Volume 21 Issue 6
Jun.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(6): 932-935
KANG Yunpeng, GUO Wen, REN Aihong, LUO Fangfang, LIU Wenxian. Effect of nutritional risk on physical fitness during hospitalization in elderly patients with reduced ejection fraction heart failure[J]. Chinese Journal of General Practice, 2023, 21(6): 932-935. doi: 10.16766/j.cnki.issn.1674-4152.003018
Citation: KANG Yunpeng, GUO Wen, REN Aihong, LUO Fangfang, LIU Wenxian. Effect of nutritional risk on physical fitness during hospitalization in elderly patients with reduced ejection fraction heart failure[J]. Chinese Journal of General Practice, 2023, 21(6): 932-935. doi: 10.16766/j.cnki.issn.1674-4152.003018
shu

Effect of nutritional risk on physical fitness during hospitalization in elderly patients with reduced ejection fraction heart failure

doi: 10.16766/j.cnki.issn.1674-4152.003018
  • 1.

    Cardiac Intensive Care Medical Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China

Funds:

 PX2018026

  • Received Date: 2022-11-23
    Available Online: 2023-08-26
    Abstract
  •   Objective  To evaluate the effect of nutritional risk on physical fitness in elderly patients with reduced ejection fraction heart failure (HFrEF) during hospitalization.  Methods  A total of 228 elderly patients with HFrEF admitted to the Cardiac Intensive Care Center of Beijing Anzhen Hospital affiliated with Capital Medical University from January 2019 to December 2021 were included. According to the geriatric Nutritional risk index (GNRI), they were divided into 121 patients in the malnutrition risk group and 107 patients in the control group. Baseline data and physical fitness during hospitalization of the two groups were analyzed. According to short physical performance battery (SPPB), there were 185 patients with poor physical fitness and 43 patients with good physical fitness. Binary logistic regression was used to analyze the main influencing factors leading to the two groups' decline in-hospital fitness.  Results  The chair standing test score and total score of the simple body achievement test of HFrEF patients in the malnutrition risk group were significantly lower than those in the control group [(2.19±0.87) points vs. (2.46±0.82) points, P=0.017; (7.65±1.79) points vs. (8.23±1.79) points, P=0.039]. The grip strength level of women in the malnutrition risk group was lower than that of the control group [(17.65±4.43) kg vs. (19.89±3.74) kg, P=0.041]. Compared with patients with good physical fitness, patients with poor physical fitness were older and had higher blood B-type natriuretic peptide (BNP) levels, lower serum albumin levels, GNRI scores, and LVEF values (all P < 0.05). Binary logistic regression analysis showed that elevated BNP (OR=1.003, 95% CI: 1.001-1.005, P < 0.001) and malnutrition (OR=2.642, 95% CI: 1.248-5.591, P=0.011) were the main risk factors affecting physical fitness in elderly patients with HFrEF during hospitalization.  Conclusion  Malnutrition is an independent risk factor for the decline of physical fitness in elderly patients with HFrEF during hospitalization.

     

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