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Article

BALANCE Dietary Index in Patients with Heart Failure, and Its Adherence in Sergipe, Brazil

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Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, SE, Brazil
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Group of Studies and Research in Performance, Sport, Health and Paralympic Sports—GEPEPS, Federal University of Sergipe (UFS), São Cristóvão 49100-000, SE, Brazil
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Graduate Program in Physical Education, Federal University of Sergipe (UFS), São Cristóvão 49100-000, SE, Brazil
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Graduate Program in Physiological Science, Federal University of Sergipe (UFS), São Cristóvão 49100-000, SE, Brazil
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Department of Nutrition, Campus Prof. Antônio Garcia Filho, Federal University of Sergipe (UFS), Lagarto 49400-000, SE, Brazil
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Federal Institute of Sergipe, São Cristóvão Campus, Food Technology Coordination, São Cristóvão 49100-000, SE, Brazil
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Graduate Program Professional in Management and Technological Innovation in Health, Federal University of Sergipe, Aracaju 49100-000, SE, Brazil
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Department of Medicine, Federal University of Sergipe (UFS), São Cristóvão 49100-000, SE, Brazil
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Division of Cardiology, University Hospital of Federal University of Sergipe (UFS), São Cristóvão 49100-000, SE, Brazil
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Clinic and Hospital São Lucas/Rede D’Or São Luiz, Aracaju 49060-676, SE, Brazil
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Graduate Program in Biomedical Engineering, Federal Technological University of Paraná (UTFPR), Curitiba 80230-901, PR, Brazil
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Sports Department, Physical Activity and Sports Faculty-INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain
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Graduate Program in Health and Environment, Tiradentes University (UNIT), Aracaju 49010-390, SE, Brazil
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Author to whom correspondence should be addressed.
Academic Editor: Alberto Cordero
Clin. Pract. 2022, 12(3), 383-395; https://doi.org/10.3390/clinpract12030043
Received: 5 April 2022 / Revised: 20 May 2022 / Accepted: 24 May 2022 / Published: 31 May 2022
Background: “The effective treatment of Heart Failure (HF) involves care with food intake. Recently, the Ministry of Health created the Brazilian Cardioprotective Diet and its dietary index, BALANCE, which assesses adherence to the standard’s recommendations”. Methods: This observational prospective study is part of the Congestive Heart Failure Registry (VICTIM-CHF) of Aracaju/SE. Observations and data collection took place from April 2018 to February 2021. Sociodemographic and clinical aspects and food consumption were evaluated. Food intake was determined using the food frequency questionnaire. Foods were categorized using the BALANCE dietary index into green, yellow, blue and red food groups. The BALANCE dietary index was obtained using median and interquartile ranges, scores of the Mann–Whitney U test, and associations between clinical variables and the index, through linear regression. Results: Participants included 240 patients with HF (61.12 ± 1.06 years), who were assisted by the Unified Health System (67.5%). Individuals with a partner showed greater adherence to the green food group recommendations (0.09; 0.00–0.17). The lowest adherence to recommendations regarding the blue food group was observed in individuals with excess weight, who had a higher consumption of foods rich in animal protein (0.54; 0.38–0.78). As for the red food group (ultra-processed foods) the highest adherence was observed by patients with diabetes mellitus (0.41; 0.05–0.77). The greatest adherence to the yellow food group, and a higher score, was observed in patients with the smallest left ventricular systolic diameter (LVSD). Conclusions: Being married was directly associated with the consumption of foods in the green group, while being overweight and having diabetes were inversely associated with adherence to the blue and red food groups, respectively. Greater adherence to the yellow food group recommendations was inversely associated with less change in the DSFVE. View Full-Text
Keywords: dietary patterns; cardiovascular diseases; cardiac insufficiency; food consumption; quality of life dietary patterns; cardiovascular diseases; cardiac insufficiency; food consumption; quality of life
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MDPI and ACS Style

Costa, J.O.; Aidar, F.J.; Barbosa, J.S.; Alves, L.V.S.; Oliveira, V.B.; Oliveira, L.M.S.M.d.; Rocha, R.M.S.; Vieira, D.A.d.S.; Costa, I.M.N.B.d.C.; Souza, M.F.C.d.; Oliveira, J.L.M.; Baumworcel, L.; Neves, E.B.; Díaz-de-Durana, A.L.; Almeida-Santos, M.A.; Sousa, A.C.S. BALANCE Dietary Index in Patients with Heart Failure, and Its Adherence in Sergipe, Brazil. Clin. Pract. 2022, 12, 383-395. https://doi.org/10.3390/clinpract12030043

AMA Style

Costa JO, Aidar FJ, Barbosa JS, Alves LVS, Oliveira VB, Oliveira LMSMd, Rocha RMS, Vieira DAdS, Costa IMNBdC, Souza MFCd, Oliveira JLM, Baumworcel L, Neves EB, Díaz-de-Durana AL, Almeida-Santos MA, Sousa ACS. BALANCE Dietary Index in Patients with Heart Failure, and Its Adherence in Sergipe, Brazil. Clinics and Practice. 2022; 12(3):383-395. https://doi.org/10.3390/clinpract12030043

Chicago/Turabian Style

Costa, Jamille O., Felipe J. Aidar, Juliana S. Barbosa, Luciana V.S. Alves, Victor B. Oliveira, Larissa M.S.M.d. Oliveira, Raysa M.S. Rocha, Diva A.d.S. Vieira, Ingrid M.N.B.d.C. Costa, Márcia F.C.d. Souza, Joselina L.M. Oliveira, Leonardo Baumworcel, Eduardo B. Neves, Alfonso L. Díaz-de-Durana, Marcos A. Almeida-Santos, and Antônio C.S. Sousa. 2022. "BALANCE Dietary Index in Patients with Heart Failure, and Its Adherence in Sergipe, Brazil" Clinics and Practice 12, no. 3: 383-395. https://doi.org/10.3390/clinpract12030043

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