TY - JOUR
T1 - Sociodemographic characteristics, lifestyle behaviors, and symptoms associated with fluid overload among non-hospitalized and community-dwelling older adults with heart failure
T2 - A population-based approach
AU - Gharzeddine, Rida
AU - Cypress, Brigette
AU - Dahan, Thomas
AU - Fu, Mei R.
N1 - Publisher Copyright:
© 2023 Elsevier Inc.
PY - 2023/9/1
Y1 - 2023/9/1
N2 - Background: Fluid overload is a major complication in patients with heart failure (HF) and the main reason for hospitalization. The purpose of the study was to explore the associations of fluid overload with sociodemographic characteristics, lifestyle behaviors, and symptoms among non-hospitalized and community-dwelling older adults with HF using large population data. Methods: Descriptive and multivariate analyses were conducted on the Health and Retirement Study 2016. Results: Fluid overload was prevalent in almost half of the sample. Female older adults with HF were more likely to have fluid overload (OR:1.43, p = 0.037) as well as being Black (OR:1.40, p = 0.041). Higher physical activity scores were associated with less likelihood of having fluid overload (OR:0.99, p = 0.025). Symptoms of shortness of breath (OR=2.18, p = 0.001), pain (OR=1.82, p < 0.001), and fatigue (OR=1.45, p = 0.025) were significantly associated with fluid overload. Conclusion: Female and Black community-dwelling older adults with HF are at higher risk of fluid overload. Symptoms of shortness of breath, pain, and fatigue are significant manifestations of fluid overload. Effective patient-centered interventions to promote fluid flow via physical activity may help older adults with HF manage fluid overload and alleviate associated symptoms.
AB - Background: Fluid overload is a major complication in patients with heart failure (HF) and the main reason for hospitalization. The purpose of the study was to explore the associations of fluid overload with sociodemographic characteristics, lifestyle behaviors, and symptoms among non-hospitalized and community-dwelling older adults with HF using large population data. Methods: Descriptive and multivariate analyses were conducted on the Health and Retirement Study 2016. Results: Fluid overload was prevalent in almost half of the sample. Female older adults with HF were more likely to have fluid overload (OR:1.43, p = 0.037) as well as being Black (OR:1.40, p = 0.041). Higher physical activity scores were associated with less likelihood of having fluid overload (OR:0.99, p = 0.025). Symptoms of shortness of breath (OR=2.18, p = 0.001), pain (OR=1.82, p < 0.001), and fatigue (OR=1.45, p = 0.025) were significantly associated with fluid overload. Conclusion: Female and Black community-dwelling older adults with HF are at higher risk of fluid overload. Symptoms of shortness of breath, pain, and fatigue are significant manifestations of fluid overload. Effective patient-centered interventions to promote fluid flow via physical activity may help older adults with HF manage fluid overload and alleviate associated symptoms.
KW - Fluid overload, Physical activity
KW - Heart failure
KW - Insomnia symptoms
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U2 - 10.1016/j.gerinurse.2023.06.017
DO - 10.1016/j.gerinurse.2023.06.017
M3 - Article
C2 - 37454420
AN - SCOPUS:85164992139
SN - 0197-4572
VL - 53
SP - 66
EP - 71
JO - Geriatric Nursing
JF - Geriatric Nursing
ER -