Dietary Vitamin C Deficiency Is Associated with Health-Related Quality of Life and Cardiac Event-free Survival in Adults with Heart Failure

التفاصيل البيبلوغرافية
العنوان: Dietary Vitamin C Deficiency Is Associated with Health-Related Quality of Life and Cardiac Event-free Survival in Adults with Heart Failure
المؤلفون: Wu, JR, Song, EK, Moser, DK, Lennie, TA
سنة النشر: 2019
مصطلحات موضوعية: Adult, Male, Heart Failure, Minnesota, Nutritional Status, Nursing, Middle Aged, Severity of Illness Index, Progression-Free Survival, Surveys and Questionnaires, Ascorbic Acid Deficiency, Quality of Life, Humans, Female, Aged
الوصف: © 2018 Lippincott Williams and Wilkins. All rights reserved. Background: Vitamin C deficiency is prevalent in adults with heart failure (HF). Little is known about the relationship of dietary Vitamin C deficiency with health outcomes in adults with HF. Objective: The study's aim was to determine the relationships of Vitamin C deficiency measured at baseline with health-related quality of life (HRQOL) and cardiac event-free survival in patients with HF measured 1 year later. Method: A total of 251 patients with HF completed a 4-day food diary. Dietary Vitamin C deficiency was defined as daily intake less than the estimated average requirement from the Institute of Medicine of 75 mg/d for men and 60 mg/d for women. Health-related quality of life was assessed using the Minnesota Living with Heart Failure Questionnaire at 12 months. Patients were followed for a median of 1 year to determine time to the first event of cardiac-related hospitalization or death. Data were analyzed by hierarchical linear and Cox proportional hazards regressions. Results: One hundred patients (40%) had Vitamin C deficiency. Dietary Vitamin C deficiency was associated with poorer HRQOL at 12 months (β = 0.16, P =.02) after controlling for demographic and clinical variables. During the follow-up period, 59 patients (24%) had cardiac events. In Cox regression, Vitamin C deficiency predicted shorter cardiac event-free survival after adjusting for the same covariates (hazards ratio, 1.95; 95% confidence interval, 1.08-3.51). Conclusion: Vitamin C deficiency was associated with poorer HRQOL and shorter cardiac event-free survival in patients with HF. The findings suggest that encouraging patients with HF to consume a diet rich in fruits/vegetables to prevent Vitamin C deficiency may lead to better health outcomes.
وصف الملف: application/pdf
URL الوصول: https://explore.openaire.eu/search/publication?articleId=od_______363::4e8321f806bc892d50522e2eed6062e3
https://hdl.handle.net/10453/139658
حقوق: OPEN
رقم الأكسشن: edsair.od.......363..4e8321f806bc892d50522e2eed6062e3
قاعدة البيانات: OpenAIRE