Dietary interventions and nutritional assessments in heart failure lack standardized definitions and have conflicting evidence of benefit, making optimal strategies challenging to determine.
This review highlights the importance of standardized nutrition assessment and appraises current evidence for dietary interventions in heart failure management.
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.
Driggin et al. (Fri,) conducted a review in Heart failure. Dietary interventions and nutrition assessment was evaluated. Dietary interventions and nutritional assessments in heart failure lack standardized definitions and have conflicting evidence of benefit, making optimal strategies challenging to determine.
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