Cited by 106Heart Failure Treatment and ManagementNutritional Studies and DietSodium Intake and Health

The role of diet and nutrition in heart failure: A state-of-the-art narrative review

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Billingsley, Hayley E., Hummel, Scott L., Carbone, Salvatore·2020·Progress in Cardiovascular Diseases

Abstract

Heart Failure (HF) incidence is increasing steadily worldwide, while prognosis remains poor. Though nutrition is a lifestyle factor implicated in prevention of HF, little is known about the effects of macro- and micronutrients as well as dietary patterns on the progression and treatment of HF. This is reflected in a lack of nutrition recommendations in all major HF scientific guidelines. In this state-of-the-art review, we examine and discuss the implications of evidence contained in existing randomized control trials as well as observational studies covering the topics of sodium restriction, dietary patterns and caloric restriction as well as supplementation of dietary fats and fatty acids, protein and amino acids and micronutrients in the setting of pre-existing HF. Finally, we explore future directions and discuss knowledge gaps regarding nutrition therapies for the treatment of HF.

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  • Dietary protein is generally considered a major determinant of muscle mass, but it is controversial whether enhanced dietary macronutrient intake can overcome the inflammatory catabolic metabolism of advanced cardiac conditions and achieve net gains in fat-free mass.

    “Dietary protein is generally considered a major determinant of muscle mass,118 but it is controversial whether enhanced dietary macronutrient intake can overcome the inflammatory catabolic metabolism of advanced cardiac conditions and achieve net gains in fat-free mass.119,120”

    From Malnutrition and Cachexia in Inpatients With Acute Cardiac Conditions: A Scientific Statement From the American Heart Association (2026) · cites this paper as [119]

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Research works printed but not linked: 3

  1. [1]Salim VS, Alvaro A, BE J, Heart Disease and Stroke Statistics—2020 Update. Circulation. 2020; 141: e139– e596. 31992061
  2. [62]Siscovick DS, Barringer TA, Fretts AM, Omega-3 Polyunsaturated Fatty Acid (Fish Oil) Supplementation and the Prevention of Clinical Cardiovascular Disease. Circulation. 2017; 135(15): e867– e884. 28289069 PMC6903779
  3. [111]Tuttle KR, Shuler LA, Packard DP, Comparison of Low-Fat Versus Mediterranean-Style Dietary Intervention After First Myocardial Infarction (from The Heart Institute of Spokane Diet Intervention and Evaluation Trial). Am J Cardiol. 2008; 101(11): 1523– 1530. 18489927

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Authors
Billingsley, H. E., Hummel, S. L., & Carbone, S.
Affiliations
  • Virginia Commonwealth University (US)
  • University of Michigan (US)
Corresponding author
Carbone, Salvatore
Venue
Progress in Cardiovascular Diseases
Publisher
Elsevier BV
Published
2020-09
Volume
63
Issue
5
Pages
538-551
ISSN
0033-0620 (ISSN-L)
OpenAlex
W3049389728
Cited by
106
References
119
Citations by year
2026: 12 · 2025: 21 · 2024: 30 · 2023: 18 · 2022: 20 · 2021: 4 · 2020: 1
FWCI
1.82
Type
journal article
Language
en
Open access
Locations
  • Progress in Cardiovascular Diseases (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • American Heart Association
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
Keywords
heart failure, nutrition, diet, sodium restriction, dietary habits, caloric restriction, dietary fat supplementation, fatty acids, protein intake, amino acids, micronutrients, nutritional therapy
MeSH terms
Diet, Healthy, Diet, Sodium-Restricted, Feeding Behavior, Heart Failure, Humans, Nutritional Status, Nutritive Value, Treatment Outcome, Dietary Supplements, Caloric Restriction, Malnutrition, Recommended Dietary Allowances

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