Association between the Prognostic Nutritional Index and Dietary Intake in Community-Dwelling Older Adults with Heart Failure: Findings from NHANES III

The objective of this study was to examine the association between nutritional status and dietary intake in community-dwelling older adults with heart failure (HF). A cross-sectional analysis of NHANES III data was conducted. The analytic sample was comprised of n = 445 individuals aged 50+ years with congestive HF (54.4% male, 22.9% non-Hispanic Black, 43.8% low-income). Nutritional status was measured using the Prognostic Nutritional Index (PNI). Participants were classified by PNI quintiles with lower PNI scores indicating lower nutritional status. Participants in quintile 5 showed significantly greater intakes of energy, protein, vegetables, magnesium, zinc, copper, potassium, red meat, saturated fat, and sodium. In multivariate analyses, increased intake of red meat (β = 0.253, p = 0.040) and vegetables (β = 0.255, p = 0.038) was associated with significantly better nutritional status. In the absence of comprehensive nutritional guidance for HF patients, it appears that small increases in energy, protein (red meat), and vegetable consumption are associated with improved nutritional status.

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Factors affecting frailty among community-dwelling older adults: A multi-group path analysis according to nutritional status

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2020.103850 ◽

2021 ◽

Vol 115 ◽

pp. 103850

Author(s):

Eunjung Kim ◽

Sohyune R. Sok ◽

Chang Won Won

Keyword(s):

Older Adults ◽

Nutritional Status ◽

Path Analysis ◽

Community Dwelling ◽

Factors Affecting ◽

Community Dwelling Older Adults

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Dietary Intake in Chinese Community-Dwelling Older Adults with Sarcopenia: A Focus on Protein

Nutritional Influences on Bone Health ◽

10.1007/978-3-319-98464-3_19 ◽

2018 ◽

pp. 237-244

Author(s):

Ruth Chan ◽

Liu-Ying Zhu

Keyword(s):

Older Adults ◽

Dietary Intake ◽

Community Dwelling ◽

Chinese Community ◽

Community Dwelling Older Adults

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NGAL Is Independently Associated with Cardiovascular Death and All-Cause Mortality in Community-Dwelling Older Adults with Stage A Heart Failure

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2011.06.080 ◽

2011 ◽

Vol 17 (8) ◽

pp. S23-S24

Author(s):

Lori B. Daniels ◽

Paul Clopton ◽

Elizabeth Barrett-Connor ◽

Alan S. Maisel

Keyword(s):

Heart Failure ◽

Older Adults ◽

Cardiovascular Death ◽

Community Dwelling ◽

All Cause Mortality ◽

Community Dwelling Older Adults

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Heart Failure and Disability in Community-Dwelling Older Adults in the United States—1999 to 2018: Data From National Health and Nutrition Examination Survey

Clinical Nursing Research ◽

10.1177/10547738211061620 ◽

2021 ◽

pp. 105477382110616

Author(s):

Yaewon Seo ◽

Jing Wang ◽

Donelle Barnes ◽

Surendra Barshikar

Keyword(s):

Heart Failure ◽

Older Adults ◽

Logistic Regression ◽

National Health ◽

The United States ◽

Community Dwelling ◽

Nutrition Examination Survey ◽

Mediating Effects ◽

Health And Nutrition ◽

Community Dwelling Older Adults

To examine the associations of heart failure (HF) with five domains of disability while controlling for covariates. Subjects with HF and aged ≥ 50 years were selected from the 1999 to 2018 National Health and Nutrition Examination Survey data. Five domains of disability were measured with 19 physical tasks. Logistic regression with adjustment for covariates was conducted. The prevalence of HF in 27,185 adults aged ≥ 50 years was 6.37%. After controlling for demographics and smoking, logistic regression showed that HF was associated with 2.8 to 3.4 times increased odds of all domains of disability compared to adults without HF, but with additional adjustments of covariates, the association was attenuated indicating the mediating effects of covariates. The future study may examine the mediating effects of covariates when intervening difficulties with lower extremity mobility and activities of daily living while considering in community-dwelling older adults with HF.

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