EVALUATION OF MALNUTRITION STATUSES IN SYSTOLIC HEART FAILURE PATIENTS

Abstract

Aims: The aim of this study is to determine the malnutrition statuses of patients with systolic heart failure in Trakya University Hospital and Edirne Sultan 1st Murat State Hospital.

Methods: Mini Nutritional Assessment was used to determine the patients’ malnutrition statuses. In addition, patients’ transthoracic echocardiography results, biochemistry tests, hemograms, medications and habits were evaluated with patients’ nutritional scores. One-way ANOVA and Kruskal-Wallis tests were used for comparing the results and Pearsonχ2 test and Fischer’s exact test were used to obtain categorical data.

Results: The total number of subjects in the study was 66 (61 patients from Trakya University Hospital; 5 patients from Edirne Sultan 1st Murat State Hospital). The mean age of all subjects was 65.3 ± 11.1. Out of all patients, 17 of them were female, while 49 of them were male. The mean Mini Nutrition Assessment score was 21.9 ± 4.7. In total, 34 patients had an adequate nutritional status, 25 patients were at risk of malnutrition and 7 patients were malnourished.

Conclusion: Although malnourished patients were detected, well – nourished patients were higher. Therefore, it could be said that patients with heart failure are conscious of their health and diet. It is crucial for the health care providers to maintain giving advices on healthy living and nutrition to keep this elderly population well–nourished. 

Keywords

• Nutrition assessment,systolic heart failure,malnutrition

References

1. 1. Tanai E, Frantz S. Pathophysiology of heart failure. Compr Physiol 2015;6(1):187-214.
2. 2. Bloom MW, Greenberg B, Jaarsma T et al. Heart failure with reduced ejection fraction. Nat Rev Dis Primers 2017;3:17058.
3. 3. Metra M, Teerlink JR. Heart failure. Lancet 2017;390(10106):1981-95.
4. 4. Mosterd A, Hoes AW. Clinical epidemiology of heart failure. Heart 2007;93(9):1137-46.
5. 5. McMurray JJV. Systolic HF. New Engl J Med 2010;362(3):228–38.
6. 6. World Health Organization. Malnutrition definition. Cited 2019 Jan. Available from: URL: https://www.who.int/news-room/fact-sheets/detail/malnutrition.
7. 7. Yoshihisa A, Kanno Y, Watanabe S et al. Impact of nutritional indices on mortality in patients with heart failure. Open Heart 2018;5(1):1-8.
8. 8. Jacobsson A, Pihl-Lindgren E, Fridlund B. Malnutrition in patients suffering from chronic heart failure; the nurse’s care. Eur J Heart Fail 2001;3(4):449-56.

9. 9. Sciatti E, Lombardi C, Ravera A et al. Nutritional deficiency in patients with heart failure. Nutrients 2016;8(7):442.
10. 10. Rahman A, Jafry S, Jeejeebhoy K et al. Malnutrition and cachexia in heart failure. Jpen-Parenter Enter 2016;40(4):475-86.
11. 11. Guigoz Y. The mini-nutritional assessment (MNA®) review of the literature – what does it tell us? J Nutr Health Aging 2006;10:66-87.
12. 12. Yılmaz S, Miray Koç E, Kunduracı E et al. Kardiyoloji polikliniğine ayaktan başvuran hastalar ile kardiyoloji servisinde yatan hastaların beslenme durumlarının mini nütrisyonel değerlendirme testi ile karşılaştırılması. MN Kardiyoloji 2018;25(3):121-6.
13. 13. Bonilla-Palomas JL, Gamez-Lopez AL, Anguita-Sanchez MP et al. Impact of malnutrition on longterm mortality in hospitalized patients with heart failure. Rev Esp Cardiol 2011;64(9):752–8.
14. 14. Pyrgakis VN. Smoking and cardiovascular disease. Hellenic J Cardiol 2009;50:231-4.
15. 15. Kuzuya M, Kanda S, Koike T et al. Evaluation of mini-nutritional assessment for japanese frail elderly. Nutrition 2005;21(4):498-503.