蔡维康,左小芹

介绍了慢性心力衰竭病人营养风险指数工具的应用，并总结慢性心力衰竭病人发生营养不良的危险因素，以广大研究者开展慢性心力衰竭病人营养不良的研究、早期识别、临床决策及针对营养不良危险因素制订干预措施提供参考。

慢性心力衰竭；老年营养风险指数；营养不良

[1] Bui AL,Horwich TB,Fonarow GC.Epidemiology and risk profile of heart failure.Nat.Rev.Cardiol.2011;8:30–41. [2] 何晓雯,曾桂芳,冯洁,等.湖南部分地区慢性心力衰竭再入院率及影响因素调查[J].湖南师范大学学报(医学版),2021,18(1):50-54. [3] S.D.Anker,P.Ponikowski,S.Varney,T.P.Chua,A.L.Clark,K.M.Webb-Peploe,et al.Wasting as independent risk factor for mortality in chronic heart failureLancet,349(1997),pp.1050-1053 [4] A.R.Vest,M.Chan,A.Deswal,M.M.Givertz,C.Lekavich,T.Lennie,et al.Nutrition,obesity,and cachexia in patients with heart failure:a consensus statement from the Heart Failure Society of America scientific statements committeeJ Card Fail,25(2019),pp.380-400 [5] Bouillanne O,Morineau G,Dupont C,Coulombel I,Vincent JP,Nicolis I,Benazeth S,Cynober L,Aussel C.老年营养风险指数:评估高危老年医学患者的新指数｡Am J临床营养｡2005年10月;82(4):777-83. [6] 张蜀,赵青华,冯志芬,等.我国老年心力衰竭患者营养障碍患病率的Meta分析[J].中国老年保健医学,2023,21(2):34⁃40. [7] Schuetz P,Fehr R,Baechli V,et al.Individualised nutritional supportin medical inpatients at nutritional risk:a randomised clinical trial[J].Lancet,2019,393(10188):2312-2321. [8] Gomes F,Baumgartner A,Bounoure L,et al.Association of Nutritional Support With Clinical Outcomes Among Medical Inpatients Who Are Malnourished or at Nutritional Risk:An Updated Systematic Review and Meta-analysis[J].JAMA Netw Open,2019,2(11):e1915138. [9] Hersberger L,Dietz A,Bürgler H,et al.Individualized Nutritional Supportfor Hospitalized Patients With Chronic Heart Failure[J].J Am Coll Cardiol,2021,77(18):2307-2319. [10] Fernández‐Pombo A,Rodríguez‐Carnero G,Castro AI,Cantón‐Blanco A,Seoane LM,Casanueva FF,et al.营养评估和治疗与抵消慢性心力衰竭中心脏恶病质和肌肉减少症的相关性｡临床营养2021;40:5141‐5155. [11] Nakagomi A､Kohashi K､Morisawa T､Kosugi M､Endoh I､Kusama Y等人｡营养状况与炎症相关,可预测慢性心力衰竭患者的不良预后｡J动脉粥样硬化血栓2016;23:713‐727. [12] Prokopidis K,Irlik K,Ishiguchi H,Rietsema W,Lip GYH,Sankaranarayanan R,Isanejad M,Nabrdalik K.Natriuretic peptides and C-reactive protein in in heart failure and malnutrition:a systematic review and meta-analysis.ESC Heart Fail.2024 Oct;11(5):3052-3064. [13] Ni J,Fang Y,Zhang J,Chen X.Predicting prognosis of heart failure using common malnutrition assessment tools:a systematic review and meta‐analysis.Scott Med J 2022;67:157‐170. [14] Pellicori P,Zhang J,Cuthbert J,Urbinati A,Shah P,Kazmi S,et al.High-sensitivity C-reactive protein in chronic heart failure:patient characteristics,phenotypes,and mode of death.Cardiovasc Res 2020;116:91-100. [15] Prokopidis K,Irlik K,Ishiguchi H,Rietsema W,Lip GYH,Sankaranarayanan R,Isanejad M,Nabrdalik K.Natriuretic peptides and C-reactive protein in in heart failure and malnutrition:a systematic review and meta-analysis.ESC Heart Fail.2024 Oct;11(5):3052-3064. [16] Pan Y,Li D,Ma J,Shan L,Wei M.NT-proBNP test with improved accuracy for the diagnosis of chronic heart failure.Medicine 2017;96:96. [17] Welsh P,Campbell RT,Mooney L,Kimenai DM,Hayward C,Campbell A,et al.Reference ranges for NT-proBNP(N-terminal pro-B-type natriuretic peptide)and risk factors for higher NT-proBNP concentrations in a large general population cohort.Circ:Heart Fail 2022;15:e009427. [18] Clerico A,Giannoni A,Vittorini S,Emdin M.The paradox of low BNP levels in obesity.Heart Fail Rev 2012;17:81-96. [19] Zhou,H.;Qian,H.Relationship between enteral nutrition and serum levels of inflammatory factors and cardiac function in elderly patients with heart failure.Clin.Interv.Aging 2018, 13,397–401. [20] Mosterd,A.;Hoes,A.W.Clinical epidemiology of heart failure.Heart 2007,93,1137–1146. [21] Lena,A.;Coats,A.J.S.;Anker,M.S.Metabolic disorders in heart failure and cancer.ESC Heart Fail.2018,5,1092–1098. [22] Tappenden,K.A.;Quatrara,B.;Parkhurst,M.L.;Malone,A.M.;Fanjiang,G.;Ziegler,T.R.Critical role of nutrition in improving