Department of Foods and Nutrition, College of Family and Consumer Sciences, University of Georgia, 305 Stanford Drive, Dawson Hall, Athens, GA, 30602, USA.
Department of Clinical and Administrative Pharmacy, College of Pharmacy, University of Georgia, 250 West Green Street, R.C. Wilson Pharmacy, Athens, GA, 30602, USA.
Curr Atheroscler Rep. 2021 Feb 17;23(4):13. doi: 10.1007/s11883-021-00908-5.
This review aims to discuss recent evidence and controversies regarding nutrition as a treatment modality for heart failure (HF) patients.
Adequate nutrition is known to promote health-related quality of life by addressing malnutrition and promoting optimal functioning among older adults and has an established role in the prevention of HF; however, evidence is limited on the effects of nutrition as a treatment modality in HF. While guidance of sodium restriction to address fluid overload is an ongoing debate among experts, evidence from case studies and small clinical trials suggest a positive impact of plant-based and Dietary Approaches to Stop Hypertension (DASH) dietary patterns on HF-related pathophysiology, quality of life, hospital admissions, and mortality. More clinical trials are needed to establish an evidence base to support dietary management strategies for patients with HF. Clinical and Translational Science Alliances (CTSAs) may provide infrastructure to overcome enrollment barriers.
本文旨在讨论营养作为心力衰竭(HF)患者治疗方法的最新证据和争议。
充足的营养通过解决营养不良和促进老年人的最佳功能来提高与健康相关的生活质量,并且在预防 HF 方面发挥着重要作用;然而,营养作为 HF 治疗方法的效果证据有限。虽然限制钠摄入以解决液体超负荷是专家们持续争论的问题,但来自病例研究和小型临床试验的证据表明,植物性饮食和高血压防治饮食法(DASH)对 HF 相关病理生理学、生活质量、住院和死亡率有积极影响。需要更多的临床试验来建立支持 HF 患者饮食管理策略的证据基础。临床和转化科学联盟(CTSAs)可能为克服入组障碍提供基础设施。