Centre of Expertise Urban Vitality

The trajectory of nutritional Status and physical activity before and after transcatheter aortic valve implantation

Article

<p>It is suggested that older patients waiting for an elective surgical procedure have a poor nutritional status and low physical activity level. It is unknown if this hypothesis is true and if these conditions improve after a medical procedure. We aimed to determine the trajectory of both conditions before and after transcatheter aortic valve implantation (TAVI). Included patients (n = 112, age 81 ± 5 years, 58% male) received three home visits (preprocedural, one and six months postprocedural). Nutritional status was determined with the mini nutritional assessment-short form (MNA-SF) and physical activity using an ankle-worn monitor (Stepwatch). The median MNA-SF score was 13 (11-14), and 27% of the patients were at risk of malnutrition before the procedure. Physical activity was 6273 ± 3007 steps/day, and 69% of the patients did not meet the physical activity guidelines (&gt;7100 steps/day). We observed that nutritional status and physical activity did not significantly change after the procedure (β 0.02 [95% CI -0.03, 0.07] points/months on the MNA-SF and β 16 [95% CI -47, 79] steps/month, respectively). To conclude, many preprocedural TAVI patients should improve their nutritional status or activity level. Both conditions do not improve naturally after a cardiac procedure.</p>

Reference van Erck, D., Dolman, C. D., Scholte Op Reimer, W. J. M., Henriques, J. P., Weijs, P. J. M., Delewi, R., & Schoufour, J. D. (2022). The trajectory of nutritional Status and physical activity before and after transcatheter aortic valve implantation. Nutrients, 14(23), Article 5137. https://doi.org/10.3390/nu14235137
Published by  Urban Vitality 2 December 2022

Publication date

Dec 2022

Author(s)

Dennis van Erck
Christine D. Dolman
Wilma J. M. Scholte Op Reimer
José P. Henriques
Ronak Delewi

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