ArticleBMC cardiovascular disorders2025
A nomogram for predicting malnutrition risk in patients with chronic heart failure and correlation study between GHRL, MSTN, CRP, Hs-CRP.
Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Risk factors associated with malnutrition in elderly patients with chronic heart failure.Medicine · 2026Observational
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7 authors.
Funding
Abstract
objectiveThis study aimed to construct a nomogram to identify risk factors for malnutrition in patients with chronic heart failure (CHF) and to explore the correlation between Ghrelin (GHRL), Myostatin (MSTN), C-reactive protein (CRP) and High-sensitivity C-reactive protein (Hs-CRP) to further elucidate the potential pathophysiological mechanisms linking malnutrition/sarcopenia and inflammation.
methodsA total of 128 patients with congestive heart failure (CHF) admitted to the Cardiology Department of Guang'anmen Hospital, China Academy of Chinese Medical Sciences, between February 2022 and February 2023, were included in the study. Based on their MNA-SF scale scores, the patients were classified into two groups: the malnutrition group (107 patients) and the non-malnutrition group (21 patients). Univariate and multivariate logistic regression analyses were performed to identify risk factors for malnutrition in CHF patients, which facilitated the development of a nomogram. Correlation analysis was also conducted to explore the relationships between GHRL, MSTN, CRP, and Hs-CRP.
resultsLogistic regression analysis identified age, right upper limb diameter, simplified anorexia scale score, and MSTN as significant risk factors for malnutrition in CHF patients (P < 0.05). The nomogram exhibited strong discriminative power during internal validation, with an AUC of 0.917 (95% CI: 0.8439-0.990), a Hosmer-Lemeshow test result of χ
conclusionThis study supports the hypothesis that age, right upper limb diameter, simplified anorexia scale score, and MSTN are significant risk factors for malnutrition in CHF patients. The nomogram developed in this study demonstrated robust predictive value for identifying malnutrition in this population. Furthermore, the proposed inflammation-GHRL/MSTN-appetite improvement/muscle growth-CHF improvement pathway offers a potential regulatory mechanism,which represents a promising direction for research into the mechanisms of malnutrition and muscle loss disorders in patients with CHF.
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