Prognostic value of malnutrition evaluated using the Global Leadership Initiative on Malnutrition criteria and its association with psoas muscle volume in non-ischemic dilated cardiomyopathy

Heart failure (HF) is a systemic inflammatory disease that causes hypotrophy and skeletal muscle loss. The Global Leadership Initiative on Malnutrition (GLIM) criteria have been developed as a novel evaluation index for malnutrition, with reported usefulness in HF caused by ischemic heart disease. H...

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Bibliographic Details
Published in:Heart and vessels 2022-12, Vol.37 (12), p.2002-2012
Main Authors: Ito, Ryota, Hiraiwa, Hiroaki, Araki, Takashi, Mizutani, Takashi, Kazama, Shingo, Kimura, Yuki, Oishi, Hideo, Kuwayama, Tasuku, Kondo, Toru, Morimoto, Ryota, Okumura, Takahiro, Murohara, Toyoaki
Format: Article
Language:English
Subjects:
Arrhythmia
Biomedical Engineering and Bioengineering
Body mass
Body mass index
Body size
Cardiac Surgery
Cardiology
Cardiomyopathy
Cardiovascular diseases
Computed tomography
Confidence intervals
Congestive heart failure
Coronary artery disease
Criteria
Dilated cardiomyopathy
Evaluation
Health hazards
Heart diseases
Inflammatory diseases
Ischemia
Leadership
Malnutrition
Medicine
Medicine & Public Health
Muscles
Nutrition assessment
Original Article
Psoas muscle
Regression analysis
Skeletal muscle
Statistical analysis
Survival analysis
Vascular Surgery
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Summary:Heart failure (HF) is a systemic inflammatory disease that causes hypotrophy and skeletal muscle loss. The Global Leadership Initiative on Malnutrition (GLIM) criteria have been developed as a novel evaluation index for malnutrition, with reported usefulness in HF caused by ischemic heart disease. However, reports on the usefulness of malnutrition evaluated by the GLIM criteria in non-ischemic dilated cardiomyopathy (NIDCM) and its relationship with psoas muscle volume are lacking. We investigated the prognostic value of malnutrition evaluated using the GLIM criteria and its association with psoas muscle volume in patients with NIDCM. We enrolled 139 consecutive patients with NIDCM between December 2000 and June 2020. Malnutrition was evaluated using the GLIM criteria on admission. The median follow-up period was 4.7 years. Cardiac events were defined as a composite of cardiac death, hospitalization for worsening HF, and lethal arrhythmia. Furthermore, we measured the psoas muscle volume using computed tomography volumetry in 48 patients. At baseline, the median age was 50 years, and 132 patients (95.0%) had New York Heart Association functional class I or II HF. The median psoas muscle volume was 460.8 cm 3 . A total of 26 patients (18.7%) were malnourished according to the GLIM criteria. The Kaplan–Meier survival analysis showed that malnourished patients had more cardiac events than non-malnourished patients (log-rank, P  
ISSN:0910-8327
1615-2573
DOI:10.1007/s00380-022-02113-z