Christina Andreae
Linköping University
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Featured researches published by Christina Andreae.
Journal of Cardiac Failure | 2015
Christina Andreae; Anna Strömberg; Richard Sawatzky; Kristofer Årestedt
BACKGROUND Decreased appetite in heart failure (HF) may lead to undernutrition which could negatively influence prognosis. Appetite is a complex clinical issue that is often best measured with the use of self-report instruments. However, there is a lack of self-rated appetite instruments. The Council on Nutrition Appetite Questionnaire (CNAQ) and the Simplified Nutritional Appetite Questionnaire (SNAQ) are validated instruments developed primarily for elderly people. Yet, the psychometric properties have not been evaluated in HF populations. The aim of the present study was to evaluate the psychometric properties of CNAQ and SNAQ in patients with HF. METHODS AND RESULTS A total of 186 outpatients with reduced ejection fraction and New York Heart Association (NYHA) functional classifications II-IV were included (median age 72 y; 70% men). Data were collected with the use of a questionnaire that included the CNAQ and SNAQ. The psychometric evaluation included data quality, factor structure, construct validity, known-group validity, and internal consistency. Unidimensionality was supported by means of parallel analysis and confirmatory factor analyses (CFAs). The CFA results indicated sufficient model fit. Both construct validity and known-group validity were supported. Internal consistency reliability was acceptable, with ordinal coefficient alpha estimates of 0.82 for CNAQ and 0.77 for SNAQ. CONCLUSIONS CNAQ and SNAQ demonstrated sound psychometric properties and can be used to measure appetite in patients with HF.
Archive | 2018
Christina Andreae
Background: Appetite is an important component in nutrition for maintaining the food intake needed by the body. Decreased appetite is a common clinical problem in patients with heart failure. It ha ...
Journal of Cardiovascular Nursing | 2017
Christina Andreae; Anna Strömberg; Misook L. Chung; Carina Hjelm; Kristofer Årestedt
Background:Decreased appetite and depressive symptoms are clinical problems in patients with heart failure. Both may result in impaired health status. Objective:The aims of this study were to investigate the association between appetite and health status in patients with heart failure and to explore whether depressive symptoms moderate this association. Methods:In this cross-sectional study, patients with heart failure (n = 186; mean age, 71 years), New York Heart Association class II to IV, participated. Data on appetite (Council of Nutrition Appetite Questionnaire), depressive symptoms (Patient Health Questionnaire-9), and health status (EQ-5D 3-level scale [EQ-5D-3L] descriptive system, EQ-5D-3L index, and EQ Visual Analog Scale) were collected by self-rating questionnaires. Pearson correlation was used to investigate the association between appetite and health status. Multiple regression was performed to examine whether depressive symptoms moderate the association between appetite and health status. Results:There was a significant association between appetite and health status for EQ-5D-3L descriptive system, mobility (P < .001), pain/discomfort (P < .001), and anxiety/depression (P < .001). This association was also shown in EQ-5D-3L index (P < .001) and EQ Visual Analog Scale (P < .001). Simple slope analysis showed that the association between appetite and health status was only significant for patients without depressive symptoms (B = 0.32, t = 4.66, P < .001). Conclusions:Higher level of appetite was associated with better health status. In moderation analysis, the association was presented for patients without depressive symptoms. Decreased appetite is an important sign of poor health status. To improve health status, health professionals should have greater attention on appetite, as well on signs of depressive symptoms.
Journal of Clinical Nursing | 2016
Christina Andreae; Anna Strömberg; Kristofer Årestedt
Journal of the American Heart Association | 2018
Terry A. Lennie; Christina Andreae; Mary Kay Rayens; Eun Kyeung Song; Sandra B. Dunbar; Susan J. Pressler; Seongkum Heo; JinShil Kim; Debra K. Moser
Heart Failure Congress | 2017
Christina Andreae
European Journal of Cardiovascular Nursing | 2017
Geraldine Lee; Elena Marques; E Vellone; Anna Strömberg; Jenny Tagney; Rani Khatib; Sharon O’Donnell; Margrét Hrönn Svavarsdóttir; Eva Goossens; Christina Andreae
Circulation | 2017
Christina Andreae; Kristofer Årestedt; Lorraine S. Evangelista; Anna Strömberg
Journal of Cardiac Failure | 2016
Christina Andreae; Anna Strömberg; Richard Sawatzky; Kristofer Årestedt
Archive | 2015
Christina Andreae; Richard Sawatzky