A dieta com baixo teor de sódio é de fato indicada para todos os pacientes com insuficiência cardíaca estável?

Abstract

Background: Although a low-sodium diet is indicated for Heart Failure (HF), there is no evidence this dietary restriction is beneficial to all patients.

Influência da suplementação de creatina na capacidade funcional de pacientes com Insuficiência Cardíaca

“…The mean age was similar to that of national and international studies [14][15][16][17] . Only males were selected to participate in this study because of the influence of creatine consumption on TBM gain.…”

“…In the study by Nakasato et al 15 , the patients were males, with mean age of 52.3 ± 1.6 years, mean weight of 75.4 kg ± 2.0, and BMI of 28.0 kg.m -2 ± 0.6. Nogueira et al 16 have assessed patients of both sexes [22 ( In addition, our patients were on periodical clinical follow-up at a referral service (cardiology) and had been clinically stable in the preceding six months.…”

“…Our results are in accordance with those reported by Veloso et al 18 . However, Nakasato et al 15 and Nogueira et al 16 have reported most of the participants of HF studies as overweight.…”

Dietary Sodium Content, Mortality, and Risk for Cardiovascular Events in Older Adults

“…23-25 Data on the effects of sodium restriction is scarce in this population, especially for those with blood pressure at target. Also, achieving 1500 mg/day sodium intake is difficult, particularly in older adults with long-held dietary habits.…”

Investigating the Relationship between Dietary Sodium Intake and Severity Levels of Fluid Overload Symptoms in Patients with Heart Failure

“…For example, Alvelos et al (2004) sodium may be destroying counter-regulatory mechanism harmful to body fluid states. Nakasato, Strunk, Guimaraes, Rezende, and Bocchi (2010) suggested that dietary sodium intake (2.0 g/day) may be related to the increase in plasma levels of norepinephrine and aldosterone and a decrease in natriuretic peptide for HF patients with an NYHA functional classification of I, II, and III. Such an activation may worsen the two homeostatic systems, leading to fluid overload.…”