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Multivariate analysis of body mass index management capabilities in senior patients with chronic heart failure in
Ping Liao1, Siyuan Feng2, Wuzhi Li1
1Ma'anshan People's Hospital, Maanshan, Anhui, China.
Insights
Senior chronic heart failure patients have low body mass index (BMI) management skills. Family attention to health status significantly impacts BMI management, highlighting the need for targeted interventions.
Area of Science:
- Gerontology
- Cardiology
- Public Health
Background:
- Chronic heart failure (CHF) is a prevalent condition in aging populations.
- Effective body mass index (BMI) management is crucial for CHF patients' prognosis.
- Limited understanding exists regarding BMI management capabilities in Chinese senior CHF patients.
Purpose of the Study:
- To assess BMI management capabilities in senior CHF patients in China.
- To identify factors influencing these capabilities.
- To inform targeted intervention strategies for improved health outcomes.
Main Methods:
- A cross-sectional study involving 550 senior CHF patients in China.
- Utilized questionnaires for general information, CHF BMI management, and chronic disease self-efficacy.
- Employed descriptive statistics, correlation, and multiple linear regression analyses.
Main Results:
- Senior CHF patients exhibited low BMI management capabilities (mean score: 17.43 ± 9.21).
- Higher self-efficacy and greater family attention correlated positively with BMI management.
- Family attention, self-efficacy, CHF subtype, and disease duration were significant determinants.
Conclusions:
- Senior CHF patients in China possess limited BMI management capabilities.
- Family support is the most critical factor influencing BMI management.
- Interventions should focus on enhancing self-efficacy and leveraging family involvement.
Objective:
This study aims to examine the current status of body mass index (BMI) management capabilities among senior patients with chronic heart failure (CHF) in China, identify key influencing factors, and provide evidence-based recommendations for the development of targeted intervention strategies.
Methods:
The study enrolled 550 senior patients diagnosed with CHF. Participants were assessed using three instruments: a general information questionnaire, a CHF BMI management scale, and a chronic disease self-efficacy scale. Descriptive statistics, Pearson correlation analysis, univariate analysis, and multiple linear regression analysis were employed to evaluate the level of BMI management capabilities and to identify influencing factors.
Results:
The mean score on the CHF BMI management scale was 17.43 ± 9.21, indicating an overall low level of BMI management capability. The mean score on the chronic disease self-efficacy scale was 31.95 ± 8.97. A positive correlation was observed between the scores on the chronic disease self-efficacy scale and the CHF BMI management scale (r = 0.34, p < 0.01). Multiple linear regression analysis identified family attention to patients' health status, chronic disease self-efficacy, the subtype of chronic heart failure (CHF), and the duration of the disease as significant determinants of BMI management capabilities (p < 0.01). Collectively, these variables accounted for 17.9% of the variance observed in BMI management capabilities. Notably, family attention to the patients' health status was identified as the primary determinant of BMI management capabilities in this population.
Conclusion:
Senior patients with CHF demonstrate limited BMI management capabilities, influenced by multiple factors; with family attention to health status being the most critical influencing factor. Healthcare providers should develop and implement targeted interventions for BMI management informed by these key influencing factors to improve the clinical outcomes and the quality of life for senior CHF patients.
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