The role of diet and nutrition in heart failure: A state-of-the-art narrative review

Prog Cardiovasc Dis. 2020 Sep-Oct;63(5):538-551. doi: 10.1016/j.pcad.2020.08.004. Epub 2020 Aug 14.

Abstract

Heart Failure (HF) incidence is increasing steadily worldwide, while prognosis remains poor. Though nutrition is a lifestyle factor implicated in prevention of HF, little is known about the effects of macro- and micronutrients as well as dietary patterns on the progression and treatment of HF. This is reflected in a lack of nutrition recommendations in all major HF scientific guidelines. In this state-of-the-art review, we examine and discuss the implications of evidence contained in existing randomized control trials as well as observational studies covering the topics of sodium restriction, dietary patterns and caloric restriction as well as supplementation of dietary fats and fatty acids, protein and amino acids and micronutrients in the setting of pre-existing HF. Finally, we explore future directions and discuss knowledge gaps regarding nutrition therapies for the treatment of HF.

Keywords: Caloric restriction; Dietary patterns; Fatty acids; Heart failure; Protein supplementation; Sodium restriction.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Caloric Restriction
  • Diet, Healthy*
  • Diet, Sodium-Restricted
  • Dietary Supplements
  • Feeding Behavior
  • Heart Failure / diagnosis
  • Heart Failure / diet therapy*
  • Heart Failure / physiopathology
  • Humans
  • Malnutrition / diagnosis
  • Malnutrition / diet therapy*
  • Malnutrition / physiopathology
  • Nutritional Status*
  • Nutritive Value*
  • Recommended Dietary Allowances
  • Treatment Outcome