Handgrip strength as a predictor of prognosis in Japanese patients with congestive heart failure

Izawa, Kazuhiro P.; Watanabe, Satoshi; Osada, Naohiko; Kasahara, Yusuke; Yokoyama, Hitoshi; Hiraki, Koji; Morio, Yuji; Yoshioka, Satoru; Oka, Koichiro; Omiya, Kazuto

doi:10.1097/hjr.0b013e32831269a3

Cited by 95 publications

(74 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the results are not statistically significant, it is known that the handgrip strength decreases in advanced stages of both kidney disease and heart failure. (21)(22)(23) There is evidence of the relationship of phase angle and the nutritional status, similar to which Segall, et al presented in 2009, where decreased phase angle values were associated with poor nutritional status in hemodialysis patients. (24) In another study, in heart failure patients, Colin-Ramirez, et al found that a phase angle <4.2° as a parameter of malnutrition, was associated with poor prognosis in this kind of patient.…”

Section: Discussionsupporting

confidence: 50%

“…It seems that the protein-energy wasting is due to stress imposed by the coexistence of advanced renal and heart disease. (22) The diagnosis based on SGA, also confirms that the prevalence of malnutrition is higher in more severe states of CKD. However, the prevalence did not match the body composition data, perhaps because SGA is a method where malnutrition can be underestimated.…”

Section: Discussionmentioning

confidence: 51%

See 1 more Smart Citation

Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages

Yadira¹

2014

AJHR

View full text Add to dashboard Cite

Background & aims: Heart failure (HF) is associated with significant morbidity and mortality, the prognosis of heart failure is poor, especially with coexisting chronic kidney disease (CKD). However little is known about how HF and CKD together influence the nutritional status, so the main objective of this study was to assess nutritional status in patients with heart failure coexisting with stage 1-5 renal disease. Methods: This retrospective study included a total of 113 patients with HF and CKD that were classified into stages 1-5 according to the Kidney Disease Outcome Quality Initiative (K/DOQI) guidelines. The following characteristics were recorded: co-morbidities, New York Heart Association (NYHA) functional class, echocardiographic data, medication, and biochemical parameters (albumin, hemoglobin and electrolytes). Nutritional status was evaluated by bioimpedance vector analysis (BIVA) and subjective global assessment (SGA). Results: In the nutritional status evaluation by BIVA, 53.1% were cachectic, 23.9% obese and 21.12% normal. The prevalence of cachexia is higher with advancing stages of CKD, while hand grip strength, arm and waist circumferences decreased. In SGA 79.8% had a normal nutritional status, 16.8% mild malnutrition and 2.7% moderate-severe malnutrition. Hypoalbuminemia was presented in 22.5% of subjects, most commonly found in stages 1, 4 and 5; the prevalence of anemia was 47.2% and also increased with advancing stages of CKD, showing a prevalence of 13.3% in stage 1 and 100% stage 5. Conclusions: The prevalence of cachexia was higher in stages 3-5 of CKD, mild to severe malnutrition in stages 4 and 5, and anemia in stage 5, so HF and advanced CKD are associated with deteriorating nutritional status.

show abstract

Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 51%

Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages

Yadira¹

2014

AJHR

View full text Add to dashboard Cite

show abstract

“…Muscle wasting and poor muscle performance have been associated with poor outcomes and decreased survival in patients with HF, even when cardiac cachexia is not present [4, 15, 16]. Importantly, 1 in every 4 individuals with HF and up to 34% of men with HF have a low SMM (compared to a prevalence of 19% in non-HF patients) [1].…”

Section: Discussion/conclusionmentioning

confidence: 99%

Low Skeletal Muscle Mass Independently Predicts Mortality in Patients with Chronic Heart Failure after an Acute Hospitalization

et al. 2019

View full text Add to dashboard Cite

Background: Heart failure (HF) is a syndrome associated with exercise intolerance, and its symptoms are more common in patients with low skeletal muscle mass (SMM). Estimation of muscle mass can be cumbersome and unreliable, particularly in patients with varying body weight. The psoas muscle area (PMA) can be used as a surrogate of sarcopenia and has been associated with poor outcomes in other populations. Objectives: The aim of this study was to assess if sarcopenia is associated with the survival of patients with HF after an acute hospitalization. Method: We retrospectively studied a cohort of 160 patients with HF who had abdominopelvic computed tomography during an acute hospitalization. We obtained standardized measurements of their PMA and defined sarcopenia as the lowest gender-based tertile of the said area. The patients were followed until death or discontinuation of care. We used Kaplan-Meier estimates and Cox regression analysis to assess the relationship between sarcopenia and all-cause mortality. Results: We found that the 52 patients with sarcopenia had 4.5 times the risk of all-cause mortality at 1 year compared to the rest of the cohort (CI 1.784–11.765; p = 0.0016) after adjusting for significant covariates. Stratification by age and sex revealed that this association could be limited to males and patients < 75 years old. Conclusion: The PMA, used as a surrogate of low SMM, is independently associated with an increased risk of late mortality after an acute hospitalization in patients with HF.

show abstract

“…[1][2][3] Skeletal muscle weakness is one of the phenotypes of frailty 4 and is strongly associated with reduced exercise capacity 5,6 and physical disability. 7 Recent studies have indicated that skeletal muscle strength is a prognostic factor in community-dwelling individuals, [8][9][10] chronic heart failure, 11,12 and in different patient populations. [13][14][15] We previously reported that quadriceps isometric strength (QIS), which can be measured accurately in a clinical setting, is a strong predictor of exercise capacity in patients with coronary artery disease (CAD).…”

Section: Introductionmentioning

confidence: 99%

Quadriceps Strength as a Predictor of Mortality in Coronary Artery Disease

Kamiya

Masuda

Tanaka

et al. 2015

The American Journal of Medicine

101

View full text Add to dashboard Cite

show abstract

Handgrip strength as a predictor of prognosis in Japanese patients with congestive heart failure

Abstract: Handgrip strength may be useful for forecasting prognosis in patients with CHF.

Cited by 95 publications

References 28 publications

Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages

Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages

Low Skeletal Muscle Mass Independently Predicts Mortality in Patients with Chronic Heart Failure after an Acute Hospitalization

Quadriceps Strength as a Predictor of Mortality in Coronary Artery Disease

Contact Info

Product

Resources

About