Screening and risk factor analysis of osteoporosis in elderly patients with chronic heart failure.

OBJECTIVE

To evaluate osteoporosis in hospitalized elderly patients with chronic heart failure and analyze its risk factors.

METHODS

A total of 230 elderly patients with heart failure from October 2021 to October 2022 were included in this study. Bone mineral density (BMD) was measured via dual-energy X-ray absorptiometry, and the incidence of osteoporosis was analyzed. T tests or Χ2 tests were used to compare the influence of each factor on the detection rate, and multivariate logistic regression analysis was used to analyze the independent risk factors.

RESULTS

The prevalence of osteoporosis was 61.95% in 205 elderly patients with heart failure. The lower the BMI is, the worse the heart function, and the lower the score of daily activity, the higher the detection rate of osteoporosis in heart failure patients; the incidence of osteoporosis was greater in patients with heart failure accompanied by diabetes, cognitive impairment, chronic kidney disease, and malnutrition (P < 0.05). Multiple logistic regression analysis revealed that BMI, activities of daily living, diabetes mellitus, and malnutrition were independent risk factors (P < 0.05).

CONCLUSION

Osteoporosis is common in hospitalized elderly patients with heart failure. Screening for osteoporosis should be carried out as early as possible to intervene in risk factors in time. Poor nutritional status, low body weight, decreased living ability, and diabetes mellitus were the independent risk factors for osteoporosis (P < 0.05).