Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages

López-Rodríguez Yadira; Orea-Tejeda Arturo; Castillo-Martínez Lilia; Delgado-Pérez David Alejandro; Keirns-Davis Candace; García-Castañeda Luis Roberto; Calvario-Monarca Elizabeth; Dávila-Radilla Fernando

doi:doi:10.11648/j.ajhr.20140204.25

Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages

López-Rodríguez Yadira, Orea-Tejeda Arturo, Castillo-Martínez Lilia, Delgado-Pérez David Alejandro, Keirns-Davis Candace, García-Castañeda Luis Roberto, Calvario-Monarca Elizabeth, Dávila-Radilla Fernando

Published in American Journal of Health Research (Volume 2, Issue 4)

Received: 14 July 2014 Accepted: 14 August 2014 Published: 30 August 2014

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Abstract

Background & aims: Heart failure (HF) is associated with significant morbidity and mortality, the prognosis of heart failure is poor, especially with coexisting chronic kidney disease (CKD). However little is known about how HF and CKD together influence the nutritional status, so the main objective of this study was to assess nutritional status in patients with heart failure coexisting with stage 1-5 renal disease. Methods: This retrospective study included a total of 113 patients with HF and CKD that were classified into stages 1-5 according to the Kidney Disease Outcome Quality Initiative (K/DOQI) guidelines. The following characteristics were recorded: co-morbidities, New York Heart Association (NYHA) functional class, echocardiographic data, medication, and biochemical parameters (albumin, hemoglobin and electrolytes). Nutritional status was evaluated by bioimpedance vector analysis (BIVA) and subjective global assessment (SGA). Results: In the nutritional status evaluation by BIVA, 53.1% were cachectic, 23.9% obese and 21.12% normal. The prevalence of cachexia is higher with advancing stages of CKD, while hand grip strength, arm and waist circumferences decreased. In SGA 79.8% had a normal nutritional status, 16.8% mild malnutrition and 2.7% moderate-severe malnutrition. Hypoalbuminemia was presented in 22.5% of subjects, most commonly found in stages 1, 4 and 5; the prevalence of anemia was 47.2% and also increased with advancing stages of CKD, showing a prevalence of 13.3% in stage 1 and 100% stage 5. Conclusions: The prevalence of cachexia was higher in stages 3-5 of CKD, mild to severe malnutrition in stages 4 and 5, and anemia in stage 5, so HF and advanced CKD are associated with deteriorating nutritional status.

Published in	American Journal of Health Research (Volume 2, Issue 4)
DOI	10.11648/j.ajhr.20140204.25
Page(s)	196-202
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Bioimpedance Vector Analysis, Nutritional Status, Heart Failure, Chronic Kidney Disease

References

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APA Style

López-Rodríguez Yadira, Orea-Tejeda Arturo, Castillo-Martínez Lilia, Delgado-Pérez David Alejandro, Keirns-Davis Candace, et al. (2014). Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages. American Journal of Health Research, 2(4), 196-202. https://doi.org/10.11648/j.ajhr.20140204.25

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ACS Style

López-Rodríguez Yadira; Orea-Tejeda Arturo; Castillo-Martínez Lilia; Delgado-Pérez David Alejandro; Keirns-Davis Candace, et al. Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages. Am. J. Health Res. 2014, 2(4), 196-202. doi: 10.11648/j.ajhr.20140204.25

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AMA Style

López-Rodríguez Yadira, Orea-Tejeda Arturo, Castillo-Martínez Lilia, Delgado-Pérez David Alejandro, Keirns-Davis Candace, et al. Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages. Am J Health Res. 2014;2(4):196-202. doi: 10.11648/j.ajhr.20140204.25

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@article{10.11648/j.ajhr.20140204.25,
  author = {López-Rodríguez Yadira and Orea-Tejeda Arturo and Castillo-Martínez Lilia and Delgado-Pérez David Alejandro and Keirns-Davis Candace and García-Castañeda Luis Roberto and Calvario-Monarca Elizabeth and Dávila-Radilla Fernando},
  title = {Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages},
  journal = {American Journal of Health Research},
  volume = {2},
  number = {4},
  pages = {196-202},
  doi = {10.11648/j.ajhr.20140204.25},
  url = {https://doi.org/10.11648/j.ajhr.20140204.25},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20140204.25},
  abstract = {Background & aims: Heart failure (HF) is associated with significant morbidity and mortality, the prognosis of heart failure is poor, especially with coexisting chronic kidney disease (CKD). However little is known about how HF and CKD together influence the nutritional status, so the main objective of this study was to assess nutritional status in patients with heart failure coexisting with stage 1-5 renal disease. Methods: This retrospective study included a total of 113 patients with HF and CKD that were classified into stages 1-5 according to the Kidney Disease Outcome Quality Initiative (K/DOQI) guidelines. The following characteristics were recorded: co-morbidities, New York Heart Association (NYHA) functional class, echocardiographic data, medication, and biochemical parameters (albumin, hemoglobin and electrolytes). Nutritional status was evaluated by bioimpedance vector analysis (BIVA) and subjective global assessment (SGA). Results: In the nutritional status evaluation by BIVA, 53.1% were cachectic, 23.9% obese and 21.12% normal. The prevalence of cachexia is higher with advancing stages of CKD, while hand grip strength, arm and waist circumferences decreased. In SGA 79.8% had a normal nutritional status, 16.8% mild malnutrition and 2.7% moderate-severe malnutrition. Hypoalbuminemia was presented in 22.5% of subjects, most commonly found in stages 1, 4 and 5; the prevalence of anemia was 47.2% and also increased with advancing stages of CKD, showing a prevalence of 13.3% in stage 1 and 100% stage 5. Conclusions: The prevalence of cachexia was higher in stages 3-5 of CKD, mild to severe malnutrition in stages 4 and 5, and anemia in stage 5, so HF and advanced CKD are associated with deteriorating nutritional status.},
 year = {2014}
}

