Effects of lipids and lipoproteins on diabetic foot in people with type 2 diabetes mellitus: a meta-analysis

J Diabetes Complications. 2014 Jul-Aug;28(4):559-64. doi: 10.1016/j.jdiacomp.2014.04.002. Epub 2014 Apr 13.

Abstract

Background: To conduct a meta-analysis of case-control studies to determine the effects of lipids and lipoproteins on morbidity of diabetic foot in adults with type 2 diabetes.

Methods: We searched the PubMed and EMBASE to identify eligible studies. The Newcastle-Ottawa Quality Assessment Scale was used to determine the quality of selected studies. We assessed the strength of associations using standardized mean differences with 95% confidence intervals.

Results: A total of 4 articles were found. Decreased HDL-cholesterol had a significant association with diabetic foot susceptibility in fixed-effects model, but no significant associations were found between diabetic foot and LDL-cholesterol, TC or TG levels.

Conclusions: Our results suggested that decreased HDL-cholesterol was associated with diabetic foot, so possible measures to prevent diabetic foot should include targeting increases in HDL-cholesterol.

Keywords: Diabetic foot; Lipids; Lipoproteins; Meta-analysis; Risk factors.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Case-Control Studies
  • Cholesterol, HDL / blood*
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / diet therapy*
  • Diabetic Foot / epidemiology
  • Diabetic Foot / etiology
  • Diabetic Foot / prevention & control*
  • Diet, Diabetic*
  • Diet, Fat-Restricted*
  • Diet, High-Fat / adverse effects
  • Disease Susceptibility
  • Dyslipidemias / complications
  • Dyslipidemias / epidemiology
  • Dyslipidemias / etiology
  • Dyslipidemias / prevention & control*
  • Humans
  • Risk Factors
  • Up-Regulation*

Substances

  • Cholesterol, HDL