Nutritional status in people with chronic heart failure and / or chronic obstructive pulmonary disease. Impact on quality of life and exacerbations
Abstract
Targets: To know the nutritional status in patients with heart failure (HF) and with chronic obstructive pulmonary disease (COPD), cared in a Barcelona’s primary health center and to describe the clinical and socio-demographic characteristics which may be related with the nutritional status.
Method: A transversal descriptive study was performed during de year 2014. In nursing visits the following variables were collected: in HF patients, levels of functionality based in NYHA scale, in COPD patients, dyspnea grade based in BMRC scale. In both cases the body mass index (BMI) was determined; MNA scale is used, and also the physical activity and quality of life is evaluated by the EQ-5D scale.
Results: Of the 192 participants, 59, 4% were men and had a mean age of 77, 64 years (ds10, 12. Of the studied diseases, 40, 1% were HF, 45, 8% COPD and 14, 1% both diseases). The risk of malnutrition was 11, 4% in COPD patients, 16, and 9% in people with HF and 33, 3% in both HF and COPD patients. (P 0,028)
With the logistic regression with the other variables, the only associated factor was gender, having men an OR 3 (1,008-8, 95)
Conclusions: The nutritional status gets worse in people with both pathologies in concomitantly way.
Gender plays a crucial role in malnutrition or risk of the disease.
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References
Gènova R, Álvarez E, Catalá F, Fernández de Larrea N, Morant C. Aproximación a la carga de enfermedad de las personas mayores en España. Gaceta Sanitaria 2011;25(S):47–50
World health organization. preventing chronic disease: a vital investment. geneva, switzerland: world health organization. 2005. buscar mes actual i l’oms mathers cd. The global burden of disease: update. ginebra, organización mundial de la salud, 2008.
Morder A, Hoes Aw. Clinical epidemiology of heart failure. heart. 2007;93:1137-46
Sanchez L.A. Situación nutricional, insuficiencia cardiaca y conjunto mínimo básico de datos. Rev esp cardiol. 2012;65:583 - vol. 65 núm.06 DOI: 10.1016
Aggarwal A, Kumar A, Gregory MP, Blair C, Pauwaa S, Tatooles AJ, et al. Nutrition assessment in advanced heart failure patients evaluated for ventricular assit devices or cardiac transplantion. Nutr Clin Pract. 2013 Feb; 28(1):112-9. doi:10.1177/0884533612457948.
Barnes PJ. Chronic Obstructive Pulmonary disease: A growing but neglected global epidermic. PLoS Med.2007;4(5):112.doi:10.1371/journal.pmed.0040112
Sayago I, García F, Segovia J. Epidemiologia de la insuficiencia cardiaca en españa en los últimos 20 años. Rev esp cardiol. 2013;66(8):649–656
Boyd CM, Fortin M. Future of multimorbidity research: How should understanding of multimorbidity inform health system design? Public Health rev. 2010;32(2):451–74.DOI.ORG/10.1007/BF03391611
Roberts KC, Rao DP, Bennett TL, Loukine L, Jayaraman G. Prevalence and patterns of chronic disease multimorbidity and associated determinants in Canada. Health Promot Chronic Dis Prev Can. 2015 Aug; 35(6): 87–94.
Itoh M, Tsuji T, Nemoto K, Nakamura H, Aoshiba K.Undernutrition in patients with copd and its treatment. nutrients,5,1316-1335; doi: 10.3390/nu5041316
Trullàs JC, Formiga F, Montero M, Conde A, Casado J, Carrasco FJ,et al. Paradox of obesity in the heart failure: results from the spanish rica registry.medicina clínica 2011dic,157(15); doi:10.1016/j.medcli.2011.03.036
De la Iglesia F, Serrano J, Montes J. Enfermedad obstructiva crónica (EPOC) y comorbilidades. Galicia clin 2012;73(supl.1): s30-s36
Otero F, Grigorian l, Fransi l, Názara C, Fernández JM, Del Alamo A, et al. Estudio gallego de insuficiencia cardiaca en atención primaria.rev esp cardiol. 2007;60(4):373-83.
Guerra l, Martínez C, Fresno M. Cribado nutricional en pacientes con insuficiencia cardiaca: Análisis de 5 métodos. nutr hosp. 2015;31 (2): 890:899. doi:10.3305/nh.2015.31.2.7665.
Álvarez J. Enfoque terapéutico global de la disfunción muscular en la EPOC. nutr.hosp.2006; 21(supl.3)76-83
Vermeeren M, Creutzberg E, Schols a. prevalence of nutritional depletion in a large out- patient population of patients witch copd. respiratory medicine. 2006;100, 1349-1355.
Pirlich M, Schütz T, Kemps M, Luhman N, Minko N, Lübke HJ, et al. Social risk factors for hospital malnutrition. nutrition. 2005 mar,21(3):295-300.
Calvert M, Freemantle N, Cleland J. The impact of chronic heart failure on health-related quality of life data acquired in the baseline phase of the care-hf study. The european journal of heart failure. 2005:243-251
Naveiro JC, Diez MD, Flores L, et al. La calidad de vida en los enfermos con insuficiencia cardiaca: visión desde atención primaria de salud. gac sant. 2012;26(5):436-443
De la Iglesia F, Serrano J, Montes J. Enfermedad obstructiva crónica ( EPOC) y comorbilidades. Galicia clín 2012;73(supl.1):s30-s36
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