quality of care:An interdisciplinary call to action to address adult hospital malnutrition.J.Parenter.Enter.Nutr.2013,37,482–497. [23] Kuehneman,T.;Gregory,M.;de Waal,D.;Davidson,P.;Frickel,R.;King,C.;Gradwell,E.;Handu,D.Academy of Nutrition and Dietetics Evidence-Based Practice Guideline for the Management of Heart Failure in Adults.J.Acad.Nutr.Diet.2018,118,2331–2345. [24] Heidenreich,P.A.;Bozkurt,B.;Aguilar,D.;Allen,L.A.;Byun,J.J.;Colvin,M.M.;Deswal,A.;Drazner,M.H.;Dunlay,S.M.;Evers,L.R.;et al. 2022 AHA/ ACC/HFSA Guideline for the Management of Heart Failure:A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.Circulation 2022,145,E895–E1032. [25] McDonagh,T.A.;Metra,M.;Adamo,M.;Gardner,R.S.;Baumbach,A.;Böhm,M.;Burri,H.;Butler,J.;Čelutkienė,J.;Chioncel,O.;et al.2021 ESC Guidelines for the diagnosis and treatment of acute and chronic Heart failure.Eur.Heart J.2021,42,3599–3726. [26] A Ezekowitz,J.;Colin-Ramirez,E.;Ross,H.;Escobedo,J.;Macdonald,P.;Troughton,R.;Saldarriaga,C.;Alemayehu,W.;A McAlister,F.; Arcand,J.;et al.Reduction of dietary sodium to less than 100 mmol in Heart failure(SODIUM-HF):An international, open-label, randomised, controlled trial.Lancet 2022,399,1391–1400. [27] Lennie,T.A.;Andreae,C.;Rayens,M.K.;Song,E.K.;Dunbar,S.B.;Pressler,S.J.;Heo,S.;Kim,J.;Moser,D.K.Micronutrient Deficiency Inde- pendently Predicts Time to Event in Patients With Heart Failure.J.Am.Heart Assoc.2018,7,e007251. [28] McKeag,N.A.;McKinley,M.C.;Harbinson,M.T.;Noad,R.L.;Dixon,L.H.;McGinty,A.;Neville,C.E.;Woodside,J.V.;McKeown,P.P.The eff- ect of multiple micronutrient supplementation on left ventricular ejection fraction in patients with chronic stable Heart failure:A randomized,placebo-controlled trial.JACC Heart Fail 2014,2,308–317. [29] Kassis,N.;Hariri,E.H.;Karrthik,A.K.;Ahuja,K.R.;Layoun,H.;Saad,A.M.;Gad,M.M.;Kaur,M.;Bazarbashi,N.;Griffin,B.P.;et al.Suppleme- ntal calcium and vitamin D and long-term mortality in aortic stenosis.Heart 2022,108,964–972. [30] Rautiainen S,Levitan EB,Mittleman MA,Wolk A.Fruit and vegetable intake and rate of heart failure:a population-based prospective cohort of women.Eur J Heart Fail.2015;17(1):20–6 [31] Chainani-Wu N,Weidner G,Purnell DM,Frenda S,Merritt-Worden T,Kemp C,et al.Relation of B-type natriuretic peptide levels to body mass index after comprehensive lifestyle changes.Am J Cardiol.2010;105(11):1570–6. [32] Pischke CR,Weidner G,Elliott-Eller M,Ornish D.Lifestyle changes and clinical profile in coronary heart disease patients with an ejection fraction of40%in the multicenter lifestyle demonstration project.Eur J Heart Fail.2007;9(9):928–34. [33] Choi EY,Allen K,McDonnough M,Massera D,Ostfeld RJ.A plant-based diet and heart failure:case report and literature review.J Geriatr Cardiol.2017;14(5):375–8. [34] Allen KE,Gumber D,Ostfeld RJ.Heart failure and a plant-based diet.A case-report and literature review.Front Nutr.2019;6:82. [35] U.S.Department of Health and Human Services,National Institutes of Health,National Heart,Lung,and Blood Institute.Description of the DASH Eating Plan.2015. [36] Hummel SL,Seymour EM,Brook RD,Kolias TJ,Sheth SS,Rosenblum HR,et al.Low-sodium dietary approaches to stop hypertension diet reduces blood pressure,arterial stiffness,and oxidative stress in hypertensive heart failure with preserved ejection fraction.Hypertension. 2012;60(5):1200–6. [37] Hummel SL,Seymour EM,Brook RD,Sheth SS,Ghosh E,Zhu S,et al.Low-sodium DASH diet improves diastolic function and ventricular–arterial coupling in hypertensive heart failure with preserved ejection fraction.Circ Heart Fail.2013;6(6):1165–71. [38] Yu X,Chen Q,Xu Lou I.Dietary strategies and nutritional supplements in the management of heart failure:a systematic review.Front Nutr.2024 Oct 11;11:1428010.

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