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Nutrition intervention in heart failure: should consumption of the DASH eating pattern be recommended to improve outcomes?

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Abstract

Heart failure (HF) is a chronic, systemic disorder that presents a serious and growing public health problem due to its high prevalence, mortality, and cost of care. Due to the aging of the population and medical advances that prolong the life of HF patients, more effective, widespread strategies for improved HF management in this rapidly growing patient population are needed. While the prevalence of malnutrition in HF patients has been well characterized, evidence is limited regarding the effects of specific macro- and micronutrient deficiencies on HF outcomes and their interaction with other aspects of HF management, including pharmacotherapy. There is a mounting appreciation for the effects of nutritional intervention on pathophysiology, treatment, and outcomes in patients with HF. Heart-healthy dietary patterns, such as the Dietary Approaches to Stop Hypertension (DASH), carry importance for the prevention and treatment of hypertension. While preliminary evidence looks promising regarding effects of DASH eating pattern consumption on ventricular function and 30-day hospitalizations in HF patients, more research is needed to confirm its effects on short-term and long-term HF outcomes while better understand underlying mechanisms in the context of HF pharmacotherapy.

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Acknowledgements

Supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Numbers UL1TR002378 and KLTR002381. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Authors and Affiliations

  1. Department of Clinical and Administrative Pharmacy, College of Pharmacy, University of Georgia, Augusta, GA, USA

    Renad Abu-Sawwa & Elisabeth L. P. Sattler

  2. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA

    Sandra B. Dunbar

  3. Division of Cardiology, School of Medicine, Emory University, Atlanta, GA, USA

    Arshed A. Quyyumi

  4. Department of Foods and Nutrition, College of Family and Consumer Sciences, University of Georgia, Athens, GA, USA

    Elisabeth L. P. Sattler

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  1. Renad Abu-Sawwa
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Abu-Sawwa, R., Dunbar, S.B., Quyyumi, A.A. et al. Nutrition intervention in heart failure: should consumption of the DASH eating pattern be recommended to improve outcomes?. Heart Fail Rev 24, 565–573 (2019). https://doi.org/10.1007/s10741-019-09781-6

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