Abstract:
:Background Dietary micronutrient deficiencies have been shown to predict event-free survival in other countries but have not been examined in patients with heart failure living in the United States. The purpose of this study was to determine whether number of dietary micronutrient deficiencies in patients with heart failure was associated with shorter event-free survival, defined as a combined end point of all-cause hospitalization and death. Methods and Results Four-day food diaries were collected from 246 patients with heart failure (age: 61.5±12 years; 67% male; 73% white; 45% New York Heart Association [NYHA] class III / IV ) and analyzed using Nutrition Data Systems for Research. Micronutrient deficiencies were determined according to methods recommended by the Institute of Medicine. Patients were followed for 1 year to collect data on all-cause hospitalization or death. Patients were divided according to number of dietary micronutrient deficiencies at a cut point of ≥7 for the high deficiency category versus <7 for the no to moderate deficiency category. In the full sample, 29.8% of patients experienced hospitalization or death during the year, including 44.3% in the high-deficiency group and 25.1% in the no/moderate group. The difference in survival distribution was significant (log rank, P=0.0065). In a Cox regression, micronutrient deficiency category predicted time to event with depression, NYHA classification, comorbidity burden, body mass index, calorie and sodium intake, and prescribed angiotensin-converting enzyme inhibitors, diuretics, or β-blockers included as covariates. Conclusions This study provides additional convincing evidence that diet quality of patients with heart failure plays an important role in heart failure outcomes.
journal_name
J Am Heart Assocjournal_title
Journal of the American Heart Associationauthors
Lennie TA,Andreae C,Rayens MK,Song EK,Dunbar SB,Pressler SJ,Heo S,Kim J,Moser DKdoi
10.1161/JAHA.117.007251subject
Has Abstractpub_date
2018-09-04 00:00:00pages
e007251issue
17issn
2047-9980journal_volume
7pub_type
杂志文章abstract:BACKGROUND:The intersection of heart failure (HF) and atrial fibrillation (AF) is common, but the burden of AF among black patients with HF is poorly characterized. We sought to determine the prevalence of AF, characteristics, in-hospital outcomes, and warfarin use associated with AF in patients hospitalized with HF as...
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2016-03-15 00:00:00
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更新日期:2015-05-21 00:00:00
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doi:10.1161/JAHA.113.000140
更新日期:2013-05-17 00:00:00
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doi:10.1161/JAHA.120.016799
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pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1161/JAHA.115.002546
更新日期:2015-12-15 00:00:00
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更新日期:2019-04-02 00:00:00
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更新日期:2020-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1161/JAHA.119.012008
更新日期:2019-05-07 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2016-09-14 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2019-01-08 00:00:00