THE NUTRITIONAL STATUS OF ELDERLY OUTPATIENTS WITH HEART FAILURE WITH REDUCED EJECTION FRACTION

Phan Hoàng Phúc Nguyễn , Thanh Huân Nguyễn

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Abstract

Objectives: To describe the nutritional status of elderly outpatients with heart failure with reduced ejection fraction. Methods: This cross-sectional study was conducted on 119 olderly outpatients with heart failure with reduced ejection fraction at the Geriatric clinics, Cardiology clinics, Thong Nhat Hospital and University Medical Center, from July 2023 to December 2023. Personal information, geriatric characteristics, comorbidity diseases, measured personality indices, MNA and related factors was collected. Results: The rate of malnutrition in elderly outpatients with heart failure with reduced ejection fraction classified by MNA was 10.9%, 63.9% of subjects were at risk of malnutrition, 25.2% of subjects had normal nutritional state. Frailty according to FRAIL in the malnutrition and at risk of malnutrition group is higher rate than the group with normal nutritional status 77.2% compared to 22.8%, a statistically significant difference with p = 0.014. Conclusion: The rate of malnutrition and at risk of malnutrition in elderly outpatients with heart failure with reduced ejection fraction quite high.

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References

1. Pirmohamed A, Kitzman DW, Maurer MS. Heart failure in older adults: embracing complexity. J Geriatr Cardiol JGC. 2016;13(1):8-14.
2. Virani SS, Alonso A, Aparicio HJ, et al. Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. Circulation. 2021;143(8):e254-e743.
3. Sze S, Zhang J, Pellicori P, Morgan D, Hoye A, Clark A. Prognostic value of simple frailty and malnutrition screening tools in patients with acute heart failure due to left ventricular systolic dysfunction.
4. Sargento L, Satendra M, Almeida I, et al. Nutritional status of geriatric outpatients with systolic heart failure and its prognostic value regarding death or hospitalization, biomarkers and quality of life. J Nutr Health Aging. 2013; 17(4): 300-304.
5. Joaquín C, Puig R, Gastelurrutia P, et al. Mini nutritional assessment is a better predictor of mortality than subjective global assessment in heart failure out-patients. Clin Nutr. 2019; 38(6):2740-2746.