Evidence map›Paper›PMID 40153229›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2025

Association of Blood Heavy Metals with Diabetic Foot Ulcers in U.S. Adults with Diabetes: Insights from the 1999-2004 NHANES Data.

Jia-Hao Xing, Yang Yu, Lin Teng, Xue-Ying Hui, Wei-Guang Guo

Abstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. U-Shaped Relationship Between Serum Lactate Dehydrogenase With Diabetic Lower Extremity Ulcers Among Diabetic Patients Aged ≥ 40 Years in NHANES.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Article
4 · The record

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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

5 authors.

Jia-Hao XingHeilongjiang University of Chinese Medicine, Heilongjiang, 150001, China.
Yang YuDepartment of Peripheral Vascular Diseases, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, 150001, Heilongjiang, China.
Lin TengDepartment of Peripheral Vascular Diseases, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, 150001, Heilongjiang, China.
Xue-Ying HuiDepartment of Peripheral Vascular Diseases, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, 150001, Heilongjiang, China.
Wei-Guang GuoDepartment of Peripheral Vascular Diseases, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, 150001, Heilongjiang, China. 13936419977@163.com.ORCID http://orcid.org/0009-0002-7720-168X

Funding

Heilongjiang University of Chinese Medicine 2024yjscx125
6 · The paper itself

Abstract

introductionDiabetic foot ulcers (DFU) are serious complications of diabetes. These ulcers significantly increase the risk of amputations. Many studies have examined how blood heavy metals affect insulin secretion in diabetes. However, research linking blood heavy metal exposure to DFU is limited. This study aims to explore the connection between blood heavy metal exposure and DFU in people with diabetes.

methodsThis cross-sectional study used data from the 1999-2004 cycle of the National Health and Nutrition Examination Survey (NHANES). Researchers measured blood levels of lead (Pb) and cadmium (Cd) using inductively coupled plasma mass spectrometry (ICP-MS). Four logistic regression models assessed the relationship between blood heavy metals and the prevalence of DFU. The models adjusted for potential confounding factors. Additionally, smooth curve fitting and piecewise regression analyses were conducted to investigate the correlation further. Subgroup analyses and interaction tests helped evaluate consistency across the general population.

resultsA total of 1664 participants aged 40 years or older with diabetes were included in the final analysis. The average age is 64.66 ± 11.79 years, with 52.52% being male and 47.48% being female. Among these individuals, 135 (8.11%) were diagnosed with DFU. Statistical modeling revealed a significant positive correlation between blood cadmium (Cd) levels and the prevalence of DFU. Specifically, model 4, which was the fully adjusted model, indicated that for each unit increase in blood Cd level, there was a corresponding 64% increase in DFU prevalence [OR = 1.64; 95% CI (1.42-1.89), p = 0.004]. Further analysis through smooth curve fitting demonstrated a significant linear relationship between blood Cd levels and DFU prevalence.

conclusionsThis study identified a positive correlation between blood cadmium (Cd) levels and the prevalence of DFU. These results suggest that monitoring blood Cd levels in patients with diabetes during follow-up may be important for preventing the development of DFU. However, further prospective studies are necessary to provide additional evidence.

Indexed as

CadmiumDiabetes complicationsDiabetic foot ulcersHeavy metalsLeadNHANESOxidative stressWound healing

Identifiers

PMID40153229
PMCPMC12085517

What Socratic holds

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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 Socratic graph.