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The Dietary Quality of Persons with Heart Failure in NHANES 1999–2006

Journal of General Internal Medicine volume 25, pages 135–140 (2010)Cite this article

An Erratum to this article was published on 23 March 2010

Abstract

Background

Dietary quality may impact heart failure outcomes. However, the current status of the dietary quality of persons with heart failure has not been previously reported.

Objective

To describe sodium intake, patient factors associated with sodium intake and overall dietary quality in a national sample of persons with heart failure.

Design

Analysis of repeated cross-sectional probability sample surveys using data from National Health and Nutrition Examination Surveys (NHANES) of 1999–2000, 2001–2002, 2003–2004 and 2005–2006.

Participants

The study sample consisted of 574 persons with self-reported heart failure (mean age = 70 years; 52% women).

Measurements

Diet of each survey participant was assessed using single 24 hour recall. Dietary nutrients of interest included sodium, the mainstay of heart failure dietary recommendations, and additionally potassium, calcium, magnesium, fish oils, saturated fat and fiber. Specific dietary goals were based on established guidelines.

Results

Mean sodium intake was 2,719 mg, with 34% consuming less than 2,000 mg per day. Patient factors associated with greater sodium intake included male gender, lower education, lower income and no reported diagnosis of hypertension. Mean potassium intake was 2,367 mg/day, with no differences by type of diuretic used or renal disease status. Adherence rates to established guidelines for other nutrients were 13% for calcium, 10% for magnesium, 2% for fish oils, 13% for saturated fat and 4% for fiber.

Conclusions

Dietary quality of persons with self-reported heart failure was poor. Public health approaches and clinical dietary interventions are needed for persons with this increasingly prevalent clinical syndrome.

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Acknowledgement

This work was presented at the Society of Behavioral Medicine 2009 annual conference.

Conflict of Interest

None disclosed.

Author information

Affiliations

  1. Division of Preventive and Behavioral Medicine, S7-745, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA

    Stephenie C. Lemon PhD, Barbara Olendzki MPH, RD, Robert Magner BS & Wenjun Li PhD

  2. Mayo Clinic, Rochester Methodist Hospital, Rochester, MN, USA

    Annie L. Culver BPharm

  3. Division of Cardiovascular Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA

    Ira Ockene MD & Robert J. Goldberg PhD

Authors
  1. Stephenie C. Lemon PhD
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  2. Barbara Olendzki MPH, RD
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  3. Robert Magner BS
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  4. Wenjun Li PhD
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  5. Annie L. Culver BPharm
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  6. Ira Ockene MD
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  7. Robert J. Goldberg PhD
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Corresponding author

Correspondence to Stephenie C. Lemon PhD.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s11606-010-1322-0

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Lemon, S.C., Olendzki, B., Magner, R. et al. The Dietary Quality of Persons with Heart Failure in NHANES 1999–2006. J GEN INTERN MED 25, 135–140 (2010). https://doi.org/10.1007/s11606-009-1139-x

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  • DOI: https://doi.org/10.1007/s11606-009-1139-x

KEY WORDS

  • dietary quality
  • heart failure
  • clinical dietary interventions
  • sodium intake