Nutrition Assessment and Dietary Interventions in Heart Failure: JACC Review Topic of the Week.

Nutrition Assessment and Dietary Interventions in Heart Failure: JACC Review Topic of the Week.
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DOI:
10.1016/j.jacc.2022.02.025
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发表时间:
2022-04-26
影响因子:
24
通讯作者:
Maurer, Mathew S.
Maurer, Mathew S.
中科院分区:
医学1区
文献类型:
--
作者:
Driggin, Elissa;Cohen, Laura P.;Gallagher, Dympna;Karmally, Wahida;Maddox, Thomas;Hummel, Scott L.;Carbone, Salvatore;Maurer, Mathew S.

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尽管心力衰竭(HF)患者中营养失调的患病率较高,但主要的心力衰竭指南缺乏具体的营养建议。由于缺乏标准化的定义和评估工具来量化营养状况,心力衰竭患者的营养失调常常被忽视。此外,针对这一人群已经研究了各种各样的饮食干预措施和整体饮食模式。然而,由此产生的有益证据相互矛盾,这使得确定哪些策略最有益具有挑战性。在本文中,我们回顾了心力衰竭患者可用的营养状况评估工具。此外,我们评估了心力衰竭饮食干预的当前证据,包括限钠、肥胖、营养不良、饮食模式以及特定的宏量营养素和微量营养素补充。再者,我们讨论了实施多模式营养干预相关的可行性和挑战,并阐述了促进解决心力衰竭患者营养问题的潜在解决方案。
Despite the high prevalence of nutrition disorders in patients with heart failure (HF), major HF guidelines lack specific nutrition recommendations. Because of the lack of standardized definitions and assessment tools to quantify nutritional status, nutrition disorders are often missed in patients with HF. Additionally, a wide range of dietary interventions and overall dietary patterns have been studied in this population. The resulting evidence of benefit is, however, conflicting, making it challenging to determine which strategies are the most beneficial. In this document, we review the available nutritional status assessment tools for patients with HF. In addition, we appraise the current evidence for dietary interventions in HF, including sodium restriction, obesity, malnutrition, dietary patterns, and specific macronutrient and micronutrient supplementation. Furthermore, we discuss the feasibility and challenges associated with the implementation of multimodal nutrition interventions and delineate potential solutions to facilitate addressing nutrition in patients with HF.
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