Cognitive Function Predicts Risk for Clinically Significant Weight Gain in Adults with Heart Failure

Mary A. Dolansky, Misty A.W. Hawkins, Julie T. Schaefer, John Gunstad, Abdus Sattar, Joseph D. Redle, Anton Vehovec, Richard Josephson, Shirley M. Moore, Joel W. Hughes

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Few investigators have examined whether cognitive deficits predict poorer self-care of weight management recommendations and weight gain in adults with heart failure. Objective: The purposes of this study were (1) to examine whether cognition is associated with adherence to daily weighing and weight gain incidence and (2) to explore self-reported symptom perception and management when a weight increase occurs. Methods: In this observational study, participants completed neuropsychological testing, were given an electronic scale, and were instructed to record their weight for 21 days. Data for 301 participants were collected at baseline and 3 weeks after weight monitoring. Results: At baseline, only 35% of the enrolled respondents knew when to call their physician for increased weight gain, and 37% of the analyzed sample (n = 110/301) experienced a clinically significant weight gain. Regressions tested whether baseline attention, executive function, or memory predicted adherence to daily weighing and the likelihood of weight gain incidence. In unadjusted and adjusted covariate analyses, none of the cognitive domains predicted adherence to daily weighing (P ≥.375); however, all 3 cognitive domains predicted an increased risk of a clinically significant weight gain (P ≤.05). Importantly, 65% of participants with a weight gain did not identify this symptom on self-report questions. Conclusions: Although cognitive deficits are not associated with adherence to daily weighing, adults with cognitive deficits may be at an increased risk for experiencing a clinically significant weight gain, and most do not perceive symptoms. Clinical Implications: Adults with heart failure require more than directions on self-care related to weight monitoring.

Original languageEnglish
Pages (from-to)568-575
Number of pages8
JournalJournal of Cardiovascular Nursing
Volume32
Issue number6
DOIs
StatePublished - 1 Nov 2017
Externally publishedYes

Fingerprint

Cognition
Weight Gain
Heart Failure
Weights and Measures
Self Care
Incidence
Executive Function
Self Report
Observational Studies
Research Personnel
Physicians

Keywords

  • adherence to daily weighing
  • cognitive function
  • heart failure
  • self-care
  • self-management

Cite this

Dolansky, Mary A. ; Hawkins, Misty A.W. ; Schaefer, Julie T. ; Gunstad, John ; Sattar, Abdus ; Redle, Joseph D. ; Vehovec, Anton ; Josephson, Richard ; Moore, Shirley M. ; Hughes, Joel W. / Cognitive Function Predicts Risk for Clinically Significant Weight Gain in Adults with Heart Failure. In: Journal of Cardiovascular Nursing. 2017 ; Vol. 32, No. 6. pp. 568-575.
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Dolansky, MA, Hawkins, MAW, Schaefer, JT, Gunstad, J, Sattar, A, Redle, JD, Vehovec, A, Josephson, R, Moore, SM & Hughes, JW 2017, 'Cognitive Function Predicts Risk for Clinically Significant Weight Gain in Adults with Heart Failure', Journal of Cardiovascular Nursing, vol. 32, no. 6, pp. 568-575. https://doi.org/10.1097/JCN.0000000000000376

Cognitive Function Predicts Risk for Clinically Significant Weight Gain in Adults with Heart Failure. / Dolansky, Mary A.; Hawkins, Misty A.W.; Schaefer, Julie T.; Gunstad, John; Sattar, Abdus; Redle, Joseph D.; Vehovec, Anton; Josephson, Richard; Moore, Shirley M.; Hughes, Joel W.

In: Journal of Cardiovascular Nursing, Vol. 32, No. 6, 01.11.2017, p. 568-575.

Research output: Contribution to journalArticle

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AU - Hawkins, Misty A.W.

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