PMID- 32863823 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220416 IS - 1671-5411 (Print) IS - 1671-5411 (Linking) VI - 17 IP - 7 DP - 2020 Jul 28 TI - Quality of life, physical performance and nutritional status in older patients hospitalized in a cardiology department. PG - 410-416 LID - 10.11909/j.issn.1671-5411.2020.07.004 [doi] AB - OBJECTIVES: Quality of life (QoL) is a priority outcome in older adults suffering from cardiovascular diseases. Frailty and poor nutritional status may affect the QoL through mobility disorders and exhaustion. The objective of this study was to determine if physical frailty and nutritional status were associated with QoL, in older cardiology patients. METHODS: Cross sectional, observational study conducted in a cardiology department from a university hospital. Participants (n = 100) were aged 70 and older. Collected data included age, sex, cardiac diseases, New York Heart Association (NYHA) classification, comorbidities (Charlson Index) and disability. A Short Physical Performance Battery (SPPB), including walking speed assessment was performed; handgrip strength were measured as well as Fried's frailty phenotype. Nutritional status was assessed using the Mini Nutritional Assessment (MNA) and Body Mass Index (BMI), inflammation by C-reactive protein (CRP). QoL was assessed using the EORTC-QLQ questionnaire. Univariate and multivariate analyses were performed to study the associations between all recorded parameters and QoL. RESULTS: In participants (mean age: 79.3 +/- 6.7 years; male: 59%), Charlson index, arrhythmia, heart failure, NYHA classⅢ-Ⅳ, MNA, disability, walking speed, SPPB score, frailty and CRP were significantly associated with QoL in univariate analysis. Multivariate analysis showed that NYHA classⅢ-Ⅳ (P < 0.001), lower MNA score (P = 0.03), frailty (P < 0.0001), and higher CRP (P < 0.001) were independently associated with decreased QoL. CONCLUSIONS: Frailty, nutritional status and inflammation were independently associated with poor QoL. Further studies are needed to assess the efficacy of nutritional and physical interventions on QoL in this population. CI - Copyright and License information: Journal of Geriatric Cardiology 2020. FAU - Lilamand, Matthieu AU - Lilamand M AD - Assistance Publique Hopitaux de Paris Nord, Department of Geriatrics, Bichat University Hospital, France. AD - University of Paris, France. FAU - Saintout, Mariannick AU - Saintout M AD - Assistance Publique Hopitaux de Paris Nord, Department of Geriatrics, Bichat University Hospital, France. FAU - Vigan, Marie AU - Vigan M AD - Assistance Publique Hopitaux de Paris Nord, Department of Epidemiology, Biostatistics and Clinical Research, Bichat University Hospital, France. FAU - Bichon, Astrid AU - Bichon A AD - Assistance Publique Hopitaux de Paris Nord, Department of Geriatrics, Bichat University Hospital, France. FAU - Tourame, Laure AU - Tourame L AD - Assistance Publique Hopitaux de Paris Nord, Department of Geriatrics, Bichat University Hospital, France. FAU - Diet, Aurelie Brembilla AU - Diet AB AD - Assistance Publique Hopitaux de Paris Nord, Department of Geriatrics, Bichat University Hospital, France. FAU - Iung, Bernard AU - Iung B AD - University of Paris, France. AD - Assistance Publique Hopitaux de Paris Nord, Department of Cardiology, Bichat University Hospital, France. FAU - Himbert, Dominique AU - Himbert D AD - University of Paris, France. AD - Assistance Publique Hopitaux de Paris Nord, Department of Cardiology, Bichat University Hospital, France. FAU - Laouenan, Cedric AU - Laouenan C AD - University of Paris, France. AD - Assistance Publique Hopitaux de Paris Nord, Department of Epidemiology, Biostatistics and Clinical Research, Bichat University Hospital, France. FAU - Raynaud-Simon, Agathe AU - Raynaud-Simon A AD - Assistance Publique Hopitaux de Paris Nord, Department of Geriatrics, Bichat University Hospital, France. AD - University of Paris, France. LA - eng PT - Journal Article PL - China TA - J Geriatr Cardiol JT - Journal of geriatric cardiology : JGC JID - 101237881 PMC - PMC7416066 OTO - NOTNLM OT - Cardiovascular diseases OT - Frailty OT - Muscle strength OT - Nutrition OT - Older adults OT - Quality of life EDAT- 2020/08/31 06:00 MHDA- 2020/08/31 06:01 PMCR- 2020/07/28 CRDT- 2020/09/01 06:00 PHST- 2020/09/01 06:00 [entrez] PHST- 2020/08/31 06:00 [pubmed] PHST- 2020/08/31 06:01 [medline] PHST- 2020/07/28 00:00 [pmc-release] AID - jgc-17-7-410 [pii] AID - 10.11909/j.issn.1671-5411.2020.07.004 [doi] PST - ppublish SO - J Geriatr Cardiol. 2020 Jul 28;17(7):410-416. doi: 10.11909/j.issn.1671-5411.2020.07.004.