Revisiting the Role of Micronutrients in the Healing Process of Burn Injury

Main Article Content

Ahmad Fawzy
Michele Gondokesumo
Aqilatun Nafisah
Khoerul Ilham

Abstract

Burn injuries are an under-appreciated trauma that can affect anyone, anytime and anywhere. The injuries can be caused by friction, cold, heat, radiation, chemical or electric sources, but the majority of burn injuries are caused by heat from hot liquids, solids or fire. Micronutrients are vitamins and minerals needed by the body in very small amounts. Micronutrients (vitamins and minerals) have numerous health benefits including tissue maintenance, bone and teeth formation and health, serving as cofactors and coenzymes to enzyme various enzyme systems, aiding the regulation and coordination of most body functions, and other biochemical and physiological functions in the body. Major burns require a comprehensive approach addressing both burn severity management and nutritional support. Micronutrients, such as vitamin C, zinc, and vitamin D, play indispensable roles in wound healing, immune function, and overall well-being. Challenges in micronutrient interaction, genetic factors, and patient variability underscore the importance of personalized nutrition therapy in burn care. Future research should explore optimal micronutrient dosages, duration of effectiveness, and potential long-term effects, while precision medicine approaches could enhance burn care by addressing inflammation and infection challenges. Burn management should also integrate precision medicine approaches, recognizing role of inflammation to enhance burn care by mitigating the impact of the hypermetabolic state and providing optimal nutrition. The focus on high-carbohydrate diets, protein supplementation, and careful attention to micronutrient replacement aligns with the goal of meeting heightened caloric needs while minimizing overfeeding.


 

Article Details

How to Cite
Fawzy, A. ., Gondokesumo, M., Nafisah, A., & Ilham, K. (2024). Revisiting the Role of Micronutrients in the Healing Process of Burn Injury. International Journal of Medical Science and Clinical Research Studies, 4(02), 241–249. https://doi.org/10.47191/ijmscrs/v4-i02-14
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References

Athanasou, J.A. (2016). Burn Injury. In: Encountering Personal Injury. Studies in Inclusive Education. Sense Publishers, Rotterdam. doi.10.1007/978-94-6300-657-6_3

Garcia-Espinoza JA, Aguilar-Aragon VB, Ortiz-Villalobos EH, Garcia-Manzano RA, Antonio BA. International Online Medical Council (IOMC) [Internet]. International Online Medical Council; 2019 [cited 2024 Jan 20]. Available from: https://www.iomcworld.com/abstract/burns-definition-classification-pathophysiology-and-initial-approach-24698.html

Lee KC, Joory K, Moiemen NS. History of burns: The past, present and the future. Burns Trauma. 2014 Oct 25;2(4):169-80. doi:10.4103/2321-3868.143620.

Yakupu A, Zhang J, Dong W, Song F, Dong J, Lu S. The epidemiological characteristic and trends of Burns globally. BMC Public Health. 2022;22(1). doi:10.1186/s12889-022-13887-2.

Clark A, Imran J, Madni T, Wolf SE. Nutrition support for the burn patient. In Acute Burn Care. Vol. 1. Springer International Publishing. 2019. p. 279-285 doi: 10.1007/978-3-030-18940-2_21.

Godswill AG, Somtochukwu IV, Ikechukwu AO, Kate EC. Health benefits of micronutrients (vitamins and minerals) and their associated deficiency diseases: A systematic review. International Journal of Food Sciences. 2020 Jan 7;3(1):1–32. doi:10.47604/ijf.1024.

Gonzalez AC, Costa TF, Andrade Z de, Medrado AR. Wound healing - A literature review. Anais Brasileiros de Dermatologia. 2016;91(5):614–20. doi:10.1590/abd1806-4841.20164741.

Nicolia V, Lucarelli M, Fuso A. Environment, epigenetics and neurodegeneration: focus on nutrition in Alzheimer’s disease. Exp Gerontol. 2015;68:8–12.

Prelack K, Dylewski M, Sheridan RL. Practical guidelines for nutritional management of burn injury and Recovery. Burns. 2007;33(1):14–24. doi:10.1016/j.burns.2006.06.014.

Chen Y, Michalak M, Agellon LB. Importance of Nutrients and Nutrient Metabolism on Human Health. Yale J Biol Med. 2018 Jun 28;91(2):95-103.

Doseděl M, Jirkovský E, Macáková K, Krčmová L, Javorská L, Pourová J, et al. Vitamin C—sources, physiological role, kinetics, deficiency, use, toxicity, and determination. Nutrients. 2021;13(2):615. doi:10.3390/nu13020615.

