Alternative Options for the Nutritional Status of Patients with Chronic Heart Failure: CHF Phenotype with Sarcopenic Obesity

Abstract

More than 7 % in the general population suffers from chronic heart failure. It is known that 65 % of people with chronic heart failure are over 60 years old, and the average age of patients is 70 years. Patients with CHF are characterized by a change in nutritive status. Often, patients suffer from malinutrition in the outcome of the disease. However, given the prevalence of obesity and this role in the pathogenesis of diseases leading to chronic heart failure, there are patients with increased body weight. Given the sarcopenia characteristic of elderly patients, it is possible to form a phenotype of CHF with sarcopenic obesity. Sarcopenic obesity is characterized by normal or increased fat mass and miopenia. Sarcopenic obesity provokes hypodiagnosis of disorders of nutritive status, and also, taking into account the hormonal activity of the fat mass, contributes to the progression of chronic heart failure. All this leads to a loss of functional activity of patients, a decrease in their quality of life and requires the development of an individual management plan for such a patient.

Keywords

• chronic heart failure
• sarcopenia
• sarcopenic obesity