INCREASED RESTING METABOLIC-RATE IN PATIENTS WITH CONGESTIVE-HEART-FAILURE

被引:176
|
作者
POEHLMAN, ET
SCHEFFERS, J
GOTTLIEB, SS
FISHER, ML
VAITEKEVICIUS, P
机构
[1] UNIV MARYLAND, CLAUDE D PEPPER OLDER AMER INDEPENDENCE CTR, BALTIMORE, MD 21201 USA
[2] GERIATR RES EDUC & CLIN CTR, BALTIMORE, MD USA
关键词
D O I
10.7326/0003-4819-121-11-199412010-00006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To examine resting metabolic rate in patients with congestive heart failure as a cause of cardiac cachexia and associated weight loss. Design: Cross-sectional study. Setting: Baltimore Veterans Affairs Medical Center. Patients: 20 men with heart failure (mean age +/-SD, 69 +/- 7 years) and reduced ejection fraction (mean, 0.24 +/- 0.10) and 40 healthy men (mean age, 69 +/- 7 years). Results: Patients with heart failure had smaller fat-free mass than did controls (53 +/- 8 kg compared with 56 +/- 6 kg; P < 0.09), but no difference in fat mass existed (21 +/- 8 kg compared with 19 +/- 8 kg). Measured resting metabolic rate was 18% higher in patients with heart failure than in controls (1828 +/- 275 kcal/d compared with 1543 +/- 219 kcal/d; P < 0.01); no difference in caloric intake existed (2144 +/- 479 kcal/d compared with 2174 +/- 826 kcal/d). The difference in resting metabolic rate between the two groups was even more striking when indexed per kilogram of fat-free mass. Conclusions: Higher resting metabolic rate in patients with heart failure at least partially accounts for otherwise unexplained weight loss. Present caloric guidelines, which were established in healthy elderly persons, substantially underestimate the resting caloric needs of elderly persons with heart failure.
引用
收藏
页码:860 / 862
页数:3
相关论文
共 50 条
  • [41] CONGESTIVE-HEART-FAILURE IN THE ELDERLY
    LUCHI, RJ
    TAFFET, GE
    TEASDALE, TA
    JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1991, 39 (08) : 810 - 825
  • [42] VASOPRESSIN IN CONGESTIVE-HEART-FAILURE
    KORTAS, C
    BICHET, DG
    ROULEAU, JL
    SCHRIER, RW
    JOURNAL OF CARDIOVASCULAR PHARMACOLOGY, 1986, 8 : S107 - S110
  • [43] CONGESTIVE-HEART-FAILURE WITH HYPERNATREMIA
    KAUFMAN, AM
    KAHN, T
    ARCHIVES OF INTERNAL MEDICINE, 1986, 146 (02) : 402 - 403
  • [44] CONGESTIVE-HEART-FAILURE - OVERVIEW
    LYE, M
    CARDIOLOGY IN THE ELDERLY, 1994, 2 (01): : 53 - 55
  • [45] PATHOPHYSIOLOGY OF CONGESTIVE-HEART-FAILURE
    KATZ, AM
    JOURNAL OF APPLIED CARDIOLOGY, 1990, 5 (06) : 427 - 430
  • [46] HEMODYNAMIC AND METABOLIC EFFECTS OF DIBUTYRYL-CYCLIC-AMP IN PATIENTS WITH CONGESTIVE-HEART-FAILURE
    KUSUOKA, S
    MANAKA, J
    NAITO, Y
    SUGA, K
    KIMURA, I
    KUSABA, A
    AKASHI, K
    EBIZAWA, T
    FURUKAWA, K
    ASAYAMA, J
    KATSUME, H
    IJICHI, H
    JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION, 1986, 50 (06): : 531 - 531
  • [47] RESTING METABOLIC-RATE IS REDUCED IN PATIENTS TREATED WITH ANTIDEPRESSANTS
    FERNSTROM, MH
    EPSTEIN, LH
    SPIKER, DG
    KUPFER, DJ
    BIOLOGICAL PSYCHIATRY, 1985, 20 (06) : 692 - 695
  • [48] INVASIVE PHARMACODYNAMICS OF FOSINOPRIL IN PATIENTS WITH CONGESTIVE-HEART-FAILURE
    FORD, NF
    NATARAJAN, C
    FULMOR, IE
    SMITH, RA
    HUI, KK
    JOURNAL OF CLINICAL PHARMACOLOGY, 1995, 35 (08): : 785 - 793
  • [49] THEOPHYLLINE DISPOSITION IN KOREAN PATIENTS WITH CONGESTIVE-HEART-FAILURE
    JEONG, CS
    HWANG, SC
    JONES, DW
    RYU, HS
    SOHN, K
    SANDS, CD
    ANNALS OF PHARMACOTHERAPY, 1994, 28 (03) : 396 - 401
  • [50] ORAL ENOXIMONE PHARMACOKINETICS IN PATIENTS WITH CONGESTIVE-HEART-FAILURE
    LIMA, JJ
    LEIER, CV
    HOLTZ, L
    STERECHELE, J
    SHIELDS, BJ
    MACKICHAN, JJ
    JOURNAL OF CLINICAL PHARMACOLOGY, 1987, 27 (09): : 654 - 660