A scoping review on nutritional intake and nutritional status in people with a major dysvascular lower limb amputation

Aniek M. Kolen*, Pieter U. Dijkstra, Rienk Dekker, Jean Paul P.M. de Vries, Jan H.B. Geertzen, Harriët Jager-Wittenaar

*Corresponding author voor dit werk

OnderzoeksoutputAcademicpeer review

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Purpose: To systematically review literature on nutritional intake, nutritional status and nutritional interventions, and to study their association with short- and long-term clinical outcomes in people with a major dysvascular lower limb amputation. Methods: PubMed, Ovid, CINAHL, and The Cochrane Library were searched. Studies were included if nutritional intake, nutritional status, or nutritional interventions in people with a major dysvascular lower limb amputation were analyzed. Results: Of the 3038 unique papers identified, 30 studies were included. Methodological quality was moderate (1 study) or weak (29 studies). Limited information was available on nutritional intake (2 studies) and nutritional interventions (1 study). Nutritional intake and nutritional status were assessed by diverse methods. The percentage of people with a poor nutritional status ranged from 1% to 100%. In some studies, measures of poor nutritional status were associated with adverse short- and long-term clinical outcomes. Conclusions: The percentage of people with a poor nutritional status is inconclusive in the major dysvascular lower limb amputation population, because of the heterogeneity of the assessment methods used. Some included studies reported a negative association between poor nutritional status and clinical outcomes. However, these results should be interpreted with caution, because of the limited quality of the studies available. Studies high in methodological quality and high in hierarchy of evidence are needed.IMPLICATIONS FOR REHABILITATION The proportion of people with a poor nutritional status in the major dysvascular lower limb amputation population is inconclusive. Poor nutritional status seems to affect clinical outcomes negatively. More uniformity in assessment of malnutrition in the major dysvascular lower limb amputation population is needed.

Originele taal-2English
Pagina's (van-tot)257-269
Aantal pagina's13
TijdschriftDisability and Rehabilitation
Volume46
Nummer van het tijdschrift2
Vroegere onlinedatum19-jan.-2023
DOI's
StatusPublished - 2024

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