Nutrition in chronic heart failure patients: a systematic review

Bianchi, Vittorio Emanuele

doi:10.1007/s10741-019-09891-1

Cited by 21 publications

(19 citation statements)

References 83 publications

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“…La intervención nutricional en estos pacientes debe considerar en primer lugar el IMC (libre de edema) de cualquier individuo, de manera que pueda ser estratificado como bajo, normal y alto, para poder estimar la cantidad de la ingesta calórica, así como la composición de macronutrimentos en la dieta 38 . La figura 1 resume las indicaciones nutricionales en pacientes con IC, según IMC libre de edema.…”

Section: Intervención Nutricional En Pacientes Con Insuficiencia Cardiacaunclassified

“…Estudios de cohorte multicéntricos evaluaron el efecto de la dieta mediterránea y se encontró una reducción significativa en la evolución de la IC, así como en la preservación de la función ventricular, debido a la mejoría en la presión sistólica y diastólica, al igual que en la función endotelial. Por otro lado, un estudio mostró que el apego adecuado a la dieta DASH tuvo un efecto positivo sobre la función del ventrículo izquierdo y la reducción en la incidencia de IC 38 , 40 .…”

Section: Recomendaciones Dietéticas En Pacientes Con Insuficiencia Cardiacaunclassified

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Implicaciones médicas y nutricionales en insuficiencia cardiaca crónica: fortalezas y limitaciones

Rosa

Robledo-Valdez

Cervantes-Pérez

et al. 2021

ACM

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La insuficiencia cardiaca (IC) representa uno de los problemas mundiales de salud pública más importantes, ya que existe un aumento en su prevalencia y se estima que 23 millones de la población mundial viven con este problema. Esta entidad se define por la presencia de anormalidades estructurales y funcionales del músculo cardiaco que conducen a un deterioro en la capacidad del llenado y eyección ventricular. Múltiples comorbilidades se han asociado a un incremento en el riesgo de desarrollo de enfermedades cardiovasculares. La hipertensión se ha reconocido como uno de los factores más importantes, sin embargo, la obesidad, el síndrome metabólico, así como la diabetes, también juegan un papel importante en la aparición de dicha enfermedad. Es frecuente encontrar en pacientes hospitalizados con IC deterioro en el estado nutricional caracterizado principalmente por la presencia de deficiencias nutricionales y sarcopenia, que, en ocasiones, puede progresar y manifestarse como caquexia. Por lo anterior, una evaluación adecuada mediante el uso correcto de herramientas para detección de riesgo nutricional es imperativa, se hace necesaria para prevenir los riesgos que esto implica. Existen múltiples parámetros antropométricos y bioquímicos para definir el estado nutricional de los pacientes hospitalizados, sin embargo, las alteraciones en el volumen sanguíneo presentes en pacientes con IC pueden alterar el resultado de dicha evaluación. Las modificaciones dietéticas en la prevención y tratamiento de diversas enfermedades cardiovasculares mediante un buen apego a patrones de alimentación tales como la dieta DASH (enfoques dietéticos para detener la hipertensión, por sus siglas en inglés) y la dieta mediterránea se han asociado inversamente con la incidencia de IC.

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Section: Intervención Nutricional En Pacientes Con Insuficiencia Cardiacaunclassified

Section: Recomendaciones Dietéticas En Pacientes Con Insuficiencia Cardiacaunclassified

Implicaciones médicas y nutricionales en insuficiencia cardiaca crónica: fortalezas y limitaciones

Rosa

Robledo-Valdez

Cervantes-Pérez

et al. 2021

ACM

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“…Nutritional intervention in these patients should first consider the BMI (edema-free) of any individual, so that it can be stratified as low, normal and high in order to estimate the amount of caloric intake, as well as dietary macronutrients composition 38 . Figure 1 summarizes nutritional indications in patients with HF, according to edema-free BMI.…”

Section: Nutritional Intervention In Patients With Heart Failurementioning

confidence: 99%

“…Multicenter cohort studies evaluated the effect of the Mediterranean diet and found a significant reduction in HF evolution, as well as an increase in ventricular function preservation, due to improvements in systolic and diastolic pressure, as well as in endothelial function. On the other hand, one study showed that appropriate adherence to the DASH diet had a positive effect on left ventricular function and a reduction in the incidence of HF 38,40 .…”

