HF: Medical Nutrition Therapy (2016)

HF: Medical Nutrition Therapy (2016)

  • Intervention
    In patients with heart failure (NYHA Classes I–IV/AHA Stages B and C), what is the effect of medical nutrition therapy by a registered dietitian nutritionist on renal function labs and clinical labs?
    • Conclusion
      In patients with heart failure (NYHA Classes I–IV/AHA Stages B and C), research reported that despite a significant decrease in sodium intake in the Dietitian Education Group (who received two 30- to 45-minute individualized nutrition-counseling appointments with a registered dietitian, four to six weeks apart) compared to usual care (who received only a self-help educational package), serum sodium levels were maintained within normal range before and after the trial in both groups. Research is needed regarding the effect of medical nutrition therapy on renal function labs and clinical labs in patients with heart failure.
    • Grade: III
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.
    • Evidence Summary: In patients with heart failure (NYHA Classes I–IV/AHA Stages B and C), what is the effect of medical nutrition therapy by a registered dietitian nutritionist on renal function labs and clinical labs?
    • Search Plan and Results: HF: MNT (2014)
       
    In patients with heart failure (NYHA Classes I–IV/AHA Stages B and C), what is the effect of medical nutrition therapy by a registered dietitian nutritionist on quality measures (re-admissions rate, length of stay, mortality)?
    • Conclusion
      In patients with heart failure (NYHA Classes I–IV/AHA Stages B and C), there were no studies identified that reported on the effect of medical nutrition therapy by a registered dietitian nutritionist on quality measures.
    • Grade: V
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.
    • Search Plan and Results: HF: MNT (2014)
       
    In patients with heart failure (NYHA Classes I–IV/AHA Stages B and C), what is the effect of medical nutrition therapy by a registered dietitian nutritionist on quality of life, signs and symptoms?
    In patients with advanced heart failure (NYHA Class IV/AHA Stage D), what is the effect of medical nutrition therapy by a registered dietitian nutritionist on quality of life, signs and symptoms?
    In patients with advanced heart failure (NYHA Class IV/AHA Stage D), what is the effect of medical nutrition therapy by a registered dietitian nutritionist on renal function labs and clinical labs?
    • Conclusion
      In patients with advanced heart failure (NYHA Class IV/AHA Stage D), there were no studies identified that reported on the effect of medical nutrition therapy by a registered dietitian nutritionist on renal function labs and clinical labs.
    • Grade: V
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.
    • Search Plan and Results: HF: MNT (2014)
       
    In patients with advanced heart failure (NYHA Class IV/AHA Stage D), what is the effect of medical nutrition therapy by a registered dietitian nutritionist on quality measures (re-admissions rate, length of stay, mortality)?
    • Conclusion
      In patients with advanced heart failure (NYHA Class IV/AHA Stage D), there were no studies identified that reported on the effect of medical nutrition therapy by a registered dietitian nutritionist on quality measures.
    • Grade: V
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.
    • Search Plan and Results: HF: MNT (2014)