Energy Metabolism and Nutritional Status in Hospitalized Patients with Chronic Heart Failure

2020 ◽  
Vol 76 (2) ◽  
pp. 129-139
Author(s):  
Shoko Yasuhara ◽  
Mika Maekawa ◽  
Shigeki Bamba ◽  
Mika Kurihara ◽  
Naoko Nakanishi ◽  
...  

Introduction: Malnutrition is a factor that defines vital prognosis in chronic heart failure. Objective: This study investigated nutritional and metabolic disorders in patients with heart failure by examining the association of severity of heart failure with inflammatory cytokines, appetite-regulating hormones, and energy metabolism. Methods: Subjects were 50 patients with heart failure. On admission, nutritional status was assessed, and biochemical blood tests were performed, including for serum tumor necrosis factor-α, interleukin-6, ghrelin, and leptin levels. Resting energy expenditure (REE) was also measured by indirect calorimetry to examine its association with severity of heart failure and levels of inflammatory cytokines and appetite-regulating hormones. Results: There were significant associations between serum brain natriuretic peptide (BNP) level and nutrition indices, indicating that nutritional status was worse when heart failure was more severe. Inflammatory cytokine levels showed significant positive correlations with BNP level. Measured REE/bodyweight was not associated with severity of heart failure, but was negatively correlated with body fat percentage and leptin levels. Conclusions: Energy metabolism was not associated with serum BNP level among patients with heart failure with New York Heart Association functional class up to III. Body fat percentage and leptin levels may be a good predictor of energy metabolism in patients with heart failure.

Author(s):  
Yiqin Gu ◽  
Chaofeng Li ◽  
Jing Yan ◽  
Guoping Yin ◽  
Guilan Lu ◽  
...  

Abstract Aims Frailty has a great impact on the quality of life of patients with chronic heart failure (CHF), which needs to be judged in time. To develop a diagnostic model based on nutritional indicators to judge the frailty status of patients with chronic heart failure (Frailty-CHF). Methods and results In the data collection part of this study, questionnaire method and biomedical measurement method were adopted. The trace elements in serum samples were detected by high performance liquid chromatography, chemiluminescence, and inductively coupled plasma mass spectrometry. We used Excel for data consolidation, and then imported the data into R software for modelling. Lasso method was used for variable screening, and Logistics regression fitting model was used after variables were determined. The internal validation of the model was completed by Bootstrap re-sampling. A total of 123 patients were included in this study. After variables’ screening, age, nutritional status-heart failure, New York Heart Association Functional Class (NYHA), micronutrients B12, Ca, folic acid, and Se were included in the model, the c statistic and Brier score of the original model were 0.9697 and 0.0685, respectively. After Bootstrap re-sampling adjustment, the c statistic and Brier score were 0.8503 and 0.1690. Conclusion In this study, a diagnostic model of age, nutritional status-heart failure, NYHA, the micronutrients B12, Ca, folic acid, and Se was established. It could help healthcare professionals better identify the frailty status in patients with CHF.


2021 ◽  
Vol 2 (1) ◽  
pp. 19
Author(s):  
Suci Eka Putri ◽  
Adelina Irmayani Lubis

Body mass index (BMI) is to monitor nutritional status adults, especially those related to deficiency and overweight. Body fat percentage can describe the risk of degenerative diseases.This study was conducted to measure the relationship between BMI and body fat percentage. Methods An analytical study was conducted to 41 male and 51 female participant from Universitas Teuku Umar. The body weight was measured using scales, whereas the body height was measured using microtoise. The body fat percentage was measured using Karada Scan. The BMI was calculated by dividing the body weight in kilogram divided by body height in meter square. Data was collected from 16-18th February 2021 and analyzed by Pearson’s correlation test. The results showed BMI underweight, normal, and overweight were 10,9, 57,6, and 31,5. High body fat percentage in men were 75,6% and in women were 35,5%. There is a relationship between the nutritional status of the women group and the body fat percentage with p-value is obtained = 0.021. Furthermore, for men, there is no relationship between nutritional status in the men group and the body fat percentage. There is a relationship between nutritional status and body fat percentage in women. Among this population, BMI can still be used to determine body fat percentage


2021 ◽  
Vol 10 (2) ◽  
pp. 162-168
Author(s):  
Diah Puspa ◽  
Dian Handayani ◽  
Inggita Kusumastuty

Obesity is excessive body fat condition due to differences in energy consumption and expenditure. In Indonesia, the prevalence of obese women >18 years old is 32.9%. Interventions are performed with control eating and increased physical activity through an educational approach. A Leaflet is a print media containing some information, while my weight loss diet application is used by people that want to lose weight. Therefore, this study aims to determine the effect of nutritional education with leaflet and my weight loss diet application on nutritional status changes in obesity. True experimental design was used with pre-post test on female students divided into two groups in Universitas Brawijaya (n= 44) and selected by purposive sampling. Also, Independent-Samples T-Test and Mann Whitney analysis were conducted. The results showed a body mass index decrease in both media and no significant change related to BMI (p = 0.733). However, the decrease was more shown on the leaflet, where the body fat percentage had a significant change (p = 0.000). Hence, intervention using the leaflet is more effective on nutritional status changes related with BMI and body fat percentage in obese students.


