Evidence map›Paper›PMID 40738717›Full record

SynthesisAsia Pacific journal of clinical nutrition2025

Micronutrient status of patients with diabetic foot: A systematic review.

Sholpan Batarbekova, Dinara Zhunussova, Gulmira Derbissalina, Zhanagul Bekbergenova, Nadezhda Maksimova, Ayagoz Umbetzhanova, Elmira Kelimberdiyeva, Raushan Kassymova, Gaukhar Kuanyshbayeva, Altynay Imangaliyeva

Abstract readSystematic Review
In one paragraph

Synthesis in Asia Pacific journal of clinical nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sholpan BatarbekovaDepartment of General Medical Practice, Astana Medical University, Astana, Kazakhstan.
Dinara ZhunussovaDepartment of General Medical Practice, Astana Medical University, Astana, Kazakhstan. Email: zhunussova.d@amu.kz.
Gulmira DerbissalinaDepartment of General Medical Practice, Astana Medical University, Astana, Kazakhstan.
Zhanagul BekbergenovaDepartment of General Medical Practice, Astana Medical University, Astana, Kazakhstan.
Nadezhda MaksimovaDepartment of Physical and Rehabilitation Medicine, Central State Medical Academy, Moscow, Russia.
Ayagoz UmbetzhanovaDepartment of General Medical Practice, Astana Medical University, Astana, Kazakhstan.
Elmira KelimberdiyevaDepartment of General Medical Practice, Astana Medical University, Astana, Kazakhstan.
Raushan KassymovaDepartment of General Medical Practice, Kazakh National Medical University, Almaty, Kazakhstan.
Gaukhar KuanyshbayevaDepartment of Basics of medicine, Astana Medical University, Astana, Kazakhstan.
Altynay ImangaliyevaDepartment of Internal medicine, Astana Medical University, Astana, Kazakhstan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesMicronutrient status encompasses a range of indicators that reflect the levels and balance of macro- and microelements, as well as vitamins within the body. These essential substances, required in minimal amounts, are crucial for supporting normal physiological processes, immune system functioning, and tissue repair. The aim of this systematic review is to summarize data on the deficiency or excess of microelements, macroelements, and vitamins in patients with diabetic foot ulcers. METHODS AND STUDY

designDatabases were searched for studies on vitamin, macronutrient, micronutrient levels and their impact on the course, treatment and healing of diabetic foot ulcers. The Cochrane Risk of Bias tool was employed for assessing randomized trials, while the Newcastle-Ottawa Scale was utilized for evaluating observa-tional studies in terms of quality and bias risk.

resultsThe findings revealed a notable correlation between deficiencies in vitamins D, C, A and the severity of clinical symptoms. Low vitamin D levels were linked to elevated proinflammatory cytokines. Higher concentrations of folate and vitamin B-12 were associated with improved ulcer healing, supplementation with zinc and magnesium contributed to a reduction in ulcer size. Inadequate intake of zinc, vitamins E, C was found to compromise antioxidant defences. Elevated ferritin levels may serve as an indicator of inflammation.

conclusionsThe most important task is to adjust the in-take of micronutrients to maintain balance and prevent deficiency and excess, which is important in the complex therapy of patients.

Indexed as

Diabetic FootMicronutrientsNutritional StatusDietary SupplementsHumansVitaminsMicronutrientsVitaminsdiabetes mellitus type 2diabetic foot ulcersmicronutrientsmicronutrient statusvitamins

Identifiers

PMID40738717
PMCPMC12310431

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.