ArticleFrontiers in nutrition2026
Malnutrition risk factors and a pre-post evaluation of a multicomponent management program in older inpatients with chronic heart failure: a single-centre retrospective study.
Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To investigate nutritional impairment-related outcomes admission among hospitalized older patients with chronic heart failure (CHF) and to conduct a pre-post evaluation of the clinical effect of a unified multicomponent management program delivered to all enrolled patients during their inpatient stay. Methods: A single-centre retrospective observational study was split into two independent analytical parts. Part 1: Retrospective risk factor and model construction analysis: We screened 200 complete medical records of elderly CHF inpatients admitted from March 2023 to March 2024, stratified participants into nutritionally impaired ( Results: Univariate testing revealed significant intergroup differences in smoking history, NYHA cardiac function classification, hemoglobin (Hb), C-reactive protein (CRP), and SAS scores (all Conclusion: Hospitalized older CHF patients bear a prominent admission nutritional impairment burden. Smoking history, NYHA classification, Hb, CRP, and SAS score are independently associated with admission nutritional impairment-related variables, and the established nomogram can assist clinical high-risk population screening. The uncontrolled inpatient before-after comparison demonstrated significant improvements in cardiac function, nutritional risk status, inflammatory markers, and anxiety after the multicomponent management program; due to the absence of a control group and potential confounding inpatient factors, causal effects of the intervention cannot be confirmed; only observational within-cohort changes are described. This study provides real-world retrospective evidence including a nutritional risk prediction model and preliminary observational intervention outcomes, with major limitations consisting of a single-centre design and an uncontrolled pre-post comparison lacking parallel controls.
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