TY  - JOUR
A1  - Gali, Kathleen
A1  - Weidner, Gerdi
A1  - Smits, Jacqueline Mathilde Albertine
A1  - Beyersmann, Jan
A1  - Spaderna-Klein, Heike
T1  - Psychosocial Risk and Health Behaviors as Predictors of Clinical Events in Patients Wait-Listed for a New Heart: Results from 7 Years of Follow-Up
T2  - Life
N2  - We examined the long-term relationship of psychosocial risk and health behaviors on clinical events in patients awaiting heart transplantation (HTx). Psychosocial characteristics (e.g., depression), health behaviors (e.g., dietary habits, smoking), medical factors (e.g., creatinine), and demographics (e.g., age, sex) were collected at the time of listing in 318 patients (82% male, mean age = 53 years) enrolled in the Waiting for a New Heart Study. Clinical events were death/delisting due to deterioration, high-urgency status transplantation (HU-HTx), elective transplantation, and delisting due to clinical improvement. Within 7 years of follow-up, 92 patients died or were delisted due to deterioration, 121 received HU-HTx, 43 received elective transplantation, and 39 were delisted due to improvement. Adjusting for demographic and medical characteristics, the results indicated that frequent consumption of healthy foods (i.e., foods high in unsaturated fats) and being physically active increased the likelihood of delisting due improvement, while smoking and depressive symptoms were related to death/delisting due to clinical deterioration while awaiting HTx. In conclusion, psychosocial and behavioral characteristics are clearly associated with clinical outcomes in this population. Interventions that target psychosocial risk, smoking, dietary habits, and physical activity may be beneficial for patients with advanced heart failure waiting for a cardiac transplant.
KW  - advanced heart failure
KW  - heart transplant
KW  - depression
KW  - smoking
KW  - physical activity
KW  - Herztransplantation
KW  - Wartezeit
KW  - Psychosoziale Situation
KW  - Gesundheitsverhalten
KW  - Auswirkung
KW  - Längsschnittuntersuchung
Y1  - 2021
UR  - https://ubt.opus.hbz-nrw.de/frontdoor/index/index/docId/1871
UR  - https://nbn-resolving.org/urn:nbn:de:hbz:385-1-18717
VL  - 2021
IS  - Band 11, Heft 12 (2021)
PB  - MDPI
CY  - Basel
ER  -