2019 ◽  
Vol 14 (1) ◽  
pp. 14
Author(s):  
Ayu Alfitasari ◽  
Fillah Fithra Dieny ◽  
Martha Ardiaria ◽  
A. Fahmi Arif Tsani

Football athletes require high-quality physical fitness that affects achievement. Nutritional status was the outcome of dietary intake and can influence physical fitness. Athletes who boarded have an organized eating arrangement, so the dietary intake is more assured. The objective of this study was to analyze the differences of energy, macronutrients intake, nutritional status, and V2 max between boarding and nonboarding football athletes aged 13 - 18 years. A cross-sectional study was done in 32 people who divided into two groups (boarding and non-boarding football athletes).The collected datas included food intake using 6x24 hoursfood recalls, height using microtoise, weight using digital scales, BMI for Age using WHO Anthro Plus, body fat percentage using Bioelectrical Impedance Analysis, VO2 max using Cooper Test 2.4 km. Nutrient values were analyzed using NutriSurvey. Statistical analysis using Independent TTest. There were significant differences between energy and macronutrient intake (p=0.001), body fat percentage (p=0.004), and VO2 max score (p=0.001) of boarding and non-boarding athletes. Energy and macronutrient intake of boarding and non-boarding athletes were still in the deficient category; however, the average nutritional intake of boarding athletes were still higher than non-boarding athletes. Most nutritional status of athletes based on BMI/Age were in normal category (87.5% in boarding athletes and 62.5% in non-boarding athletes). There was no over in non-boarding athlete. However, there were 12.5% of boarding athletes in the over fat category. 25% of non-boarding athletes were in the under fat category, while in boarding athletes, none of athlete in under fat category. 62.5% boarding athletes had VO2 max score at a very good level, while 87.5% of non boarding athletes were in enough category. There were significant differences between energy and macronutrient intake, body fat percentage, and VO2 max score between boarding and non-boarding football athletes.


2006 ◽  
Vol 134 (1-2) ◽  
pp. 54-59
Author(s):  
Ljiljana Sevic ◽  
Milos Maksimovic ◽  
Nebojsa Djurisic ◽  
Milan Gajic ◽  
Jagoda Jorga

Introduction. Obesity is well known risk factor of metabolic complications and CVD. On the other hand, CRP as a marker of inflammation has lately aroused huge interest as predictor of cardiovascular risk. Objective. The objective of the study was to determine whether the nutritional status parameters were related to some inflammatory markers and what was the extent of such relation. Method. The study involved 220 patients, 40.5 ? 14.5 years old, who referred to Nutrition Clinic of the Institute of Hygiene in order to get a dietetic advice or nutritional medical therapy. Nutritional status was assessed by BMI (kg/m?), calculated from measured values of body weight and height, the waist measurement and body fat percentage according to WHO recommendations. Biochemical parameters and inflammatory markers were measured from blood samples collected after a twelve-hour fast. Results. The subjects were categorized into quartiles of BMI (kg/m?) and % body fat. The inflammatory markers followed the increase of BMI and % body fat, as odds ratio (95% CI) of elevated level of CRP was observed to be highest in the fourth quartiles of BMI [1.55 [(OR = 0.731 - 3.296] as well as in the fourth quartile of % body fat - 1.34 [(OR = 0.598 - 3.009)]. This was confirmed by analysis of linear correlation which resulted in r = 0.148 for BMI (p < 0.05) and r = 0.164 (p < 0.05) for fat percentage. In addition, there was highly significant positive correlation between fibrinogen level, C3 and BMI (p < 0.01), and body fat (p < 0.01). Conclusion. The results showed that determination of inflammatory markers should become a routine screening procedure in all patients with elevated anthropometric parameters in order to prevent the consequences of atherosclerosis as quickly as possible.


