Tonet Elisabetta, Campana Roberta, Caglioni Serena, Gibiino Federico, Fiorio Alessio, Chiaranda Giorgio, Zagnoni Silvia, Casella Gianni, Campo Gianluca
Cardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, 44124 Cona, Italy.
Department of Public Health, AUSL Piacenza, and Sport Medicine Service, 29121 Piacenza, Italy.
J Clin Med. 2021 Apr 4;10(7):1508. doi: 10.3390/jcm10071508.
Malnutrition represents a common and important feature in elderly people affected by cardiovascular diseases. Several studies have investigated its prevalence and prognostic role in most clinical settings, including cardiovascular disease. However, in daily practice it usually remains unrecognized and consequently untreated. The present review was ideated to answer the main questions about nutritional status assessment in patients with cardiovascular disease: why, when, where, how to evaluate it, and what to do to improve it. The three main cardiovascular diseases, namely aortic stenosis, ischaemic heart disease, and heart failure were considered. First, the main evidence supporting the prognostic role of malnutrition are summarized and analyzed. Second, the main tools for the assessment of malnutrition in the hospital and outpatient setting are reported for each condition. Finally, the possible strategies and interventions to address malnutrition are discussed.
营养不良是患有心血管疾病的老年人的一个常见且重要的特征。多项研究已在包括心血管疾病在内的大多数临床环境中调查了其患病率及预后作用。然而,在日常实践中,它通常仍未被识别,因此也未得到治疗。本综述旨在回答有关心血管疾病患者营养状况评估的主要问题:为何评估、何时评估、何处评估、如何评估以及如何改善。我们考虑了三种主要的心血管疾病,即主动脉瓣狭窄、缺血性心脏病和心力衰竭。首先,总结并分析了支持营养不良预后作用的主要证据。其次,针对每种疾病报告了在医院和门诊环境中评估营养不良的主要工具。最后,讨论了应对营养不良的可能策略和干预措施。