Nutritional status and adequacy of energy and nutrient intakes among heart failure patients
Increased knowledge about nutritional status and energy and nutrient intakes is required to improve the treatment of patients with heart failure (HF). To verify the nutritional status and evaluate the adequacy of energy, macronutrient and micronutrient intakes in patients with HF in outpatient clini...
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Veröffentlicht in: | Arquivos brasileiros de cardiologia 2009-11, Vol.93 (5), p.541-548 |
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container_title | Arquivos brasileiros de cardiologia |
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creator | Lourenço, Bárbara Hatzlhoffer Vieira, Lis Proença Macedo, Alessandra Nakasato, Miyoko Marucci, Maria de Fátima Nunes Bocchi, Edimar Alcides |
description | Increased knowledge about nutritional status and energy and nutrient intakes is required to improve the treatment of patients with heart failure (HF).
To verify the nutritional status and evaluate the adequacy of energy, macronutrient and micronutrient intakes in patients with HF in outpatient clinical settings.
We collected anthropometric and habitual dietary intake data of 125 patients (72% men, 52.1 +/- 9.8 years, BMI 26.9 +/- 4.4 kg/m2). Anthropometric variables were compared between genders, and the adequacy of energy and nutrient intakes was analyzed according to current recommendations.
Muscle depletion or risk of depletion was present in 38.4% of patients (association with male gender, p |
doi_str_mv | 10.1590/S0066-782X2009001100016 |
format | Article |
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To verify the nutritional status and evaluate the adequacy of energy, macronutrient and micronutrient intakes in patients with HF in outpatient clinical settings.
We collected anthropometric and habitual dietary intake data of 125 patients (72% men, 52.1 +/- 9.8 years, BMI 26.9 +/- 4.4 kg/m2). Anthropometric variables were compared between genders, and the adequacy of energy and nutrient intakes was analyzed according to current recommendations.
Muscle depletion or risk of depletion was present in 38.4% of patients (association with male gender, p <0.0001). In 69.6% of cases the mean energy intake was lower than the one required (p <0.0001). Among the micronutrients evaluated in this study, there was an important prevalence of inadequacy in magnesium, zinc, iron and thiamine intakes, and most patients had calcium and potassium intakes below the adequate levels, and sodium intake above the adequate levels.
Outpatients with HF showed muscle depletion, and inadequate energy and nutrient intakes. There was no significant association between habitual dietary energy intake and nutritional status. Multidisciplinary care should be encouraged to better assess the general condition of these patients.</description><identifier>EISSN: 1678-4170</identifier><identifier>DOI: 10.1590/S0066-782X2009001100016</identifier><identifier>PMID: 20084317</identifier><language>eng</language><publisher>Brazil</publisher><subject>Body Mass Index ; Diet - standards ; Energy Intake - physiology ; Epidemiologic Methods ; Female ; Heart Failure - metabolism ; Heart Failure - physiopathology ; Humans ; Male ; Micronutrients - administration & dosage ; Middle Aged ; Muscle, Skeletal - physiopathology ; Nutrition Surveys ; Nutritional Requirements ; Nutritional Status - physiology ; Sex Distribution</subject><ispartof>Arquivos brasileiros de cardiologia, 2009-11, Vol.93 (5), p.541-548</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20084317$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lourenço, Bárbara Hatzlhoffer</creatorcontrib><creatorcontrib>Vieira, Lis Proença</creatorcontrib><creatorcontrib>Macedo, Alessandra</creatorcontrib><creatorcontrib>Nakasato, Miyoko</creatorcontrib><creatorcontrib>Marucci, Maria de Fátima Nunes</creatorcontrib><creatorcontrib>Bocchi, Edimar Alcides</creatorcontrib><title>Nutritional status and adequacy of energy and nutrient intakes among heart failure patients</title><title>Arquivos brasileiros de cardiologia</title><addtitle>Arq Bras Cardiol</addtitle><description>Increased knowledge about nutritional status and energy and nutrient intakes is required to improve the treatment of patients with heart failure (HF).
To verify the nutritional status and evaluate the adequacy of energy, macronutrient and micronutrient intakes in patients with HF in outpatient clinical settings.
We collected anthropometric and habitual dietary intake data of 125 patients (72% men, 52.1 +/- 9.8 years, BMI 26.9 +/- 4.4 kg/m2). Anthropometric variables were compared between genders, and the adequacy of energy and nutrient intakes was analyzed according to current recommendations.
Muscle depletion or risk of depletion was present in 38.4% of patients (association with male gender, p <0.0001). In 69.6% of cases the mean energy intake was lower than the one required (p <0.0001). Among the micronutrients evaluated in this study, there was an important prevalence of inadequacy in magnesium, zinc, iron and thiamine intakes, and most patients had calcium and potassium intakes below the adequate levels, and sodium intake above the adequate levels.