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TY  - JOUR
T1  - Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages
AU  - López-Rodríguez Yadira
AU  - Orea-Tejeda Arturo
AU  - Castillo-Martínez Lilia
AU  - Delgado-Pérez David Alejandro
AU  - Keirns-Davis Candace
AU  - García-Castañeda Luis Roberto
AU  - Calvario-Monarca Elizabeth
AU  - Dávila-Radilla Fernando
Y1  - 2014/08/30
PY  - 2014
N1  - https://doi.org/10.11648/j.ajhr.20140204.25
DO  - 10.11648/j.ajhr.20140204.25
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 196
EP  - 202
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20140204.25
AB  - Background & aims: Heart failure (HF) is associated with significant morbidity and mortality, the prognosis of heart failure is poor, especially with coexisting chronic kidney disease (CKD). However little is known about how HF and CKD together influence the nutritional status, so the main objective of this study was to assess nutritional status in patients with heart failure coexisting with stage 1-5 renal disease. Methods: This retrospective study included a total of 113 patients with HF and CKD that were classified into stages 1-5 according to the Kidney Disease Outcome Quality Initiative (K/DOQI) guidelines. The following characteristics were recorded: co-morbidities, New York Heart Association (NYHA) functional class, echocardiographic data, medication, and biochemical parameters (albumin, hemoglobin and electrolytes). Nutritional status was evaluated by bioimpedance vector analysis (BIVA) and subjective global assessment (SGA). Results: In the nutritional status evaluation by BIVA, 53.1% were cachectic, 23.9% obese and 21.12% normal. The prevalence of cachexia is higher with advancing stages of CKD, while hand grip strength, arm and waist circumferences decreased. In SGA 79.8% had a normal nutritional status, 16.8% mild malnutrition and 2.7% moderate-severe malnutrition. Hypoalbuminemia was presented in 22.5% of subjects, most commonly found in stages 1, 4 and 5; the prevalence of anemia was 47.2% and also increased with advancing stages of CKD, showing a prevalence of 13.3% in stage 1 and 100% stage 5. Conclusions: The prevalence of cachexia was higher in stages 3-5 of CKD, mild to severe malnutrition in stages 4 and 5, and anemia in stage 5, so HF and advanced CKD are associated with deteriorating nutritional status.
VL  - 2
IS  - 4
ER  -

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Author Information

López-Rodríguez Yadira

Heart Failure Clinic at Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, México City, México
Orea-Tejeda Arturo

Heart Failure Clinic at Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, México City, México
Castillo-Martínez Lilia

Heart Failure Clinic at Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, México City, México
Delgado-Pérez David Alejandro

Heart Failure Clinic at Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, México City, México
Keirns-Davis Candace

Massachusetts General Hospital Interpreter Services, Boston, MA 02114, USA
García-Castañeda Luis Roberto
Calvario-Monarca Elizabeth

Heart Failure Clinic at Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, México City, México
Dávila-Radilla Fernando

Heart Failure Clinic at Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, México City, México

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APA Style

López-Rodríguez Yadira, Orea-Tejeda Arturo, Castillo-Martínez Lilia, Delgado-Pérez David Alejandro, Keirns-Davis Candace, et al. (2014). Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages. American Journal of Health Research, 2(4), 196-202. https://doi.org/10.11648/j.ajhr.20140204.25

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ACS Style

López-Rodríguez Yadira; Orea-Tejeda Arturo; Castillo-Martínez Lilia; Delgado-Pérez David Alejandro; Keirns-Davis Candace, et al. Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages. Am. J. Health Res. 2014, 2(4), 196-202. doi: 10.11648/j.ajhr.20140204.25

