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Published on: June 10, 2025
Association Between Refrigerator Openings and Protein Intake After Hospitalization for Heart Failure Decompensation:
Karin Haas1, Franziska Scheidegger-Balmer1, André Meichtry2
1Department of Health Professions, Division of Nutrition and Dietetics, Bern University of Applied Sciences, Bern, Switzerland.
Monitoring refrigerator openings may indicate protein intake in older adults, potentially identifying risks for sarcopenia and frailty. This simple method could aid early nutritional assessment post-hospitalization for heart failure.
Area of Science:
- Gerontology
- Nutritional Science
- Biomedical Engineering
Background:
- Sarcopenia and frailty are common in older adults, often linked to heart failure (HF) and reduced protein intake.
- Older adults generally consume less protein, increasing risks associated with muscle mass loss.
- Early indicators of frailty and nutritional status are crucial for timely interventions.
Purpose of the Study:
- To determine if the timing of the first daily refrigerator opening correlates with protein intake in older patients (≥70 years) after HF decompensation.
- To explore the potential of refrigerator usage patterns as a digital biomarker for nutritional status.
Main Methods:
- A substudy of a prospective cohort investigating digital biomarkers for HF decompensation.
- Measurement of refrigerator door opening frequency and timing using ambient sensors.
- Assessment of protein intake via 24-hour dietary recalls at 1, 3, and 6 months post-discharge, conducted by dietitians.
Main Results:
- The study is in the data collection phase, with recruitment initiated in February 2024.
- 12 patients recruited as of manuscript submission; results are anticipated by late 2025.
- Data analysis will commence upon completion of data collection.
Conclusions:
- Refrigerator usage patterns, particularly the timing of the first opening, may reflect protein intake and nutritional status.
- Monitoring refrigerator use could offer a simple method for identifying individuals at increased risk of sarcopenia and frailty.
- Early detection via this method may facilitate interventions to mitigate risks associated with muscle mass decline.
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