Outpatients with HF showed muscle depletion, and inadequate energy and nutrient intakes. There was no significant association between habitual dietary energy intake and nutritional status. Multidisciplinary care should be encouraged to better assess the general condition of these patients.</description><subject>Body Mass Index</subject><subject>Diet - standards</subject><subject>Energy Intake - physiology</subject><subject>Epidemiologic Methods</subject><subject>Female</subject><subject>Heart Failure - metabolism</subject><subject>Heart Failure - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Micronutrients - administration & dosage</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Nutrition Surveys</subject><subject>Nutritional Requirements</subject><subject>Nutritional Status - physiology</subject><subject>Sex Distribution</subject><issn>1678-4170</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo10E1LxDAQBuAgiLuu_gXNzVN10qRJepTFL1j0oILgoYztZK22abdJD_vv7ep6mYGXh-FlGDsXcCmyHK6eAbROjE3fUoAcQAiYhj5gc6GNTZQwMGPHIXwBpKmR2RGbTdAqKcycvT-Ocahj3XlseIgYx8DRVxwr2oxYbnnnOHka1tvf2O80-chrH_GbJtt2fs0_CYfIHdbNOBDvMe5MOGGHDptAp_u9YK-3Ny_L-2T1dPewvF4lfSogJs6WJJTWtsSpoVSGyGlbVS5DZXLlLAjIVZnJLCWNOTkko7TMNAHpPLNywS7-7vZDtxkpxKKtQ0lNg566MRRGqlTmGuQkz_Zy_GipKvqhbnHYFv__kD9kOmKU</recordid><startdate>20091101</startdate><enddate>20091101</enddate><creator>Lourenço, Bárbara Hatzlhoffer</creator><creator>Vieira, Lis Proença</creator><creator>Macedo, Alessandra</creator><creator>Nakasato, Miyoko</creator><creator>Marucci, Maria de Fátima Nunes</creator><creator>Bocchi, Edimar Alcides</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20091101</creationdate><title>Nutritional status and adequacy of energy and nutrient intakes among heart failure patients</title><author>Lourenço, Bárbara Hatzlhoffer ; Vieira, Lis Proença ; Macedo, Alessandra ; Nakasato, Miyoko ; Marucci, Maria de Fátima Nunes ; Bocchi, Edimar Alcides</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p210t-f8ce14668ca002347eef68ddf5a4794f801094c5352e6a9efae746356e0e69583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Body Mass Index</topic><topic>Diet - standards</topic><topic>Energy Intake - physiology</topic><topic>Epidemiologic Methods</topic><topic>Female</topic><topic>Heart Failure - metabolism</topic><topic>Heart Failure - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Micronutrients - administration & dosage</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Nutrition Surveys</topic><topic>Nutritional Requirements</topic><topic>Nutritional Status - physiology</topic><topic>Sex Distribution</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lourenço, Bárbara Hatzlhoffer</creatorcontrib><creatorcontrib>Vieira, Lis Proença</creatorcontrib><creatorcontrib>Macedo, Alessandra</creatorcontrib><creatorcontrib>Nakasato, Miyoko</creatorcontrib><creatorcontrib>Marucci, Maria de Fátima Nunes</creatorcontrib><creatorcontrib>Bocchi, Edimar Alcides</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Arquivos brasileiros de cardiologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lourenço, Bárbara Hatzlhoffer</au><au>Vieira, Lis Proença</au><au>Macedo, Alessandra</au><au>Nakasato, Miyoko</au><au>Marucci, Maria de Fátima Nunes</au><au>Bocchi, Edimar Alcides</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutritional status and adequacy of energy and nutrient intakes among heart failure patients</atitle><jtitle>Arquivos brasileiros de cardiologia</jtitle><addtitle>Arq Bras Cardiol</addtitle><date>2009-11-01</date><risdate>2009</risdate><volume>93</volume><issue>5</issue><spage>541</spage><epage>548</epage><pages>541-548</pages><eissn>1678-4170</eissn><abstract>Increased knowledge about nutritional status and energy and nutrient intakes is required to improve the treatment of patients with heart failure (HF).
To verify the nutritional status and evaluate the adequacy of energy, macronutrient and micronutrient intakes in patients with HF in outpatient clinical settings.
We collected anthropometric and habitual dietary intake data of 125 patients (72% men, 52.1 +/- 9.8 years, BMI 26.9 +/- 4.4 kg/m2). Anthropometric variables were compared between genders, and the adequacy of energy and nutrient intakes was analyzed according to current recommendations.
Muscle depletion or risk of depletion was present in 38.4% of patients (association with male gender, p <0.0001). In 69.6% of cases the mean energy intake was lower than the one required (p <0.0001). Among the micronutrients evaluated in this study, there was an important prevalence of inadequacy in magnesium, zinc, iron and thiamine intakes, and most patients had calcium and potassium intakes below the adequate levels, and sodium intake above the adequate levels.
Outpatients with HF showed muscle depletion, and inadequate energy and nutrient intakes. There was no significant association between habitual dietary energy intake and nutritional status. Multidisciplinary care should be encouraged to better assess the general condition of these patients.</abstract><cop>Brazil</cop><pmid>20084317</pmid><doi>10.1590/S0066-782X2009001100016</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
subjects | Body Mass Index Diet - standards Energy Intake - physiology Epidemiologic Methods Female Heart Failure - metabolism Heart Failure - physiopathology Humans Male Micronutrients - administration & dosage Middle Aged Muscle, Skeletal - physiopathology Nutrition Surveys Nutritional Requirements Nutritional Status - physiology Sex Distribution |
title | Nutritional status and adequacy of energy and nutrient intakes among heart failure patients |
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