Prevalence of cachexia in chronic heart failure and characteristics of body composition and metabolic status

Heidi Marie Christensen, Caroline Kistorp, Morten Schou, Niels Keller, Bo Zerahn, Jan Frystyk, Peter Schwarz, Jens Faber

91 Citationer (Scopus)

Abstract

The prevalence of cardiac cachexia has previously been estimated to 8-42 %. However, novel treatment strategies for chronic heart failure (CHF) have improved and decreased morbidity and mortality. Therefore, we aimed to reassess the prevalence of cachexia in an outpatient CHF clinic and to characterize a CHF population with and without cachexia with respect to body composition and related biomarkers. From 2008 to 2011, we screened 238 optimally treated, non-diabetic CHF patients for cardiac cachexia, defined as unintentional non-oedematous weight loss of >5 % over ≥6 months. CHF patients (LVEF 45 % (n = 19). The groups were matched for age, sex, and kidney function. Body composition was assessed by dual energy X-ray absorptiometry. The prevalence of cachexia was 10.5 %. Abdominal fat ± SD (%) was reduced in cachectic CHF: 27.4 ± 10.0 versus 37.5 ± 10.6 % (CHF, no cachexia) and 40.6 ± 8.0 % (controls), (P 
OriginalsprogEngelsk
TidsskriftEndocrine
Vol/bind43
Udgave nummer3
Sider (fra-til)626-34
Antal sider9
ISSN1355-008X
DOI
StatusUdgivet - jun. 2013

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