PMID- 22653090
OWN - NLM
STAT- MEDLINE
DCOM- 20130826
LR  - 20220310
IS  - 1873-1953 (Electronic)
IS  - 1474-5151 (Linking)
VI  - 12
IP  - 2
DP  - 2013 Apr
TI  - High nutritional risk is associated with worse health-related quality of life in 
      patients with heart failure beyond sodium intake.
PG  - 184-92
LID - 10.1177/1474515112443439 [doi]
AB  - BACKGROUND: The most desirable outcome in heart failure (HF) management is to 
      improve health-related quality of life (HRQoL) as a patient-centred health 
      outcome. Nutrition is assumed to be important in HF management, whereas there is 
      little evidence that nutritional risk affects HRQoL, except for sodium. PURPOSE: 
      We aimed to determine whether nutritional risk is associated with worse HRQoL 
      after controlling for daily sodium intake. METHODS: A total of 134 consecutive 
      patients with HF [age 63 +/- 11 years, 35% female, 45% New York Heart Association 
      (NYHA) class III/IV, ejection fraction (EF) 33 +/- 13%] completed the Nutrition 
      Screening Initiative (NSI) to assess nutritional risk and a 24-h urine sodium 
      excretion assessment to estimate daily sodium intake at baseline. The Minnesota 
      Living with HF Questionnaire was used to evaluate HRQoL at baseline and 6 months 
      later. Hierarchical linear regressions were used to determine whether nutritional 
      risk predicted HRQoL at baseline and 6 months later. RESULTS: Seventy-eight 
      (58.2%) patients had high nutritional risk as indicated by a total NSI score >/= 6. 
      Increased nutritional risk was independently associated with worse HRQoL at 
      baseline and 6 months later (beta = 0.33, p < 0.001; beta = 0.35, p < 0.001, 
      respectively), after controlling for age, gender, aetiology, body mass index, 
      NYHA class, EF, total comorbidity score, prescribed medications, and daily sodium 
      intake. CONCLUSION: These findings show that higher nutritional risk beyond 
      sodium intake affects worse HRQoL in patients with HF. Further work is required 
      to provide specific dietary guidelines to improve health outcomes for patients 
      with HF.
FAU - Son, Youn-Jung
AU  - Son YJ
AD  - Department of Nursing, College of Medicine, Soonchunhyang University, Cheonan, 
      South Korea.
FAU - Song, Eun Kyeung
AU  - Song EK
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20120530
PL  - England
TA  - Eur J Cardiovasc Nurs
JT  - European journal of cardiovascular nursing
JID - 101128793
RN  - 0 (Sodium, Dietary)
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Comorbidity
MH  - Female
MH  - Heart Failure/*epidemiology/therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Nutrition Assessment
MH  - Nutritional Status
MH  - Prospective Studies
MH  - *Quality of Life
MH  - Risk Assessment
MH  - Sodium, Dietary/*administration & dosage
EDAT- 2012/06/02 06:00
MHDA- 2013/08/27 06:00
CRDT- 2012/06/02 06:00
PHST- 2012/06/02 06:00 [entrez]
PHST- 2012/06/02 06:00 [pubmed]
PHST- 2013/08/27 06:00 [medline]
AID - 1474515112443439 [pii]
AID - 10.1177/1474515112443439 [doi]
PST - ppublish
SO  - Eur J Cardiovasc Nurs. 2013 Apr;12(2):184-92. doi: 10.1177/1474515112443439. Epub 
      2012 May 30.