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Article

Prescription, Compliance, and Burden Associated with Salt-Restricted Diets in Heart Failure Patients: Results from the French National OFICSel Observatory

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Centre de Référence Amyloses Cardiaques et des Cardiomyopathies, Cardiology Department, CHU Henri Mondor, APHP, 94000 Créteil, France
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AP-HP Public Health Department, CHU Henri Mondor, 94000 Créteil, France
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Medicine Teaching School, University Paris Est Créteil, INSERM, IMRB, 94010 Créteil, France
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Cardiology Department, CHU Lariboisière, APHP, 75010 Paris, France
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Cardiology Department, CHU Bicêtre, APHP, 94250 Le Kremlin-Bicêtre, France
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Independent Researcher, 13104 Arles, France
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Cardiology Department, Hôpital de la Timone, APHM and Aix Marseille University, APHM, 13000 Marseille, France
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Cardiac Rehabilitation Department, Hôpital Corentin Celton, APHP, 92130 Issy Les Moulineaux, France
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Cardiology Department, CH Saint Joseph-Saint Luc, 69007 Lyon, France
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Heart Failure Department, Louis Pradel Hospital, Hospices Civils de Lyon, 69500 Bron, France
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Service de Cardiologie, Institut Pasteur de Lille, Inserm U1167, CHU Lille, 59000 Lille, France
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Independent Researcher, 14600 Honfleur, France
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Department for Valvular and Structural Cardiopathy Exploration, Hôpital Privé Les Franciscaines-Elan, 30000 Nimes, France
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Cardiology Departement, Hôpital de la Pitié Salpêtrière, APHP, 75013 Paris, France
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Cardiology Department, CHU Gabriel-Montpied, 63000 Clermont-Ferrand, France
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Independent Researcher, 67000 Strasbourg, France
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Cardiology Department, CHU Rangueil, 31059 Toulouse, France
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Cardiac Rehabilitation Department, CHU Albert Chenevier, 94000 Créteil, France
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Emma Clinic, 94300 Vincennes, France
*
Author to whom correspondence should be addressed.
Academic Editor: Andrea Tura
Nutrients 2022, 14(2), 308; https://doi.org/10.3390/nu14020308
Received: 17 November 2021 / Revised: 21 December 2021 / Accepted: 24 December 2021 / Published: 12 January 2022
(This article belongs to the Section Nutritional Epidemiology)
(1) Background: There is much debate about the use of salt-restricted diet for managing heart failure (HF). Dietary guidelines are inconsistent and lack evidence. (2) Method: The OFICSel observatory collected data about adults hospitalised for HF. The data, collected using study-specific surveys, were used to describe HF management, including diets, from the cardiologists’ and patients’ perspectives. Cardiologists provided the patients’ clinical, biological, echocardiography, and treatment data, while the patients provided dietary, medical history, sociodemographic, morphometric, quality of life, and burden data (burden scale in restricted diets (BIRD) questionnaire). The differences between the diet recommended by the cardiologist, understood by the patient, and the estimated salt intake (by the patient) and diet burden were assessed. (3) Results: Between March and June 2017, 300 cardiologists enrolled 2822 patients. Most patients (90%) were recommended diets with <6 g of salt/day. Mean daily salt consumption was 4.7 g (standard deviation (SD): 2.4). Only 33% of patients complied with their recommended diet, 34% over-complied, and 19% under-complied (14% unknown). Dietary restrictions in HF patients were associated with increased burden (mean BIRD score of 8.1/48 [SD: 8.8]). (4) Conclusion: Healthcare professionals do not always follow dietary recommendations, and their patients do not always understand and comply with diets recommended. Restrictive diets in HF patients are associated with increased burden. An evidence-based approach to developing and recommending HF-specific diets is required. View Full-Text
Keywords: heart failure; patient education; restricted diets; salt diet; OFICSel observatory; patient burden heart failure; patient education; restricted diets; salt diet; OFICSel observatory; patient burden
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MDPI and ACS Style

Damy, T.; Benedyga, V.; Pezel, T.; Berthelot, E.; Gauthier, J.; Habib, G.; Iliou, M.-C.; Aupetit, J.-F.; Baudry, G.; De Groote, P.; Logeart, D.; Chaufourier, L.; Ciobotaru, V.; Pousset, F.; Beauvais, F.; Bauer, F.; Zores, F.; Lairez, O.; Richard, K.; Hittinger, L.; Teiger, E.; Taieb, C.; Audureau, E. Prescription, Compliance, and Burden Associated with Salt-Restricted Diets in Heart Failure Patients: Results from the French National OFICSel Observatory. Nutrients 2022, 14, 308. https://doi.org/10.3390/nu14020308

AMA Style

Damy T, Benedyga V, Pezel T, Berthelot E, Gauthier J, Habib G, Iliou M-C, Aupetit J-F, Baudry G, De Groote P, Logeart D, Chaufourier L, Ciobotaru V, Pousset F, Beauvais F, Bauer F, Zores F, Lairez O, Richard K, Hittinger L, Teiger E, Taieb C, Audureau E. Prescription, Compliance, and Burden Associated with Salt-Restricted Diets in Heart Failure Patients: Results from the French National OFICSel Observatory. Nutrients. 2022; 14(2):308. https://doi.org/10.3390/nu14020308

Chicago/Turabian Style

Damy, Thibaud, Véronique Benedyga, Théo Pezel, Emmanuelle Berthelot, Jacques Gauthier, Gilbert Habib, Marie-Christine Iliou, Jean-François Aupetit, Guillaume Baudry, Pascal De Groote, Damien Logeart, Laure Chaufourier, Vlad Ciobotaru, Françoise Pousset, Florence Beauvais, Fabrice Bauer, Florian Zores, Olivier Lairez, Kevin Richard, Luc Hittinger, Emmanuel Teiger, Charles Taieb, and Etienne Audureau. 2022. "Prescription, Compliance, and Burden Associated with Salt-Restricted Diets in Heart Failure Patients: Results from the French National OFICSel Observatory" Nutrients 14, no. 2: 308. https://doi.org/10.3390/nu14020308

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