Journal of Tissue Viability
Volume 18, Issue 3 , Pages 72-79 , August 2009

Nutritional support in the treatment and prevention of pressure ulcers: An overview of studies with an arginine enriched Oral Nutritional Supplement

  • Jos M.G.A. Schols

      Affiliations

    • Department of General Practice, Nursing Home Medicine, University Maastricht, P.O. Box 616, Maastricht 6200 MD, The Netherlands
    • Corresponding Author InformationCorresponding author. Tel.: +31 (0)43 631 4129.
    • ,
  • Hilde Heyman

      Affiliations

    • Openbare Centra voor Maatschappelijk Welzijn (OCMW) Antwerp, Belgium
    • ,
  • Erwin P. Meijer

      Affiliations

    • Danone Research – Centre for Specialised Nutrition, Wageningen, The Netherlands

References 

  1. Stratton RJ, Creen CJ, Elia M. Disease-related malnutrition: an evidence-based approach to treatment. CABI; 2003;
  2. Lahmann NA, Halfens RJ, Dassen T. Pressure ulcers in german nursing homes and acute care hospitals: prevalence, frequency, and ulcer characteristics. Ostomy Wound Manage. 2006;52(2):20–33
  3. Meijers JM, Schols JM, van Bokhorst-de van der Schueren MA, Dassen T, Janssen MA, Halfens RJ. Malnutrition prevalence in The Netherlands: results of the annual dutch national prevalence measurement of care problems. Br J Nutr. 2009;101(3):417–423
  4. Harris CL, Fraser C. Malnutrition in the institutionalized elderly: the effects on wound healing. Ostomy Wound Manage. 2004;50(10):54–63
  5. Casimiro C, Garcia-de-Lorenzo A, Usan L. Prevalence of decubitus ulcer and associated risk factors in an institutionalized Spanish elderly population. Nutrition. 2002;18(5):408–414
  6. Langemo D, Anderson J, Hanson D, Hunter S, Thompson P, Posthauer ME. Nutritional considerations in wound care. Adv Skin Wound Care. 2006;19(6):297–298300, 303
  7. Posthauer ME. The role of nutrition in wound care. Adv Skin Wound Care. 2006;19(1):43–52
  8. Schols JM. Dietary supplements are useful in the prevention and treatment of pressure sores. Ned Tijdschr Geneeskd. 2007;151(18):1014
  9. Mathus-Vliegen EM. Old age, malnutrition, and pressure sores: an ill-fated alliance. J Gerontol A Biol Sci Med Sci. 2004;59(4):355–360
  10. Collins C. Nutrition and wound care. Clin Nutr Highlights. 2006;2(3):2–7
  11. Stechmiller JK, Childress B, Cowan L. Arginine supplementation and wound healing. Nutr Clin Pract. 2005;20:52–61
  12. Witte MB, Barbul A. Arginine physiology and its implication for wound healing. Wound Repair Regen. 2003;11(6):419–423
  13. Frías Soriano L, Lage Vázquez MA, Maristany CP, Xandri Graupera JM, Wouters-Wesseling W, Wagenaar L. The effectiveness of oral nutritional supplementation in the healing of pressure ulcers. J Wound Care. 2004;13(8):319–322
  14. Heyman H, Van De Looverbosch DE, Meijer EP, Schols JM. Benefits of an oral nutritional supplement on pressure ulcer healing in long-term care residents. J Wound Care. 2008;17(11):476–478
  15. Benati G, Delvecchio S, Cilla D, Pedone V. Impact on pressure ulcer healing of an arginine-enriched nutritional solution in patients with severe cognitive impairment. Arch Gerontol Geriatr (Suppl). 2001;7:43–47
  16. Cereda E, Gini A, Pusani C, Borghi B, Pedrolli V, Vanotti A. Disease-specific versus standard nutritional support for the treatment of pressure ulcers in institutionalised elderly. A randomized-controlled trial. In: 30th congress of ESPEN. 2008;[Florence]
  17. Hommel A, Bjorkelund KB, Thorngren KG, Ulander K. Nutritional status among patients with hip fracture in relation to pressure ulcers. Clin Nutr. 2007;26(5):589–596
  18. Houwing RH, Rozendaal M, Wouters-Wesseling W, Beulens JW, Buskens E, Haalboom JR. A randomised, double-blind assessment of the effect of nutritional supplementation on the prevention of pressure ulcers in hip-fracture patients. Clin Nutr. 2003;22(4):401–405
  19. EPUAP . Nutritional guidelines for pressure ulcer prevention and treatment. 2003;
  20. NICE . The management of pressure ulcers in primary and secondary care: a clinical practice quideline. 2005;
  21. Meijers JM, Schols JM, Jackson PA, Langer G, Clark M, Halfens RJ. Differences in nutritional care in pressure ulcer patients whether or not using nutritional guidelines. Nutrition. 2008;24(2):127–132
  22. Stratton RJ, Ek AC, Engfer M, Moore Z, Rigby P, Wolfe R, et al. Enteral nutritional support in prevention and treatment of pressure ulcers: a systematic review and meta-analysis. Ageing Res Rev. 2005;4(3):422–450
  23. Langer G, Schloemer G, Knerr A, Kuss O, Behrens J. Nutritional interventions for preventing and treating pressure ulcers. Cochrane Database Syst Rev. 2003;(4):CD003216
  24. Schols JM, Kleijer CN, Lourens C. Pressure ulcer care: nutritional therapy need not add to costs. J Wound Care. 2003;12(2):57–61

PII: S0965-206X(09)00024-2

doi: 10.1016/j.jtv.2009.03.002

Journal of Tissue Viability
Volume 18, Issue 3 , Pages 72-79 , August 2009

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