{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:13:34Z","timestamp":1786122814457,"version":"build-2736575974"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To describe the nutritional status of people with diabetes-related foot complications and explore the association between nutrition and ulceration healing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included attendees of a diabetes foot service who completed a dietary questionnaire. Diet was compared to guideline recommendations and biochemical measures were recorded. Associations between dietary intake and biochemical measures were analysed using non-parametric tests, and their relationship with being ulcer-free at 12 weeks analysed by binary logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 102 participants, 83% were men, mean age 68 (SD 12), body mass index 28.6 (SD 6.1) kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , and 86% had type 2 diabetes. Complications included 154 ulcerations and 7 active Charcot feet. Recommended fruit, vegetable and protein intake was seldom attained. Common insufficiencies were 25-hydroxy-vitamin D (40%), zinc (27%), iron (23%) and vitamin C (21%). Vitamin C was higher in the upper (vs lower) tertile of fruit\/vegetable intake (62 [95%CI 33\u201388] vs 30 [13\u201346] umol\/L, p\u2009=\u20090.04), and zinc higher in those meeting protein requirements (12.3 [95%CI 11.1\u201312.8] vs 10.6 [9.8\u201311.5] umol\/L, p\u2009=\u20090.04). Haemoglobin was the only predictor of becoming ulcer-free (OR 1.03 [95%CI 1.00\u20131.06], p\u2009=\u20090.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nutritional inadequacies are common in people with diabetes-related foot complications; however, the benefit of assessing nutrition remains uncertain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15347346241310266","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T23:37:13Z","timestamp":1738107433000},"page":"929-937","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Overweight yet Undernourished: A Common Juxtaposition in the Specialist Diabetes Foot Service"],"prefix":"10.1177","volume":"25","author":[{"given":"Wrivu Niezel","family":"Martin","sequence":"first","affiliation":[{"name":"St Vincent's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayley Katherine","family":"Wigmore","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne Caroline","family":"Gregory","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl Mei Yee","family":"Lum","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8954-1086","authenticated-orcid":false,"given":"Joel Willem Johan","family":"Lasschuit","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital"},{"name":"Garvan Institute of Medical Research"},{"name":"School of Clinical Medicine, University of New South Wales"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.10578"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2023.1152854"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1534734619876779"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms20051119"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3644"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1932296820974654"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.08.003"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-2367"},{"key":"e_1_3_3_10_2","volume-title":"Australian Dietary Guidelines","author":"National Health and Medical Research Council","year":"2013","unstructured":"National Health and Medical Research Council. Australian Dietary Guidelines. NHMRC; 2013, [Available from: https:\/\/www.eatforhealth.gov.au\/guidelines\/guidelines."},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-0306"},{"key":"e_1_3_3_12_2","unstructured":"European Pressure Ulcer Advisory Panel National Pressure Injury Advisory Panel Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers\/Injuries: Clinical Practice Guideline. The International Guideline. Haesler Emily (Ed.). EPUAP\/NPIAP\/PPPIA; 2019 [Available from: https:\/\/internationalguideline.com\/2019."},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14483"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/17843286.2020.1800315"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2019.0973"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14951"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2024.05.005"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12974"},{"key":"e_1_3_3_19_2","volume-title":"Modern Nutrition in Health and Disease","author":"Ross AC","year":"2014","unstructured":"Ross AC, Caballero B, Cousins RJ, Tucker KL. Modern Nutrition in Health and Disease. 11th ed. Wolters Kluwer Health\/Lippincott Williams & Wilkins; 2014.","edition":"11"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2024.0063"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12902"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.25270\/wnds\/23012"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.851274"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1054\/clnu.2001.0438"},{"issue":"4","key":"e_1_3_3_25_2","first-page":"164","article-title":"Comparative effect of two different doses of Vitamin D on diabetic foot ulcer and inflammatory indices among the type 2 diabetic patients: A randomized clinical trial","volume":"8","author":"Mozaffari-khosravi H","year":"2016","unstructured":"Mozaffari-khosravi H, Haratian-Arab M, Tavakkoli H, Nadjarzadeh A. Comparative effect of two different doses of Vitamin D on diabetic foot ulcer and inflammatory indices among the type 2 diabetic patients: A randomized clinical trial. Iran J Diabetes Obes. 2016;8(4):164-171.","journal-title":"Iran J Diabetes Obes"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2016.06.017"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2017.06.010"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1080\/14712598.2021.1897100"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114520003815"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu13082576"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3786"},{"issue":"7","key":"e_1_3_3_32_2","article-title":"Nutritional interventions for treating foot ulcers in people with diabetes","volume":"7","author":"Moore ZE","year":"2020","unstructured":"Moore ZE, Corcoran MA, Patton D. 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