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AMA Style

López-Rodríguez Yadira, Orea-Tejeda Arturo, Castillo-Martínez Lilia, Delgado-Pérez David Alejandro, Keirns-Davis Candace, et al. Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages. Am J Health Res. 2014;2(4):196-202. doi: 10.11648/j.ajhr.20140204.25

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@article{10.11648/j.ajhr.20140204.25,
  author = {López-Rodríguez Yadira and Orea-Tejeda Arturo and Castillo-Martínez Lilia and Delgado-Pérez David Alejandro and Keirns-Davis Candace and García-Castañeda Luis Roberto and Calvario-Monarca Elizabeth and Dávila-Radilla Fernando},
  title = {Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages},
  journal = {American Journal of Health Research},
  volume = {2},
  number = {4},
  pages = {196-202},
  doi = {10.11648/j.ajhr.20140204.25},
  url = {https://doi.org/10.11648/j.ajhr.20140204.25},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20140204.25},
  abstract = {Background & aims: Heart failure (HF) is associated with significant morbidity and mortality, the prognosis of heart failure is poor, especially with coexisting chronic kidney disease (CKD). However little is known about how HF and CKD together influence the nutritional status, so the main objective of this study was to assess nutritional status in patients with heart failure coexisting with stage 1-5 renal disease. Methods: This retrospective study included a total of 113 patients with HF and CKD that were classified into stages 1-5 according to the Kidney Disease Outcome Quality Initiative (K/DOQI) guidelines. The following characteristics were recorded: co-morbidities, New York Heart Association (NYHA) functional class, echocardiographic data, medication, and biochemical parameters (albumin, hemoglobin and electrolytes). Nutritional status was evaluated by bioimpedance vector analysis (BIVA) and subjective global assessment (SGA). Results: In the nutritional status evaluation by BIVA, 53.1% were cachectic, 23.9% obese and 21.12% normal. The prevalence of cachexia is higher with advancing stages of CKD, while hand grip strength, arm and waist circumferences decreased. In SGA 79.8% had a normal nutritional status, 16.8% mild malnutrition and 2.7% moderate-severe malnutrition. Hypoalbuminemia was presented in 22.5% of subjects, most commonly found in stages 1, 4 and 5; the prevalence of anemia was 47.2% and also increased with advancing stages of CKD, showing a prevalence of 13.3% in stage 1 and 100% stage 5. Conclusions: The prevalence of cachexia was higher in stages 3-5 of CKD, mild to severe malnutrition in stages 4 and 5, and anemia in stage 5, so HF and advanced CKD are associated with deteriorating nutritional status.},
 year = {2014}
}

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TY  - JOUR
T1  - Nutritional Status in Heart Failure Patients throughout Chronic Kidney Disease Stages
AU  - López-Rodríguez Yadira
AU  - Orea-Tejeda Arturo
AU  - Castillo-Martínez Lilia
AU  - Delgado-Pérez David Alejandro
AU  - Keirns-Davis Candace
AU  - García-Castañeda Luis Roberto
AU  - Calvario-Monarca Elizabeth
AU  - Dávila-Radilla Fernando
Y1  - 2014/08/30
PY  - 2014
N1  - https://doi.org/10.11648/j.ajhr.20140204.25
DO  - 10.11648/j.ajhr.20140204.25
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 196
EP  - 202
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20140204.25
AB  - Background & aims: Heart failure (HF) is associated with significant morbidity and mortality, the prognosis of heart failure is poor, especially with coexisting chronic kidney disease (CKD). However little is known about how HF and CKD together influence the nutritional status, so the main objective of this study was to assess nutritional status in patients with heart failure coexisting with stage 1-5 renal disease. Methods: This retrospective study included a total of 113 patients with HF and CKD that were classified into stages 1-5 according to the Kidney Disease Outcome Quality Initiative (K/DOQI) guidelines. The following characteristics were recorded: co-morbidities, New York Heart Association (NYHA) functional class, echocardiographic data, medication, and biochemical parameters (albumin, hemoglobin and electrolytes). Nutritional status was evaluated by bioimpedance vector analysis (BIVA) and subjective global assessment (SGA). Results: In the nutritional status evaluation by BIVA, 53.1% were cachectic, 23.9% obese and 21.12% normal. The prevalence of cachexia is higher with advancing stages of CKD, while hand grip strength, arm and waist circumferences decreased. In SGA 79.8% had a normal nutritional status, 16.8% mild malnutrition and 2.7% moderate-severe malnutrition. Hypoalbuminemia was presented in 22.5% of subjects, most commonly found in stages 1, 4 and 5; the prevalence of anemia was 47.2% and also increased with advancing stages of CKD, showing a prevalence of 13.3% in stage 1 and 100% stage 5. Conclusions: The prevalence of cachexia was higher in stages 3-5 of CKD, mild to severe malnutrition in stages 4 and 5, and anemia in stage 5, so HF and advanced CKD are associated with deteriorating nutritional status.
VL  - 2
IS  - 4
ER  -

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