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心力衰竭的营养干预:挑战与机遇

Nutritional Interventions in Heart Failure: Challenges and Opportunities.

作者信息

Kerley Conor P

机构信息

Chronic Cardiovascular Disease Management Unit and Heart Failure Unit, St Vincent's Healthcare Group/St Michael's Hospital, County Dublin, Ireland.

出版信息

Curr Heart Fail Rep. 2018 Jun;15(3):131-140. doi: 10.1007/s11897-018-0388-6.

Abstract

PURPOSE OF REVIEW

There is a growing body of evidence that nutritional factors influence the incidence of heart failure (HF). The current manuscript aims to collate evidence relating to nutritional intervention in the treatment of HF as well as to provide context regarding challenges and opportunities in the field.

RECENT FINDINGS

Despite the accepted importance of nutritional factors relating to cardiovascular disease severity, there is surprisingly little human intervention research regarding dietary intake and HF. Further, existing nutritional interventions in HF were mostly pilot studies with small samples and short follow-up. There is consistent evidence that nutritional factors majorly influence HF. Despite limited research, there is evidence that nutritional modification can rapidly and profoundly influence multiple aspects of HF. There is an urgent need for well-conducted research to ascertain if nutritional modification can alter the long-term course of HF.

摘要

综述目的

越来越多的证据表明营养因素会影响心力衰竭(HF)的发病率。本手稿旨在整理有关营养干预治疗HF的证据,并提供该领域挑战与机遇的相关背景。

最新发现

尽管营养因素与心血管疾病严重程度的相关性已得到认可,但令人惊讶的是,关于饮食摄入与HF的人体干预研究却很少。此外,现有的HF营养干预大多是小样本、短期随访的试点研究。有一致的证据表明营养因素对HF有重大影响。尽管研究有限,但有证据表明营养调整可迅速且深刻地影响HF的多个方面。迫切需要开展精心设计的研究,以确定营养调整是否能改变HF的长期病程。

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