The impact of poor nutritional status on functional outcome in elderly heart failure: a multicenter observational study
Project/Area Number |
18K17677
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Research Category |
Grant-in-Aid for Early-Career Scientists
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Allocation Type | Multi-year Fund |
Review Section |
Basic Section 59010:Rehabilitation science-related
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Research Institution | Sapporo Medical University |
Principal Investigator |
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Project Period (FY) |
2018-04-01 – 2023-03-31
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Project Status |
Completed (Fiscal Year 2022)
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Budget Amount *help |
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2021: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2020: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2018: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
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Keywords | 栄養状態 / 摂取エネルギー量 / 高齢者 / 心不全 / 心臓リハビリテーション / サルコペニア / フレイル / 骨粗鬆症 / 体組成 / 骨格筋量 / 健康寿命 / 慢性心不全 / 生活機能 / 併存疾患 |
Outline of Final Research Achievements |
This research investigated the relationship between the nutritional status and decline in daily living abilities of elderly heart failure patients, and the overall mortality risk through a multi-center, prospective observational study. Despite the inability to carry out the research plan due to the novel coronavirus pandemic, a retrospective review of our own facility's data revealed that the nutritional status and energy intake at the start of cardiac rehabilitation were strongly associated with self-reliance in daily life and overall mortality risk. Furthermore, in the case of elderly heart failure patients in the hospital, it was found that the level of daily living functions at discharge (as measured by the Barthel Index score) was strongly related to the onset of total mortality, and that an increase in the total mortality risk began with a slight decline in daily living functions (discharge Barthel Index <85 points).
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Academic Significance and Societal Importance of the Research Achievements |
多種多様な臨床像を呈する高齢心不全の心臓リハビリテーションの効果の予測に加え,高齢心不全の心臓リハビリテーションをより効果的に進めるための短期的・長期的な栄養介入の方法の確立に繋がりうる.
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Report
(6 results)
Research Products
(70 results)
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[Journal Article] Clinical Risk Factors and Prognostic Impact of Osteoporosis in Patients With Chronic Heart Failure2020
Author(s)
Katano S, Yano T, Tsukada T, Kouzu H, Honma S, Inoue T, Takamura Y, Nagaoka R, Ishigo T, Watanabe A, Ohori K, Koyama M, Nagano N, Fujito T, Nishikawa R, Takashima H, Hashimoto A, Katayose M, Miura T.
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Journal Title
Circulation Journal
Volume: 84
Issue: 12
Pages: 2224-2234
DOI
NAID
ISSN
1346-9843, 1347-4820
Year and Date
2020-11-25
Related Report
Peer Reviewed / Open Access
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[Journal Article] Overestimation of glomerular filtration rate by creatinine-based equation in heart failure patients is predicted by a novel scoring system2020
Author(s)
Ishigo T, Katano S, Yano T, Kouzu H, Ohori K, Nakata H, Nonoyama M, Inoue T, Takamura Y, Nagaoka R, Kondo F, Nakano K, Takada R, Kitagawa M, Kimyo T, Miura T.
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Journal Title
Geriatr Gerontol Int
Volume: 20
Issue: 8
Pages: 752-758
DOI
Related Report
Peer Reviewed
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[Journal Article] Independent link between peripheral artery disease and muscle wasting in patients with heart failure2020
Author(s)
Ohori K, Yano T, Katano S, Kouzu H, Inoue T, Takamura Y, Nagaoka R, Ishigo T, Koyama M, Nagano N, Fujito T, Nishikawa R, Miura T.
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Journal Title
ESC Heart Fail (supported by 19K08544)
Volume: 7
Issue: 5
Pages: 3252-3256
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Utility and safety of tocilizumab in Takayasu arteritis with severe heart failure and muscle wasting.2019
Author(s)
Yano T, Osanami A, Shimizu M, Katano S, Nagano N, Kouzu H, Koyama M, Muranaka A, Harada R, Doi H, Kawaharada N, Miura T.
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Journal Title
ESC Heart Fail
Volume: 6
Issue: 4
Pages: 894-894
DOI
Related Report
Peer Reviewed / Open Access
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[Presentation] Novel equation for skeletal muscle mass estimation is useful for predicting mortality in patients with heart failure2022
Author(s)
Honma S., Katano S., Nagaoka R., Numazawa R., Kouzu H., Ohori K., Nishikawa R., Ohwada W., Nagano N., Koyama M., Katayose M., Kobayashi C., Yoshioka N., Hashimoto A., Yano T.
Organizer
ESC Preventive Cardiology 2022
Related Report
Int'l Joint Research
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[Presentation] Decreased 25-hydroxyvitamin D levels are associated with sarcopenia in patients with chronic heart failure2022
Author(s)
Nagaoka R., Katano S., Numazawa R., Kouzu H., Ohori K., Honma S., Kamoda T., Sato K., Nishikawa R., Ohwada W., Nagano N., Koyama M., Katayose M., Hashimoto A., Yano T.
Organizer
ESC Preventive Cardiology 2022
Related Report
Int'l Joint Research
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[Presentation] Coexistence of sarcopenia and osteoporosis in patients with heart failure: prevalence and association with functional status2022
Author(s)
Numazawa R., Katano S., Nagaoka R., Honma S., Ohori K., Kouzu H., Watanbe A., Fujito T., Nishikawa R., Ohwada W., Nagano N., Koyama M., Katayose M., Hashimoto A., Yano T.
Organizer
ESC congress 2022
Related Report
Int'l Joint Research
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[Presentation] Loss of social role awareness, a subdomain of social frailty, is an independent predictor of future adverse events in hospitalized older patients with heart failure2022
Author(s)
Katano S., Watanbe A., Nagaoka R., Numazawa R., Honma S., Ohori K., Kouzu H., Fujito T., Nishikawa R., Ohwada W., Nagano N., Koyama M., Katayose M., Hashimoto A., Yano T.
