PMID- 32759722 OWN - NLM STAT- MEDLINE DCOM- 20210318 LR - 20210318 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 12 IP - 8 DP - 2020 Aug 4 TI - Relationship between Nutritional Status and Clinical and Biochemical Parameters in Hospitalized Patients with Heart Failure with Reduced Ejection Fraction, with 1-year Follow-Up. LID - 10.3390/nu12082330 [doi] LID - 2330 AB - Heart Failure (HF) is a cardiovascular disease with continually increasing morbidity and high mortality. The purpose of this study was to analyze nutritional status in patients diagnosed with HF with reduced ejection fraction (HFrEF) and evaluate the impact of malnutrition on their prognosis. The Polish version of MNA form (Mini Nutritional Assessment) was used to assess the patients' nutritional status. The New York Heart Association (NYHA) class, exacerbation of HF, chosen echocardiographic and biochemical parameters, e.g., natriuretic peptides or serum albumin, were also analyzed. Among the 120 consecutive patients, 47 (39%) had a normal nutritional status, 62 (52%) were at risk of malnutrition and 11 (9%) were malnourished. The patients with malnutrition more frequently presented with HF exacerbation in comparison to those with normal nutritional status (82% vs. 30% respectively, p = 0.004). There were no significant differences between the investigated groups as to natriuretic peptides; however, both the malnourished patients and those at risk of malnutrition tend to show higher B-type natriuretic peptide (BNP) and NT-proBNP concentrations. During the average 344 days of follow-up 19 patients died and 25 were hospitalized due to decompensated HF. Malnutrition or being at risk of malnutrition seems to be associated with both worse outcomes and clinical status in HFrEF patients. FAU - Kaluzna-Oleksy, Marta AU - Kaluzna-Oleksy M AD - 1st Department of Cardiology, University of Medical Sciences in Poznan, 61-848 Poznan, Poland. AD - Poznan University of Medical Sciences Hospital of Lord's Transfiguration, 61-848 Poznan, Poland. FAU - Krysztofiak, Helena AU - Krysztofiak H AD - 1st Department of Cardiology, University of Medical Sciences in Poznan, 61-848 Poznan, Poland. FAU - Migaj, Jacek AU - Migaj J AD - 1st Department of Cardiology, University of Medical Sciences in Poznan, 61-848 Poznan, Poland. AD - Poznan University of Medical Sciences Hospital of Lord's Transfiguration, 61-848 Poznan, Poland. FAU - Wleklik, Marta AU - Wleklik M AUID- ORCID: 0000-0001-9574-4448 AD - Faculty of Health Sciences, Wroclaw Medical University, 50-367 Wroclaw, Poland. FAU - Dudek, Magdalena AU - Dudek M AD - 1st Department of Cardiology, University of Medical Sciences in Poznan, 61-848 Poznan, Poland. AD - Poznan University of Medical Sciences Hospital of Lord's Transfiguration, 61-848 Poznan, Poland. FAU - Uchmanowicz, Izabella AU - Uchmanowicz I AUID- ORCID: 0000-0001-5452-0210 AD - Faculty of Health Sciences, Wroclaw Medical University, 50-367 Wroclaw, Poland. FAU - Lesiak, Maciej AU - Lesiak M AUID- ORCID: 0000-0003-2630-5016 AD - 1st Department of Cardiology, University of Medical Sciences in Poznan, 61-848 Poznan, Poland. AD - Poznan University of Medical Sciences Hospital of Lord's Transfiguration, 61-848 Poznan, Poland. FAU - Straburzynska-Migaj, Ewa AU - Straburzynska-Migaj E AD - 1st Department of Cardiology, University of Medical Sciences in Poznan, 61-848 Poznan, Poland. AD - Poznan University of Medical Sciences Hospital of Lord's Transfiguration, 61-848 Poznan, Poland. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20200804 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Biomarkers) RN - 0 (Peptide Fragments) RN - 0 (Serum Albumin) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) SB - IM MH - Aged MH - Biomarkers/blood MH - Blood Pressure MH - Female MH - Follow-Up Studies MH - Heart Disease Risk Factors MH - Heart Failure/complications/*mortality/physiopathology MH - Hospitalization/statistics & numerical data MH - Humans MH - Male MH - Malnutrition/etiology/*mortality/physiopathology MH - Middle Aged MH - Natriuretic Peptide, Brain/blood MH - Nutrition Assessment MH - *Nutritional Status MH - Peptide Fragments/blood MH - Prognosis MH - Prospective Studies MH - Serum Albumin/analysis MH - *Stroke Volume PMC - PMC7468814 OTO - NOTNLM OT - heart failure OT - malnutrition OT - mortality OT - nutritional status OT - reduced ejection fraction COIS- The authors declare no conflict of interest. EDAT- 2020/08/08 06:00 MHDA- 2021/03/19 06:00 PMCR- 2020/08/01 CRDT- 2020/08/08 06:00 PHST- 2020/07/09 00:00 [received] PHST- 2020/07/31 00:00 [revised] PHST- 2020/08/02 00:00 [accepted] PHST- 2020/08/08 06:00 [entrez] PHST- 2020/08/08 06:00 [pubmed] PHST- 2021/03/19 06:00 [medline] PHST- 2020/08/01 00:00 [pmc-release] AID - nu12082330 [pii] AID - nutrients-12-02330 [pii] AID - 10.3390/nu12082330 [doi] PST - epublish SO - Nutrients. 2020 Aug 4;12(8):2330. doi: 10.3390/nu12082330.