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Nutritional inadequacies in patients with stable heart failure.
J Am Diet Assoc 2009; 109(11):1909-13JA

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.

Authors+Show Affiliations

Department of Nutritional Sciences, University of Toronto and Mount Sinai Hospital, Toronto, Ontario, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

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 -