Organizer
ESC congress 2022
Related Report
Int'l Joint Research
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[Presentation] Is activation of the renin-angiotensin system associated with lower skeletal muscle mass in heart failure patients?2022
Author(s)
Numazawa R., Katano S., Yamashita T., Nagaoka R., Yamano K., Fujisawa Y., Ohori K., Kouzu H., Fujito T., Nishikawa R., Ohwada W., Nagano N., Koyama M., Hashimoto A., Yano T.
Organizer
Heart Failure Seoul 2022
Related Report
Int'l Joint Research
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[Presentation] Implementation of a novel conference sheet into multidisciplinary team approach improves clinical outcomes in older heart failure patients2022
Author(s)
Katano S., Watanabe A., Nagaoka R., Numazawa R., Fujisawa Y., Yamano K., Ishigo T., Ohori K., Nishikawa R., Ohwada W., Nagano N., Koyama M., Kouzu H., Hashimoto A., Yano T.
Organizer
Heart Failure Seoul 2022
Related Report
Int'l Joint Research
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[Presentation] Impacts of proton pump inhibitors on body composition and clinical outcome in patients with heart failure2022
Author(s)
Ohori K., Katano S., Nagaoka R., Numazawa R., Kouzu H., Koyama M., Nagano N., Fujito T., Nishikawa R., Owada W., Yano T.
Organizer
第 86 回日本循環器学会学術集会
Related Report
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[Presentation] Plasma 3-methylhistidine predicts the impact of renin-angiotensin system inhibition on skeletal muscle preservation in heart failure patients2022
Author(s)
Kouzu H., Katano S., Ohori K., Nagaoka R., Numazawa R., Koyama M., Nagano N., Fujito T., Ohwada W., Nishikawa R., Yano T.
Organizer
第 86 回日本循環器学会学術集会
Related Report
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[Presentation] Barthel Index score predicts mortality in elderly heart failure: a goal of comprehensive cardiac rehabilitation2021
Author(s)
Katano S., Yano T., Ohori K., Kouzu H., Nagaoka R., Honma S., Shimomura K., Numazawa R., Koyama M., Nagano N., Fujito T., Nishikawa R., Hashimoto A., Katayose M., Miura T.
Organizer
ESC congress 2021
Related Report
Int'l Joint Research
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[Presentation] Clinical determinants and prognostic impact of osteoporosis in patients with chronic heart failure2020
Author(s)
Katano S., Yano T., Tsukada T., Kouzu H., Honma S., Inoue T., Takamura Y., Nagaoka R., Ohori K., Koyama M., Nagano N., Nishikawa R., Hashimoto A., Katayose M., Miura T.
Organizer
ESC congress 2020
Related Report
Int'l Joint Research
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[Presentation] Independent link between peripheral artery disease and muscle wasting in patients with heart failure2020
Author(s)
Ohori K., Yano T., Katano S., Kouzu H., Inoue T., Takamura Y., Ishigo T,. Koyama M., Nagano N., Fujito T., Nishikawa R., Miura T.
Organizer
第 23 回日本心不全学会学術集会
Related Report
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[Presentation] Prognostic role of plasma amino acid profile in patients with chronic heart failure2020
Author(s)
Kouzu H., Katano S., Yano T., Ohori K., Honma S., Shimomura K., Inoue T., Takamura Y., Takahashi R., Nishikawa R., Nagano N., Koyama M., Fujito T., Hashimoto A., Miura T.
Organizer
第 23 回日本心不全学会学術集会
Related Report
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[Presentation] Low energy intake predicts functional recovery independently of nutritional status in elderly heart failure patients2019
Author(s)
Katano S., Yano T., Honma S., Shimomura K., Ohori K., Fujito T., Watanabe A., Honma R., Ishigo T., Hashimoto A., Miura T.
Organizer
Japanese Association of Cardiac Rehabilitation 2019 Annual Meeting in Osaka
Related Report
Int'l Joint Research
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[Presentation] Low energy intake predicts readmission of elderly heart failure patients independently of nutritional status2019
Author(s)
Shimomura K., Katano S., Yano T., Ohori K., Honma S., Watanabe A., Ishigo T., Fujito T., Nagano N., Koyama M., Kouzu H., Hashimoto A., Miura T.
Organizer
ESC congress 2019
Related Report
Int'l Joint Research
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[Presentation] Impact of body composition analysis on prediction of short-term readmission events in heart failure: muscle wasting vs. obesity2019
Author(s)
Ohori K., Yano T., Katano S., Honma S., Shimomura K., Watanabe A., Ishigo T., Fuito T., Nagano N., Koyama M., Kouzu H., Hashimoto A., Miura T.
Organizer
ESC congress 2019
Related Report
Int'l Joint Research
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[Presentation] Determinant of functional status in elderly heart failure patients: muscle function vs. muscle mass2019
Author(s)
Honma S., Katano S., Yano T., Ohori K., Inoue T., Takamura Y., Nagaoka R., Hashimoto A., Yoshioka N., Miura T.
Organizer
12th International SCWD Conference on Cachexia, Sarcopenia & Muscle Wasting
Related Report
Int'l Joint Research
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[Presentation] Clinical determinants of osteoporosis in patients with chronic heart failure2019
Author(s)
12th International SCWD Conference on Cachexia, Sarcopenia & Muscle Wasting
Organizer
Tsukada T., Katano S., Yano T., Honma S., Inoue T., Takamura Y., Ohori K., Hashimoto A., Katayose M., Miura T.
Related Report
Int'l Joint Research
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