PMID- 34016837
OWN - NLM
STAT- MEDLINE
DCOM- 20211221
LR  - 20211221
IS  - 1550-5049 (Electronic)
IS  - 0889-4655 (Print)
IS  - 0889-4655 (Linking)
VI  - 36
IP  - 6
DP  - 2021 Nov-Dec 01
TI  - Malnutrition, Family Support, and Possible Sarcopenia in Patients Undergoing 
      Transcatheter Aortic Valve Implantation.
PG  - 565-572
LID - 10.1097/JCN.0000000000000819 [doi]
AB  - BACKGROUND: Possible sarcopenia, aortic valve stenosis, and malnutrition are 
      important issues that afflict older adults. OBJECTIVE: The aims of this study 
      were to compare the differences in nutritional status and family support in older 
      adults with possible sarcopenia and those without sarcopenia after undergoing 
      transcatheter aortic valve implantation (TAVI) and to identify the predictors of 
      malnutrition and demonstrate changes in heart function over time after undergoing 
      TAVI. METHODS: A case-control design was conducted. Possible sarcopenia was 
      identified by measuring calf circumference, grip strength, and gait speed. The 
      Mini Nutritional Assessment-Short Form and numerical family support rating scale 
      were used to collect data. Left ventricular ejection fraction and New York Heart 
      Association (NYHA) functional class were assessed at 5 time points to evaluate 
      heart function. RESULTS: Eighty-one participants were categorized into those 
      without sarcopenia (34) and those with possible sarcopenia (47). Logistic linear 
      regression showed albumin and possible sarcopenia to be predictors of 
      malnutrition (odds ratio, 5.5; 95% confidence interval, 1.02-30.19). Family 
      support was associated with nutrition status (P = .019). For patient heart 
      function, the results of NYHA functional class and left ventricular ejection 
      fraction improved over time after TAVI. The improvement in NYHA functional class 
      at T2 was significantly different between the 2 groups compared with that at T0. 
      CONCLUSIONS: The nutrition level was higher among participants without sarcopenia 
      than those with possible sarcopenia. Approximately 90% of the participants 
      indicated that they had high family support. Demographic factors and albumin 
      levels could be used to evaluate risk of malnutrition. Patients without possible 
      sarcopenia showed greater improvement in NYHA class.
CI  - Copyright (c) 2021 The Authors. Published by Wolters Kluwer Health, Inc.
FAU - Hsu, Ching-I
AU  - Hsu CI
FAU - Wei, Jeng
AU  - Wei J
FAU - Tung, Heng-Hsin
AU  - Tung HH
FAU - Peng, Li-Ning
AU  - Peng LN
FAU - Chen, Liang-Kung
AU  - Chen LK
FAU - Liu, Chieh-Yu
AU  - Liu CY
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Cardiovasc Nurs
JT  - The Journal of cardiovascular nursing
JID - 8703516
SB  - IM
MH  - Aged
MH  - Humans
MH  - *Malnutrition/etiology
MH  - *Sarcopenia/etiology
MH  - Stroke Volume
MH  - *Transcatheter Aortic Valve Replacement/adverse effects
MH  - Ventricular Function, Left
PMC - PMC8542073
COIS- The authors have no funding or conflicts of interest to disclose.
EDAT- 2021/05/22 06:00
MHDA- 2021/12/22 06:00
PMCR- 2021/10/24
CRDT- 2021/05/21 06:03
PHST- 2021/05/22 06:00 [pubmed]
PHST- 2021/12/22 06:00 [medline]
PHST- 2021/05/21 06:03 [entrez]
PHST- 2021/10/24 00:00 [pmc-release]
AID - 00005082-900000000-99182 [pii]
AID - JCN_210036 [pii]
AID - 10.1097/JCN.0000000000000819 [doi]
PST - ppublish
SO  - J Cardiovasc Nurs. 2021 Nov-Dec 01;36(6):565-572. doi: 
      10.1097/JCN.0000000000000819.