期刊
KOREAN JOURNAL OF INTERNAL MEDICINE
卷 37, 期 1, 页码 37-47出版社
KOREAN ASSOC INTERNAL MEDICINE
DOI: 10.3904/kjim.2020.623
关键词
Heart failure; Diet; sodium-restricted; Diet therapy
The incidence and prevalence of heart failure are increasing globally, and management involves lifestyle changes and pharmacological treatments. Dietary recommendations for sodium and fluid restriction are expected to benefit HF patients, but there is currently a lack of clear evidence to support this.
The incidence and prevalence of heart failure (HF) is increasing worldwide, leading to high morbidity and mortality. The global management of HF involves lifestyle changes in addition to pharmacological treatments. Changes include exercise and dietary recommendations, mainly salt and fluid restriction, but without any clear evidence. We conducted a systematic review to analyse the degree of evidence for these dietary recommendations in HF. Only randomized controlled trials (RCT), and observational studies in humans were selected. Studies were considered eligible if they included participants with HF and sodium and/or fluid restriction. Publications in languages other than English or Spanish were excluded. We included 15 studies related to sodium or fluid restriction. Nine RCT and six observational studies showed some improvements in symptoms and quality of life and a degree of reduction in new hospitalizations, but the results are based on limited population groups, applying different methodologies, and with different restriction goals. We found a lack of clear evidence of the benefits of sodium/fluid restriction in chronic HF. The evidence is limited to few studies with conflicting results. Randomized clinical trials are needed to fill this gap in our knowledge.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据