obesity-meeting-2018-posters-abstracts

8 / 20

Page 38
Notes:
conferenceseries.com
Volume 8 Journal of Obesity & Weight Loss Therapy Obesity Meeting 2018
August 24-25, 2018
August 24-25, 2018 Singapore
20th Global Obesity Meeting
Nutritional therapy in patient with congestive heart failure
Maria Angela and Agussalim Bukhari
Hasanuddin University, Indonesia
Background: Congestive heart failure is a chronic and progressive disease, with one of the symptom is a fluid retention as a
result of reduced heart’s ability to pump blood.
Case Report: A 40 year-old moderate malnourished male patient was diagnosed with congestive heart failure and dilated
cardiomyopathy for 14 months. There is history of several times hospitalization in the past 6 months. Patient was readmitted
2 weeks ago with major complaints shortness of breath. Oral intake was reduced. Patient’s BMI before diagnosed with heart
problemwas 33.9 kg/m2, and the BMI in primary survey was 24.6 kg/m2. Vital sign within normal range, only ascites was found
in physical examination accompanied by limited functional capacity. There were abnormal values for WBC, TLC, uric acid
and sodium serum. Nutritional assessment was based on subjective global assessment. Nutritional therapy was given gradually
with target energy 1750 kcal and protein 1.1 g/kg IBW/day. Fluid requirement was adjusted to the patient's fluid output by
maintaining a negative fluid balance. Nutrition target was achieved by seventh day of nutritional therapy, in conjunction with
improved physical activity and laboratory values.
Conclusion: Obesity contributes to the occurrence of cardiomyopathy. Nutritional therapy and fluid management are crucial
in holistic care medicine for patients with congestive heart failure to reduce mortality.
Biography
Maria Angela is a Clinical Nutrition Specialist Program Participant in Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. She has earned her Medical
Doctorate at Wijaya Kusuma Surabaya University in 2011. She has worked at Premier Hospital Surabaya for 3 years as a Resident Medical Officer and was joined
in Palliative Team for cancer patients. In 2015, she enrolled in Clinical Nutrition Specialist Program at Hasanuddin University.
Maria Angela et al., J Obes Weight Loss Ther 2018, Volume 8
DOI: 10.4172/2165-7904-C6-073