ORIGINAL RESEARCH article
Front. Nutr.
Sec. Clinical Nutrition
Volume 12 - 2025 | doi: 10.3389/fnut.2025.1622611
Influence on factors related to malnutrition in elderly chronic heart failure hospitalized patients and the application effect of diversified management mode
Provisionally accepted
- 1WuHan Asia Hearth Hospital, Wuhan, China
- 2Wuhan Asia General Hospital, Wuhahn, China
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Objective: To study the factors related to the occurrence of malnutrition in hospitalized patients with chronic heart failure (CHF) and the effect of the application of diversified management model. Methods: A retrospective study was conducted to select the clinical data of 200 CHF patients admitted to our hospital from March 2023 to March 2024 as the study subjects. Based on nutritional status assessed by the Geriatric Nutritional Risk Index (GNRI) and Nutritional Risk Screening 2002 (NRS2002), patients were divided into the occurrence group (n=71), the non-occurrence group (n=129). Data on demographic characteristics, clinical indicators (including New York Heart Association (NYHA) classification, hemoglobin (Hb), and C-reactive protein (CRP)), and psychological status (evaluated using the Self-Rating Anxiety Scale (SAS)) were collected. Results: Comparison of smoking history, NYHA classification, Hb, CRP, and SAS scores in the occurrence group and the non-occurrence group, the differences were statistically significant (x²/t/Z=8.830, 9.805, 5.981, 6.081, and 6.378, P＜0.05); none of the above indicators covariance problems (VIF ≤ 10, tolerance ≥ 0.1), and the above indicators could be included in the logistic regression model. Smoking history (OR=2.437, P=0.003), NYHA classification (OR=2.632, P=0.002), Hb (OR=0.921, P=<0.001), CRP (OR=2.894, P=<0.001), and SAS scores (OR=1.086, P=<0.001) were independent risk factors for the development of malnutrition in elderly CHF hospitalized patients. independent risk factors for the occurrence of malnutrition. Conclusion: the risk of malnutrition occurrence in elderly CHF hospitalized patients is high, smoking history, NYHA classification, Hb, CRP and SAS scores are its independent risk factors, screening high-risk groups through the above indexes, and giving diversified management modes have a positive effect on the patients' nutritional status, inflammatory response and anxiety, and provide theoretical basis for the occurrence of malnutrition in clinical elderly CHF hospitalized patients.
Keywords: chronic heart failure, Hospitalization, Malnutrition, Influencing factors, diversified management model
Received: 26 May 2025; Accepted: 30 Sep 2025.
Copyright: © 2025 Yu, Wan and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yuqi Li, qiyu202506@163.com
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