1. Lifestyle Medicine Approach to Wound Management.
- Author
-
Lai, Jengyu
- Subjects
DIABETIC foot prevention ,DIABETES complications ,TREATMENT of diabetic foot ,PHYSICAL diagnosis ,BEHAVIOR modification ,STRESS management ,DIABETIC foot ,HEALTH behavior ,SLEEP ,WOUND care ,INTERPERSONAL relations ,DIABETES ,DIET ,PHYSICAL activity - Abstract
Chronic wounds impact 4.5% of the US population, necessitating a comprehensive understanding of their types and underlying mechanisms. Diabetic foot ulcers (DFUs), prevalent in 25% of individuals with diabetes, contribute significantly to lower limb amputations. The pathophysiology involves neuropathy, peripheral arterial disease, impaired immunity, glycemic control, and mechanical stress. Lifestyle medicine emerges as a pivotal aspect of care, offering both prevention and treatment by integrating plant-predominant nutrition, physical activity, stress management, avoidance of harmful substances, restful sleep, and social connectedness. These interventions impact gene interactions, immune function, and tissue regeneration, playing a crucial role in chronic wound management. The standard of care involves a multidisciplinary approach, emphasizing infection and vascular management, pressure offloading, conducive wound healing environments, and lifestyle adjustments. As diabetes prevalence rises, a proactive integration of lifestyle interventions is crucial, offering a promising avenue to alleviate the growing healthcare burden associated with chronic wounds. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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