Individualized Nutritional Support Improves Cardiac Function and Nutritional Status of Elderly Heart Failure Patients.

IF 0.5 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Kardiologiya Pub Date : 2025-02-28 DOI:10.18087/cardio.2025.2.n2764

Hang Chen, Ping Xu, Jia Hu, Hong Li, Yuan Yan, Yu Cai

{"title":"Individualized Nutritional Support Improves Cardiac Function and Nutritional Status of Elderly Heart Failure Patients.","authors":"Hang Chen, Ping Xu, Jia Hu, Hong Li, Yuan Yan, Yu Cai","doi":"10.18087/cardio.2025.2.n2764","DOIUrl":null,"url":null,"abstract":"<p><p>Background The quality of life of the patient is diminished by chronic heart failure (CHF), which also costs the healthcare system. This study examined the benefits of individualized nutritional support provided by a specialized nursing team on the nutritional status and cardiac function of elderly patients with CHF.Material and methods This study included 102 elderly, hospitalized CHF patients. The patients were randomly assigned to two groups of 51 each. During the study protocol, the control group received regular nursing care, while the experimental group received individualized nutritional support by a specialized nursing team. Nutritional-related and cardiac function indicators, inflammatory factors, and life quality scores measured before and after the protocol were compared.Results There was a significant increase in total albumin, hemoglobin, and protein in both groups during the protocol, but the final concentrations were significantly higher in the experimental group (p<0.05). In both groups, the left ventricular ejection fraction was increased after the protocol, while the left ventricular end-systolic dimension and the left ventricular end-diastolic dimension significantly decreased. The improvements in these variables were greater in the experimental group (p<0.05). The experimental group also exhibited significantly reduced tumor necrosis factor-α, interleukin-6, and high sensitivity C-reactive protein (p<0.05), and the experimental group reported higher quality of life (p<0.05) and nursing satisfaction (p<0.05).Conclusion Nutritional support of elderly CHF patients administered by a specialized nursing team improved nutrition, cardiac function, inflammatory status, and quality of life compared to standard nutrition and regular nursing care.</p>","PeriodicalId":54750,"journal":{"name":"Kardiologiya","volume":"65 2","pages":"48-56"},"PeriodicalIF":0.5000,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kardiologiya","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.18087/cardio.2025.2.n2764","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

Abstract

Background The quality of life of the patient is diminished by chronic heart failure (CHF), which also costs the healthcare system. This study examined the benefits of individualized nutritional support provided by a specialized nursing team on the nutritional status and cardiac function of elderly patients with CHF.Material and methods This study included 102 elderly, hospitalized CHF patients. The patients were randomly assigned to two groups of 51 each. During the study protocol, the control group received regular nursing care, while the experimental group received individualized nutritional support by a specialized nursing team. Nutritional-related and cardiac function indicators, inflammatory factors, and life quality scores measured before and after the protocol were compared.Results There was a significant increase in total albumin, hemoglobin, and protein in both groups during the protocol, but the final concentrations were significantly higher in the experimental group (p<0.05). In both groups, the left ventricular ejection fraction was increased after the protocol, while the left ventricular end-systolic dimension and the left ventricular end-diastolic dimension significantly decreased. The improvements in these variables were greater in the experimental group (p<0.05). The experimental group also exhibited significantly reduced tumor necrosis factor-α, interleukin-6, and high sensitivity C-reactive protein (p<0.05), and the experimental group reported higher quality of life (p<0.05) and nursing satisfaction (p<0.05).Conclusion Nutritional support of elderly CHF patients administered by a specialized nursing team improved nutrition, cardiac function, inflammatory status, and quality of life compared to standard nutrition and regular nursing care.

查看原文本刊更多论文

个体化营养支持改善老年心力衰竭患者心功能和营养状况。

慢性心力衰竭（CHF）降低了患者的生活质量，也增加了医疗系统的成本。本研究探讨了由专业护理团队提供的个性化营养支持对老年CHF患者营养状况和心功能的益处。材料与方法本研究纳入102例住院的老年CHF患者。患者被随机分为两组，每组51人。在研究方案中，对照组接受常规护理，实验组由专门护理团队进行个性化营养支持。比较方案前后测量的营养相关指标和心功能指标、炎症因子和生活质量评分。结果两组总白蛋白、血红蛋白、蛋白含量均显著升高，但最终浓度实验组显著高于对照组（p < 0.05）。两组患者左室射血分数均升高，左室收缩末尺寸和舒张末尺寸均明显减小。实验组在这些变量上的改善更大（p < 0.05）。实验组患者肿瘤坏死因子-α、白细胞介素-6、高敏c反应蛋白均显著降低（p<0.05），生活质量（p<0.05）和护理满意度（p<0.05）均显著提高。结论专业护理团队给予老年CHF患者营养支持，与标准营养和常规护理相比，可改善其营养、心功能、炎症状况和生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Kardiologiya 医学-心血管系统

CiteScore

1.70

自引率

20.00%

发文量

审稿时长

3-8 weeks

期刊介绍： “Kardiologiya” (Cardiology) is a monthly scientific, peer-reviewed journal committed to both basic cardiovascular medicine and practical aspects of cardiology. As the leader in its field, “Kardiologiya” provides original coverage of recent progress in cardiovascular medicine. We publish state-of-the-art articles integrating clinical and research activities in the fields of basic cardiovascular science and clinical cardiology, with a focus on emerging issues in cardiovascular disease. Our target audience spans a diversity of health care professionals and medical researchers working in cardiovascular medicine and related fields. The principal language of the Journal is Russian, an additional language – English (title, authors’ information, abstract, keywords). “Kardiologiya” is a peer-reviewed scientific journal. All articles are reviewed by scientists, who gained high international prestige in cardiovascular science and clinical cardiology. The Journal is currently cited and indexed in major Abstracting & Indexing databases: Web of Science, Medline and Scopus. The Journal''s primary objectives Contribute to raising the professional level of medical researchers, physicians and academic teachers. Present the results of current research and clinical observations, explore the effectiveness of drug and non-drug treatments of heart disease, inform about new diagnostic techniques; discuss current trends and new advancements in clinical cardiology, contribute to continuing medical education, inform readers about results of Russian and international scientific forums; Further improve the general quality of reviewing and editing of manuscripts submitted for publication; Provide the widest possible dissemination of the published articles, among the global scientific community; Extend distribution and indexing of scientific publications in major Abstracting & Indexing databases.