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Journal : Global Health Management Journal

The Quality of Life in Heart Failure Reduced Ejection Fraction (HFrEF) Patients: A Phenomenon of Obesity Paradox Rachmawan, Yogi Puji; Pratiwi, Witri; Helda, Helda
GHMJ (Global Health Management Journal) Vol. 8 No. 1 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-811151

Abstract

Background: Obesity place patients at risk of cardiovascular disease (CVD). There may be an inverse relationship between obesity and CVD prognosis-a phenomenon known as the “obesity paradox”. Obese HF patients might have a better prognosis, especially in terms of quality of life (QoL). Aims: The purpose of this study was to examine the QoL of HF patients based on obesity classification. Methods: This cross-sectional study was conducted at the HF clinic of Hasna Medika Cardiovascular Hospital, Cirebon, Indonesia. Samples were HFrEF patients who had received medication at the HF clinic for at least 6 months and the patient must have received optimal guidelines directed medical therapy (GDMT) with at least 3 pillar drugs according to Indonesian heart failure guidelines. Inclusion criteria were HF patients with ejection fraction <40% on echocardiographic examination. Exclusion criteria were HF patients with motor impairments, such as post-stroke, severe osteoarthritis, paralysis, and patients who did not receive optimal GDMT. Results: A total of 40.3% sample were obese, 9.7% were underweight and 67.5% had central obesity. Coronary artery disease (89.6%), smoking (67.5%) and hypertension (49.4%) were the most common comorbidities and risk factors found. About 12.3% of sample experienced rehospitalization 3 times a year. Based on Kansas City Cardiomyopathy Questionnaire (KCCQ)-12, about 3.2% of the sample had poor QoL, 55.8% had good QoL and 9.7% had excellent QoL. HFrEF patients with excellent QoL had a proportion of 66.7% obese and 20% overweight. While there were no obese patients in HFrEF patients with poor QoL. The proportion of HFrEF patients with excellent QoL who had central obesity was 80%. Meanwhile, 65.1% of HFrEF patients with good QoL were obese. Conclusion: Obese HF patients have better QoL outcomes. This phenomenon is called obesity paradox. A good quality of life in HF patients is an important goal of HF management in addition to reducing mortality.   Received: 02 December 2024 | Reviewed: 17 December 2024 | Revised: 24 December 2024 | Accepted: 10 January 2025.
Co-Authors Abda Abda Afrizal Tanjung Agustianingsih, Ika Ajeng Tias Endarti Ansariadi Ansariadi Apriani, Fitri Arcita Hanjani, Arcita Ariyanti, Firna Armenda, Yulia Asari, Hazella Rissa Valda Asrul Asrul Astuti Yuni Nursari Audila, Hanna Audita, Fatira R. Aulia Rizka, Aulia Azzumar, Farchan Badewi, Bachtarudin Beny Rilianto Budhi Antariksa Caroline Killeen Catootjie L. Nalle, Catootjie L. Cumayunaro, Ayuro Dahlan, Asmita Dwinata, Indra Eka Budi Satria Elviza Rahmadona Faadhillah, Astrisa Fadhila, Fikri Fahmia, Rizka Fajriani, Alfiah Falah, Sadiah Nurul Fariani Syahrul Febriyanti, Syeri Fetty Ismandari Fetty Ismandari Findy Prasetyawaty, Findy Fitri Aulia Fitriani, Wulan Fujiasti, Yovella Medhira Handari, Rahma Dewi Hanim, Sofwatul Hardiyanti, Anggie Hasyim, Irva Zulviya Helwiah Umniyati Hendraswari, Desyana Endarti Herawati, Yanti Hidajah, Atik C. Hikmah, Kholishotul Hikmah, Kholisotul Husnul Hatimah, Husnul Ibna, Reihana Ramadlani Ida Ayu Kshanti Kawi, Nurhayati Kholisotul Hikmah Komalasari, Dini P. Komalasari, Wuri Latifah, Mira Maryani Lengkana, Dewi Lestari, Andini Putri M Ibraar Ayatullah M. Bakhrul Widianto M. Irzal, Mufti As Siddiq Magdalena S, Purnama Magfira, Nadya Mahdatul Ardawiah Manurung, Pebrina Marlia, Sri Marzuki, M. Maulita Wulandari Melinda, Gea Mira Maryani Latifa Mokoagow, Md Ikhsan Monica, Mareska Muchlisa, Nurul Mulyana, Adang Nadia Nadia Nani Nani Nisa Raisa Shaleha Novarisa, Nessa Nurcandra, Fajaria Nurrofiq, M. Fajar Pagihuddin, Mukjizat Pradipta, Marlya Niken Pratiwi, Endah Dwi Prihartono, Nurhayati Adnan Prisandy, Lucky Purbasari, Utami puspitasari, Arum Putri Alfina Riwayatin Rachmawan, Yogi Puji Raf Raf, Khansa Rahmad Mulyadi Rahmadani, Sekar A. Rajab, Nurfadilah M. Ramadhani Ramadhani Ramadhania, Shabrina A. Raudatul Aslamiah Renti Mahkota Rezavitawanti, Rezavitawanti Ridhanti, Devi Rilianto, Beny Rizka Fahmia Rizka Ramadhanti Robbani, Syifa Rubiah, Gemala Rufaidah, Melia Fatrani Rustam, Musfardi Sakanti, Anggiasih Salamah, Qonita Nur Sartika, Desy Shomita Fitrotun Nisa Sihombing, Intan Ully Athalia Stefani, Sheila Sudarto Ronoatmodjo Sudaryo, Mondastri Korib Sugiarti, Restya Sri Sukarsi Rusti Talitha El Zhafira Hadi Tamaria Panggabean Tauhidah, Sarah At Thamrin Thamrin Tri Wurisastuti Tri Yunis Miko Wahyono Utami, Fenia Utami, Risa P. Wahyono, Tri YM. winna, winna Witri Pratiwi Woro Riyadina Yulianto, Muhammad Farhan Dwi Zainab Addhahra