Body composition in patients with heart failure

Drapkina, О. М.; Скрипникова, И. А.; Yaralieva, E. K.; Myasnikov, R. P.

doi:10.15829/1728-8800-2022-3451

Cardiovasc Ther Prev

2023

DOI: 10.15829/1728-8800-2022-3451

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Body composition in patients with heart failure

О. М. Drapkina¹,

И. А. Скрипникова²,

E. K. Yaralieva³

et al.

Abstract: The redistribution of body composition components in heart failure (CHF) is an urgent and poorly understood issue. Despite the significant impact of a decrease in muscle mass, redistribution of fat mass on the course and prognosis of HF, body composition is rarely taken into account in the treatment of this disease. In this regard, the purpose of this review was to systematize the available data and draw the attention of clinicians to this problem. The data presented in the review make it possible to consider … Show more

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2024

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Cited by 2 publications

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Body composition and functional activity in men with heart failure

Skripnikova,

Yaralieva,

Myasnikov

et al. 2023

Racionalʹnaâ farmakoterapiâ v kardiologii

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Aim. To assess the body composition and functional activity (FA) parameters in men with heart failure (HF) of various nature depending on the stage, class and echocardiographic characteristics of the disease.Material and methods. The study included 100 men aged 23-70 years. The main group consisted of 60 men with HF, the control group — 40 men without HF. Quantitative body composition assessment (fat, lean and bone body mass) was carried out using dual-energy X-ray absorptiometry (DXA). Physical activity was assessed using handgrip test, short physical performance battery (SPPB) test, 6-minute walk test (6MWT), and Timed Up and Go (TUG) test.Results. In the HF group, there were a significant decrease in total bone mass, trunk and limb bone mass, total muscle mass, trunk and limbs’ muscle mass, appendicular skeletal muscle index (ASMI), and FA as HF class increased. Fat mass did not differ in individuals with different HF class and stage. HF class was an independent factor in the reduction of total bone mass (b=-301,9, p=0,015), total muscle mass (b=-1903, p=0,03), limb bone mass (b=-147,6, p=0,013) and appendicular muscle mass (AMM) (b=-1903, p=0,001). Total bone mass (b=-2,637, p=0,02) and AMM (b=-3,512, p=0,01) were independently associated with the Vasilenko-Strazhesko HF stage. AMM also had an independent association with left ventricular ejection fraction (LVEF) (b=0,274, p=0,03). The average body composition scores did not differ between the study and control groups, while the scores of handgrip test, 6MWT, SPPB and TUG test were significantly worse in the HF group. NYHA HF class, stage of HF, LVEF, left ventricular end-diastolic volume (LVEDV) and pulmonary artery systolic pressure (PASP) made an independent contribution to FA decrease in men with HF.Conclusion. In patients with HF, there was deterioration in musculoskeletal parameters depending on HF class, stage and LVEF, without significant differences compared to the control group. There was no association of fat mass with the disease, clinical and echocardiographic characteristics. The average parameters of muscle strength and tests of FA were reduced in men with HF compared with the control group and depended on the NYHA class and stage of HF, LVEF, LVEDV, and PASP.

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Body composition and functional activity in men with heart failure

Skripnikova,

Yaralieva,

Myasnikov

et al. 2023

Racionalʹnaâ farmakoterapiâ v kardiologii

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Palliative status of patients with chronic heart failure: relationship with body composition parameters, clinical and laboratory parameters

Shevtsova,

Pashkova,

Krasnoruckaya

2024

jour

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Objective: to determine the relationship between parameters body composition, clinical status, laboratory parameters and severity of painful symptoms in patients with chronic heart failure.Materials and methods: the study involved 298 patients with CHF. The body composition was assessed: the presence of sarcopenia and obesity (with the calculation of the muscle mass index IMM/BMI), functional class, left ventricular ejection fraction, markers galectin-3, hsСRP, Na-proBNP, Bartel index. A 10-point Edmont scale was used to assess the severity of painful symptoms. A factor analysis was performed, as well as a Pearson correlation analysis.Results: the study revealed 5 components: A factor of adequacy of muscle functions, a factor of systolic dysfunction, a factor of impaired functional status, a factor of functional activity, and an age factor. The conducted correlation analysis showed the presence of links between the components and the severity of painful symptoms of moderate and mild severity.Conclusion: the body composition of patients is associated with the severity of painful symptoms in patients with CHF who need palliative care. It is necessary to take into account body composition when developing algorithms for managing patients with CHF at the stage of palliative care.

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Body composition in patients with heart failure

Cited by 2 publications

References 41 publications

Body composition and functional activity in men with heart failure

Body composition and functional activity in men with heart failure

Palliative status of patients with chronic heart failure: relationship with body composition parameters, clinical and laboratory parameters

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