Insufficient Calorie Intake Worsens Post-Discharge Quality of Life and Increases Readmission Burden in Heart Failure

Bilgen, Feriha; Chen, Peiyu; Poggi, Armella D; Wells, Joanna; Trumble, Erika; Helmke, Stephen; Teruya, Sergio; Catalan, Tonimarie; Rosenblum, Hannah; Cornellier, Maria L.; Karmally, Wahida; Maurer, Mathew S.; Hummel, Scott L.

doi:10.1016/j.jchf.2020.04.004

Cited by 30 publications

(18 citation statements)

References 33 publications

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“…13 Sodium restriction can result in poor dietary quality with inadequate macronutrient and micronutrient intake. 14 Nutritional inadequacies have been associated with clinical instability, 15–17 but routine supplementation of oral iron, 18 thiamine, 19 zinc, 20 vitamin D, 21 or multivitamins has not proven beneficial. 22 The DASH diet is rich in antioxidants and potassium, can achieve sodium restriction without compromising nutritional adequacy when accompanied by dietary counseling, 5 and may be associated with reduced hospitalizations for HF.…”

Section: Stage C Hfmentioning

confidence: 99%

2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

et al. 2022

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Aim: The “2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure” replaces the “2013 ACCF/AHA Guideline for the Management of Heart Failure” and the “2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure.” The 2022 guideline is intended to provide patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with heart failure. Methods: A comprehensive literature search was conducted from May 2020 to December 2020, encompassing studies, reviews, and other evidence conducted on human subjects that were published in English from MEDLINE (PubMed), EMBASE, the Cochrane Collaboration, the Agency for Healthcare Research and Quality, and other relevant databases. Additional relevant clinical trials and research studies, published through September 2021, were also considered. This guideline was harmonized with other American Heart Association/American College of Cardiology guidelines published through December 2021. Structure: Heart failure remains a leading cause of morbidity and mortality globally. The 2022 heart failure guideline provides recommendations based on contemporary evidence for the treatment of these patients. The recommendations present an evidence-based approach to managing patients with heart failure, with the intent to improve quality of care and align with patients’ interests. Many recommendations from the earlier heart failure guidelines have been updated with new evidence, and new recommendations have been created when supported by published data. Value statements are provided for certain treatments with high-quality published economic analyses.

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Section: Stage C Hfmentioning

confidence: 99%

2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

et al. 2022

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“…The most important acute deficiency being thiamine level [31]. The above is confirmed by Bilgen et al who claims that inpatients dietary assessment and proper nutritional interventions may decrease readmission rate in patients with HF and improve their quality of life [32].…”

Section: Discussionmentioning

confidence: 86%

Relationship between Nutritional Status and Clinical and Biochemical Parameters in Hospitalized Patients with Heart Failure with Reduced Ejection Fraction, with 1-year Follow-Up

et al. 2020

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Heart Failure (HF) is a cardiovascular disease with continually increasing morbidity and high mortality. The purpose of this study was to analyze nutritional status in patients diagnosed with HF with reduced ejection fraction (HFrEF) and evaluate the impact of malnutrition on their prognosis. The Polish version of MNA form (Mini Nutritional Assessment) was used to assess the patients’ nutritional status. The New York Heart Association (NYHA) class, exacerbation of HF, chosen echocardiographic and biochemical parameters, e.g. natriuretic peptides or serum albumin, were also analyzed. Among the 120 consecutive patients, 47 (39%) had a normal nutritional status, 62 (52%) were at risk of malnutrition and 11 (9%) were malnourished. The patients with malnutrition more frequently presented with HF exacerbation in comparison to those with normal nutritional status (82% vs. 30% respectively, p = 0.004). There were no significant differences between the investigated groups as to natriuretic peptides; however, both the malnourished patients and those at risk of malnutrition tend to show higher B-type natriuretic peptide (BNP) and NT-proBNP concentrations. During the average 344 days of follow-up 19 patients died and 25 were hospitalized due to decompensated HF. Malnutrition or being at risk of malnutrition seems to be associated with both worse outcomes and clinical status in HFrEF patients.

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“…Furthermore, it is widely acknowledged that a combination of nutrition and exercise programmes is one valuable approach to the management of the physical components of frailty. And insufficient calorie intake is associated with poorer post‐discharge quality of life and increased burden of readmission in patients with HF 64 . The shift of dietary strategy to frailty prevention with advancing aging in combination with exercise, could improve quality of life in older adults with HF 65 .…”

Section: Practical Guide For Frailty Management In Older Patients Wit...mentioning

confidence: 99%

“…And insufficient calorie intake is associated with poorer post-discharge quality of life and increased burden of readmission in patients with HF. 64 The shift of dietary strategy to frailty prevention with advancing aging in combination with exercise, could improve quality of life in older adults with HF. 65 This include dietary advice, fortified diet and oral protein-energy supplementation if needed.…”

Section: Optimizing Global Patient-centred Biopsychosocial Blended Co...mentioning

confidence: 99%

Practical management of frailty in older patients with heart failure

et al. 2022

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Insufficient Calorie Intake Worsens Post-Discharge Quality of Life and Increases Readmission Burden in Heart Failure

Cited by 30 publications

References 33 publications

2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Relationship between Nutritional Status and Clinical and Biochemical Parameters in Hospitalized Patients with Heart Failure with Reduced Ejection Fraction, with 1-year Follow-Up

Practical management of frailty in older patients with heart failure

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