HF: Major Recommendations (2017)

HF: Major Recommendations (2017)

Recommendations are categorized in terms of either conditional or imperative statements. While conditional statements clearly define a specific situation, imperative statements are broadly applicable to the target population and do not impose restraints on their application.

Conditional recommendations are presented in an if/then format, such that:


Fulfillment of the condition triggers one or more guideline-specified actions. In contrast, imperative recommendations include terms such as “require, ” “must, ” and “should, ” and do not contain conditional text that would limit their applicability to specified circumstances.

Resources Available with Each Recommendation

In addition to the recommendation statement and strength rating, you will find on each recommendation page:

  • A brief narrative summary of the evidence analyzed to reach the recommendation
  • A statement of justification, or reason for the strength of the recommendation
  • Detailed information on the evidence supporting the recommendations and background narrative (available in the Supporting Evidence section toward the bottom of each recommendation page)
  • A reference list at the end of each recommendation page that includes all the sources used in the evidence analysis for the particular recommendation (each reference is hyperlinked to a summary of the article analyzed in the evidence analysis).

Below, you will find a list of the Heart Failure (2017) Recommendations, organized according to the stage of the Nutrition Care Process and by topic. The project started with a review of the 2008 recommendations. Selected recommendations were reviewed. The Summary of Changes 2017 provides an overview of the recommendation revisions and updates. 

To see the Recommendations Summary, just click on the Recommendation title. Also view the Executive Summary of Recommendations.

Medical Nutrition Therapy

HF: Medical Nutrition Therapy

Nutrition Assessment

HF: Nutrition Assessment

HF: Assessment of Energy Needs


Nutrition Intervention

HF: Energy and Protein Intake

HF: Sodium and Fluid Intake

HF: Physical Activity

HF: Educate on Self-Care

HF: Coordination of Care


Nutrition Monitoring and Evaluation

HF: Monitor and Evaluate Effectiveness of Medical Nutrition Therapy

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