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Nutrition and Health Outcomes in Older People Eligible for Rehabilitation

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Geriatric Nutrition".

Deadline for manuscript submissions: 20 November 2025 | Viewed by 141

Special Issue Editor


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Guest Editor
Department of Rehabilitation Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan
Interests: rehabilitation; geriatrics; malnutrition; dysphagia; appetite; sarcopenia; physical function; physical activity; prognosis; nursing home
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Special Issue Information

Dear Colleagues,

Nutrition is an important factor affecting functional prognoses and health outcomes in rehabilitation intervention in older people, but its contribution has not been fully elucidated. While the effects of nutrition are diverse, so are the causes of nutritional disorders; in particular, in older people, nutritional disorders are often caused by sensory, cognitive, mental, and social vulnerabilities. Nutritional measures for older people, therefore, need to be implemented comprehensively through collaboration between multiple professions, but an effective system for doing so is unclear. As described above, many issues remain, and we hope that this Special Issue will provide clues to solving them.

This Special Issue focuses specifically on the role of nutrition in improving functional recovery and health status in older adults during rehabilitation or when rehabilitation is needed.

Prof. Dr. Satoru Ebihara
Guest Editor

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Keywords

  • malnutrition
  • dysphagia
  • appetite
  • taste
  • frailty
  • sarcopenia
  • physical function
  • physical activity
  • prognosis
  • event-free survival
  • ADL
  • QoL
  • nursing home
  • caregivers
  • end-of-life

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Published Papers (1 paper)

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Research

13 pages, 819 KB  
Article
Hemoglobin-Geriatric Nutritional Risk Index Predicts Major Adverse Cardiovascular Events After Transcatheter Aortic Valve Implantation
by Takeshi Sasaki, Takahiro Miura, Harutoshi Tamura, Yuya Takakubo, Michiaki Takagi and Satoru Ebihara
Nutrients 2025, 17(21), 3419; https://doi.org/10.3390/nu17213419 - 30 Oct 2025
Abstract
Background/Objectives: Numerous older patients undergo transcatheter valve implantation (TAVI) and frequently experience preoperative malnutrition and anemia, which markedly influence postoperative outcomes. This study investigated whether the Hemoglobin-Geriatric Nutritional Risk Index (H-GNRI) could predict major adverse cardiovascular events (MACEs) after TAVI. Methods: [...] Read more.
Background/Objectives: Numerous older patients undergo transcatheter valve implantation (TAVI) and frequently experience preoperative malnutrition and anemia, which markedly influence postoperative outcomes. This study investigated whether the Hemoglobin-Geriatric Nutritional Risk Index (H-GNRI) could predict major adverse cardiovascular events (MACEs) after TAVI. Methods: Patients who underwent TAVI at a single institution were classified into three groups according to their H-GNRI scores: low-risk (H-GNRI score = two), intermediate-risk (H-GNRI score = one), and high-risk (H-GNRI score = zero). The primary outcome was the occurrence of MACEs post-TAVI, and Kaplan–Meier survival and Cox proportional-hazard analyses were performed. Results: Of the 205 patients analyzed, 123, 67, and 15 were assigned H-GNRI scores of two, one, and zero. Kaplan–Meier survival analysis revealed that patients with H-GNRI scores of one and zero developed significantly more MACEs than those with a score of two (log-rank p = 0.0030; 1 vs. 2, p = 0.0032; 0 vs. 2, p = 0.0077). In the Cox proportional-hazard analysis, factors associated with MACEs included H-GNRI score (using score two as reference; score one: hazard ratio [HR] = 2.02, 95% confidence interval [CI] = 1.10–3.60, p = 0.021; score 0: HR = 2.67, 95% CI = 1.10‒6.44, p = 0.028), procedure time (HR = 1.00; 95% CI = 1.00–1.01; p = 0.0093), and length of hospital stay after TAVI (HR = 1.02; 95% CI = 1.01–1.04, p = 0.0003). Conclusions: Preoperative H-GNRI scores were markedly associated with the incidence of postoperative MACEs in patients undergoing TAVI. Full article
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