{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T16:55:18Z","timestamp":1784998518609,"version":"3.55.0"},"reference-count":31,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T00:00:00Z","timestamp":1699574400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"JSPS KAKENHI","award":["JP19K11774"],"award-info":[{"award-number":["JP19K11774"]}]},{"name":"JSPS KAKENHI","award":["JP20K11536"],"award-info":[{"award-number":["JP20K11536"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Whether malnutrition during the early phase of recovery from acute myocardial infarction (AMI) could be a predictor of mortality or morbidity has not been ascertained. We examined 289 AMI patients. All-cause mortality and composite endpoints (all-cause mortality, nonfatal stroke, nonfatal acute coronary syndrome, and hospitalization for acute decompensated heart failure) during the follow-up duration (median 39 months) were evaluated. There were 108 (37.8%) malnourished patients with GNRIs of less than 98 on arrival; however, malnourished patients significantly decreased to 91 (31.4%) during the convalescence period (p &lt; 0.01). The incidence rates of mortality and primary composite endpoints were significantly higher in the malnourished group than in the well-nourished group both on arrival and during the convalescence period (All p &lt; 0.05). Nutrition guidance significantly improved GNRI in a group of patients who were undernourished (94.7 vs. 91.0, p &lt; 0.01). Malnourished patients on admission who received nutritional guidance showed similar all-cause mortality with well-nourished patients, whereas malnourished patients without receiving nutritional guidance demonstrated significantly worse compared to the others (p = 0.03). The assessment of GNRI during the convalescence period is a useful risk predictor for patients with AMI. Nutritional guidance may improve the prognoses of patients with poor nutritional status.<\/jats:p>","DOI":"10.3390\/nu15224748","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T02:30:29Z","timestamp":1699842629000},"page":"4748","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Poor Nutritional Status during Recovery from Acute Myocardial Infarction in Patients without an Early Nutritional Intervention Predicts a Poor Prognosis: A Single-Center Retrospective Study"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6343-7199","authenticated-orcid":false,"given":"Hiroshi","family":"Abe","sequence":"first","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuro","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masato","family":"Tomaru","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuka","family":"Nobushima","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohi","family":"Ajima","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Hirabayashi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayaki","family":"Ishiwata","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Midori","family":"Kakihara","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaaki","family":"Maki","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryosuke","family":"Shimai","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1786-0176","authenticated-orcid":false,"given":"Tadao","family":"Aikawa","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Isogai","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dai","family":"Ozaki","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuminori","family":"Odagiri","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhisa","family":"Takamura","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Hiki","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7098-9406","authenticated-orcid":false,"given":"Hiroshi","family":"Iwata","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Tokano","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Chiba, Urayasu-shi 279-0021, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tohru","family":"Minamino","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan"},{"name":"Japan Agency for Medical Research and Development-Core Research for Evolutionary Medical Science and Technology (AMED-CREST), Japan Agency for Medical Research and Development, 1-7-1 Otemachi, Chiyoda-ku, Tokyo 100-0004, 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