It is suggested that older patients waiting for an elective surgical procedure have a poor nutritional status and low physical activity level. It is unknown if this hypothesis is true and if these conditions improve after a medical procedure. We aimed to determine the trajectory of both conditions before and after transcatheter aortic valve implantation (TAVI). Included patients (n = 112, age 81 ± 5 years, 58% male) received three home visits (preprocedural, one and six months postprocedural). Nutritional status was determined with the mini nutritional assessment—short form (MNA-SF) and physical activity using an ankle-worn monitor (Stepwatch). The median MNA-SF score was 13 (11–14), and 27% of the patients were at risk of malnutrition before the procedure. Physical activity was 6273 ± 3007 steps/day, and 69% of the patients did not meet the physical activity guidelines (>7100 steps/day). We observed that nutritional status and physical activity did not significantly change after the procedure (β 0.02 [95% CI −0.03, 0.07] points/months on the MNA-SF and β 16 [95% CI −47, 79] steps/month, respectively). To conclude, many preprocedural TAVI patients should improve their nutritional status or activity level. Both conditions do not improve naturally after a cardiac procedure.
Original languageEnglish
Article number5137
Number of pages13
Issue number23
Publication statusPublished - 1 Dec 2022


  • Aged
  • Aged, 80 and over
  • Exercise
  • Female
  • Geriatric Assessment/methods
  • Humans
  • Male
  • Malnutrition
  • Nutrition Assessment
  • Risk Factors
  • TAVI
  • Transcatheter Aortic Valve Replacement
  • medical procedure
  • nutritional status
  • older patients
  • physical activity

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