naa a22 4500 510786537 CHVBK 20180411083304.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12603-013-0030-y doi (NATIONALLICENCE)springer-10.1007/s12603-013-0030-y Nutritional status of geriatric outpatients with systolic heart failure and its prognostic value regarding death or hospitalization, biomarkers and quality of life [Elektronische Daten] [Luis Sargento, M. Satendra, I. Almeida, C. Sousa, S. Gomes, F. Salazar, N. Lousada, R. Palma dos Reis] Introduction: The prevalence of malnutrition in ambulatory patients with heart failure is difficult to determine, depending on the timing and methodology. Objective: To determine the nutritional status of outpatients with systolic heart failure with the Mini Nutritional Assessment (MNA) full and short-form versions, and evaluate its relationship with the short-term prognosis, biomarkers and quality of life. Methods: Fifty consecutive (70% male), geriatric (74.3+ 6.2years old) stable outpatient with heart failure (NYHA class II 68%, III 32%) and left ventricular ejection fraction of 26.7 +11.5% were included and followed during 12 months. At a routine visit to the heart failure clinic, the MNA, the Minnesota Living with Heart Failure questionnaire (MLHFQ) were applied. According to the MNA screening score the nutritional status was classified using the MNA full (MNA-F) and the short-form (MNA-F) versions of the questionnaire. The recorded events were death and hospitalization. Statistics: The-survival and hospitalizations curves were evaluated with the Log-Rank test and Cox Regression analysis. The association between parameters was analyzed with the Pearson and Spearmann correlation coefficient. Results: (1) The mortality and hospitalization rates were 12% and 42%, respectively. (2) With the MNA-SF 7.6% of the patients had malnutrition and 20% were at risk of malnutrition. There was a good agreement (90%) between the MNA-SF and the MNA-F classifications. (3) There was a significant relationship between the MNA screening score and the MLHFQ (rs= −0.592 p<0.00l), Nt-ProBNP (rs= −0.49 p<0.001) and total plasma protein (r= 0.672 p=0.006); (3) The-MNA-SF nutritional classification was associated with the 12 months survival (Log-Rank p=0.044) and hospitalization (Log-Rank p=0.005) curves. (4) Those patients with malnutrition by the MNA-SF were at greater risk of death (HR= 8.0 p=0.059) and hospitalization (HR 8.1 p=0.008). Conclusion: The MNA is useful for the evaluation of the nutritional status of elderly outpatients with systolic heart failure. It is a good predictor of the short-term outcome and is also associated with the quality of life and Nt-ProBNP. Serdi and Springer-Verlag France, 2013 Mini-nutritional assessment nationallicence heart failure nationallicence malnutrition nationallicence survival nationallicence Sargento Luis Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut Satendra M. Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut Almeida I. Nurse, Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut Sousa C. Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut Gomes S. Nurse, Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut Salazar F. Nurse, Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut Lousada N. Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut Palma dos Reis R. Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 300-304 1279-7707 17:4<300 2013 17 12603 https://doi.org/10.1007/s12603-013-0030-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-013-0030-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sargento Luis Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut NATIONALLICENCE 700 1- Satendra M. Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut NATIONALLICENCE 700 1- Almeida I. Nurse, Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut NATIONALLICENCE 700 1- Sousa C. Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut NATIONALLICENCE 700 1- Gomes S. Nurse, Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut NATIONALLICENCE 700 1- Salazar F. Nurse, Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut NATIONALLICENCE 700 1- Lousada N. Heart Failure Unit, Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut NATIONALLICENCE 700 1- Palma dos Reis R. Cardiology Department, Pulido Valente Hospital, Lisbon North Hospital Centre, Lisbon, Portugal aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 300-304 1279-7707 17:4<300 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer