Nutrition in chronic heart failure with coexisting chronic kidney disease

Susan Pressler, Janet Welch, George J. Eckert, Neil B. Oldridge, Michael Murray

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

BACKGROUND AND RESEARCH OBJECTIVES: Patients with heart failure (HF) may be predisposed to malnutrition. Little is known about the nutritional status of patients with HF, particularly patients who have coexisting major medical conditions such as chronic kidney disease. The purposes of this study were to (1) describe the nutritional status of 211 patients with chronic HF, (2) examine relationships between nutrition variables and health-related quality of life, and (3) evaluate the nutritional status of the subset of HF patients with coexisting chronic kidney disease. SUBJECTS AND METHODS: The sample included 211 patients with chronic HF recruited for a larger study about health-related quality of life. Clinical data were retrieved retrospectively from the computerized medical records system at the study site. RESULTS AND CONCLUSIONS: Mean body mass index of the 122 patients for which height was available was 31.4, and no differences in body mass index were noted among patients with varying New York Heart Association class functional status. Evaluation of the mean laboratory values indicated that patients had abnormal elevations of serum glucose, hemoglobin A1C, creatinine, and low-density lipoprotein cholesterol. Higher hemoglobin A1C levels were significantly correlated with poorer health-related quality-of-life scores, although the magnitude of the correlations was modest. Estimated glomerular filtration rate indicated that 54 (27%) of the HF patients likely had coexisting chronic kidney disease, and these patients had significantly lower serum albumin and worsening anemia. The results indicate the need for future prospective studies that incorporate evaluation of nutritional status and the ways in which coexisting chronic kidney disease influences outcomes.

Original languageEnglish (US)
Pages (from-to)56-62
Number of pages7
JournalJournal of Cardiovascular Nursing
Volume21
Issue number1
StatePublished - Jan 2006

Fingerprint

Chronic Renal Insufficiency
Heart Failure
Nutritional Status
Quality of Life
Hemoglobins
Body Mass Index
Computerized Medical Records Systems
Glomerular Filtration Rate
Serum Albumin
Malnutrition
LDL Cholesterol
Anemia
Creatinine
Prospective Studies
Glucose

Keywords

  • Chronic kidney disease
  • Health-related quality of life
  • Heart failure
  • Nutrition
  • Obesity

ASJC Scopus subject areas

  • Advanced and Specialized Nursing
  • Cardiology and Cardiovascular Medicine

Cite this

Nutrition in chronic heart failure with coexisting chronic kidney disease. / Pressler, Susan; Welch, Janet; Eckert, George J.; Oldridge, Neil B.; Murray, Michael.

In: Journal of Cardiovascular Nursing, Vol. 21, No. 1, 01.2006, p. 56-62.

Research output: Contribution to journalArticle

Pressler, Susan ; Welch, Janet ; Eckert, George J. ; Oldridge, Neil B. ; Murray, Michael. / Nutrition in chronic heart failure with coexisting chronic kidney disease. In: Journal of Cardiovascular Nursing. 2006 ; Vol. 21, No. 1. pp. 56-62.
@article{d99f920fc3e74d6eba9f816a55f88f0c,
title = "Nutrition in chronic heart failure with coexisting chronic kidney disease",
abstract = "BACKGROUND AND RESEARCH OBJECTIVES: Patients with heart failure (HF) may be predisposed to malnutrition. Little is known about the nutritional status of patients with HF, particularly patients who have coexisting major medical conditions such as chronic kidney disease. The purposes of this study were to (1) describe the nutritional status of 211 patients with chronic HF, (2) examine relationships between nutrition variables and health-related quality of life, and (3) evaluate the nutritional status of the subset of HF patients with coexisting chronic kidney disease. SUBJECTS AND METHODS: The sample included 211 patients with chronic HF recruited for a larger study about health-related quality of life. Clinical data were retrieved retrospectively from the computerized medical records system at the study site. RESULTS AND CONCLUSIONS: Mean body mass index of the 122 patients for which height was available was 31.4, and no differences in body mass index were noted among patients with varying New York Heart Association class functional status. Evaluation of the mean laboratory values indicated that patients had abnormal elevations of serum glucose, hemoglobin A1C, creatinine, and low-density lipoprotein cholesterol. Higher hemoglobin A1C levels were significantly correlated with poorer health-related quality-of-life scores, although the magnitude of the correlations was modest. Estimated glomerular filtration rate indicated that 54 (27{\%}) of the HF patients likely had coexisting chronic kidney disease, and these patients had significantly lower serum albumin and worsening anemia. The results indicate the need for future prospective studies that incorporate evaluation of nutritional status and the ways in which coexisting chronic kidney disease influences outcomes.",
keywords = "Chronic kidney disease, Health-related quality of life, Heart failure, Nutrition, Obesity",
author = "Susan Pressler and Janet Welch and Eckert, {George J.} and Oldridge, {Neil B.} and Michael Murray",
year = "2006",
month = "1",
language = "English (US)",
volume = "21",
pages = "56--62",
journal = "Journal of Cardiovascular Nursing",
issn = "0889-4655",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Nutrition in chronic heart failure with coexisting chronic kidney disease

