PMID- 30616882
OWN - NLM
STAT- MEDLINE
DCOM- 20201005
LR  - 20201005
IS  - 1532-1983 (Electronic)
IS  - 0261-5614 (Linking)
VI  - 38
IP  - 6
DP  - 2019 Dec
TI  - Mini nutritional assessment is a better predictor of mortality than subjective 
      global assessment in heart failure out-patients.
PG  - 2740-2746
LID - S0261-5614(18)32566-4 [pii]
LID - 10.1016/j.clnu.2018.12.001 [doi]
AB  - BACKGROUND & AIMS: There is no consensus on the best method for nutritional 
      screening and assessment in patients with heart failure (HF). This study aimed to 
      determine which nutritional assessment method had the highest prognostic 
      significance for patients with HF treated in outpatient clinics. We also aimed to 
      identify a fast, reliable screening method for detecting malnutrition in these 
      patients. METHODS: This prospective study included 151 subjects that attended an 
      outpatient HF clinic at a university hospital. All patients completed three 
      nutritional screening tools: the Malnutrition Universal Screening Tool (MUST), 
      the MNA-short form (MNA-SF), and the Malnutrition Screening Tool (MST), and then, 
      two nutritional assessment questionnaires: the Subjective Global Assessment (SGA) 
      and the Mini Nutritional Assessment(R)(MNA). Patients were followed-up for 2 years. 
      The primary endpoint was all-cause mortality. RESULTS: Malnutrition or 
      nutritional risk was identified in 15.9% of patients with the SGA and in 25.1% of 
      patients with the MNA. Age, New York Heart Association (NYHA) functional class, 
      and MNA were the only independent all-cause death predictors after adjusting for 
      age, gender, NYHA functional class, body mass index, Barthel index, 
      25-hydroxyvitamin D concentrations, treatment with angiotensin converting enzyme 
      inhibitors or angiotensin II receptor blockers, and treatment with beta-blockers. 
      The SGA could not independently predict all-cause mortality in a multivariate 
      analysis that included the same covariates. The MNA-SF had the best sensitivity, 
      specificity, and kappa coefficient for screening malnutrition, based on the MNA 
      and the SGA as references, compared to the other screening methods. CONCLUSIONS: 
      In our cohort, malnutrition assessed by MNA, but not by SGA, was an independent 
      predictor of mortality. MNA-SF showed remarkable sensitivity and specificity; 
      thus, it might be a valuable tool for rapidly identifying malnutrition risk in 
      outpatients with HF.
CI  - Copyright (c) 2018 Elsevier Ltd and European Society for Clinical Nutrition and 
      Metabolism. All rights reserved.
FAU - Joaquin, Clara
AU  - Joaquin C
AD  - Endocrinology and Nutrition Department, Hospital Universitari Germans Trias i 
      Pujol, Badalona, Spain; CIBERER, Instituto de Salud Carlos III, Madrid, Spain; 
      ICREC Research Program, Fundacio Institut d'Investigacio en Ciencies de la Salut 
      Germans Trias i Pujol (IGTP), Badalona, Spain. Electronic address: 
      clara.joaquim@gmail.com.
FAU - Puig, Rocio
AU  - Puig R
AD  - Endocrinology and Nutrition Department, Hospital Universitari Germans Trias i 
      Pujol, Badalona, Spain; CIBERER, Instituto de Salud Carlos III, Madrid, Spain; 
      ICREC Research Program, Fundacio Institut d'Investigacio en Ciencies de la Salut 
      Germans Trias i Pujol (IGTP), Badalona, Spain.
FAU - Gastelurrutia, Paloma
AU  - Gastelurrutia P
AD  - ICREC Research Program, Fundacio Institut d'Investigacio en Ciencies de la Salut 
      Germans Trias i Pujol (IGTP), Badalona, Spain; CIBERCV, Instituto de Salud Carlos 
      III, Madrid, Spain.
FAU - Lupon, Josep
AU  - Lupon J
AD  - CIBERCV, Instituto de Salud Carlos III, Madrid, Spain; Heart Failure Unit and 
      Cardiology Department, Hospital Universitari Germans Trias i Pujol, Badalona, 
      Spain; Department of Medicine, Universitat Autonoma de Barcelona, Barcelona, 
      Spain.
FAU - de Antonio, Marta
AU  - de Antonio M
AD  - CIBERCV, Instituto de Salud Carlos III, Madrid, Spain; Heart Failure Unit and 
      Cardiology Department, Hospital Universitari Germans Trias i Pujol, Badalona, 
      Spain; Department of Medicine, Universitat Autonoma de Barcelona, Barcelona, 
      Spain.
