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HF: Medical Nutrition Therapy (2016)
HF: Medical Nutrition Therapy (2016)
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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?
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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.
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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.
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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?
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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)?
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?
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Conclusion
In patients with heart failure (NYHA Classes I–IV/AHA Stages B and C), research reported that despite the intensive intervention provided in the Dietitian Education Groups (who received two 30- to 60-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 or an initial meeting with the nutritionist to undergo anthropometric evaluation, quality of life and nutritional knowledge questionnaires, and 24-hour dietary recall), there were no significant differences in quality of life or body weight. Research is needed regarding the effect of medical nutrition therapy on quality of life, signs and symptoms.
-
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.
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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 quality of life, signs and symptoms?
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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 of life, signs and symptoms?
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Conclusion
In patients with advanced heart failure (NYHA Class IV/AHA Stage D), research reported that subjects in the Multi-Disciplinary Intervention Group (who received four individualized educational sessions from a registered dietitian nutritionist, as well as individualized dietary counselling interventions depending on the patient's body mass index and family's lifestyle and nutrition, and additional follow-up visits via telephone as often as every two weeks) had increased exercise tolerance, higher physical component scores on quality of life measures and decreased anxiety, compared to control subjects, who only received standardized recommendations (to stay on a healthy diet, to target the normal BMI ranges, to improve physical fitness by exercising on a routine basis and to seek psychosocial support if needed). In addition, while intervention subjects maintained their weight, control subjects gained significantly more weight after 18 months.
-
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 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?
-
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 renal function labs and clinical labs?
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)?