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The Trajectory of Nutritional Status and Physical Activity before and after Transcatheter Aortic Valve Implantation

It is suggested that older patients waiting for an elective surgical procedure have a poor nutritional status and low physical activity level. It is unknown if this hypothesis is true and if these conditions improve after a medical procedure. We aimed to determine the trajectory of both conditions b...

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Autores principales: van Erck, Dennis, Dolman, Christine D., Scholte op Reimer, Wilma J. M., Henriques, José P., Weijs, Peter J. M., Delewi, Ronak, Schoufour, Josje D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9740426/
https://www.ncbi.nlm.nih.gov/pubmed/36501166
http://dx.doi.org/10.3390/nu14235137
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author van Erck, Dennis
Dolman, Christine D.
Scholte op Reimer, Wilma J. M.
Henriques, José P.
Weijs, Peter J. M.
Delewi, Ronak
Schoufour, Josje D.
author_facet van Erck, Dennis
Dolman, Christine D.
Scholte op Reimer, Wilma J. M.
Henriques, José P.
Weijs, Peter J. M.
Delewi, Ronak
Schoufour, Josje D.
author_sort van Erck, Dennis
collection PubMed
description It is suggested that older patients waiting for an elective surgical procedure have a poor nutritional status and low physical activity level. It is unknown if this hypothesis is true and if these conditions improve after a medical procedure. We aimed to determine the trajectory of both conditions before and after transcatheter aortic valve implantation (TAVI). Included patients (n = 112, age 81 ± 5 years, 58% male) received three home visits (preprocedural, one and six months postprocedural). Nutritional status was determined with the mini nutritional assessment—short form (MNA-SF) and physical activity using an ankle-worn monitor (Stepwatch). The median MNA-SF score was 13 (11–14), and 27% of the patients were at risk of malnutrition before the procedure. Physical activity was 6273 ± 3007 steps/day, and 69% of the patients did not meet the physical activity guidelines (>7100 steps/day). We observed that nutritional status and physical activity did not significantly change after the procedure (β 0.02 [95% CI −0.03, 0.07] points/months on the MNA-SF and β 16 [95% CI −47, 79] steps/month, respectively). To conclude, many preprocedural TAVI patients should improve their nutritional status or activity level. Both conditions do not improve naturally after a cardiac procedure.
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spelling pubmed-97404262022-12-11 The Trajectory of Nutritional Status and Physical Activity before and after Transcatheter Aortic Valve Implantation van Erck, Dennis Dolman, Christine D. Scholte op Reimer, Wilma J. M. Henriques, José P. Weijs, Peter J. M. Delewi, Ronak Schoufour, Josje D. Nutrients Article It is suggested that older patients waiting for an elective surgical procedure have a poor nutritional status and low physical activity level. It is unknown if this hypothesis is true and if these conditions improve after a medical procedure. We aimed to determine the trajectory of both conditions before and after transcatheter aortic valve implantation (TAVI). Included patients (n = 112, age 81 ± 5 years, 58% male) received three home visits (preprocedural, one and six months postprocedural). Nutritional status was determined with the mini nutritional assessment—short form (MNA-SF) and physical activity using an ankle-worn monitor (Stepwatch). The median MNA-SF score was 13 (11–14), and 27% of the patients were at risk of malnutrition before the procedure. Physical activity was 6273 ± 3007 steps/day, and 69% of the patients did not meet the physical activity guidelines (>7100 steps/day). We observed that nutritional status and physical activity did not significantly change after the procedure (β 0.02 [95% CI −0.03, 0.07] points/months on the MNA-SF and β 16 [95% CI −47, 79] steps/month, respectively). To conclude, many preprocedural TAVI patients should improve their nutritional status or activity level. Both conditions do not improve naturally after a cardiac procedure. MDPI 2022-12-02 /pmc/articles/PMC9740426/ /pubmed/36501166 http://dx.doi.org/10.3390/nu14235137 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
van Erck, Dennis
Dolman, Christine D.
Scholte op Reimer, Wilma J. M.
Henriques, José P.
Weijs, Peter J. M.
Delewi, Ronak
Schoufour, Josje D.
The Trajectory of Nutritional Status and Physical Activity before and after Transcatheter Aortic Valve Implantation
title The Trajectory of Nutritional Status and Physical Activity before and after Transcatheter Aortic Valve Implantation
title_full The Trajectory of Nutritional Status and Physical Activity before and after Transcatheter Aortic Valve Implantation
title_fullStr The Trajectory of Nutritional Status and Physical Activity before and after Transcatheter Aortic Valve Implantation
title_full_unstemmed The Trajectory of Nutritional Status and Physical Activity before and after Transcatheter Aortic Valve Implantation
title_short The Trajectory of Nutritional Status and Physical Activity before and after Transcatheter Aortic Valve Implantation
title_sort trajectory of nutritional status and physical activity before and after transcatheter aortic valve implantation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9740426/
https://www.ncbi.nlm.nih.gov/pubmed/36501166
http://dx.doi.org/10.3390/nu14235137
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