GLIM-based malnutrition, protein intake and diet quality in preprocedural Transcatheter Aortic Valve Implantation (TAVI) patients

Erck, Dennis van; Tieland, Michael; Adriaens, Nora; Weijs, P.J.M.; Reimer, Wilma J.M. Scholte op; Henriques, José P.S.; Schoufour, Josje D.

doi:10.1016/j.clnesp.2022.08.028

Cited by 2 publications

(3 citation statements)

References 24 publications

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“…refined grains, sweets, alcohol). In the TAVI population, it is shown that a vast majority of the patients do not adhere to these guidelines, indicating that there is room for improvement [ 26 ]. For physical activity, a minimum of 150 min of moderate-intensity exercise and strength training two times a week is recommended [ 14 , 25 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring barriers and facilitators of behavioural changes in dietary intake and physical activity: a qualitative study in older adults undergoing transcatheter aortic valve implantation

et al. 2023

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Purpose The majority of older patients, scheduled for a cardiac procedure, do not adhere to international dietary intake and physical activity guidelines. The purpose of this study was to explore barriers and facilitators regarding dietary intake and physical activity behaviour change in older patients undergoing transcatheter aortic valve implantation (TAVI). Methods We conducted a qualitative study using semi-structured interviews with patients undergoing TAVI. Interviews were analysed by two independent researchers using thematic analysis, the capability, opportunity and motivation behaviour model was used as a framework. Results The study included 13 patients (82 ± 6 years old, 6 females) until data saturation was reached. Six themes were identified, which were all applicable to both dietary intake and physical activity. Three following themes were identified as barriers: (1) low physical capability, (2) healthy dietary intake and physical activity are not a priority at an older age and (3) ingrained habits and preferences. Three following themes were identified as facilitators: (1) knowledge that dietary intake and physical activity are important for maintaining health, (2) norms set by family, friends and caregivers and (3) support from the social environment. Conclusion Our study found that older patients had mixed feelings about changing their behaviour. The majority initially stated that dietary intake and physical activity were not a priority at older age. However, with knowledge that behaviour could improve health, patients also stated willingness to change, leading to a state of ambivalence. Healthcare professionals may consider motivational interviewing techniques to address this ambivalence.

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Section: Discussionmentioning

confidence: 99%

Exploring barriers and facilitators of behavioural changes in dietary intake and physical activity: a qualitative study in older adults undergoing transcatheter aortic valve implantation

et al. 2023

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“…Regarding dietary intake, evidence shows that protein intake in combination with diet quality is important to prevent a decline in muscle mass and physical performance [ 48 , 49 ]. Additionally, in TAVI patients, it is shown that malnutrition is associated with a lower protein intake and lower intake of whole grains, which should be the focus of a nutrition intervention in these patients [ 8 ]. During the preprocedural period, there is a contraindication to exercise at moderate or high intensity.…”

Section: Discussionmentioning

confidence: 99%

“…Patients on the waiting list for a medical procedure are particularly at risk of a steep decline in physical inactivity and poor dietary intake [ 6 , 7 , 8 ]. Consequently, rehabilitation and prehabilitation interventions focusing on a combination of dietary intake and physical activity have shown positive effects on the reduction of complications and improvement of physical functioning and quality of life [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

The Trajectory of Nutritional Status and Physical Activity before and after Transcatheter Aortic Valve Implantation

et al. 2022

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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 (>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.

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GLIM-based malnutrition, protein intake and diet quality in preprocedural Transcatheter Aortic Valve Implantation (TAVI) patients

Cited by 2 publications

References 24 publications

Exploring barriers and facilitators of behavioural changes in dietary intake and physical activity: a qualitative study in older adults undergoing transcatheter aortic valve implantation

Exploring barriers and facilitators of behavioural changes in dietary intake and physical activity: a qualitative study in older adults undergoing transcatheter aortic valve implantation

The Trajectory of Nutritional Status and Physical Activity before and after Transcatheter Aortic Valve Implantation

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