Heart Failure Clinical Trial
Official title:
Nutrition Status and Body Composition in Ambulatory Patients With Heart Failure and Its Prognostic Significance (PLiegues en Insuficiencia Cardiaca-PLICA).
The purpose of this study is to determine whether nutritional status or body composition influences the prognosis of heart failure patients.
Despite obesity is a cardiovascular risk factor, numerous studies have identified a better
prognosis in overweight and obese heart failure (HF) patients. This paradox has been named
"the obesity paradox". However, this paradox has been criticized because the parameter used
to classify obesity, the body mass index (BMI), has several limitations. Obesity is defined
as an abnormal or excessive fat accumulation, and BMI does not always reflect real body fat.
What is more, patients with HF can have their body composition altered with hyperhydration
or undernourishment. A pilot study proved that BMI does not indicate true nutritional status
in HF. Thus, a further assessment of body composition of HF patients, analyzing the
nutritional status rather BMI, could shed light on the obesity paradox. The aim of this
study was to assess the nutritional status of a cohort of HF patients, its correspondence
with BMI, and its significance in terms of survival.
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