Impact of Inadequate Calorie Intake on Mortality and Hospitalization in Stable Patients with Chronic Heart Failure
| العنوان: | Impact of Inadequate Calorie Intake on Mortality and Hospitalization in Stable Patients with Chronic Heart Failure |
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| المؤلفون: | Ryuichi Matsukawa, Takeshi Sota, Taisuke Ono, Masashige Takahashi, Yoshikuni Obata, Kazuhiro Yamamoto, Naoya Kakutani, Shintaro Kinugawa, Miyuki Tsuchihashi-Makaya, Shingo Takada, Hisashi Matsuo, Ichiro Yoshida, Takashi Yokota, Arata Fukushima, Yoshiharu Kinugasa, Isao Yokota |
| المصدر: | Nutrients, Vol 13, Iss 874, p 874 (2021) Nutrients Volume 13 Issue 3 |
| بيانات النشر: | MDPI AG, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, calorie intake, heart failure, lcsh:TX341-641, Kaplan-Meier Estimate, malnutrition, 030204 cardiovascular system & hematology, Logistic regression, Diet Surveys, Article, 03 medical and health sciences, Eating, 0302 clinical medicine, Risk Factors, Internal medicine, Cause of Death, medicine, Humans, In patient, 030212 general & internal medicine, Prospective Studies, Aged, Nutrition and Dietetics, Clinical events, business.industry, Dietary pattern, Middle Aged, medicine.disease, mortality, Calorie intake, Diet, Malnutrition, Heart failure, Cohort, Chronic Disease, Female, business, lcsh:Nutrition. Foods and food supply, Food Science, hospitalization |
| الوصف: | Malnutrition is highly prevalent in patients with heart failure (HF), but the precise impact of dietary energy deficiency on HF patients’ clinical outcomes is not known. We investigated the associations between inadequate calorie intake and adverse clinical events in 145 stable outpatients with chronic HF who had a history of hospitalization due to worsening HF. To assess the patients’ dietary pattern, we used a brief self-administered diet-history questionnaire (BDHQ). Inadequate calorie intake was defined as < 60% of the estimated energy requirement. In the total chronic HF cohort, the median calorie intake was 1628 kcal/day. Forty-four patients (30%) were identified as having an inadequate calorie intake. A Kaplan–Meier analysis revealed that the patients with inadequate calorie intake had significantly worse clinical outcomes including all-cause death and HF-related hospitalization during the 1-year follow-up period versus those with adequate calorie intake (20% vs. 5%, p < 0.01). A multivariate logistic regression analysis showed that inadequate calorie intake was an independent predictor of adverse clinical events after adjustment for various factors that may influence patients’ calorie intake. Among patients with chronic HF, inadequate calorie intake was associated with an increased risk of all-cause mortality and rehospitalization due to worsening HF. However, our results are preliminary and larger studies with direct measurements of dietary calorie intake and total energy expenditure are needed to clarify the intrinsic nature of this relationship. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2072-6643 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::426edee3dc1cf1a9a29c54e5ddb551e6 https://www.mdpi.com/2072-6643/13/3/874 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....426edee3dc1cf1a9a29c54e5ddb551e6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20726643 |
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