BMI and diabetic foot ulcers

NewsBot · Mar 2, 2011

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Body Mass Index and Diabetic Foot Ulceration Risk.
Sohn MW, Budiman-Mak E, Lee TA, Oh E, Stuck RM.
Diabetes Metab Res Rev. 2011 Feb 28. doi: 10.1002/dmrr.1193. [Epub ahead of print]

BACKGROUND: Disagreement exists regarding the relationship between body weight and foot ulceration risk among diabetic persons.

METHODS: We used a nested case-control design to estimate the association between body mass index (BMI) and one-year and five-year foot ulceration risk. We obtained data on all diabetic patients < 60 years old who were treated in the US Department of Veterans Affairs healthcare system in 2003. Patient characteristics and comorbidities were obtained at baseline. For each individual with an incident foot ulcer (case), up to four individuals were randomly selected who matched the case on age, sex, race, marital status, and calendar time.

RESULTS: Crude one-year and five-year incidence rates were 1.35% and 6.22% after a mean follow-up of 11.8 ± 1.2 months and 55.5 ± 12.8 months, respectively. Compared to individuals with BMI 25.0 - 29.9 kg/m(2) , those with BMI 40.0 - 44.9 kg/m(2) and those with BMI ≥ 45.0 kg/m(2) had 25% (Adjusted Odds Ratios [AOR] = 1.25; 95% Confidence Interval [CI], 1.00 - 1.56) and 83% (AOR = 1.83; 95% CI, 1.44 - 2.32) higher one-year risk and 1.4 (AOR = 1.39; 95% CI, 1.26 - 1.54) and 2.1 (AOR = 2.08; 95% CI, 1.86 - 2.32) times higher five-year risk. BMI < 25.0 kg/m(2) was associated with 30% higher risk at both one year (AOR = 1.28; 95% CI, 1.04 - 1.58) and five years (AOR = 1.27; 95% CI, 1.15 - 1.40).

CONCLUSIONS: Our data suggest a significant J-shaped association between body mass index and diabetic foot ulcers
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NewsBot · Oct 6, 2018

Clinical outcomes among morbidly obese patients hospitalized with diabetic foot complications.
Harris CM, Abougergi MS, Wright S.
Clin Obes. 2018 Oct 4

The aim of the study is to investigate effects of morbid obesity on patients hospitalized with diabetic foot ulcers and infections (DFU/Is). This retrospective cohort study of hospitalized adults investigated patients with a principal diagnosis of DFU/Is, and compared outcomes based on weight. The primary outcome was lower limb amputations. Secondary outcomes included in-hospital mortality, morbidity (sepsis and discharge disposition), resource utilization (length of stay [LOS] and total hospitalization charges). Multivariate analyses adjusted for confounders. A total of 31 730 admissions were included; 14% were morbidly obese. Patients with morbid obesity had overall lower rates of amputations (adjusted odds ratio [aOR]: 0.60; 95% confidence interval [CI]: 0.45-0.80). There was no difference in mortality rates between those who were morbidly obese and the non-morbidly obese patients (aOR: 3.89 [95% CI: 0.79-19.30]). Combined data from 2010 to 2014 have found higher odds of sepsis in morbidly obese patients compared with non-morbidly obese patients after adjusting for confounders (aOR: 1.49 [1.09-2.02], P = 0.01). Patients with morbid obesity were less likely to be discharged to home (aOR: 0.82 [95% CI: 0.70-0.95]), had longer LOS (adjusted mean difference [aMD]: 0.47 [95% CI: 0.13-0.81]) and higher hospital charges (aMD: $3205 [95% CI: $3373-$6037]). Despite having lower amputation rates compared to those who are not morbidly obese, patients with morbid obesity hospitalized for DFU/Is succumbed to sepsis more frequently and had less favourable utilization metrics. Specialized care pathways may be needed to enhance the value of care delivered to this high-risk population.
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NewsBot · Feb 8, 2022

The Relationship of Body Mass Index and Diabetic Foot Risk in Type 2 Diabetes Mellitus at Royal Prima Hospital on Period 2018 to 2020
Emori Christina Simarmata et al
Archives of The Medicine and Case Reports Articles

Body mass index (BMI) is a simple method that is commonly used to determine whether a person is obese or not. Diabetes mellitus is a disorder of the metabolic system because the pancreas cannot produce enough insulin or the body's cells cannot use insulin effectively. Diabetic foot is one of the chronic complications of diabetes mellitus (DM). Diabetic foot begins with hyperglycemia which causes abnormalities in neuropathy and blood vessels, causing infection. To determine the proportion of body mass index in patients with diabetes mellitus, to determine the prevalence of diabetic feet and non-foots. The research design used in this study is observational analytic. There is a relationship between body mass index and the risk of diabetic foot in type 2 DM patients at Royal Prima Hospital. Prevalence of body mass index 23. 0 in DM Type 2 at Royal Prima Hospital Medan in 2018-2020 reached 70%. The prevalence of diabetic foot in Type 2 DM at the Royal Prima Hospital Medan in 2018-2020 reached 54%.
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