Reduced Salt Intake for Heart Failure: A Systematic Review

@article{Mahtani2018ReducedSI,
  title={Reduced Salt Intake for Heart Failure: A Systematic Review},
  author={Kamal Ram Mahtani and Carl J. Heneghan and Igho Onakpoya and Stephanie Tierney and Jeffrey K. Aronson and Nia Wyn Roberts and F D Richard Hobbs and David Nunan},
  journal={JAMA Internal Medicine},
  year={2018},
  volume={178},
  pages={1693–1700}
}
Importance Recent estimates suggest that more than 26 million people worldwide have heart failure. The syndrome is associated with major symptoms, significantly increased mortality, and extensive use of health care. Evidence-based treatments influence all these outcomes in a proportion of patients with heart failure. Current management also often includes advice to reduce dietary salt intake, although the benefits are uncertain. Objective To systematically review randomized clinical trials of… Expand
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Citation Type

Citation Type

Evaluating Sodium Restriction in Heart Failure
  • P. Spineti
  • Medicine
  • Arquivos brasileiros de cardiologia
  • 2019
TLDR
The author reinforces the need for randomized, prospective studies including large sample sizes, evaluating the effect of different regimens of sodium intake on relevant outcomes to build evidence base for detailed recommendations. Expand
Science of Salt: A regularly updated systematic review of salt and health outcomes studies (April to October 2018)
TLDR
In a cohort of older Italians, increased risk of total mortality was observed with salt intake less than ~16 g/d (6300 mg sodium/d) at baseline; no association existed for incident cardiovascular disease (CVD) or CVD mortality. Expand
Nutrition intervention in heart failure: should consumption of the DASH eating pattern be recommended to improve outcomes?
TLDR
Preliminary evidence looks promising regarding effects of DASH eating pattern consumption on ventricular function and 30-day hospitalizations in HF patients, but more research is needed to confirm its effects on short-term and long-term HF outcomes while better understand underlying mechanisms in the context of HF pharmacotherapy. Expand
Nutrition as Treatment Modality in Heart Failure
TLDR
Evidence from case studies and small clinical trials suggest a positive impact of plant-based and Dietary Approaches to Stop Hypertension dietary patterns on HF-related pathophysiology, quality of life, hospital admissions, and mortality. Expand
Salt Reduction to Prevent Hypertension and Cardiovascular Disease: JACC State-of-the-Art Review.
TLDR
An update on the evidence relating salt to health, with a particular focus on blood pressure and cardiovascular disease, as well as the potential mechanisms, is provided. Expand
Dietary Sodium Intake and Health Indicators: A Systematic Review of Published Literature between January 2015 and December 2019.
TLDR
A systematic review of recent studies on sodium intake and health is described, the risk of bias (ROB) of selected studies is examined, and future research is needed to identify and standardize methods for measuring sodium intake. Expand
Adherence to the Dutch dietary guidelines and 15-year incidence of heart failure in the EPIC-NL cohort
TLDR
In a large Dutch population of middle-aged adults, higher adherence to the Dutch dietary guidelines was associated with lower risk of HF. Expand
Sodium Intake and Heart Failure
TLDR
Evidence and underlying mechanisms favoring and contradicting limiting sodium intake in heart failure are highlighted. Expand
Self‐care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology
TLDR
Recommendations for nutrition, physical activity, medication adherence, psychological status, sleep, leisure and travel, smoking, immunization and preventing infections, symptom monitoring, and symptom management are consistent with information from guidelines, expert consensus documents, recent evidence and expert opinion. Expand
Higher Intakes of Potassium and Magnesium, but Not Lower Sodium, Reduce Cardiovascular Risk in the Framingham Offspring Study
TLDR
Results highlight the importance of potassium and magnesium to cardiovascular health and the combined effects of these minerals in the Framingham Offspring Study. Expand
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