2.50
Hdl Handle:
http://hdl.handle.net/10755/159213
Type:
Presentation
Title:
Nutritional assessment of chronic heart failure patients
Abstract:
Nutritional assessment of chronic heart failure patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Fulton, Janet, PhD, RN
P.I. Institution Name:IUPUI
Title:Associate Professor;
Contact Address:1111 Middle Drive, Indianapolis, IN, 46202, USA
Co-Authors:Janet L. Welch, DNS, RN, Associate Professor; Susan J. Bennet, DNS, RN, Professor; Jinshil Kim, MSN, RN; Sara A. Blackburn, DSc, RD; Eileen K. Rossen, PhD, RN, Assistant Professor; George Eckert, MAS
Nutritional compromise is associated with heart failure (HF): little is known about nutritional status of HF patients with co-morbid renal disease. This secondary analysis characterized nutritional status of HF patients and examined a subgroup with renal insufficiency. Framework: Conceptual model of human response applied to individuals vulnerable to protein-calorie malnutrition (Bond and Heitkemper, 2003) guided the study. Sample: 211 patients with chronic HF: 49% women, 61% African Americans, mean age 57 years. Methods: Patients grouped by New York Heart Association classification: I, 14%; II, 39%; III, 39%, IV, 8%. Data obtained from medical record: height, weight, and laboratory values. Body mass index (BMI) calculated using Quetelet’s formula, glomerular filtration rate (GFR) according to National Kidney Foundation guidelines. Patients with chronic kidney disease divided on to 4 groups; GFR ³ 60 mL/min/1.73 m2, GFR 30-59, GFR 15-29, and GFR < 15. Results: Height, weight, and BMI indicated that patients were overweight to obese. Mean BMI was 31.39, range 18-59. Two patients had lower than normal BMI, 25 normal BMI, 85 higher than normal BMI (34 overweight, 51 obese). Mean BMI was not significantly different by NYHA class. Mean laboratory values for all HF patients were: cholesterol 184; LDL 104; HDL 44; triglycerides 167; albumin 3.75; total protein 7.4; RBC 4.28; hemoglobin 12.47; hematocrit 37.2. HDLs significantly lower in the NYHA class IV when compared to NYHA class I. Importantly, 27% of the sample had chronic kidney disease with GFR < 60. Patients with poorer GFR had lower albumin (p=.02), RBC (p=.0004), hemoglobin (p=.0001), and hematocrit (p=.001). Conclusions: The majority was overweight or obese; 27% had concomitant renal disease and this subgroup had poorer nutritional status. Patients with these multiple conditions may be more vulnerable and require intensive therapies, including education and counseling, to prevent further disease progression.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNutritional assessment of chronic heart failure patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159213-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nutritional assessment of chronic heart failure patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Fulton, Janet, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">IUPUI</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor;</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1111 Middle Drive, Indianapolis, IN, 46202, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Janet L. Welch, DNS, RN, Associate Professor; Susan J. Bennet, DNS, RN, Professor; Jinshil Kim, MSN, RN; Sara A. Blackburn, DSc, RD; Eileen K. Rossen, PhD, RN, Assistant Professor; George Eckert, MAS</td></tr><tr><td colspan="2" class="item-abstract">Nutritional compromise is associated with heart failure (HF): little is known about nutritional status of HF patients with co-morbid renal disease. This secondary analysis characterized nutritional status of HF patients and examined a subgroup with renal insufficiency. Framework: Conceptual model of human response applied to individuals vulnerable to protein-calorie malnutrition (Bond and Heitkemper, 2003) guided the study. Sample: 211 patients with chronic HF: 49% women, 61% African Americans, mean age 57 years. Methods: Patients grouped by New York Heart Association classification: I, 14%; II, 39%; III, 39%, IV, 8%. Data obtained from medical record: height, weight, and laboratory values. Body mass index (BMI) calculated using Quetelet&rsquo;s formula, glomerular filtration rate (GFR) according to National Kidney Foundation guidelines. Patients with chronic kidney disease divided on to 4 groups; GFR &sup3; 60 mL/min/1.73 m2, GFR 30-59, GFR 15-29, and GFR &lt; 15. Results: Height, weight, and BMI indicated that patients were overweight to obese. Mean BMI was 31.39, range 18-59. Two patients had lower than normal BMI, 25 normal BMI, 85 higher than normal BMI (34 overweight, 51 obese). Mean BMI was not significantly different by NYHA class. Mean laboratory values for all HF patients were: cholesterol 184; LDL 104; HDL 44; triglycerides 167; albumin 3.75; total protein 7.4; RBC 4.28; hemoglobin 12.47; hematocrit 37.2. HDLs significantly lower in the NYHA class IV when compared to NYHA class I. Importantly, 27% of the sample had chronic kidney disease with GFR &lt; 60. Patients with poorer GFR had lower albumin (p=.02), RBC (p=.0004), hemoglobin (p=.0001), and hematocrit (p=.001). Conclusions: The majority was overweight or obese; 27% had concomitant renal disease and this subgroup had poorer nutritional status. Patients with these multiple conditions may be more vulnerable and require intensive therapies, including education and counseling, to prevent further disease progression. </td></tr></table>en_GB
dc.date.available2011-10-26T21:48:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:48:39Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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