GLIM-based malnutrition, protein intake and diet quality in preprocedural Transcatheter Aortic Valve Implantation (TAVI) patients

التفاصيل البيبلوغرافية
العنوان: GLIM-based malnutrition, protein intake and diet quality in preprocedural Transcatheter Aortic Valve Implantation (TAVI) patients
المؤلفون: D. van Erck, M. Tieland, N.W. Adriaens, P.J.M. Weijs, W.J.M. Scholte op Reimer, J.P. Henriques, J.D. Schoufour
المساهمون: Lectoraat Voeding en Beweging, Faculteit Bewegen, Sport en Voeding, Urban Vitality, Hogeschool van Amsterdam, Cardiology, Graduate School, AMS - Ageing & Vitality, AMS - Amsterdam Movement Sciences, ACS - Heart failure & arrhythmias, Nursing, ACS - Atherosclerosis & ischemic syndromes
المصدر: Clinical Nutrition ESPEN, 51, 481-485. Elsevier Ltd.
Clinical nutrition ESPEN, 51, 481-485. Elsevier Limited
سنة النشر: 2022
مصطلحات موضوعية: Aged, 80 and over, Male, Dietary quality, GLIM, Nutrition and Dietetics, Endocrinology, Diabetes and Metabolism, Malnutrition, Cardiac patients, Aortic Valve Stenosis, Diet, Transcatheter Aortic Valve Replacement, TAVI, Leadership, Protein intake, Humans, Female, Aged
الوصف: BACKGROUND & AIMS: Diagnosed prevalence of malnutrition and dietary intake are currently unknown in patients with severe aortic stenosis planned to undergo Transcatheter Aortic Valve Implantation (TAVI). This study describes the preprocedural nutritional status, protein intake and diet quality.METHODS: Consecutive preprocedural TAVI patients were asked to participate in this explorative study. Nutritional status was diagnosed with the global leadership initiative on malnutrition (GLIM) criteria. Preprocedural protein intake and diet quality were assessed with a three-day dietary record. To increase the record's validity, a researcher visited the participants at their homes to confirm the record. Protein intake was reported as an average intake of three days and diet quality was assessed using the Dutch dietary guidelines (score range 0-14, 1 point for adherence to each guideline).RESULTS: Of the included patients (n = 50, median age 80 ± 5, 56% male) 32% (n = 16) were diagnosed with malnutrition. Patients diagnosed with malnutrition had a lower protein intake (1.02 ± 0.28 g/kg/day vs 0.87 ± 0.21 g/kg/day, p = 0.04). The difference in protein intake mainly took place during lunch (20 ± 13 g/kg vs 13 ± 7 g/kg, p = 0.03). Patients adhered to 6.4 ± 2.2 out of 14 dietary guidelines. Adherence to the guideline of whole grains and ratio of whole grains was lower in the group of patients with malnutrition than in patients with normal nutritional status (both 62% vs 19%, p = 0.01). In a multivariate analysis diabetes mellitus was found as an independent predictor of malnutrition.CONCLUSION: Prevalence of malnutrition among TAVI patients is very high up to 32%. Patients with malnutrition had lower protein and whole grain intake than patients with normal nutritional status. Furthermore, we found diabetes mellitus as independent predictor of malnutrition. Nutrition interventions in this older patient group are highly warranted.
وصف الملف: application/pdf
اللغة: English
تدمد: 2405-4577
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e3ea0f99cb6c5863a47001483d49a0d6
https://research.hva.nl/en/publications/6aba9afc-bb34-485c-8aef-df9c389f3b44
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....e3ea0f99cb6c5863a47001483d49a0d6
قاعدة البيانات: OpenAIRE