AU - Pressler, Susan

AU - Welch, Janet

AU - Eckert, George J.

AU - Oldridge, Neil B.

AU - Murray, Michael

PY - 2006/1

Y1 - 2006/1

N2 - BACKGROUND AND RESEARCH OBJECTIVES: Patients with heart failure (HF) may be predisposed to malnutrition. Little is known about the nutritional status of patients with HF, particularly patients who have coexisting major medical conditions such as chronic kidney disease. The purposes of this study were to (1) describe the nutritional status of 211 patients with chronic HF, (2) examine relationships between nutrition variables and health-related quality of life, and (3) evaluate the nutritional status of the subset of HF patients with coexisting chronic kidney disease. SUBJECTS AND METHODS: The sample included 211 patients with chronic HF recruited for a larger study about health-related quality of life. Clinical data were retrieved retrospectively from the computerized medical records system at the study site. RESULTS AND CONCLUSIONS: Mean body mass index of the 122 patients for which height was available was 31.4, and no differences in body mass index were noted among patients with varying New York Heart Association class functional status. Evaluation of the mean laboratory values indicated that patients had abnormal elevations of serum glucose, hemoglobin A1C, creatinine, and low-density lipoprotein cholesterol. Higher hemoglobin A1C levels were significantly correlated with poorer health-related quality-of-life scores, although the magnitude of the correlations was modest. Estimated glomerular filtration rate indicated that 54 (27%) of the HF patients likely had coexisting chronic kidney disease, and these patients had significantly lower serum albumin and worsening anemia. The results indicate the need for future prospective studies that incorporate evaluation of nutritional status and the ways in which coexisting chronic kidney disease influences outcomes.

AB - BACKGROUND AND RESEARCH OBJECTIVES: Patients with heart failure (HF) may be predisposed to malnutrition. Little is known about the nutritional status of patients with HF, particularly patients who have coexisting major medical conditions such as chronic kidney disease. The purposes of this study were to (1) describe the nutritional status of 211 patients with chronic HF, (2) examine relationships between nutrition variables and health-related quality of life, and (3) evaluate the nutritional status of the subset of HF patients with coexisting chronic kidney disease. SUBJECTS AND METHODS: The sample included 211 patients with chronic HF recruited for a larger study about health-related quality of life. Clinical data were retrieved retrospectively from the computerized medical records system at the study site. RESULTS AND CONCLUSIONS: Mean body mass index of the 122 patients for which height was available was 31.4, and no differences in body mass index were noted among patients with varying New York Heart Association class functional status. Evaluation of the mean laboratory values indicated that patients had abnormal elevations of serum glucose, hemoglobin A1C, creatinine, and low-density lipoprotein cholesterol. Higher hemoglobin A1C levels were significantly correlated with poorer health-related quality-of-life scores, although the magnitude of the correlations was modest. Estimated glomerular filtration rate indicated that 54 (27%) of the HF patients likely had coexisting chronic kidney disease, and these patients had significantly lower serum albumin and worsening anemia. The results indicate the need for future prospective studies that incorporate evaluation of nutritional status and the ways in which coexisting chronic kidney disease influences outcomes.

KW - Chronic kidney disease

KW - Health-related quality of life

KW - Heart failure

KW - Nutrition

KW - Obesity

UR - http://www.scopus.com/inward/record.url?scp=33645301902&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33645301902&partnerID=8YFLogxK

M3 - Article

VL - 21

SP - 56

EP - 62

JO - Journal of Cardiovascular Nursing

JF - Journal of Cardiovascular Nursing

SN - 0889-4655

IS - 1

ER -