Adherence to Mediterranean Diet and All-Cause Mortality After an Episode of Acute Heart Failure

Miró, Òscar; Estruch, Ramón; Martín‐Sánchez, Francisco Javier; Gil, Víctor; Jacob, Javier; Herrero‐Puente, Pablo; Herrera, Sergio; Aguirre, Alfons; Andueza, Juan Antonio; Llorens, Pere

doi:10.1016/j.jchf.2017.09.020

Cited by 42 publications

(26 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One of the strengths of our study is that the percentage of patients with higher adherence to the MedDiet is in the range of previously reported studies for the elderly Spanish populations with HF [12]. On the other hand, we have ascertained that dietary habits remained unchanged for 100% of our patients for the duration of our study.…”

Section: Discussionmentioning

confidence: 70%

“…This PREDIMED questionnaire has proved to be very useful in a large Spanish cohort for rapid estimation of adherence to the traditional MedDiet [11]. As proposed in other study [12], patients were divided into 2 groups depending on whether they were adherent (9 or more points) or not adherent (8 or fewer points) to the MedDiet, and this was considered the classificatory independent variable.…”

Section: Study Populationmentioning

confidence: 99%

See 1 more Smart Citation

Adherence to Mediterranean diet and prognosis in older patients scheduled to undergo cardiac resynchronization therapy

Avanzas

Abreu-González

Báez-Ferrer

et al. 2020

Nutrition, Metabolism and Cardiovascular Diseases

View full text Add to dashboard Cite

Background and aims: Adherence to the Mediterranean diet (MedDiet) has been associated with prolonged survival in older individuals. However, it is unknown whether adherence to MedDiet is associated with the prognosis in older patients scheduled to undergo cardiac resynchronization therapy (CRT). The aim of this study was to evaluate the association between adherence to the MedDiet and clinical outcomes at 12 months follow-up after CRT implantation in older patients. Methods and results: Patients adherents to the MedDiet, defined as ! 9 of 14 points using the PREDIMED (Primary Prevention of Cardiovascular Disease with a Mediterranean Diet Study) questionnaire, was assessed before device implantation in patient's ! 70 years candidates for CRT. The primary outcome was a combined endpoint at 12 months follow-up after CRT implantation, defined as cardiovascular death, cardiac transplantation or decompensated heart failure. The cohort study consisted of 284 patients with a mean age of 73 AE 3 years. One hundred and fifty-nine (55.9%) patients were classified as adherent to the MedDiet. Seventy (24.6%) patients showed the combined endpoint at one year follow-up. Subjects who did not developed the combined endpoint had higher proportion of adherent patients to the MedDiet compared to patients who developed the combined endpoint (85% vs 67.1%, p Z 0.002). After adjustment by possible confounders, the adherence to the MedDiet was a protective and significant predictor of the combined endpoint (HR Z 0.42, 95% CI 0.22e0.81; p Z 0.01). Conclusion: Adherence to the MedDiet is inversely associated with outcome in older patients following CRT. jo urnal homep age: www.el sevie r.co m/locate/nm cd

show abstract

Section: Discussionmentioning

confidence: 70%

Section: Study Populationmentioning

confidence: 99%

Adherence to Mediterranean diet and prognosis in older patients scheduled to undergo cardiac resynchronization therapy

Avanzas

Abreu-González

Báez-Ferrer

et al. 2020

Nutrition, Metabolism and Cardiovascular Diseases

View full text Add to dashboard Cite

show abstract

“…Prevention of heart failure (HF) was also explored in the PREDIMED, but while levels of HF prognostic biomarkers (i.e., NT-proBNP) were reduced in the MedDiet groups in one analysis [ 54 ], incidence of new-onset HF was not lower in the MedDiet groups than the control group, perhaps due to a small number of events making the study likely underpowered to investigate the effects on new-incident HF [ 55 ]. A recent prospective cohort study, Mediterranean Diet in Acute Heart Failure (MEDIT-AHF), explored secondary prevention potential of the MedDiet for patients who had already experienced acute HF (AHF) [ 56 ]. Individuals were enrolled in this study in the emergency department (ED) setting and were administered the 14-point dietary questionnaire used in PREDIMED to assess adherence to the MedDiet [ 56 ].…”

