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Nutritional inadequacies in patients with stable heart failure.

Abstract

Sodium restriction is the primary nutritional strategy in heart failure; however, other diet-related concerns may also occur. We characterized dietary intake among stable patients with heart failure and a non-heart-failure cardiac control group to quantify and determine prevalence of inadequate micronutrient intake. Two 3-day food records were completed by 123 patients with heart failure and 58 controls. A subset of each group provided two 24-hour urine collections. Mean intake of sodium (2,540+/-1,122 vs 2,596+/-1,184 mg/day) and potassium (3,190+/-980 vs 3,114+/-828 mg/day) was similar between the heart failure and control groups. Prevalence of inadequate potassium intake was 94% among patients with heart failure and 91% among controls. More than 50% in each group had inadequate intakes of calcium, magnesium, folate, and vitamins D and E. In stable patients with heart failure, sodium intake was not excessive. However, we demonstrated widespread dietary inadequacies of other vitamins and minerals. These findings highlight the importance of diet beyond that of sodium restriction.

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  • Authors+Show Affiliations

    ,

    Department of Nutritional Sciences, University of Toronto and Mount Sinai Hospital, Toronto, Ontario, Canada.

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    Source

    MeSH

    Biomarkers
    Case-Control Studies
    Coronary Disease
    Cross-Sectional Studies
    Diet, Sodium-Restricted
    Female
    Heart Failure
    Humans
    Hypertension
    Male
    Micronutrients
    Middle Aged
    Nutrition Assessment
    Nutrition Policy
    Nutritional Status
    Prospective Studies
    Urinalysis

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    19857633

    Citation

    Arcand, Joanne, et al. "Nutritional Inadequacies in Patients With Stable Heart Failure." Journal of the American Dietetic Association, vol. 109, no. 11, 2009, pp. 1909-13.
    Arcand J, Floras V, Ahmed M, et al. Nutritional inadequacies in patients with stable heart failure. J Am Diet Assoc. 2009;109(11):1909-13.
    Arcand, J., Floras, V., Ahmed, M., Al-Hesayen, A., Ivanov, J., Allard, J. P., & Newton, G. E. (2009). Nutritional inadequacies in patients with stable heart failure. Journal of the American Dietetic Association, 109(11), pp. 1909-13. doi:10.1016/j.jada.2009.08.011.
    Arcand J, et al. Nutritional Inadequacies in Patients With Stable Heart Failure. J Am Diet Assoc. 2009;109(11):1909-13. PubMed PMID: 19857633.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Nutritional inadequacies in patients with stable heart failure. AU - Arcand,Joanne, AU - Floras,Vanessa, AU - Ahmed,Mavra, AU - Al-Hesayen,Abdul, AU - Ivanov,Joan, AU - Allard,Johane P, AU - Newton,Gary E, PY - 2008/11/03/received PY - 2009/03/31/accepted PY - 2009/10/28/entrez PY - 2009/10/28/pubmed PY - 2010/2/26/medline SP - 1909 EP - 13 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 109 IS - 11 N2 - Sodium restriction is the primary nutritional strategy in heart failure; however, other diet-related concerns may also occur. We characterized dietary intake among stable patients with heart failure and a non-heart-failure cardiac control group to quantify and determine prevalence of inadequate micronutrient intake. Two 3-day food records were completed by 123 patients with heart failure and 58 controls. A subset of each group provided two 24-hour urine collections. Mean intake of sodium (2,540+/-1,122 vs 2,596+/-1,184 mg/day) and potassium (3,190+/-980 vs 3,114+/-828 mg/day) was similar between the heart failure and control groups. Prevalence of inadequate potassium intake was 94% among patients with heart failure and 91% among controls. More than 50% in each group had inadequate intakes of calcium, magnesium, folate, and vitamins D and E. In stable patients with heart failure, sodium intake was not excessive. However, we demonstrated widespread dietary inadequacies of other vitamins and minerals. These findings highlight the importance of diet beyond that of sodium restriction. SN - 1878-3570 UR - https://www.unboundmedicine.com/medline/citation/19857633/Nutritional_inadequacies_in_patients_with_stable_heart_failure_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-8223(09)01428-X DB - PRIME DP - Unbound Medicine ER -