Effects of a nutritional intervention on body composition, clinical status, and quality of life in patients with heart failure

Ramı́rez, Eloisa Colı́n; Martínez, Lilia Castillo; Tejeda, Arturo Orea; González, Verónica Rebollar; David, René Narváez; Lafuente, Enrique Asensio

doi:10.1016/j.nut.2004.06.010

Cited by 94 publications

(62 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nurse-led patient education is an indispensable component of a disease management program. The current results show that a pharmacist’s and/or dietitian’s intervention during hospitalization provides additive beneficial effects, which is partly compatible with previous studies assessing the effects of outpatient interventions of pharmacists or dietitians [18, 19]. Multiple, not single, intensive education types may improve the overall quality of education, patients’ self-care behavior, and adherence to the optimal treatment in Japanese HF patients in rural settings.…”

Section: Discussionsupporting

confidence: 89%

Multidisciplinary intensive education in the hospital improves outcomes for hospitalized heart failure patients in a Japanese rural setting

Kinugasa

Kato

Sugihara

et al. 2014

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundHeart failure (HF) patients living in rural areas have a lack of HF knowledge and poor self-care because of limited medical care access. Multidisciplinary education to improve self-care behavior is indispensable for such patients. The present study evaluated whether intensive inpatient education improved outcomes of hospitalized HF patients in a Japanese rural setting.MethodsAn inpatient HF management program based on multidisciplinary team intervention was applied to hospitalized HF patients in a Japanese rural area. We defined patients treated within the program from May 2009 to April 2011 as the intervention group (n = 144), and those treated with the usual care from May 2006 to April 2009 as the usual care group (n = 133). The composite endpoints of HF hospitalization and all-cause mortality were compared between the two groups.ResultsCompared with patients in the usual care group, those in the intervention group more often received the optimal interventions such as discharge use of β-blockers, cardiac rehabilitation, pre-discharge diagnostic tests, and multidisciplinary intensive education including nurse-led patient education, pharmacist’s medication teaching, and dietitian’s nutritional guidance (all P < 0.05). The incidence of the composite endpoints significantly decreased after introducing the program (P < 0.001). Among a number of interventions, multidisciplinary intensive education was the most effective intervention to improve the primary outcome (P < 0.001).ConclusionsMultidisciplinary intensive education is a key strategy for helping improve the outcome for Japanese HF patients in a rural setting. Our data may give a positive impact on the improvement of healthcare system in Japan.

show abstract

Section: Discussionsupporting

confidence: 89%

Multidisciplinary intensive education in the hospital improves outcomes for hospitalized heart failure patients in a Japanese rural setting

Kinugasa

Kato

Sugihara

et al. 2014

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Moreover, in this study, the education program led to a significant reduction in the amount of urinary sodium in the intervention group compared with the control group, which was in line with the findings of a previous study (38). According to the current study, in the intervention group, the amount of sodium intake 6 weeks after the education program was less than that 12 weeks later.…”

Section: Discussionsupporting

confidence: 92%

The Effect of the Education Program on the Adherence Intention to the Dietary Sodium Restriction and the Amount of Sodium Intake in Patients With Chronic Heart Failure

Akhondzadeh

Ghezeljeh

Haghani

2018

Iran Red Crescent Med J

View full text Add to dashboard Cite

Background: High sodium intake can increase the symptoms of patients with chronic heart failure. Objectives: To examine the effect of the education program on the adherence intention to the dietary sodium restriction and sodium intake in patients with chronic heart failure hospitalized in a teaching hospital affiliated with Yazd University of medical sciences, Yazd, Iran from January to July 2016. Methods: This controlled randomized clinical trial was conducted on 100 patients suffering from chronic heart failure. Block randomization was used to assign the patients to the intervention and control groups. In addition to routine education, the patients in the intervention group and one of their family members participated in the education program for 6 consecutive weeks. The amount of sodium intake in a 24-hour period was measured. A urine sample was collected for the measurement of the secondary outcome. A questionnaire was used for data collection about the evaluation of the adherence intention to the dietary sodium restriction.

show abstract

“…There was no significant association between total dietary energy intake and nutritional status, assessed by BMI and AMA. We emphasize the necessity and importance of encouraging multidisciplinary monitoring, which may help the management of this complex syndrome 35 , considering the frequent comorbidities which affect the correct diagnosis of the nutritional status, the treatment of cachexia, the correction of nutritional deficiencies and the best assessment of the patient's general condition.…”

Section: Resultsmentioning

confidence: 99%

Estado nutricional e adequação da ingestão de energia e nutrientes em pacientes com insuficiência cardíaca

Lourenço¹,

Vieira²,

Macedo³

et al. 2009

Arq. Bras. Cardiol.

View full text Add to dashboard Cite

SummarySummary: Increased knowledge about nutritional status and energy and nutrient intakes is required to improve the treatment of patients with heart failure (HF).Objectives: To verify the nutritional status and evaluate the adequacy of energy, macronutrient and micronutrient intakes in patients with HF in outpatient clinical settings.Methods: We collected anthropometric and habitual dietary intake data of 125 patients (72% men, 52.1 ± 9.8 years, BMI 26.9 ± 4.4 kg/m2). Anthropometric variables were compared between genders, and the adequacy of energy and nutrient intakes was analyzed according to current recommendations.Results: Muscle depletion or risk of depletion was present in 38.4% of patients (association with male gender, p <0.0001). In 69.6% of cases the mean energy intake was lower than the one required (p <0.0001). Among the micronutrients evaluated in this study, there was an important prevalence of inadequacy in magnesium, zinc, iron and thiamine intakes, and most patients had calcium and potassium intakes below the adequate levels, and sodium intake above the adequate levels. Conclusions

show abstract

Effects of a nutritional intervention on body composition, clinical status, and quality of life in patients with heart failure

Cited by 94 publications

References 16 publications

Multidisciplinary intensive education in the hospital improves outcomes for hospitalized heart failure patients in a Japanese rural setting

Multidisciplinary intensive education in the hospital improves outcomes for hospitalized heart failure patients in a Japanese rural setting

The Effect of the Education Program on the Adherence Intention to the Dietary Sodium Restriction and the Amount of Sodium Intake in Patients With Chronic Heart Failure

Estado nutricional e adequação da ingestão de energia e nutrientes em pacientes com insuficiência cardíaca

Contact Info

Product

Resources

About