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Nutritional assessment in heart failure patients.

Abstract

Heart failure (HF) is a growing epidemic worldwide with a particularly large presence in the United States. Nutritional assessment and supplementation is an area that can be studied to potentially improve the outcomes of these chronically ill patients. There have been many studies reporting the effect of various nutrients on HF patients, often with mixed results. Amino acids such as taurine, which is involved in calcium exchange, has been reported to improve heart function. Coenzyme Q10, a key component in the electron transport chain, is vital for energy production. l-carnitine, an amino acid derivative, is responsible for transport of fatty acids into the mitochondria along with modulating glucose metabolism. Thiamine and the other B vitamins, which serve as vital cofactors, can often be deficient in HF patients. Omega-3 fatty acid supplementation has been demonstrated to benefit HF patients potentially through anti-arrhythmic and anti-inflammatory mechanisms. Vitamin D supplementation can potentially benefit HF patients by way of modulating the renin-angiotensin system, smooth muscle proliferation, inflammation, and calcium homeostasis. Although supplementation of all of the above nutrients has the potential to benefit patients with HF, more studies are needed to solidify these recommendations.

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  • Authors+Show Affiliations

    ,

    John Ochsner Heart and Vascular Institute, Ochsner Clinical School, The University of Queensland School of Medicine, New Orleans, LA, USA. johlee@ochsner.org

    , , , ,

    Source

    MeSH

    Amino Acids
    Animals
    Dietary Supplements
    Electron Transport Chain Complex Proteins
    Fatty Acids, Omega-3
    Heart Failure
    Humans
    Micronutrients
    Myocardium
    Nutrition Assessment
    Thiamine Deficiency
    Ubiquinone
    Vitamin D Deficiency

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    21790970

    Citation

    Lee, John H., et al. "Nutritional Assessment in Heart Failure Patients." Congestive Heart Failure (Greenwich, Conn.), vol. 17, no. 4, 2011, pp. 199-203.
    Lee JH, Jarreau T, Prasad A, et al. Nutritional assessment in heart failure patients. Congest Heart Fail. 2011;17(4):199-203.
    Lee, J. H., Jarreau, T., Prasad, A., Lavie, C., O'Keefe, J., & Ventura, H. (2011). Nutritional assessment in heart failure patients. Congestive Heart Failure (Greenwich, Conn.), 17(4), pp. 199-203. doi:10.1111/j.1751-7133.2011.00239.x.
    Lee JH, et al. Nutritional Assessment in Heart Failure Patients. Congest Heart Fail. 2011;17(4):199-203. PubMed PMID: 21790970.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Nutritional assessment in heart failure patients. AU - Lee,John H, AU - Jarreau,Tara, AU - Prasad,Amit, AU - Lavie,Carl, AU - O'Keefe,James, AU - Ventura,Hector, Y1 - 2011/07/21/ PY - 2011/7/28/entrez PY - 2011/7/28/pubmed PY - 2011/12/13/medline SP - 199 EP - 203 JF - Congestive heart failure (Greenwich, Conn.) JO - Congest Heart Fail VL - 17 IS - 4 N2 - Heart failure (HF) is a growing epidemic worldwide with a particularly large presence in the United States. Nutritional assessment and supplementation is an area that can be studied to potentially improve the outcomes of these chronically ill patients. There have been many studies reporting the effect of various nutrients on HF patients, often with mixed results. Amino acids such as taurine, which is involved in calcium exchange, has been reported to improve heart function. Coenzyme Q10, a key component in the electron transport chain, is vital for energy production. l-carnitine, an amino acid derivative, is responsible for transport of fatty acids into the mitochondria along with modulating glucose metabolism. Thiamine and the other B vitamins, which serve as vital cofactors, can often be deficient in HF patients. Omega-3 fatty acid supplementation has been demonstrated to benefit HF patients potentially through anti-arrhythmic and anti-inflammatory mechanisms. Vitamin D supplementation can potentially benefit HF patients by way of modulating the renin-angiotensin system, smooth muscle proliferation, inflammation, and calcium homeostasis. Although supplementation of all of the above nutrients has the potential to benefit patients with HF, more studies are needed to solidify these recommendations. SN - 1751-7133 UR - https://www.unboundmedicine.com/medline/citation/21790970/Nutritional_assessment_in_heart_failure_patients_ L2 - https://doi.org/10.1111/j.1751-7133.2011.00239.x DB - PRIME DP - Unbound Medicine ER -