ECE2022 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (318 abstracts)
Nutritional status in patients with heart failure and its relation with cardiac function
Carlos Manuel Alzás Teomiro 1 , Ana maría moyano sánchez 1 , Concepción Muñoz Jiménez 1 , Soraya Leó n Idougourram 1 , José Ló pez Aguilera 2 , Manuel Crespín 2 , María José Molina Puerta 1 , María Ángeles Gá lvez Moreno 1 & Aura Herrera Martínez 1
1Reina Sofía University Hospital, Endocrinology and Nutrition, Córdoba, Spain; 2Reina Sofía University Hospital, Cardiology, Córdoba, Spain
Background: Heart failure (HF) has a rising incidence and is one of the most prevalent diseases worldwide. Serum NT-proBNP and systolic ejection fraction correlate with the severity and prognosis of this condition. The nutritional evaluation of patients with HF, who usually have normal weight, overweight or obesity, has acquired a novel approach due to the incorporation of novel techniques (bioelectrical impedance, nutritional ultrasonography), and functional tests.
Objective: To evaluate the relation between nutritional parameters (bioimpedance, adipose and muscle ultrasound) and clinical outcomes. in patients with HF
Methods: Patients with at least one hospital admission during the previous year were included. Anthropometric, biochemical, ultrasound, cardiac and functional tests were collected. Statistical analysis was performed with SSPS v.24.
Results: Thirty-eight patients (72.2% males; 44.4% with type 2 diabetes) were included; 36.2% presented at least one episode of acute myocardial infarction; mean systolic ejection fraction measured by echocardiogram was 37.35%. During the previous 12 months, 39.5% of patients required more than one admission due to HF, with a mean length of stay in hospital of 5 days. In our cohort, the incidence of overweight/obesity and malnutrition reached 75% and 58.3% respectively. Decreased phase angle (<5.5) was observed in 60% or the patients. Fat and lean mass measured by bioelectrical impedance correlated with systolic ejection fraction (P<0.05). This cardiac biomarker also showed a positive correlation with the adipose tissue measured in rectus femoris nutritional ultrasonography (Spearman’s rho +0.384; p<0.05). Serum NT-proBNP levels correlated with body cell mass (BCMe) measured by bioelectrical impedance, calf circumference, albumin, prealbumin and LDL cholesterol levels (p<0.05).
Conclusions: Nutritional and cardiac parameters are correlated in patients with HF. Routine nutritional evaluation and early nutrition intervention, if required, should be implemented in order to improve the clinical outcome in these patients. Prospective, interventional studies should be performed.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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