{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T23:13:28Z","timestamp":1782515608340,"version":"3.54.5"},"reference-count":58,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T00:00:00Z","timestamp":1639958400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["SP945\/1-1, SP945\/1-3, SP945\/1-4 to HS, MA 155\/75-1 to GW"],"award-info":[{"award-number":["SP945\/1-1, SP945\/1-3, SP945\/1-4 to HS, MA 155\/75-1 to GW"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005156","name":"Alexander von Humboldt Foundation","doi-asserted-by":"publisher","award":["to GW"],"award-info":[{"award-number":["to GW"]}],"id":[{"id":"10.13039\/100005156","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002347","name":"Federal Ministry of Education and Research","doi-asserted-by":"publisher","award":["German Federal Ministry of Education and Research (BMBF) and the Free and Hanseatic City of Hamburg as part of the Excellence Strategy of the Federal and State Governments to KG"],"award-info":[{"award-number":["German Federal Ministry of Education and Research (BMBF) and the Free and Hanseatic City of Hamburg as part of the Excellence Strategy of the Federal and State Governments to KG"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Eurotransplant International Foundation","award":["2005"],"award-info":[{"award-number":["2005"]}]},{"DOI":"10.13039\/100008868","name":"International Society for Heart and Lung Transplantation","doi-asserted-by":"publisher","award":["Nursing and Social Sciences Research Award 2010 to HS and GW"],"award-info":[{"award-number":["Nursing and Social Sciences Research Award 2010 to HS and GW"]}],"id":[{"id":"10.13039\/100008868","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.3390\/life11121438","type":"journal-article","created":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T08:43:32Z","timestamp":1639989812000},"page":"1438","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["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"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6994-1146","authenticated-orcid":false,"given":"Kathleen","family":"Gali","sequence":"first","affiliation":[{"name":"Hamburg Center for Health Economics, University of Hamburg, 20354 Hamburg, Germany"},{"name":"University Cancer Center Hamburg (UCCH), University Medical Center-Eppendorf (UKE), 20251 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerdi","family":"Weidner","sequence":"additional","affiliation":[{"name":"Department of Biology, Romberg Tiburon Campus, San Francisco State University, Tiburon, CA 94920, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline M. A.","family":"Smits","sequence":"additional","affiliation":[{"name":"Eurotransplant International Foundation, 2301 Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Beyersmann","sequence":"additional","affiliation":[{"name":"Institute of Statistics, Ulm University, 89081 Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4600-2859","authenticated-orcid":false,"given":"Heike","family":"Spaderna","sequence":"additional","affiliation":[{"name":"Department of Nursing Science, Section Health Psychology, Trier University, 54286 Trier, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,12,20]]},"reference":[{"key":"ref_1","unstructured":"Eurotransplant Statistics Report Library (2021). 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