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Article

Nutritional Status Assessed with Objective Data Assessment Correlates with a High-Risk Foot in Patients with Type 2 Diabetes

1
Department of Internal Medicine, Otsu City Hospital, Otsu 520-0804, Japan
2
Department of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan
3
Department of Nursing, Otsu City Hospital, Otsu 520-0804, Japan
*
Author to whom correspondence should be addressed.
Academic Editors: José Luis Lázaro-Martínez and Luigi Uccioli
J. Clin. Med. 2022, 11(5), 1314; https://doi.org/10.3390/jcm11051314
Received: 21 January 2022 / Revised: 22 February 2022 / Accepted: 24 February 2022 / Published: 27 February 2022
Malnutrition and diabetes are likely to co-occur. There are few reports on the association between nutritional status and foot risk in patients with type 2 diabetes (T2D). Therefore, we aimed to investigate this relationship in this cross-sectional study. We investigated the relationships between objective data assessment (ODA), especially Controlling Nutritional Status (CONUT) score and foot risk, evaluated by the International Working Group on the Diabetic Foot (IWGDF), in consecutive patients with T2D. Patients were divided into groups 0 to 3 by IWGDF, and groups 1 to 3 were defined as high-risk groups. Among 469 patients, 42.6% (n = 200) of them had high-risk foot. Patients with high-risk foot were significantly older (71.2 ± 11.3 vs. 64.2 ± 13.4 years, p < 0.001) and had a longer duration of diabetes (18.0 ± 12.0 vs. 11.5 ± 10.0 years, p < 0.001) than those in the low-risk group. In the high-risk group, serum albumin level, total lymphocyte count, hemoglobin, and CONUT score were significantly worse, especially in older patients (≥75 years). Multivariate logistic regression analysis showed that there was a positive correlation between CONUT score and high-risk foot in older patients (OR, 1.37; 95% CI, 1.05–1.86; p = 0.021). Our results indicated that nutritional status, assessed by ODA, correlated with high-risk foot, especially in older patients with T2D. View Full-Text
Keywords: clinical practice; diabetes; foot risk; nutritional status clinical practice; diabetes; foot risk; nutritional status
MDPI and ACS Style

Mineoka, Y.; Ishii, M.; Hashimoto, Y.; Yamashita, A.; Takemura, T.; Yamaguchi, S.; Toyoda, M.; Fukui, M. Nutritional Status Assessed with Objective Data Assessment Correlates with a High-Risk Foot in Patients with Type 2 Diabetes. J. Clin. Med. 2022, 11, 1314. https://doi.org/10.3390/jcm11051314

AMA Style

Mineoka Y, Ishii M, Hashimoto Y, Yamashita A, Takemura T, Yamaguchi S, Toyoda M, Fukui M. Nutritional Status Assessed with Objective Data Assessment Correlates with a High-Risk Foot in Patients with Type 2 Diabetes. Journal of Clinical Medicine. 2022; 11(5):1314. https://doi.org/10.3390/jcm11051314

Chicago/Turabian Style

Mineoka, Yusuke, Michiyo Ishii, Yoshitaka Hashimoto, Aki Yamashita, Takahiro Takemura, Sachiyo Yamaguchi, Machiko Toyoda, and Michiaki Fukui. 2022. "Nutritional Status Assessed with Objective Data Assessment Correlates with a High-Risk Foot in Patients with Type 2 Diabetes" Journal of Clinical Medicine 11, no. 5: 1314. https://doi.org/10.3390/jcm11051314

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