{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T20:29:21Z","timestamp":1776630561690,"version":"3.51.2"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n            <jats:title>Purpose of review<\/jats:title>\n            <jats:p>We provided an updated overview of recent data on the value of nutritional therapy in the management of chronic wounds in older adults.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Recent findings<\/jats:title>\n            <jats:p>In the last years, advances in this area were limited, but new data suggest considering nutritional care (screening and assessment of malnutrition and nutritional interventions) also in patients with chronic wounds other than pressure ulcers, namely venous leg and diabetic foot ulcers, as in these patients, nutritional derangements can be present despite overweight\/obesity and their management is beneficial.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Summary<\/jats:title>\n            <jats:p>Chronic wounds are wounds in which the process of repair does not progress normally due to a disruption in one or more of the healing phases. Nutritional therapy is aimed at recovering the process of repair. General principles of nutritional care in geriatrics apply to these patients but disease-specific recommendations are available, particularly for pressure ulcers. Interventions should address nutritional status, comorbidities, hydration and should provide key nutrients playing an active role in the healing process (arginine, zinc, and antioxidants) but always within the context of an individual care plan addressing patients requirements, particularly protein needs. Further evidence of efficacy in vascular and diabetic foot ulcers is warranted.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/mco.0000000000000990","type":"journal-article","created":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T12:11:25Z","timestamp":1699013485000},"page":"3-8","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Nutritional therapy in chronic wound management for older adults"],"prefix":"10.1097","volume":"27","author":[{"given":"Emanuele","family":"Cereda","sequence":"first","affiliation":[{"name":"Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Pavia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Veronese","sequence":"additional","affiliation":[{"name":"Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Caccialanza","sequence":"additional","affiliation":[{"name":"Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Pavia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2023,11,2]]},"reference":[{"key":"R2-20250729","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/01.ASW.0000653144.90739.ad","article-title":"The role of nutrition for pressure injury prevention and healing: the 2019 international clinical practice guideline recommendations","volume":"33","author":"Munoz","year":"2020","journal-title":"Adv Skin Wound Care"},{"key":"R3-20250729","first-page":"24","article-title":"The final word on nutritional screening and assessment in older persons","volume":"21","author":"Cereda","year":"2018","journal-title":"Curr Opin Clin Nutr Metab Care"},{"key":"R4-20250729","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1016\/j.clnu.2022.01.024","article-title":"ESPEN practical guideline: clinical nutrition and hydration in geriatrics","volume":"41","author":"Volkert","year":"2022","journal-title":"Clin Nutr"},{"key":"R5-20250729","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1016\/j.clnu.2021.11.014","article-title":"Definition and diagnostic criteria for sarcopenic obesity: ESPEN and EASO consensus statement","volume":"41","author":"Donini","year":"2022","journal-title":"Clin Nutr"},{"key":"R6-20250729","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1016\/j.advnut.2023.04.001","article-title":"Nutrition and exercise interventions to improve body composition for persons with overweight or obesity near retirement age: a systematic review and network meta-analysis of randomized controlled trials","volume":"14","author":"Eglseer","year":"2023","journal-title":"Adv Nutr"},{"key":"R7-20250729","first-page":"142","article-title":"Role of muscle-targeted nutritional therapy: new data","volume":"25","author":"Cereda","year":"2022","journal-title":"Curr Opin Clin Nutr Metab Care"},{"key":"R8-20250729","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.clnu.2018.05.024","article-title":"ESPEN guideline on clinical nutrition and hydration in geriatrics","volume":"38","author":"Volkert","year":"2019","journal-title":"Clin Nutr"},{"key":"R9-20250729","doi-asserted-by":"crossref","first-page":"1868","DOI":"10.1016\/j.jada.2011.09.005","article-title":"Energy balance in patients with pressure ulcers: a systematic review and meta-analysis of observational studies","volume":"111","author":"Cereda","year":"2011","journal-title":"J Am Diet Assoc"},{"key":"R10-20250729","doi-asserted-by":"crossref","first-page":"420","DOI":"10.4172\/2167-7182.1000420","article-title":"Effects of an arginine-enriched oral nutritional supplement on the healing of chronic wounds in non-malnourished patients; a multicenter case series from the Netherlands and Hungary","volume":"6","author":"Neyens","year":"2017","journal-title":"J Gerontol Geriatr Res"},{"key":"R11-20250729","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1097\/PRS.0000000000008061","article-title":"Evidence-based nutritional interventions in wound care","volume":"148","author":"Saeg","year":"2021","journal-title":"Plast Reconstr Surg"},{"key":"R14-20250729","doi-asserted-by":"crossref","first-page":"312","DOI":"10.12968\/jowc.2023.32.5.312","article-title":"The short-term prognosis of diabetic foot ulceration is independent of nutritional status at admission","volume":"32","author":"Feron","year":"2023","journal-title":"J Wound Care"},{"key":"R15-20250729","doi-asserted-by":"crossref","first-page":"336","DOI":"10.5114\/ada.2021.104730","article-title":"Complex treatment of venous leg ulcers including the use of oral nutritional supplementation: results of 12-week prospective study","volume":"39","author":"Mo\u015bcicka","year":"2022","journal-title":"Postepy Dermatol Alergol"},{"key":"R16-20250729","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1111\/iwj.13849","article-title":"Evaluating the impact of using a wound-specific oral nutritional supplement to support wound healing in a rehabilitation setting","volume":"20","author":"Clark","year":"2023","journal-title":"Int Wound J"}],"container-title":["Current Opinion in Clinical Nutrition &amp; 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