Weight loss, muscle strength, and angiotensin-converting enzyme inhibitors in older adults with congestive heart failure or hypertension
Weight loss, muscle strength, and angiotensin-converting enzyme inhibitors in older adults with congestive heart failure or hypertension
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DOI：
10.1111/j.1532-5415.2005.53568.x
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发表时间：
2005-11-01
影响因子：
6.3
通讯作者：
Psaty, BM
中科院分区：
文献类型：
--
作者：
Schellenbaum, GD;Smith, NL;Psaty, BM
(See editorial comments by Stephan von Haehling, Anja Sandek, and Stefan Anker on pp 000-000)To determine whether angiotensin-converting enzyme (ACE) inhibitor use may be associated with weight maintenance and sustained muscle strength (measured by grip strength) in older adults.Data from the Cardiovascular Health Study (CHS), a community-based prospective cohort study of 5,888 older adults, were used.Subjects were recruited from four U.S. sites beginning in 1989; this analysis included data through 2001.CHS participants with congestive heart failure (CHF) or treated hypertension.The exposure, current ACE inhibitor use, was ascertained by medication inventory at annual clinic visits; the outcomes were weight change and grip-strength change during the following year. Multivariate linear regression was used, accounting for correlations between observations on the same participant over time.The average annual weight change was -0.38 kg in 2,834 participants (14,443 person-years) with treated hypertension and -0.62 kg in 342 participants (980 person-years) with CHF. ACE inhibitor use was associated with less annual weight loss after adjustment for potential confounders: a difference of 0.17 kg (95% confidence interval (CI)=0.05-0.29) in those with treated hypertension and 0.29 kg (95% CI=-0.25-0.83) in those with CHF. There was no evidence of association between ACE inhibitor use and grip-strength change.ACE inhibitor use may be associated with weight maintenance, but not maintenance of muscle strength, in older adults with treated hypertension.
