The Difference of Activities of Daily Living Associated with nutritional status in Elderly Hospitalized Preserved Ejection Fraction Heart Failure Patients

抄録

【Purpose】

We evaluated differences in motor activities of daily living（ADL）in relation to nutritional status in elderly heart failure（HF）patients with preserved ejection fraction.

【Methods】

Participants were select from among 447 consecutive hospitalized HF patients based on certain criteria. We investigated patient characteristics including functional independence measure（FIM）and Geriatric Nutritional Risk Index（GNRI）. Subjects were divided into two groups by GNRI level, and we conducted unpaired t-test and chi-square tests and Mann-Whitney U test.

【Results】

Of the 447 patients, 68 met the inclusion criteria（low GNRI：23, high GNRI：45）. There were significant differences between the two groups in BMI（19.4 vs 23.7）, GNRI（87.0 vs 101.6）, and discharge motor FIM（71.9 vs 80.2）（p＜0.05）. In the comparison between the two groups in discharge motor FIM item, the grooming and toileting and transfer of bed/chair/wheelchair and transfer of toilet and the transfer of tub/shower and locomotion of walking/wheelchair in low GNRI was significantly lower compared to the high GNRI（p＜0.05）.

【Discussion】

In the present study, low GNRI in elderly HF patients with preserved ejection fraction is 34%, their discharge motor FIM showed a low value compared to the high GNRI. In addition, we showed a significant difference in the six items in the comparison of the ADL item. Previous one reported that the ADL was reduced in HF patients with low GNRI（Kinugasa, et al., 2013）, other study also showed that GNRI and physical function were related in heart disease（Izawa, et al., 2015）. Each item of motor ADL which shows these significant difference might reflect the physical function of HF patients with low nutrition.