Correlations between geriatric nutritional risk index and peripheral artery disease in elderly coronary artery disease patients
| Autor: | Toshiki, Kawamiya, Susumu, Suzuki, Hideki, Ishii, Kenshi, Hirayama, Kazuhiro, Harada, Yohei, Shibata, Yosuke, Tatami, Shingo, Harata, Kazuhiro, Kawashima, Ayako, Kunimura, Yohei, Takayama, Yusaku, Shimbo, Naohiro, Osugi, Dai, Yamamoto, Tomoyuki, Ota, Chikao, Kono, Toyoaki, Murohara |
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| Rok vydání: | 2016 |
| Předmět: |
Aged
80 and over Male Nutritional Status Comorbidity Coronary Artery Disease Prognosis Risk Assessment Severity of Illness Index Cohort Studies Peripheral Arterial Disease C-Reactive Protein Logistic Models Nutrition Assessment Japan Multivariate Analysis Odds Ratio Prevalence Humans Ankle Brachial Index Female Geriatric Assessment Aged Retrospective Studies |
| Zdroj: | Geriatricsgerontology international. 17(7) |
| ISSN: | 1447-0594 |
| Popis: | Malnutrition is associated with the development of atherosclerosis and an increased risk of cardiovascular mortality in elderly patients. The present study aimed to investigate the association between the Geriatric Nutritional Risk Index (GNRI), a simple nutritional assessment tool, and the prevalence of peripheral artery disease (PAD) in elderly coronary artery disease patients.We evaluated 228 elderly coronary artery disease patients (mean age 74.0 ± 5.7 years). Ankle-brachial index (ABI) measurements were routinely carried out to investigate the prevalence of lower extremity PAD. Patients showing ABI0.9 were defined as having PAD.Based on our findings, 20.6% of the study patients had PAD. The median GNRI values were significantly lower in patients with PAD than those in patients without PAD (93.8 vs 100.0, P 0.001). Even after multivariate adjustment, GNRI values were independently associated with PAD (odds ratio 0.94; 95% confidence interval 0.89-0.99; P = 0.024). Furthermore, patients with low GNRI and high C-reactive protein levels had a 5.5-fold higher risk of having PAD than those with high GNRI and low C-reactive protein levels.GNRI values showed a strong relationship with PAD in elderly coronary artery disease patients. These data reinforce the utility of GNRI as a screening tool in clinical practice. Geriatr Gerontol Int 2017; 17: 1057-1062. |
| Databáze: | OpenAIRE |
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