患有心力衰竭的患者中营养不良,sarcopenia和sarcopenic肥胖的患病率
M Carmen Dameto Pons1, Elena González Arnáiz1, María Antequera González1
1Servicio de Endocrinología y Nutrición, Complejo Asistencial Universitario de León, Gerencia de Salud de Castilla y León (SACYL), León, Spain.
Endocrinologia, diabetes y nutricion
|March 9, 2026
概括
营养不良和肉类症显著影响心力衰竭患者,约有20%受影响. 早期营养评估和干预对于改善这些人的结果和生活质量至关重要.
科学领域:
- 心脏病学 心脏病学
- 营养科学 营养科学
- 老年病的医生 老年病的医生
背景情况:
- 营养不良,sarcopenia和sarcopenic肥胖症是心力衰竭患者中普遍存在且具有影响力的疾病.
- 营养评估对于有效管理心力衰竭患者至关重要.
- 这项研究解决了了解营养状况及其对这一群体的影响的需要.
研究的目的:
- 确定心力衰竭患者中营养不良,皮症和皮性肥胖的患病率.
- 评估这些患者的生活质量.
- 随着时间的推移,重新评估它们的营养状况和功能参数.
主要方法:
- 一项涉及心力衰竭患者的观察性研究,在2021-2022年间进行了检查,并在2024年重新评估.
- 营养不良,肉症和肉性肥胖症的诊断使用了既定的标准 (GLIM,EWGSOP2,ESPEN/EASO).
- 使用MLHFQ问卷评估的生活质量.
主要成果:
- 最初的患病率:营养不良 (21.7%),肉症 (8.7%),肉性肥胖 (4.3%).
- 显著的百分比没有满足最初的热量 (63.2%) 和蛋白质 (47.4%) 需求.
- 随访显示持续的营养不良患病率 (21.7%),增加的肉症 (17.4%) 和肉性肥胖 (8.7%),营养需求未得到满足和功能下降.
结论:
- 大约20%的心力衰竭患者在基线和随访时出现营养不良.
- 很大一部分患者无法满足营养需求,导致功能恶化和生活质量下降.
- 建议对心力衰竭患者进行早期和持续的营养查,评估和治疗.
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