Lifestyle modifications for preventing and treating heart failure
Open accessAbstract
Continued improvement in medical and device therapy for heart failure (HF) has led to better survival with this disease. Longer survival and increasing numbers of unhealthy lifestyle factors and behaviors leading to occurrence of HF at younger ages are both contributors to an increase in the overall prevalence of HF. Clinicians treating this complex disease tend to focus on pharmacological and device therapies, but often fail to capitalize on the significant opportunities to prevent or treat HF through lifestyle modification. Herein, the authors review the evidence behind weight management, exercise, nutrition, dietary composition, supplements, and mindfulness and their potential to influence the epidemiology, pathophysiology, etiology, and management of stage A HF.
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Anxiety symptoms may interfere with an individual's ability to independently self-manage heart failure, which can impact prognosis.
“Thus, interventions may be developed that increase mindfulness to modify anxiety to improve QOL and potentially other HF disease outcomes; importantly, anxiety symptoms may interfere with an individual’s ability to independently self-manage HF which can impact prognosis.”
From Mindfulness, Anxiety Symptoms, and Quality of Life in Heart Failure. (2020) · cites this paper as [47]
The Mind/Body Interventions section reports that a mindfulness intervention reduced anxiety and that participants had better heart-failure symptom control, but it does not say anxiety interferes with independent self-management. The only self-management mention found is in a reference title; no passage links anxiety, self-management, and prognosis. (LLM, conf=0.74)
Experimental — accuracy not yet measuredMuller-Tasch and colleagues found anxiety to be negatively associated with self-care behaviors in heart failure patients.
“Muller-Tasch and colleagues47 found anxiety to be negatively associated with self-care behaviors in HF patients.”
From Mindfulness, Anxiety Symptoms, and Quality of Life in Heart Failure. (2020) · cites this paper as [47]
The MIND/BODY INTERVENTIONS section reports that an intervention reduced anxiety in heart failure patients, but it does not link anxiety to self-care behaviors. Searches for Muller-Tasch and for a negative association between anxiety and self-care found no passage addressing the attributed finding. Page numbers were unavailable in our copy. (LLM, conf=0.75)
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- Authors
- Aggarwal, M., Bozkurt, B., Panjrath, G., Aggarwal, B., Ostfeld, R. J., Barnard, N. D., Gaggin, H., Freeman, A. M., Allen, K., Madan, S., Massera, D., & Litwin, S. E.
- Affiliations
- University of Florida Health (US)
- Baylor College of Medicine (US)
- George Washington University (US)
- Columbia University Irving Medical Center (US)
- Montefiore Medical Center (US)
- Massachusetts General Hospital (US)
- National Jewish Health (US)
- Medical University of South Carolina (US)
- Corresponding author
- Aggarwal, Monica
- ORCID
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 2018-11
- Volume
- 72
- Issue
- 19
- Pages
- 2391-2405
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W2899264209
- Cited by
- 162
- References
- 186
- Citations by year
- 2026: 10 · 2025: 32 · 2024: 28 · 2023: 22 · 2022: 21 · 2021: 20 · 2020: 22 · 2019: 7
- FWCI
- 2.28
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American College of Cardiology Foundation
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Keywords
- heart failure, lifestyle modification, heart failure prevention, weight management, physical activity, nutrition, diet composition, dietary supplements, mindfulness, heart failure epidemiology, heart failure pathophysiology
- MeSH terms
- Diet, Healthy, Behavior Therapy, Heart Failure, Humans, Obesity, Primary Prevention, Exercise, Treatment Outcome, Dietary Supplements, Risk Reduction Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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