Publication: Assessment of body composition and prognosis in chronic heart failure. Beyond the "obesity paradox''
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Date
2016-10-01
Authors
Luis Gamez-Lopez, Antonio
Luis Bonilla-Palomas, Juan
Cristina Lopez-Ibanez, Maria
Moreno-Conde, Mirian
Anguita-Sanchez, Manuel
Villar-Raez, Antonia
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Publisher
Inst nacional cardiologia ignacio chavez
Abstract
Objective: It is unknown the influence of body composition in the inverse relationship of mortality with overweight and obesity in heart failure patients.Methods: 234 patients with chronic heart failure were evaluated. Body mass index, tricipital skinfold thickness, brachial muscle circumference and body fat percentage determined by bioelectrical impedance analysis were measured. The influence of previous anthropometric variables on total mortality was analyzed.Results: Mean follow-up was 21 +/- 10.7 months. We observed an inverse relationship of total mortality with body mass index (hazard ratio =0.91, 95% confidence interval, 0.87-0.96; P
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Keywords
Heart failure, Body composition, Body mass index, Peak oxygen-consumption, Weight-loss, Mass index, Muscle mass, Mortality, Disease, Fat, Association, Guidelines, Impact