Nutritional status of geriatric outpatients with systolic heart failure and its prognostic value regarding death or hospitalization, biomarkers and quality of life

Sargento, L.; Satendra, M.; Almeida, Isabel Junqueira de; Sousa, Carla; Gomes, Saint Clair; Salazar, Federico; Lousada, Nuno; Reis, Roberto Palma dos

doi:10.1007/s12603-013-0030-y

Cited by 34 publications

(21 citation statements)

References 19 publications

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“…Malnutrition is a strong and independent risk factor for poor quality of life, hospitalization, and death in elderly HF patients (78,79). Low body mass index (BMI) is a well-known risk factor for death in HF, but many older adults in Western countries have sarcopenic obesity, or muscle wasting despite increased BMI (80).…”

Section: Non-pharmacological Treatment In Elderly Hf Patientsmentioning

confidence: 99%

Heart Failure in Older Adults

Butrous

Hummel

2016

Canadian Journal of Cardiology

119

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Heart failure (HF) is a leading cause of morbidity, hospitalization, and mortality in older adults, and a growing public health problem placing a huge financial burden on the health care system. Many challenges exist in the assessment and management of HF in geriatric patients, who often have co-existing multi-morbid illness, polypharmacy, cognitive impairment, and frailty. These complex ‘geriatric domains’ greatly affect physical and functional status as well as long-term clinical outcomes. Geriatric patients have been under-represented in major HF clinical trials. Nonetheless, available data suggest that guideline-based medical and device therapies improve morbidity and mortality. Non-pharmacological strategies, such as exercise training and dietary interventions, are an active area of research. Targeted geriatric evaluation including functional and cognitive assessment can improve risk stratification and guide management in older HF patients. Clinical trials that enroll multi-morbid older HF patients and evaluate functional status and quality of life in addition to mortality and cardiovascular morbidity should be encouraged to guide management of this age group.

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Section: Non-pharmacological Treatment In Elderly Hf Patientsmentioning

confidence: 99%

Heart Failure in Older Adults

Butrous

Hummel

2016

Canadian Journal of Cardiology

119

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“…In a study of 50 heart failure patients evaluated using MNA ® and MNA ® -SF, similar results were obtained, and the mortality rate and rehospitalization rate were higher in patients classified according to MNA ® -SF in the undernutrition group. 44 CC is an evaluation item in MNA ® . Its cut-off value is originally 31 cm, but it is considered desirable to set the cut-off level at 28 cm for Asians.…”

Section: Mna ® (Mini Nutritional Assessment)mentioning

confidence: 99%

Japanese Heart Failure Society 2018 Scientific Statement on Nutritional Assessment and Management in Heart Failure Patients

Yamamoto

Tsuchihashi-Makaya

Kinugasa

et al. 2020

Circ J

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Vitamins consist of four lipid-soluble vitamins (vitamins A, D, E, and K) and nine water-soluble vitamins (vitamins B1, B2, B6, B12, niacin, pantothenic acid, folic acid, biotin, and vitamin C). Lipid-soluble vitamin deficiency is caused by decreases in intake of lipid-soluble vitamins and lipid absorption. Also, if lipid-soluble vitamins are ingested or administered in excess, they are accumulated in the liver and fat and may cause hypervitaminosis. Since water-soluble vitamins are readily excreted, their storage in the body is low. Therefore, they may be deficient, and disorders due to their excess are rare. 3,4 ▋ C. Mineral Deficiency and Excess Minerals include sodium, potassium, calcium, phosphorus, and magnesium, which are classified as macro-minerals, and iron, zinc, copper, manganese, chromium, iodine, molybdenum, and selenium, which are classified as trace elements (called micro-minerals in the Dietary Reference Intakes for Japanese (2020)). The time until deficiency or excess becomes apparent varies widely among minerals. 3,5 ▋ D. Interrelations Among Nutrients In iron deficiency anemia, which is frequently observed in Japan, for example, appropriate intake of vitamin C is necessary to promote absorption of dietary non-heme iron along with increased intake of iron for symptomatic relief. Thus, approaches with sufficient consideration of interrelations among nutrients are required for the prevention and treatment of nutritional deficiency or excess.

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“…The MNA questionnaire incorporates anthropometric measures and patient-reported assessment of food types consumed and overall intake in hospitalized patients with HF, undernutrition according to the MNA approximately quadruples long-term mortality [13•]. The MNA also predicts mortality in patients undergoing consideration for ventricular assist devices or transplantation [35] and has also been linked to quality of life and mortality in the ambulatory HF population [36].…”

Section: Nutritional Assessment In Hfmentioning

confidence: 99%

Nutritional Assessment and Dietary Interventions in Older Patients with Heart Failure

Lee

Tam

Cascino

et al. 2018

Curr Cardiovasc Risk Rep

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Purpose of Review Older patients with heart failure (HF) are challenging to manage due to the high prevalence of frailty, polypharmacy, cognitive impairment, and other geriatric conditions. Malnutrition and poor dietary habits are also common and strongly predict adverse outcomes in older patients with HF. Current dietary recommendations for HF primarily advise reducing sodium intake, but randomized studies suggest that excess restriction can lead to adverse outcomes. The optimal dietary pattern, caloric intake, advice for weight management, and strategies for self-care in this population have not been determined. Recent Findings Screening tools for malnutrition, including the Geriatric Nutritional Risk Index and Mini Nutritional Assessment, can be used to assess nutritional risk and predict mortality, hospitalization, and functional decline in older patients with HF. The ideal dietary pattern for patients with HF has not been determined, though epidemiologic and observational cohort studies suggest that the Dietary Approaches to Stop Hypertension (DASH) and Mediterranean dietary patterns are reasonable to recommend to many patients. Recent dietary intervention studies highlight the importance of individualized nutritional counseling interventions, maintaining adequate nutritional intake during sodium restriction, and the potential for caloric restriction to improve outcomes in some patients. Summary Nutritional status and dietary intake are prognostically important and potentially modifiable in older patients with HF. Ongoing interventional and translational studies may help define the ideal sodium intake, dietary regimen, and recommendations for weight loss, but more research is needed in this important domain.

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Nutritional status of geriatric outpatients with systolic heart failure and its prognostic value regarding death or hospitalization, biomarkers and quality of life

Abstract: The MNA is useful for the evaluation of the nutritional status of elderly outpatients with systolic heart failure. It is a good predictor of the short-term outcome and is also associated with the quality of life and Nt-ProBNP.

Cited by 34 publications

References 19 publications

Heart Failure in Older Adults

Heart Failure in Older Adults

Japanese Heart Failure Society 2018 Scientific Statement on Nutritional Assessment and Management in Heart Failure Patients

Nutritional Assessment and Dietary Interventions in Older Patients with Heart Failure

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