IMR Press / RCM / Volume 17 / Issue S1 / DOI: 10.3909/ricm17S1S004
Open Access Heat Failure University
Nutritional Deficiencies and Sarcopenia in Heart Failure: A Therapeutic Opportunity to Reduce Hospitalization and Death
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1 Baylor University Medical Center, Dallas, TX
2 Baylor Heart and Vascular Institute, Dallas, TX
3 Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, TX
4 The Heart Hospital Baylor Plano, Plano, TX
5 Abbott Nutrition, Inc, Columbus, OH
Rev. Cardiovasc. Med. 2016 , 17(S1), 30–39; https://doi.org/10.3909/ricm17S1S004
Published: 20 January 2016
Abstract
There is an expanding prevalence pool of heart failure (HF) due to the increasing prevalence of survivors of myocardial infarction, diabetes, hypertension, chronic kidney disease, and obesity. There is increasing interest in the role of nutrition in all forms of HF, given observations concerning micro- and macronutrient deficiencies, loss of lean body mass or sarcopenia, and their relationships with hospitalization and death. This review examines the relationships among loss of lean body mass, macro- and micronutrient intake, and the natural history of HF, particularly in the elderly, in whom the risks for all-cause rehospitalization, infection, falls, and mortality are increased. These risks are potentially modifiable through strategies that improve nutrition in this vulnerable population.
Keywords
Heart failure
Cardiomyopathy
Lean body mass
Macronutrient supplementation
Hospitalization
Mortality
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