Author(s): Price RJ, Witham MD, McMurdo ME
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Abstract BACKGROUND: Little information exists about diet in the management of heart failure. AIMS: To describe the nutritional and biochemical status, and the dietary intake of older heart failure patients. METHODS: Stable outpatients and patients with recent hospitalisation for decompensated heart failure were recruited. Anthropometric measurements, handgrip strength, biochemical values and echocardiography were recorded. Patients kept 7-day food diaries and completed questionnaires concerning food provision. RESULTS: Forty-five patients with a mean (S.D.) age of 80.8 (6.8) years were studied and classed according to the New York Heart Association (NYHA) (11\% Class I, 27\% Class II and 62\% Class III). Mean (S.D.) body mass index (BMI) was 27.1 (5.4) kg/m(2) with 7\% of patients having a BMI<20 kg/m(2) and 56\% with a BMI above 25 kg/m(2). 64\% of participants failed to achieve the estimated average requirements for energy intake; 82\% took more than 2 mg of sodium daily; and 18\% had a potassium intake above 3500 mg/day. Only 29\% of individuals did not need assistance with food shopping, whilst 58\% required assistance with meal preparation. CONCLUSION: Possible targets for dietary intervention in older heart failure patients have been identified but whether such changes would be beneficial to patients is unknown.
This article was published in Eur J Cardiovasc Nurs
and referenced in Journal of Obesity & Weight Loss Therapy