The exploratory application of PG-SGA in nutritional assessment of elderly patients with chronic heart failure

ZHAO Sheng; LEI Li-cheng; YANG Nuo; REN Li-hui; PENG Jian-jun; LI Guang-ping; XUE Xin-ying; ZHAO Long-ting

doi:10.16689/j.cnki.cn11-9349/r.2019.02.013

Electronic Journal of Metabolism and Nutrition of Cancer ›› 2019, Vol. 6 ›› Issue (2) : 221-224. DOI: 10.16689/j.cnki.cn11-9349/r.2019.02.013

1ZHAO Sheng，1LEI Li-cheng，1YANG Nuo，1REN Li-hui， 1PENG Jian-jun，1LI Guang-ping，1XUE Xin-ying， 2ZHAO Long-ting

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Abstract

Objective To investigate the application of PG-SGA in nutritional assessment of elderly patients with chronic heart failure. Methods A continuous approach was used to screen a total of 125 elderly patients who were hospitalized in the Beijing Shijitan Hospital， Capital Medical University and Rizhao Central Hospital from October 2017 to February 2019. According to the NYHA classification of heart failure， the patients were divided into the clinical heart failure group (grade Ⅱ~Ⅳ) and the pre-clinical heart failure group (grade I). Patients were evaluated for nutritional status using PG-SGA. The body mass index (BMI)， albumin (ALB)， pre-albumin (PA)， hemoglobin (Hb) and NT-proBNP were measured. The correlation between each test index and PG-SGA was observed. The relationship between PG-SGA score and cardiac function classification was studied. Results The incidence of malnutrition in the clinical heart failure group was significantly higher than that in the pre-clinical heart failure group (P<0.001). Compared to the patients rated unmalnutrition， the patients rated malnutrition got lower BMI， ALB， PA， Hb levels and a higher NT-proBNP level(P<0.05). PG-SGA scores and PA levels have statistically significant differences between each cardiac function classification subgroups (P<0.05). Conclusions The incidence of malnutrition in elderly chronic heart failure patients is high， and PG-SGA could be used for the nutritional assessment of these patients. PG-SGA scores might be used as an auxiliary index to evaluate cardiac function.

Key words

Patient-generated subjective global assessment / Chronic heart falure / Elderly patients / Nutritional assessment

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ZHAO Sheng，LEI Li-cheng，YANG Nuo，REN Li-hui， PENG Jian-jun，LI Guang-ping，XUE Xin-ying， ZHAO Long-ting. The exploratory application of PG-SGA in nutritional assessment of elderly patients with chronic heart failure[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2019, 6(2): 221-224 https://doi.org/10.16689/j.cnki.cn11-9349/r.2019.02.013

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