FAU - Domingo, Mar
AU  - Domingo M
AD  - Heart Failure Unit and Cardiology Department, Hospital Universitari Germans Trias 
      i Pujol, Badalona, Spain.
FAU - Moliner, Pedro
AU  - Moliner P
AD  - Heart Failure Unit and Cardiology Department, Hospital Universitari Germans Trias 
      i Pujol, Badalona, Spain.
FAU - Zamora, Elisabet
AU  - Zamora E
AD  - CIBERCV, Instituto de Salud Carlos III, Madrid, Spain; Heart Failure Unit and 
      Cardiology Department, Hospital Universitari Germans Trias i Pujol, Badalona, 
      Spain; Department of Medicine, Universitat Autonoma de Barcelona, Barcelona, 
      Spain.
FAU - Martin, Mariona
AU  - Martin M
AD  - Endocrinology and Nutrition Department, Hospital Universitari Germans Trias i 
      Pujol, Badalona, Spain; CIBERER, Instituto de Salud Carlos III, Madrid, Spain; 
      ICREC Research Program, Fundacio Institut d'Investigacio en Ciencies de la Salut 
      Germans Trias i Pujol (IGTP), Badalona, Spain.
FAU - Alonso, Nuria
AU  - Alonso N
AD  - Endocrinology and Nutrition Department, Hospital Universitari Germans Trias i 
      Pujol, Badalona, Spain; CIBERER, Instituto de Salud Carlos III, Madrid, Spain; 
      ICREC Research Program, Fundacio Institut d'Investigacio en Ciencies de la Salut 
      Germans Trias i Pujol (IGTP), Badalona, Spain.
FAU - Puig-Domingo, Manel
AU  - Puig-Domingo M
AD  - Endocrinology and Nutrition Department, Hospital Universitari Germans Trias i 
      Pujol, Badalona, Spain; CIBERER, Instituto de Salud Carlos III, Madrid, Spain; 
      ICREC Research Program, Fundacio Institut d'Investigacio en Ciencies de la Salut 
      Germans Trias i Pujol (IGTP), Badalona, Spain; Department of Medicine, 
      Universitat Autonoma de Barcelona, Barcelona, Spain.
FAU - Bayes-Genis, Antoni
AU  - Bayes-Genis A
AD  - ICREC Research Program, Fundacio Institut d'Investigacio en Ciencies de la Salut 
      Germans Trias i Pujol (IGTP), Badalona, Spain; CIBERCV, Instituto de Salud Carlos 
      III, Madrid, Spain; Heart Failure Unit and Cardiology Department, Hospital 
      Universitari Germans Trias i Pujol, Badalona, Spain; Department of Medicine, 
      Universitat Autonoma de Barcelona, Barcelona, Spain.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20181210
PL  - England
TA  - Clin Nutr
JT  - Clinical nutrition (Edinburgh, Scotland)
JID - 8309603
RN  - 1406-16-2 (Vitamin D)
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Ambulatory Care
MH  - Female
MH  - *Heart Failure/epidemiology/mortality/physiopathology
MH  - Humans
MH  - Male
MH  - Malnutrition/diagnosis/epidemiology
MH  - Middle Aged
MH  - *Nutrition Assessment
MH  - Nutritional Status/*physiology
MH  - Prospective Studies
MH  - Quality of Life
MH  - Sensitivity and Specificity
MH  - Surveys and Questionnaires
MH  - Vitamin D/blood
OTO - NOTNLM
OT  - Heart failure
OT  - MNA
OT  - Nutritional screening
OT  - Vitamin D
EDAT- 2019/01/09 06:00
MHDA- 2020/10/06 06:00
CRDT- 2019/01/09 06:00
PHST- 2018/06/06 00:00 [received]
PHST- 2018/11/02 00:00 [revised]
PHST- 2018/12/03 00:00 [accepted]
PHST- 2019/01/09 06:00 [pubmed]
PHST- 2020/10/06 06:00 [medline]
PHST- 2019/01/09 06:00 [entrez]
AID - S0261-5614(18)32566-4 [pii]
AID - 10.1016/j.clnu.2018.12.001 [doi]
PST - ppublish
SO  - Clin Nutr. 2019 Dec;38(6):2740-2746. doi: 10.1016/j.clnu.2018.12.001. Epub 2018 
      Dec 10.