We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Nutritional Assessment in Outpatients with Heart Failure.
- Authors
López Guillén, Regina; Argente Pla, María; Micó García, Andrea; Dura de Miguel, Ángela; Gascó Santana, Eva; Martín Sanchis, Silvia; Merino Torres, Juan Francisco
- Abstract
Introduction: Heart failure (HF) is associated with significant alterations in body composition, including malnutrition due to insufficient intake, chronic inflammation and increased energy expenditure. Identifying the prevalence of malnutrition and the risk of sarcopenia in patients with HF is crucial to improve clinical outcomes. Material and methods: This cross-sectional, single-center, observational study involved 121 outpatients diagnosed with HF. Nutritional status was assessed using the Mini Nutritional Assessment (MNA), the Malnutrition Universal Screening Tool (MUST), and the Subjective Global Rating (SGA). Sarcopenia was screened using the SARC-F (Strength, Assistance in walking, Rise from a chair, Climb stairs, Falls) questionnaire and diagnosed based on the European Working Group in Older People (EWGSOP2) criteria and functionality with the Short Performance Battery (SPPB) test. Malnutrition was diagnosed according to the Global Leadership Initiative on Malnutrition (GLIM) criteria. Results: The study found that 10.7% had cardiac cachexia and 45.4% of deceased patients had been in this condition (p = 0.002). Moderate-to-high risk of malnutrition was identified in 37.1%, 23.9%, and 31.4% of patients according to the MNA, MUST, and SGA tests, respectively. According to the GLIM criteria, 56.2% of patients were malnourished. Additionally, 24.8% of patients had a high probability of sarcopenia, and 57.8% were not autonomous according to SPPB. Patients with less than 30% quadriceps muscle contraction were at a high risk of sarcopenia. Conclusions: There is a high prevalence of malnutrition among outpatients with HF, which is associated with worse prognosis, increased risk of sarcopenia, and greater frailty. These findings underscore the importance of early nutritional and functional assessments in this population to improve clinical outcomes.
- Subjects
MALNUTRITION diagnosis; RISK assessment; CROSS-sectional method; OUTPATIENT services in hospitals; MALNUTRITION; NUTRITIONAL assessment; SCIENTIFIC observation; QUESTIONNAIRES; HEART failure; MUSCLE strength testing; DESCRIPTIVE statistics; MEDICAL screening; CACHEXIA; QUADRICEPS muscle; SARCOPENIA; MUSCLE contraction; DISEASE risk factors
- Publication
Nutrients, 2024, Vol 16, Issue 17, p2853
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu16172853