Magdalena Lisiak, Maria Jędrzejczyk, Marta Wleklik, Katarzyna Lomper, Michał Czapla, Izabella Uchmanowicz
{"title":"Nutritional risk, frailty and functional status in elderly heart failure patients","authors":"Magdalena Lisiak, Maria Jędrzejczyk, Marta Wleklik, Katarzyna Lomper, Michał Czapla, Izabella Uchmanowicz","doi":"10.1002/ehf2.15351","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aims</h3>\n \n <p>Heart failure (HF) in elderly patients is frequently associated with frailty, malnutrition and reduced functional status. This study assessed the associations between nutritional risk, functional capacity, frailty and length of hospital stay (LOHS) in elderly patients hospitalized with HF.</p>\n </section>\n \n <section>\n \n <h3> Methods and results</h3>\n \n <p>A cross-sectional study of 200 patients aged 60–91 years (mean age 72.3 ± 6.6; 70.5% male) hospitalized for HF. Nutritional status was assessed using the Mini Nutritional Assessment (MNA), functional capacity with Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scales, and frailty using Fried's criteria. BMI, central obesity, comorbidities and LOHS were also recorded. Frailty was present in 65% of participants; 36.5% were malnourished or at nutritional risk. Well-nourished patients had significantly higher IADL scores (<i>P</i> = 0.002). Mean LOHS was longer in frail compared with pre-frail patients (6.18 ± 2.37 vs. 5.41 ± 1.60 days; <i>P</i> = 0.016). In multivariable logistic regression, frailty independently predicted increased LOHS (OR = 4.063, 95% CI: 1.36–12.1; <i>P</i> = 0.012). BMI, central obesity and comorbidity burden were not associated with functional status or LOHS.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Frailty was independently associated with increased LOHS in elderly HF patients. Poor nutritional status was significantly linked to reduced instrumental functional capacity. Routine frailty and nutritional screening may help identify patients who could benefit from early interventions aimed at improving functional outcomes and reducing hospitalization time.</p>\n </section>\n </div>","PeriodicalId":11864,"journal":{"name":"ESC Heart Failure","volume":"12 5","pages":"3426-3434"},"PeriodicalIF":3.7000,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ehf2.15351","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ESC Heart Failure","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ehf2.15351","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Aims
Heart failure (HF) in elderly patients is frequently associated with frailty, malnutrition and reduced functional status. This study assessed the associations between nutritional risk, functional capacity, frailty and length of hospital stay (LOHS) in elderly patients hospitalized with HF.
Methods and results
A cross-sectional study of 200 patients aged 60–91 years (mean age 72.3 ± 6.6; 70.5% male) hospitalized for HF. Nutritional status was assessed using the Mini Nutritional Assessment (MNA), functional capacity with Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scales, and frailty using Fried's criteria. BMI, central obesity, comorbidities and LOHS were also recorded. Frailty was present in 65% of participants; 36.5% were malnourished or at nutritional risk. Well-nourished patients had significantly higher IADL scores (P = 0.002). Mean LOHS was longer in frail compared with pre-frail patients (6.18 ± 2.37 vs. 5.41 ± 1.60 days; P = 0.016). In multivariable logistic regression, frailty independently predicted increased LOHS (OR = 4.063, 95% CI: 1.36–12.1; P = 0.012). BMI, central obesity and comorbidity burden were not associated with functional status or LOHS.
Conclusions
Frailty was independently associated with increased LOHS in elderly HF patients. Poor nutritional status was significantly linked to reduced instrumental functional capacity. Routine frailty and nutritional screening may help identify patients who could benefit from early interventions aimed at improving functional outcomes and reducing hospitalization time.
期刊介绍:
ESC Heart Failure is the open access journal of the Heart Failure Association of the European Society of Cardiology dedicated to the advancement of knowledge in the field of heart failure. The journal aims to improve the understanding, prevention, investigation and treatment of heart failure. Molecular and cellular biology, pathology, physiology, electrophysiology, pharmacology, as well as the clinical, social and population sciences all form part of the discipline that is heart failure. Accordingly, submission of manuscripts on basic, translational, clinical and population sciences is invited. Original contributions on nursing, care of the elderly, primary care, health economics and other specialist fields related to heart failure are also welcome, as are case reports that highlight interesting aspects of heart failure care and treatment.