Cachexia in hospitalized patients with heart failure.

AIMS

to evaluate cachexia prevalence in hospitalized heart failure (HF) patients by comparing two methods for diagnosing cachexia and alterations in each component involved in its diagnosis.

METHOD

a cross-sectional study, involving patients diagnosed with HF and admitted between April and August 2015 to a public hospital in the Brazilian Northeast. Cardiac cachexia was defined using the Cachexia Consensus criteria (Washington, DC), which defines cachexia as ≥ 5% unintentional weight loss in the previous 12 months or a body mass index (BMI) ≤ 20.0 kg/m², in combination with at least two of the following criteria: fatigue, anorexia, low hand grip strength, low muscle strength, and biological alterations (hemoglobin < 12 g/dl, albumin < 3.2 g/dl, and PCR ≥ 5 mg/dl), and for comparative purposes a diagnostic criterion which considers weight loss ≥ 6% in at least six months as a cachexia diagnosis.

RESULTS

one hundred and fifty-six individuals were evaluated, with an average age of 59.1 (± 15.3). Cachexia prevalence was 37.2% and associated with a low BMI (p < 0.001), low muscle mass (p < 0.001), reduced ejection fraction (p = 0.005), hypoalbuminemia (p = 0.040), and anemia (p = 0.002). Among the diagnostic components, the greatest alterations were observed in relation to fatigue (88.2%), anorexia (72.1%) and weight loss (61.7%).

CONCLUSIONS

the high prevalence of diagnosed cachexia indicates that this condition is common and is associated with poor nutritional state and clinical condition.