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在HFpEF患者的营养状况和住院死亡率之间的关系中,性别差异

Michał Czapla^1,2, Adrian Kwaśny³, Izabella Uchmanowicz^4,5

¹Division of Scientific Research and Innovation in Emergency Medical Service, Department of Emergency Medical Service, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, Poland.

ESC heart failure

|May 21, 2025

概括

营养风险评分 (NRS-2002) 显著增加了男性心力衰竭患者的住院死亡率,这些患者有保存的喷射分数 (HFpEF). 更高的身体质量指数 (BMI) 提供了对HFpEF死亡率的保护,无论营养风险如何.

科学领域:

心脏病学心脏病学
老年学是一门学科.
营养科学营养科学

背景情况:

保持喷射分数 (HFpEF) 的心力衰竭对健康构成重大负担.
营养状况越来越被认为是HFpEF结果的关键因素.
在HFpEF中,营养风险,体重指数 (BMI) 和死亡率之间的相互作用需要进一步阐明.

研究的目的:

为了研究营养风险评分 (NRS-2002) 和高高压风患者的住院死亡率之间的关联.
为了确定性别和BMI是否调节NRS-2002对HFpEF死亡率的影响.
探索营养状况对该人口死亡率的独立和互动影响.

主要方法:

对234名被诊断患有HFpEF的急性心力衰竭患者的回顾性分析.
使用BMI和NRS-2002评估营养状况.
经过对混因素进行调整的后勤回归模型被用于分析死亡率关联和相互作用.

主要成果:

较高的NRS-2002得分与男性HFpEF患者的更高的住院死亡率相关.
较高的BMI显示有保护作用,降低了HFpEF样本中的死亡率.
体重指数对死亡率的保护作用独立于NRS-2002得分,并未在女性患者中观察到.

结论:

正如NRS-2002所指出的,营养风险是男性HFpEF患者死亡率的重要预测因素.
在高FpEF患者中,更高的BMI赋予了生存优势,无论营养风险如何.
在HFpEF中,营养状况与死亡率之间的关系存在性别特异.

关键词:

这就是为什么BMI是BMI.HFpEF HFpEF 的意思是什么心脏衰竭是因为心脏衰竭.在NRS2002中使用NRS.营养状态营养状况肥胖问题肥胖问题

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