Nutritional Status of Elderly Patients after Coronary Artery Bypass Surgery

Lucyna Ścisło, Aleksandra Bizoń, Elżbieta Walewska, Magdalena Staszkiewicz, Radosław Pach and Antoni Szczepanik
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Lucyna Ścisło: Department of Clinical Nursing, Faculty of Health Sciences, Jagiellonian University, Medical College, ul. Kopernika 25, 31-501 Krakow, Poland
Aleksandra Bizoń: Department of Clinical Nursing, Faculty of Health Sciences, Jagiellonian University, Medical College, ul. Kopernika 25, 31-501 Krakow, Poland
Elżbieta Walewska: Department of Clinical Nursing, Faculty of Health Sciences, Jagiellonian University, Medical College, ul. Kopernika 25, 31-501 Krakow, Poland
Magdalena Staszkiewicz: Department of Clinical Nursing, Faculty of Health Sciences, Jagiellonian University, Medical College, ul. Kopernika 25, 31-501 Krakow, Poland
Radosław Pach: Department of General, Oncological and Gastroenterological Surgery, Jagiellonian University, Medical College, ul.Kopernika 40, 31-00 Krakow, Poland
Antoni Szczepanik: Department of General, Oncological and Gastroenterological Surgery, Jagiellonian University, Medical College, ul.Kopernika 40, 31-00 Krakow, Poland

IJERPH, 2019, vol. 16, issue 2, 1-12

Abstract: Surgical trauma can result in immobilization of biological material, degradation of muscle proteins, synthesis of acute-phase proteins in the liver, occurrence of catabolism phase and anabolism simultaneously, and as a consequence weight loss and nutritional deficiencies. The aim of this study was to assess the nutritional status of patients with ischemic heart disease subjected to coronary artery bypass surgery and physical activity and postoperative complications. The analysis among 96 men included total number of lymphocytes (TNL), body mass index (BMI), case history of a patient and results of laboratory tests. The activities of daily living (ADL) and the mini nutritional assessment (MNA) questionnaires were used. According to TNL, before the procedure malnutrition occurred in 46% of patients. BMI revealed overweight in 62.5% and obesity in 26.0%. After the surgery, no changes were observed. According to MNA, 59% of patients before the surgery were at risk of malnutrition. After the operation, the number of people at risk of malnutrition increased by 50% ( p < 0.0001). The correlation was noted between BMI and patients’ efficiency in the fifth day after the surgery ( p = 0.0031). Complications after the surgery occurred in 35.4% of patients. After the surgery, the risk of malnutrition increased, decreased activity and complications occurred more frequently in people with underweight, obesity, and overweight than in people with normal BMI.

Keywords: coronary artery bypass; malnutrition; overweight; obesity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:16:y:2019:i:2:p:226-:d:197756

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