Heart failure & cardiomyopathies

Sex Differences in the Association Between Nutritional Status and in-Hospital Mortality in Heart Failure with Preserved Ejection Fraction (HFpEF) Patients

ESC Heart FailPublished retrospective analysis

Authors' conclusion

In male patients with HFpEF, elevated NRS2002 scores showed significantly higher odds of in-hospital mortality. Higher BMI was generally associated with lower odds of mortality, with this protective effect remaining consistent in the population sample, regardless of the NRS2002 score.

Study context

Population
Patients admitted with acute heart failure in whom HFpEF was identified as the underlying diagnosis, 08.2018–08.2020
Participants
234 patients
Exposure
Associations between nutritional indices (NRS2002, body mass index (BMI)) and in-hospital mortality, with interactions by sex
Outcome
In-hospital mortality by NRS2002 score in male patients

Main finding

As reported in the abstract

Odds at NRS2002 = 4 (BMI = 28)

47.512

Odds at NRS2002 = 1 (BMI = 28)

0.031

Observational data: associations, not effects.

Further findings

OutcomeORP value
In-hospital mortality by BMIPer-unit; BMI negatively modulated the odds of death0.843P = 0.012
  • In-hospital mortality by BMI: NRS2002 did not significantly influence the BMI-mortality relationship (P = 0.289)

Association between NRS2002 and mortality in women

No such association between NRS2002 and mortality was found in women

Original publication

Sex Differences in the Association Between Nutritional Status and in-Hospital Mortality in HFpEF Patients. ESC Heart Fail. Published 21 May 2025. doi:10.1002/ehf2.15332

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