2012 ◽  
Vol 7 (3) ◽  
pp. 157
Author(s):  
Zaenudin Zaenudin ◽  
Mira Dewi ◽  
Yekti Hartati Effendi

<p>The objective of this study was to determine relationship between trans fatty acid intake with percentage of body fat and nutritional status among adults in Bogor rural and urban area. The research was conducted using a cross sectional study. The number of subjects for each region was 48 adults aged 20—65 years which selected purposively. The results showed that most of subjects in urban and rural areas were in categorized as high deficient of energy (&lt;70% RDA), i.e. 29.17% and 33.33%, respectively. The percentage of fat adequacy was 43.75% in rural area, which was categorized as sufficient, and 45.83% in urban area, which was categorized as high. Meanwhile, most of the subjects (97.92%) in both areas had adequacy level of trans fatty acid intake as recommended. Body fat percentage in subjects was 24.81±8.44 in rural area and 27.62±801 in urban area. In the meanwhile, 58.30% of subjects in rural and 64.4% of subjects in urban areas had normal nutritional status. There was no significant difference (p&gt;0.05) between trans fatty acid intake, adequacy level intakes of energy, total fat, trans fatty acid, and body fat percentage. However there was a significant difference between nutritional status of subjects in rural and urban areas (p&lt;0.05). There was no relationship between adequacy level intakes of energy, total fat, and trans fatty acid, with body fat percentage and nutritional status (p&gt;0.05), but there was significant correlation between body fat percentages and nutritional status of subjects (p&lt;0.05).</p><p> </p>


2020 ◽  
Vol 3 (1) ◽  
pp. 80-88
Author(s):  
Rahel Lumban Toruan ◽  
Erwin Christianto ◽  
Huriatul Masdar

Background Obesity can occur due to the accumulation of excess fat in the body.Obesity has been declared as a global epidemic by the World Health Organization (WHO). In 2016, more than 1,9 billions adults were overweight. In 2018, it was found that 24,1% of adults in Riau Province were obese with an incidence higher in women than men. Research Objectives This research is an analytical study to determine the comparison of nutritional status based on the data that has been collected from body mass index (BMI) measurement and body fat percentage measurement by DXA Scan, which was carried out on 364 adults aged 19-65 years. Metodology The data that has been obtained from BMI measurement will be grouped to four categories and the data that has been obtained from body fat percentage will be grouped to five categories based on their gender. The bivariate analysis using paired T Test will be done to see the p value. Conclusion From this study, it was found that most of the  subjects were obese. According to the BMI examination, about 50,27% of the subjects were  categorized as obese. Meanwhile, according to the body fat percentage measurement using DXA Scan, about 89,56% of subjects were included in the obese category. Based on the p value of 0,001 that obtained from the paired t test, it can be concluded that there are significant differences between these two methods.   Keywords : BMI, DXA Scan, nutritional status, obese


2021 ◽  
Vol 5 (3) ◽  
pp. 242
Author(s):  
Nurul Hikma ◽  
Zakiyatul Faizah ◽  
Rize Budi Amalia

AbstractBackground: The menstrual cycle can be said to be normal if the interval is between 21-35 days. The prevalence rates associated with menstrual cycle disorders were found in the range of 15.8-89.5. Nutritional status is one of the factors that cause menstrual cycle disorders, where nutritional status can be determined using body mass index and measuring the percentage of fat in the body. The purpose of this study was to determine the relationship between nutritional status and the menstrual cycle using the literature review method. The formulation of the problem in this research is determined by PICO, namely: "is there a relationship between nutritional status and menstrual cycle disorders?". A total of 749 literary works obtained from the Google Scholar, Science Direct, PubMed and ProQuest databases were used as a literature review source, where in screening the literature the inclusion and exclusion criteria were seen, which had previously been determined so that finally six literatures were reviewed. Results: The cause of menstrual cycle disorders has been found in adolescents with an average value of 18.4-37.8 and the percentage of body fat between 12.80-34.80. Conclusion: Based on all literature that has been reviewed, it can be concluded that menstrual cycle disorders have a significant relationship with body mass index and body fat percentage.


Author(s):  
Mariane Borges ◽  
Anselmo Athayde Costa e Silva ◽  
Fernando Rosch de Faria ◽  
Priscila Samora Godoy ◽  
Ellen Rodrigues Barbosa Melo ◽  
...  

DOI: http://dx.doi.org/10.5007/1980-0037.2017v19n2p204 The aim of this study was to verify the relationship between body composition and motor performance in Wheelchair Handball players (WH). Overall, 21 athletes composed the sample (13 males and 8 females). To analyze motor performance, the following tests were used: ball driving, block performance, 20 m velocity and zigzag agility for individuals on wheelchair. Body mass, height, body perimeter and skinfold thickness (tricipital, subescapular, bicipital and supra-iliac) were used to establish body composition profile. Data was presented through descriptive statistics and inference was performed by Spearmans’ and Kruskal-Wallis correlation coefficient (non-parametric). Therefore, strong and significant correlations between body composition and motor performance were detected within different functional class and also according to sex, whereas male athletes showed significant correlation between body fat percentage and agility (r=0.70, p≤0.01) and, in the case of female athletes, body fat percentage is strongly related with speed (r=0.81, p≤0.01) and agility (r=0.74, p≤0.05). As conclusion, it was verified that apparently, increased body fat in body composition profile negatively influences motor performance in wheelchair handball players.


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