Research Summary
Analyzed using Evidence Intelligence™

Ozonated Olive Oil Improves Healing in Diabetic Foot Ulcers

Last updated July 18, 2026

Key finding

Bates-Jensen scores decreased (22.3 ± 4.5 vs. 26.1 ± 4.9, p < 0.001, Cohen's d = 0.67)

Topical ozonated olive oil significantly improved wound healing and quality of life in diabetic foot ulcer patients compared to standard care.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

Topical ozonated olive oil significantly improved wound healing and quality of life in diabetic foot ulcer patients compared to standard care.

Clinical relevance

This study highlights the potential of topical ozonated olive oil as an effective treatment for diabetic foot ulcers, which are common complications in diabetes. Improved wound healing and quality of life can lead to better patient outcomes and reduced healthcare costs, making this treatment a valuable addition to standard care practices.

Keep in mind

Limited sample size may affect generalizability Short follow-up period may not capture long-term effects No significant changes in inflammatory markers were observed

Published in

Journal Reference

Publication details and source links for this paper.

Solmaz V, Masome R, Tayebeh SS, et al. Topical ozonated olive oil significantly enhances wound healing, quality of life, glycemic control, and reduces inflammation in DFU patients. Lipids in Health and Disease. 2025;24:291. doi:10.1186/s12944-025-02726-z

Main Effects

Wound severity decreased significantly (Bates-Jensen scores: 22.3 ± 4.5 vs. 26.1 ± 4.9, p < 0.001)

Quality of life improved (scores: 50.1 ± 9.5 vs. 57.8 ± 10.0, p < 0.001)

HbA1c levels reduced (7.1 ± 1.0% vs. 7.7 ± 1.1%, p = 0.005)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Standard care with capillary blood glucose monitoring, Topical ozonated olive oil and Quality of life, Wound severity measured by Bates-Jensen Wound Assessment Tool, C-reactive protein, and 5 more.

Primary intervention

Standard care with capillary blood glucose monitoring

Primary outcomes

  • Quality of life
  • Wound severity measured by Bates-Jensen Wound Assessment Tool
  • C-reactive protein

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

10
Evidence pairs
10
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

3

Related topics

10

Evidence pairs

613

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 10 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Inflammatory and Vascular Markers

matched_outcome

Related evidence

Evidence topic

Glycemic Control

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Quality of life

Standard care with capillary blood glucose monitoring → Quality of life

Standard care with capillary blood glucose monitoring → Quality of life

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Wound severity measured by Bates-Jensen Wound Assessment Tool

Standard care with capillary blood glucose monitoring → Wound severity measured by Bates-Jensen Wound Assessment Tool

Standard care with capillary blood glucose monitoring → Wound severity measured by Bates-Jensen Wound Assessment Tool

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

C-reactive protein

Topical ozonated olive oil → C-reactive protein

Topical ozonated olive oil → C-reactive protein

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting blood sugar (FBS)

Topical ozonated olive oil → Fasting blood sugar (FBS)

Topical ozonated olive oil → Fasting blood sugar (FBS)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Topical ozonated olive oil → HbA1c

Topical ozonated olive oil → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Interleukin-6 (IL-6)

Topical ozonated olive oil → Interleukin-6 (IL-6)

Topical ozonated olive oil → Interleukin-6 (IL-6)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Postprandial blood glucose

Topical ozonated olive oil → Postprandial blood glucose

Topical ozonated olive oil → Postprandial blood glucose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Quality of life

Topical ozonated olive oil → Quality of life

Topical ozonated olive oil → Quality of life

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Tumor Necrosis Factor-alpha (TNF-α)

Topical ozonated olive oil → Tumor Necrosis Factor-alpha (TNF-α)

Topical ozonated olive oil → Tumor Necrosis Factor-alpha (TNF-α)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Wound severity measured by Bates-Jensen Wound Assessment Tool

Topical ozonated olive oil → Wound severity measured by Bates-Jensen Wound Assessment Tool

Topical ozonated olive oil → Wound severity measured by Bates-Jensen Wound Assessment Tool

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Wound severity improved by 3.8 points (p < 0.001)
  • Quality of life increased by 7.7 points (p < 0.001)
  • HbA1c decreased by 0.6% (p = 0.005)
who this applies

Who this applies to

  • Adults with diabetic foot ulcers
  • Patients receiving standard care for diabetes management
keep in mind

Keep in Mind

  • Results may not apply to all diabetic foot ulcer patients
  • Further studies needed to confirm long-term benefits
  • Effectiveness may vary based on individual patient factors
between the lines

Between the Lines

  • Limited sample size may affect generalizability
  • Short follow-up period may not capture long-term effects
  • No significant changes in inflammatory markers were observed

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Standard care with capillary blood glucose monitoring and HbA1c, Standard care with capillary blood glucose monitoring and Quality of Life Outcomes.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Standard care with capillary blood glucose monitoring improve quality of life?

Moderate Evidence

Current evidence does not show a clear benefit of Standard care with capillary blood glucose monitoring for Quality of life.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Quality of life

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Topical ozonated olive oil improve c-reactive protein?

Emerging Evidence

Topical ozonated olive oil appears to improve C-reactive protein.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    C-reactive protein

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Topical ozonated olive oil improve fasting blood sugar (fbs)?

Emerging Evidence

Topical ozonated olive oil appears to improve Fasting blood sugar (FBS).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Fasting blood sugar (FBS)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Topical ozonated olive oil improve HbA1c?

Emerging Evidence

Topical ozonated olive oil appears to improve HbA1c.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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