Evidence map›Paper›PMID 36765270›Full record

Trial reportBMC cardiovascular disorders2023

Application of food exchange portion method in home-based nutritional intervention for elderly patients with chronic heart failure.

Ce Zhou, Shan Wang, Xing Sun, Yuhao Han, Li Zhang, Meixia Liu

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cardiovascular disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Ce ZhouDepartment of Cardiology, Hebei Provincial People's Hospital, 348 Heping West Road, Hebei, 050051, Shijiazhuang, China. zhouce1659@163.com.
Shan WangDepartment of Cardiology, Hebei Provincial People's Hospital, 348 Heping West Road, Hebei, 050051, Shijiazhuang, China.
Xing SunDepartment of Cardiology, Hebei Provincial People's Hospital, 348 Heping West Road, Hebei, 050051, Shijiazhuang, China.
Yuhao HanDepartment of Nephrology, Jinzhou People's Hospital, Jinzhou City, 052260, China.
Li ZhangDepartment of Cardiology, Hebei Provincial People's Hospital, 348 Heping West Road, Hebei, 050051, Shijiazhuang, China.
Meixia LiuDepartment of Cardiology, Hebei Provincial People's Hospital, 348 Heping West Road, Hebei, 050051, Shijiazhuang, China.
Hebei General Hospital · CNFirst People's Hospital of Jingzhou · CNHospital of Hebei Province · CN

Funding

2017 Hebei Provincial Medical Science Research Key Project Plan 20170376
6 · The paper itself

Abstract

backgroundThe home treatment of elderly patients with chronic heart failure (CHF) is often accompanied by malnutrition, which increases the risk of re-hospitalisation and affects the prognosis. Therefore, how to effectively improve the nutritional self-management of patients is a current focus of medical research. This study aims to test the effect of home-based nutritional intervention method on improving the nutritional status of elderly patients with CHF.

methodsA total of 90 hospitalised elderly patients with CHF were randomly divided into the experimental group (n = 45) and the control group (n = 45). The patients in both groups were given standardised drug therapy and their nutritional status was evaluated using a body composition analyser prior to discharge (protein, body fat percentage, visceral fat area, skeletal muscle, upper arm muscle circumference, left lower limb and right lower limb muscle mass), with the cardiopulmonary function evaluated using a six-minute walk test and the metabolic equivalents method. The control group was given general nutrition education and routine dietary guidance from cardiac rehabilitation nurses, while the experimental group was given an individualised nutrition prescription by dietitians based on the evaluation results, according to which one-to-one food exchange dietary intervention training was given until the patients mastered the process.

resultsThe nutritional indexes at the end of the study were significantly higher in the experimental group than in the control group and were higher than those before the intervention (P < 0.05). The muscle circumference of the upper arm, the muscle mass of the left lower limb and the right lower limb had no statistical significance following the intervention compared to the control group and before the intervention (P > 0.05). The cardiopulmonary function indexes were significantly better in the experimental group at the end of the study than before the intervention and were better than those in the control group, with statistically significant differences (P < 0.05), while no significant changes were observed in the control group before and after the intervention (P > 0.05).

conclusionThe home-based nutritional intervention method of food exchange portions can effectively improve the nutritional status of elderly patients with CHF, with the distribution of visceral fat more reasonable and the cardiopulmonary function and exercise endurance improved.

Indexed as

Heart FailureMalnutritionAgedChronic DiseaseDietHumansNutritional StatusNutrition AssessmentBody fat rateChronic heart failureFood exchange portionMetabolic equivalentVisceral fat area

Identifiers

PMID36765270
PMCPMC9912658
OpenAlexW4319925198

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.