Evaluation of the Relationship of Nutritional Status with Comorbidities in Individuals with Cardiovascular Disease / Evaluación de la Relación del Estado Nutricional con Comorbilidades en Individuos con Enfermedad Cardiovascular

Fundamentos: El objetivo del estudio fue evaluar la relación entre el estado nutricional, la calidad de vida ylas comorbilidades en individuos con enfermedad cardiovascular.Métodos: El estudio se realizó con 127 pacientes en la consulta de cardiología. Se registraron datosdemográficos, se realizaron mediciones antropométricas. Se utilizaron las puntuaciones NRS-2002 y CONUTpara determinar el riesgo de desnutrición, el índice de comorbilidad de Charlson (ICC) para evaluar el estadode comorbilidad, la escala de calidad de vida SF-12 para evaluar la calidad de vida.Resultados: El valor medio de CCI de los participantes fue 3,96 ± 1,81, la puntuación CONUT fue 2,31 ± 2,27,la puntuación del componente físico SF-12 fue 34,70 ± 8,97, la puntuación del componente mental fue 39,33± 9,56. La puntuación de NRS-2002 se correlacionó positivamente con CCI (r=0,400), la puntuación CONUT(r=0,561) y se correlacionó negativamente con las puntuaciones de los componentes físico (r= 0,502) y mental(r=-0,468) del SF-12. La puntuación del CCI se correlacionó negativamente con las puntuaciones de loscomponentes físico (r=-0,309) y mental (r=-0,296) del SF-12 (p<0,05). Además, se predijo que un aumento de1 DE en la puntuación de NRS reduciría las puntuaciones de los componentes físico y mental del SF-12 en0,185 y 0,215, respectivamente. También se encontró que la puntuación CONUT tenía un efecto negativosobre el componente físico del SF-12 (p<0,05).Conclusiones: Se concluyó que el riesgo de desnutrición es alto en individuos con enfermedadescardiovasculares. (AU)

Background: The aim of the study was to evaluate the relationship between nutritional status, quality of lifeand comorbidities in individuals with cardiovascular disease.Methods: he study was carried out with 127 patients in the cardiology clinic. Demographic data wererecorded, anthropometric measurements were performed. NRS-2002 and CONUT scores were used todetermine the risk of malnutrition, Charlson Comorbidity Index (CCI) was used to evaluate the comorbiditystatus, SF-12 quality of life scale was used to evaluate the quality of life.Results: The mean CCI value of the participants was 3.96±1.81, CONUT score was 2.31±2.27, SF-12 physicalcomponent score was 34.70±8.97, mental component score was 39.33±9.56. NRS-2002 score was positivelycorrelated with CCI (r=0.400), CONUT score (r=0.561) and negatively correlated with SF-12 physical (r=-0.502),mental (r=-0.468) component scores. CCI score was negatively correlated with both physical (r=-0.309),mental (r=-0.296) component scores of SF-12 (p<0.05). In addition, an increase of 1 SD in NRS score werepredicted to reduce the physical and mental component scores of SF-12 by 0.185 and 0.215, respectively.CONUT score were also found to have a negative effect on the physical component of SF-12 (p<0.05).Conclusions: It was concluded that the risk of malnutrition is high in individuals with cardiovascular diseases.(AU)

The effect of the nutritional status and dietary inflammatory index on frailty and activities of daily living in geriatric outpatients.

BACKGROUND: It has been reported that the inflammatory process plays a role in the pathophysiology of frailty in elderly individuals and that diet is effective in regulating chronic inflammation. OBJECTIVE: This study aims to evaluate the effects of nutritional status and dietary inflammatory index on frailty and activities of daily living in the elderly. METHOD: A cross-sectional study in a hospital in Turkey has been carried out with 187 over the age of 65 who presented to the geriatric outpatient clinic participants. Anthropometric measurements of the patients were recorded, and the dietary inflammatory index (DII) was calculated using the 24-h dietary recall method. Mini Nutritional Assessment (MNA) was used to determine the malnutrition risk, the FRAIL scale was used for frailty assessment, and Katz and Lawton & Brody scales were used for daily living activities. RESULTS: The mean age of the elderly is 70.83 ± 4.98 years. The frailty rate was determined to be 28.3%. The DII score was determined as 4.41 ± 5.16 in frail patients and 1.62 ± 4.39 in non-frail patients (p < 0.05). While DII showed a negative correlation with the Lawton & Brody scale score (r = - 0.353), MNA was positively correlated to the Katz score (r = 0.386, p = 0.000) and the Lawton & Brody score (r = 0.475). In addition, one-unit increase in the MNA score was associated with a 29% decrease in the risk of frailty. CONCLUSIONS: The dietary inflammatory index was found to be high in frail and malnourished individuals. It was determined that the quality of life of individuals with malnutrition decreased.

Relationship between nutritional status, anxiety, and depression in hospitalized diabetic patients in Turkey.

OBJECTIVE: Anxiety and depression often coexist in patients with chronic diseases. We evaluated the nutritional status of diabetic patients and its relationship to anxiety and depression. METHODS: Demographic, clinical information (disease duration, treatment, hospitalization), and anthropometric measurements (weight, height, waist, and hip circumference) were recorded. The Hospital Anxiety and Depression Scale (HADS) was used to assess anxiety and depression.Twenty-four hour food diaries were obtained to determine daily energy and nutrient intake. RESULTS: Among the 222 patients in this study, rates of anxiety, depression, and anxious depression were 23.8%, 21.6%, and 12.2%, respectively. Those who skipped medication/insulin doses and did not exercise regularly had significantly higher anxiety and depression scores. Anxiety and depression scores were positively correlated with disease duration, waist circumference, waist/hip ratio, and waist/height ratio. Being married, engaging in regular exercise, and increased vitamin B6 were inversely related to anxiety and depression. According to food records, patients with anxiety and depression consumed a higher proportion of energy from dietary carbohydrates. Anxiety and depression scores were negatively related to dietary energy, protein, fat, vitamins (retinol, group B, C, and D), and mineral (K, Mg, P, Fe, Zn, Cu) intake. CONCLUSIONS: Maintaining healthy body weight, complying with medication/insulin treatment, and engaging in regular exercise may help in the prevention of anxiety and depression in hospitalized diabetic patients in Turkey. Alternatively, anxiety and depression may adversely affect body weight, compliance with treatment, and regular exercise. Prospective studies are needed to determine the direction of causation.