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Assessment of Malnutrition in Heart Failure and Its Relationship with Clinical Problems in Brazilian Health Services

Author

Listed:
  • Juliana Santos Barbosa

    (Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil)

  • Márcia Ferreira Cândido de Souza

    (Graduate Program Professional in Management and Technological Innovation in Health, Federal University of Sergipe, Aracaju 49100-000, Brazil)

  • Jamille Oliveira Costa

    (Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil)

  • Luciana Vieira Sousa Alves

    (Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil)

  • Larissa Marina Santana Mendonça de Oliveira

    (Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil)

  • Rebeca Rocha de Almeida

    (Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil)

  • Victor Batista Oliveira

    (Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil)

  • Larissa Monteiro Costa Pereira

    (Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil)

  • Raysa Manuelle Santos Rocha

    (Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil)

  • Ingrid Maria Novais Barros de Carvalho Costa

    (Food Technology Department, São Cristovão Campus, Federal Institute of Sergipe, São Cristovão 49100-000, Brazil)

  • Diva Aliete dos Santos Vieira

    (Department of Nutrition, Campus Prof. Antônio Garcia Filho, Federal University of Sergipe (UFS), Lagarto 49400-000, Brazil)

  • Leonardo Baumworcel

    (Clinic and Hospital São Lucas/Division, Rede D’Or São Luiz, Aracaju 49060-676, Brazil)

  • Marcos Antonio Almeida-Santos

    (Clinic and Hospital São Lucas/Division, Rede D’Or São Luiz, Aracaju 49060-676, Brazil
    Graduate Program in Health and Environment, Tiradentes University (UNIT), Aracaju 49032-490, Brazil)

  • Joselina Luzia Menezes Oliveira

    (Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil
    Clinic and Hospital São Lucas/Division, Rede D’Or São Luiz, Aracaju 49060-676, Brazil
    Department of Medicine, Federal University of Sergipe (UFS), São Cristovão 49100-000, Brazil
    Division of Cardiology, University Hospital of Federal University of Sergipe (UFS), São Cristovão 49100-000, Brazil)

  • Eduardo Borba Neves

    (Graduate Program in Biomedical Engineering, Federal Technological University of Paraná (UTFPR), Curitiba 80230-901, Brazil)

  • Alfonso López Díaz-de-Durana

    (Sports Department, Physical Activity and Sports Faculty—INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain)

  • María Merino-Fernández

    (Faculty of Health Sciences, Universidad Francisco de Vitoria (UFV), 28223 Madrid, Spain)

  • Felipe J. Aidar

    (Group of Studies and Research in Performance, Sport, Health and Paralympic Sports—GEPEPS, Federal University of Sergipe (UFS), São Cristovão 49100-000, Brazil
    Graduate Program in Physical Education, Federal University of Sergipe (UFS), São Cristovão 49100-000, Brazil
    Graduate Program in Physiological Science, Federal University of Sergipe (UFS), São Cristovão 49100-000, Brazil)

  • Antônio Carlos Sobral Sousa

    (Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil
    Clinic and Hospital São Lucas/Division, Rede D’Or São Luiz, Aracaju 49060-676, Brazil
    Department of Medicine, Federal University of Sergipe (UFS), São Cristovão 49100-000, Brazil
    Division of Cardiology, University Hospital of Federal University of Sergipe (UFS), São Cristovão 49100-000, Brazil)

Abstract

Malnutrition in heart failure (HF) is frequent and associated with a worse prognosis. Due to differences in investment and the profile of those assisted, the objective of this study was to evaluate the frequency of malnutrition in hospitalized patients with HF and its association with clinical outcomes in the public and private health systems. Methodology: A cross-sectional study, with 247 volunteers hospitalized with HF in three public hospitals and one private hospital in Aracaju, SE, Brazil. A subjective global nutritional assessment (SGA) and mini nutritional assessment (MNA) were performed. Results: Sample with 72.5% users of the public health system and 75.3% with malnutrition (public = 74.9%; private = 76.5%; p = 0.793). Regardless of the healthcare system, hospital stay (>14 days) was longer ( p = 0.020) among those with malnutrition (48.4%) than well-nourished patients (29.5%). Malnutrition in the public system had higher mortality (7.5%; 5.8%; p < 0.001) and hospital transfer rate (21.1%; 0.0%; p < 0.001) than those in the private system. Death after discharge was observed only in the public system ( p = 0.039). Conclusion: Malnutrition was frequent in both systems and was associated with longer hospital stays and, in the public hospital, in-hospital death and transfers.

Suggested Citation

  • Juliana Santos Barbosa & Márcia Ferreira Cândido de Souza & Jamille Oliveira Costa & Luciana Vieira Sousa Alves & Larissa Marina Santana Mendonça de Oliveira & Rebeca Rocha de Almeida & Victor Batista, 2022. "Assessment of Malnutrition in Heart Failure and Its Relationship with Clinical Problems in Brazilian Health Services," IJERPH, MDPI, vol. 19(16), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10090-:d:888847
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