NIH Office of Dietary Supplements. Office of dietary supplements - Vitamin C [Internet]. U.S. Department of Health and Human Services; [cited 2024 Jan 20]. Available from: https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/

DePhillipo NN, Aman ZS, Kennedy MI, Begley JP, Moatshe G, LaPrade RF. Efficacy of vitamin C supplementation on collagen synthesis and oxidative stress after musculoskeletal injuries: A systematic review. Orthopaedic Journal of Sports Medicine. 2018;6(10):232596711880454. doi:10.1177/2325967118804544.

Humbert P, Louvrier L, Saas P, Viennet C. Vitamin C, aged skin, skin health. Vitamin C - an Update on Current Uses and Functions. [Internet]. IntechOpen; 2019 [cited 2024 Jan 20]. Available from: https://cdn.intechopen.com/pdfs/64032.pdf

Soltany A, Al Aissami M. A scoping review of the role of ascorbic acid in modifying fluid requirements in the resuscitation phase in burn patients. Ann Med Surg (Lond). 2022 Mar 2;75:103460. doi: 10.1016/j.amsu.2022.103460.

Malkoc A, Jong S, Fine K, Wong DT. High-dose intravenous versus low-dose oral vitamin C in burn care: potential protective effects in the severely burned: a retrospective cohort study. Ann Med Surg (Lond). 2023 Apr 11;85(5):1523-1526. doi: 10.1097/MS9.0000000000000615.

Tanuwijaya LY, Fawzy A, Utama YDC. Vitamin C as prevention in burn sepsis. Jurnal Plastik Rekonstruksi. 2020 Sept 30;7(2):65–76. doi:10.14228/jprjournal.v7i2.285

Lin P-H, Sermersheim M, Li H, Lee P, Steinberg S, Ma J. Zinc in wound healing modulation. Nutrients. 2017;10(1):16. doi:10.3390/nu10010016.

Putri GN. The role of zinc supplementation in wound epithelialization of a burn patient: A case report. Open Journal of Clinical & Medical Case Reports. 2021;7(17).

Żwierełło W, Styburski D, Maruszewska A, Piorun K, Skórka-Majewicz M, Czerwińska M, Maciejewska D, Baranowska-Bosiacka I, Krajewski A, Gutowska I. Bioelements in the treatment of burn injuries - The complex review of metabolism and supplementation (copper, selenium, zinc, iron, manganese, chromium and magnesium). J Trace Elem Med Biol. 2020 Dec;62:126616. doi: 10.1016/j.jtemb.2020.126616. Epub 2020 Jul 11. PMID: 32739827.

Chauhan VS. Vitamin D and the immune system [Internet]. IntechOpen; 2021 [cited 2024 Jan 20]. Available from: https://www.intechopen.com/chapters/76203

Al-Tarrah K, Hewison M, Moiemen N, Lord JM. Vitamin D status and its influence on outcomes following major burn injury and critical illness. Burns Trauma. 2018 Apr 16;6:11. doi: 10.1186/s41038-018-0113-4.

Wacker M, Holick MF. Sunlight and Vitamin D: A global perspective for health. Dermatoendocrinol. 2013 Jan 1;5(1):51-108. doi: 10.4161/derm.24494. PMID: 24494042; PMCID: PMC3897598.

Siritientong T, Thet D, Buangbon M, Nokehoon P, Leelakanok N, Methaneethorn J, et al. Nutritional support with omega-3 fatty acids in burn patients: A systematic review with meta-analysis of randomized controlled trials. Nutrients. 2022;14(14):2874. doi:10.3390/nu14142874.

Krupa K, Fritz K, Parmar M. Omega-3 Fatty Acids. [Updated 2023 Jan 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK564314/

Maggini S, Maldonado P, Cardim P, Newball CF, Sota Latino ER. Vitamins C, D and zinc: Synergistic roles in immune function and infections. Vitamins & Minerals. 2017;06(03). doi:10.4172/2376-1318.1000167

Maares M, Haase H. A guide to human zinc absorption: General overview and recent advances of in vitro intestinal models. Nutrients. 2020;12(3):762. doi:10.3390/nu12030762.

Elsamanoudy AZ, Mohamed Neamat-Allah MA, Hisham Mohammad FA, Hassanien M, Nada HA. The role of nutrition related genes and nutrigenetics in understanding the pathogenesis of cancer. J Microsc Ultrastruct. 2016 Jul-Sep;4(3):115-122. doi: 10.1016/j.jmau.2016.02.002.

Clark A, Imran J, Madni T, Wolf SE. Nutrition and metabolism in burn patients. Burns Trauma. 2017 Apr 17;5:11. doi: 10.1186/s41038-017-0076-x.

Rowan MP, Cancio LC, Elster EA, Burmeister DM, Rose LF, Natesan S, et al. Burn wound healing and treatment: Review and Advancements. Critical Care. 2015;19(1). doi:10.1186/s13054-015-0961-2.

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