Score0.69
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