Section: Dietary Recommendations In Patients With Heart Failurementioning

confidence: 99%

Medical and nutritional implications in chronic heart failure: Strengths and limitations

Rosa¹,

Robledo-Valdez²,

Cervantes-Pérez³

et al. 2021

ACME

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Heart failure (HF) is one of the most important global public health problems, as there is an increase in its prevalence and an estimated 23 million of the world's population live with this problem. HF is defined by the presence of structural and functional abnormalities of the cardiac muscle leading to an impairment of ventricular filling and ejection. Multiple comorbidities have been associated with an increased risk of developing cardiovascular diseases. Hypertension has been recognized as one of the most important factors, however, obesity, metabolic syndrome, as well as diabetes also play an important role in the onset of the disease. It is common to find in decompensated heart failure hospitalized patients an impaired nutritional status characterized mainly by the presence of nutritional deficiencies and sarcopenia, which can sometimes progress to cachexia. Therefore, an adequate evaluation through the correct use of nutritional risk tools should be the cornerstone to the prevention of risks. Multiple anthropometric and biochemical parameters are available to establish the nutritional status of hospitalized patients, however, alterations in blood volume presented in patients with HF may alter the result of such assessment. The effectiveness of dietary modifications in the prevention and treatment of different cardiovascular diseases enhanced by appropriate adherence to eating patterns such as the DASH and Mediterranean diet have been inversely associated with the incidence of HF.

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“…In addition, in the same experimental group, the abnormal expression of genes involved in mitochondrial dynamics, a reduction in the expression of mitochondrial respiration protein complexes, and a significant increase in the AMP/ATP ratio were observed [ 33 ]. Therefore, greater adherence to a healthy diet significantly reduces the risk of developing cardiovascular diseases [ 34 , 35 ]. In this context, the Mediterranean diet, consisting mainly of fruit, vegetables, whole grains, nuts, seeds, and legumes can reduce the excessive production of proinflammatory cytokines and the accumulation of ROS [ 36 , 37 , 38 , 39 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Bergamot Polyphenols on Mitochondrial Dysfunction and Sarcoplasmic Reticulum Stress in Diabetic Cardiomyopathy

et al. 2021

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Cardiovascular disease is the leading cause of death and disability in the Western world. In order to safeguard the structure and the functionality of the myocardium, it is extremely important to adequately support the cardiomyocytes. Two cellular organelles of cardiomyocytes are essential for cell survival and to ensure proper functioning of the myocardium: mitochondria and the sarcoplasmic reticulum. Mitochondria are responsible for the energy metabolism of the myocardium, and regulate the processes that can lead to cell death. The sarcoplasmic reticulum preserves the physiological concentration of the calcium ion, and triggers processes to protect the structural and functional integrity of the proteins. The alterations of these organelles can damage myocardial functioning. A proper nutritional balance regarding the intake of macronutrients and micronutrients leads to a significant improvement in the symptoms and consequences of heart disease. In particular, the Mediterranean diet, characterized by a high consumption of plant-based foods, small quantities of red meat, and high quantities of olive oil, reduces and improves the pathological condition of patients with heart failure. In addition, nutritional support and nutraceutical supplementation in patients who develop heart failure can contribute to the protection of the failing myocardium. Since polyphenols have numerous beneficial properties, including anti-inflammatory and antioxidant properties, this review gathers what is known about the beneficial effects of polyphenol-rich bergamot fruit on the cardiovascular system. In particular, the role of bergamot polyphenols in mitochondrial and sarcoplasmic dysfunctions in diabetic cardiomyopathy is reported.

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Nutrition in chronic heart failure patients: a systematic review

Cited by 21 publications

References 83 publications

Implicaciones médicas y nutricionales en insuficiencia cardiaca crónica: fortalezas y limitaciones

Implicaciones médicas y nutricionales en insuficiencia cardiaca crónica: fortalezas y limitaciones

Medical and nutritional implications in chronic heart failure: Strengths and limitations

Effects of Bergamot Polyphenols on Mitochondrial Dysfunction and Sarcoplasmic Reticulum Stress in Diabetic Cardiomyopathy

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