[논문]Is there sufficient evidence to justify changes in dietary habits in heart failure patients? A systematic review

Garcí; a-Garcí; a, Alejandra; Alvarez-Sala-Walther, Luis A.; Lee, Hae-Young; Sierra, Cristina; Pascual-Figal, Domingo; Camafort, Miguel

doi:10.3904/kjim.2020.623

Is there sufficient evidence to justify changes in dietary habits in heart failure patients? A systematic review 원문보기

The Korean journal of internal medicine : KJIM, v.37 no.1, 2022년, pp.37 - 47

García-García, Alejandra (Department of Internal Medicine, "Gregorio Marañ) , Alvarez-Sala-Walther, Luis A. (on" University General Hospital, Madrid, Spain) , Lee, Hae-Young (Department of Internal Medicine, "Gregorio Marañ) , Sierra, Cristina (on" University General Hospital, Madrid, Spain) , Pascual-Figal, Domingo (Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea) , Camafort, Miguel (Department of Internal Medicine-ICMiD, Hospital Clinic, University of Barcelona, Barcelona, Spain)

Abstract ▼ AI-Helper

The incidence and prevalence of heart failure (HF) is increasing worldwide, leading to high morbidity and mortality. The global management of HF involves lifestyle changes in addition to pharmacological treatments. Changes include exercise and dietary recommendations, mainly salt and fluid restriction, but without any clear evidence. We conducted a systematic review to analyse the degree of evidence for these dietary recommendations in HF. Only randomized controlled trials (RCT), and observational studies in humans were selected. Studies were considered eligible if they included participants with HF and sodium and/or fluid restriction. Publications in languages other than English or Spanish were excluded. We included 15 studies related to sodium or fluid restriction. Nine RCT and six observational studies showed some improvements in symptoms and quality of life and a degree of reduction in new hospitalizations, but the results are based on limited population groups, applying different methodologies, and with different restriction goals. We found a lack of clear evidence of the benefits of sodium/fluid restriction in chronic HF. The evidence is limited to few studies with conflicting results. Randomized clinical trials are needed to fill this gap in our knowledge.

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참고문헌 (42)

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Is there sufficient evidence to justify changes in dietary habits in heart failure patients? A systematic review 원문보기

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