Dietary management of heart failure: room for improvement?

Br J Nutr. 2016 Apr 14;115(7):1202-17. doi: 10.1017/S000711451500553X. Epub 2016 Feb 9.

Abstract

There is growing awareness of the role of diet in both health and disease management. Much data are available on the cardioprotective diet in the primary and secondary prevention of CVD. However, there is limited information on the role of diet in the management of heart failure (HF). Animal models of HF have provided interesting insight and potential mechanisms by which dietary manipulation may improve cardiac performance and delay the progression of the disease, and small-scale human studies have highlighted beneficial diet patterns. The aim of this review is to summarise the current data available on the role of diet in the management of human HF and to demonstrate that dietary manipulation needs to progress further than the simple recommendation of salt and fluid restriction.

Keywords: Cardiac function; DASH Dietary Approaches to Stop Hypertension; Diets; EF ejection fraction; FA fatty acid; FAO FA oxidation; HF heart failure; HFpEF HF with a preserved or normal EF; HFrEF HF with reduced EF; HTN hypertension; Heart failure; NYHA New York Heart Association; Remodelling.

Publication types

  • Review

MeSH terms

  • Adenosine Triphosphate / biosynthesis
  • Diet, Carbohydrate-Restricted
  • Diet, Mediterranean
  • Diet, Sodium-Restricted
  • Dietary Proteins / administration & dosage
  • Fatty Acids / metabolism
  • Fatty Acids, Omega-3 / administration & dosage
  • Heart / physiopathology
  • Heart Failure / diet therapy*
  • Heart Failure / physiopathology
  • Humans
  • Hypertrophy, Left Ventricular / complications
  • Hypertrophy, Left Ventricular / physiopathology
  • Lipids / physiology
  • Nutritionists
  • Obesity
  • Oxidation-Reduction
  • Patient Education as Topic
  • Triglycerides / metabolism
  • Weight Loss

Substances

  • Dietary Proteins
  • Fatty Acids
  • Fatty Acids, Omega-3
  • Lipids
  • Triglycerides
  • Adenosine Triphosphate