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April 7, 2026Nutrients0 citationsOpen Access

Factors Affecting Wound Healing in Patients with Venous Leg Ulcers: A Pilot Study

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HAHubert AleksandrowiczJCJoanna CzerwińśkaWPWaldemar Placek

Key Points

  • This study aims to identify blood factors affecting wound healing in patients with venous leg ulcers compared to those without ulcers but with chronic venous insufficiency.
  • Single-center study involving 24 patients: 17 with venous leg ulcers and 7 controls without ulcers.
  • Assessment of disease severity using the CEAP classification and measurement of ankle–brachial index.
  • Blood samples analyzed for vitamins, proteins, ions, protein electrophoresis, and amino acid profiles.
  • Strong correlations found between BMI and waist circumference (r = 0.85), and between various amino acids.
  • Negative correlations were also observed, such as albumin with folic acid (r = −0.73).
  • No significant differences in blood concentrations between the ulcer group and controls.

Abstract

Background/Objectives: Previous studies have compared nutritional deficiency parameters in patients with venous leg ulcers (VLUs) to healthy individuals or those with unrelated conditions. This single-center study assessed blood levels of factors involved in ulcer healing and compared patients with VLUs to those with chronic venous insufficiency without ulcers. Methods: A total of 24 patients were included: 17 with VLUs formed the study group, and 7 with lower-limb venous insufficiency without ulcers served as controls. Disease severity was assessed using the CEAP classification, and all participants underwent ankle–brachial index (ABI) measurement. Venous blood samples were analyzed for selected vitamins, proteins, ions, protein electrophoresis, and amino acid profiles. Results: Strong correlations were identified (r > 0.5 or r < −0.5), some of which were statistically significant. Positive associations in the study group included BMI with waist circumference (r = 0.85, p < 0.05), tyrosine with proline (r = 0.84, p < 0.05), and valine with leucine (r = 0.82, p < 0.05). Negative correlations included albumin with folic acid (r = −0.73, p < 0.05), albumin with vitamin B6 (r = −0.71, p < 0.05), and folic acid with waist circumference (r = −0.65, p < 0.05). No significant differences in blood concentrations were observed between groups. Conclusions: Statistically significant correlations were observed between selected biochemical parameters, including albumin and alpha-1 globulins, as well as amino acid and vitamin concentrations, in both patients with VLUs and controls with chronic venous insufficiency without ulcers. Larger studies are needed to confirm these findings and clarify their relevance to venous leg ulcers.

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Cite This Study

Aleksandrowicz et al. (2026) studied this question.

synapsesocial.com/papers/69d49f8ab33cc4c35a2280a5https://doi.org/10.3390/nu18071148
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