Heart failure & cardiomyopathies

The Water Imbalance of Skeletal Muscle and Muscle Weakness in Patients with Heart Failure

ESC Heart FailPublished Cross-sectional study

Authors' conclusion

A high ECW/ICW ratio in limb muscles, that is, the water imbalance of increasing ECW and/or decreasing ICW, is useful in assessing muscle quality in patients with HF.

Study context

Population
Patients with heart failure (HF)
Participants
190 patients
Exposure
High vs low extracellular water (ECW)/intracellular water (ICW) ratio of limb skeletal muscle
Outcome
Handgrip strength
Methodological detailsBioelectrical impedance analysis of upper and lower extremities; low muscle strength by Asian Working Group for Sarcopenia handgrip criteria
  • Bioelectrical impedance analysis of upper and lower extremities; low muscle strength by Asian Working Group for Sarcopenia handgrip criteria

Main finding

As reported in the abstract

P ≤ 0.05

High ECW/ICW ratio and low skeletal muscle mass independently associated with low muscle strength (multivariate logistic regression)
P < 0.05
Increasing ECW and/or decreasing ICW associated with higher ECW/ICW ratio and lower handgrip strength
P < 0.05

Observational data: associations, not effects.

Further findings

6-min walk distance

Original publication

The Water Imbalance of Skeletal Muscle and Muscle Weakness in Patients with Heart Failure. ESC Heart Fail. Published 11 July 2024. doi:10.1002/ehf2.14950

Composed by AI from the published abstract and checked against it. How Briefs are made →

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