Evaluation of malnutrition status with MNA, CONUT and, SGA in patients with left heart failure in geriatric age group

Evaluation of Malnutrition Status with MNA, CONUT and, SGA in Patients with Left Heart Failure in Geriatric Age Group Introduction and Purpose: Malnutrition; Inadequate or unbalanced nutrition, which is caused by problems in the proper intake or digestion of nutrients, is a serious public health problem that causes significant increases in morbidity and mortality in geriatric age group. Patients with left heart failure who were 65 years old and older with an ejection fraction (EF) ≤ 40 were included in our study. Evaluated in terms of malnutrition with Mini Nutritional Assessment (MNA), Mini Nutritional Assessment Short Form (MNA-SF), Controlled Nutritional Status (CONUT) and Subjective Global Assessment (SGA) tests. Material and method: In the present study we conducted in İnönü University Internal Medicine and Cardiology Clinics, we aimed to show malnutrition status in patients with HF, MNA, MNA-SF, SGA and CONUT tests. İn the present study, we included patients 65 years and older with ejection fraction ≤ 40%. In the present study, 138 patients, 95 men and 43 women were included. We also conducted anthropometric measurements (upper arm and calf circumference) of the patients in which we conducted the questionnaires. In the present study, we added the values of hemoglobin, serum creatinine, serum electrolytes, proBNP, blood urea nitrogen (BUN), cholesterol, albumin and pulmonary arterial pressure (PAB) to the data of patients in whom we questioned the use of spironolactone, furosemide, beta blocker (BB), ACE inhibitor / ARB. Results: The mean age of the patients was 73.6 ± 7.6 years. In the present study, 16.7% (n:23) of patients with MNA had malnutrition and 17.4% (n:24) for SGA and 13% (n:18) for CONUT score. There was a statistically significant relationship between BMI, albumin, cholesterol levels with MNA and CONUT scores. There was a statistically significant relationship between CONUT and MNA in demonstrating malnutrition (r: -0,331, p <0,01). There was a statistically significant relationship between CONUT and MNA-SF (p<0,01, r:-0,284). There was a statistically significant relationship SGA-C and MNA in demonstrating malnutrition (p<0,01). Conclusion: In patients with heart failure in geriatric age group, MNA, MNA-SF, and SGA tests are effective in diagnosis and screening of malnutrition and can be safely administered. Key Words: Malnutrition, SGA, CONUT, MNA, Heart failure