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Nutrients 2018, 10(7), 828;

Dietary Patterns in Secondary Prevention of Heart Failure: A Systematic Review

Nutrition Graduate Course, Universidade Federal do Rio Grande do Sul, UFRGS, Porto Alegre 90035-003, Brazil
Heart Failure and Transplant Group—Hospital de Clínicas de Porto Alegre, Porto Alegre 90035-003, Brazil
Nutrition Graduate Course, Universidade Federal do Pampa, UNIPAMPA, Itaqui 97650-000, Brazil
Multiprofessional Health Residency Program/Hospital de Clínicas de Porto Alegre—HCPA, Porto Alegre 90035-003, Brazil
Post-Graduation Program in Food, Nutrition and Health, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre 90035-003, Brazil
Author to whom correspondence should be addressed.
Received: 26 May 2018 / Revised: 17 June 2018 / Accepted: 22 June 2018 / Published: 26 June 2018
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Background: Diet is an important factor in secondary prevention of heart failure (HF) but there is still no consensus as to which dietary model should be adopted by this population. This systematic review aims to clarify the relationship between dietary patterns and secondary prevention in HF. Methods: We searched the Medline, Embase and Cochrane databases for studies with different dietary patterns and outcomes of secondary prevention in HF. No limitation was used in the search. Results: 1119 articles were identified, 12 met the inclusion criteria. Studies with Dietary Approaches to Stop Hypertension (DASH), Mediterranean, Hyperproteic and Low-carb diets were found. The DASH pattern showed improvement in cardiac function, functional capacity, blood pressure, oxidative stress and mortality. The Mediterranean diet had a correlation with inflammation, quality of life and cardiac function but just on cross-sectional studies. Regarding the Hyperproteic and Low-carb diets only one study was found with each pattern and both were able to improve functional capacity in patients with HF. Conclusions: DASH pattern may have benefits in the secondary prevention of HF. The Mediterranean diet demonstrated positive correlation with factors of secondary prevention of HF but need more RCTs and cohort studies to confirm these effects. In addition, the Hyperproteic and Low-carb diets, despite the lack of studies, also demonstrated positive effects on the functional capacity in patients with HF. View Full-Text
Keywords: heart failure; dietary patterns; Mediterranean diet; DASH heart failure; dietary patterns; Mediterranean diet; DASH

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dos Reis Padilha, G.; Sanches Machado d’Almeida, K.; Ronchi Spillere, S.; Corrêa Souza, G. Dietary Patterns in Secondary Prevention of Heart Failure: A Systematic Review. Nutrients 2018, 10, 828.

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