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December 31, 2025ABC Heart Failure & CardiomyopathyOpen Access

Malnutrition in Outpatients with Heart Failure: Prevalence, Associated Factors and 6-Month Impact

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Key result

Malnutrition affects ~21% of HFrEF outpatients and is linked to older age and worse functional class.

  • n=118

Why the study?

Malnutrition is common in HFrEF and may negatively affect prognosis, but its prevalence, associated clinical factors, and impact on clinical outcomes require evaluation in outpatients.

Does malnutrition impact mortality and clinical outcomes at 6 months in outpatients with HFrEF?

Population

118 outpatients with HFrEF

Comparison

Nutritional status assessed by MNA and SGA

Design

Prospective observational cohort study

Follow-up

6 months

Authors

LGLeonardo Akira GondoLMLídia Zytynski MouraMBMarcely Gimenes Bonatto

Discussion

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Overview

Malnutrition assessment in HFrEF outpatients should not yet change practice; hypothesis-generating for prognostic role and intervention trials.

Study Design

Type

Cohort (n=118)

Multicenter

No

Structured PICO

Does malnutrition impact mortality and clinical outcomes at 6 months in outpatients with HFrEF?

P
Population
118 outpatients aged 18 years or older with heart failure with reduced ejection fraction, free of recent hospitalization, followed for 6 months.
E
Exposure
Malnutrition (assessed using the Mini Nutritional Assessment [MNA] and the Subjective Global Assessment [SGA])
O
Outcome
Mortality, hospitalizations, and emergency department visits at 6 monthshard clinical

This study evaluates the prevalence and 6-month prognostic impact of malnutrition in outpatients with HFrEF.

Limitations

  • Single center study
  • Small sample size (n=118)
  • Potential confounding factors such as dietary control, therapeutic adherence, or physical activity were not mentioned
  • Short follow-up period of 6 months
  • 18% loss to follow-up
  • Multivariate analysis was exploratory and not subjected to formal model validation

Cite This Study

Gondo et al. (2025) conducted a cohort in Heart failure with reduced ejection fraction (HFrEF) (n=118). Malnutrition vs. Normal nutritional status was evaluated on Prevalence of malnutrition. Malnutrition was present in 21.2% of outpatients with heart failure with reduced ejection fraction and was associated with older age, worse functional class, and a trend toward higher 6-month mortality.

synapsesocial.com/papers/6aa9484fa35b18e46c04fadehttps://doi.org/10.36660/abchf.20250038i
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Malnutrition in heart failure with preserved ejection fraction2023 · 33 citations
  2. 2Nutritional Assessment in Outpatients with Heart Failure2024 · 15 citations
  3. 3Nutritional Status of Very Elderly Outpatients with Heart Failure and Its Influence on Prognosis2024 · 7 citations
  4. 4Impact of Malnutrition on the Outcomes in Patients Admitted with Heart Failure2024 · 6 citations
  5. 5Malnutrition and mortality in patients≥75 years with chronic heart failure2026