Section: Introduction To Dietary Fat Nomenclaturementioning

confidence: 99%

“…A recent prospective cohort study, Mediterranean Diet in Acute Heart Failure (MEDIT-AHF), explored secondary prevention potential of the MedDiet for patients who had already experienced acute HF (AHF) [ 56 ]. Individuals were enrolled in this study in the emergency department (ED) setting and were administered the 14-point dietary questionnaire used in PREDIMED to assess adherence to the MedDiet [ 56 ]. The primary outcome of the MEDIT-AHF trial was all-cause mortality at the end of the trial, secondary outcomes consisted of ED visits for HF, hospitalization due to HF, all-cause mortality, and a composite of the three secondary outcomes if one was present [ 56 ].…”

Section: Introduction To Dietary Fat Nomenclaturementioning

confidence: 99%

“…Individuals were enrolled in this study in the emergency department (ED) setting and were administered the 14-point dietary questionnaire used in PREDIMED to assess adherence to the MedDiet [ 56 ]. The primary outcome of the MEDIT-AHF trial was all-cause mortality at the end of the trial, secondary outcomes consisted of ED visits for HF, hospitalization due to HF, all-cause mortality, and a composite of the three secondary outcomes if one was present [ 56 ]. After an average follow up of 2.1 years, ED visits, all-cause mortality, and the combined variable were not different between adherent and non-adherent individuals, however hospitalization was significantly lower in individuals adhering to the MedDiet [ 56 ].…”

Section: Introduction To Dietary Fat Nomenclaturementioning

confidence: 99%

See 1 more Smart Citation

Dietary Fats and Chronic Noncommunicable Diseases

2018

View full text Add to dashboard Cite

The role of dietary fat has been long studied as a modifiable variable in the prevention and treatment of noncommunicable cardiometabolic disease. Once heavily promoted to the public, the low-fat diet has been demonstrated to be non-effective in preventing cardiometabolic disease, and an increasing body of literature has focused on the effects of a relatively higher-fat diet. More recent evidence suggests that a diet high in healthy fat, rich in unsaturated fatty acids, such as the Mediterranean dietary pattern, may, in fact, prevent the development of metabolic diseases such as type 2 diabetes mellitus, but also reduce cardiovascular events. This review will specifically focus on clinical trials which collected data on dietary fatty acid intake, and the association of these fatty acids over time with measured cardiometabolic health outcomes, specifically focusing on morbidity and mortality outcomes. We will also describe mechanistic studies investigating the role of dietary fatty acids on cardiovascular risk factors to describe the potential mechanisms of action through which unsaturated fatty acids may exert their beneficial effects. The state of current knowledge on the associations between dietary fatty acids and cardiometabolic morbidity and mortality outcomes will be summarized and directions for future work will be discussed.

show abstract

Dietary approaches for patients with heart failure and diabetes

2018

View full text Add to dashboard Cite

Nutritional management has a key role to play in the management of diabetes and heart failure (HF). There is currently little evidence to make dietary recommendations specifically for people living with both diabetes and HF. Therefore, most nutritional management recommendations for HF and diabetes need to be based on those for people living with diabetes. This review paper details what is known about the nutritional management recommendations for people living with both diabetes and HF. The only specific approach focusing on managing HF which is currently part of nutritional recommendations are those focused upon fluid and sodium intake to reduce blood volume. There is an emerging body of evidence to suggest individuals living with both diabetes and HF could benefit from dietary pattern approaches, e.g. the Mediterranean diet. A range of dietary approaches have been shown to be effective; the key is for nutritional and dietary advice to be carefully tailored to the individual's social situation and food preferences as well as being supportive of the overall medical management of their condition. Copyright © 2018 John Wiley & Sons.

show abstract

Adherence to Mediterranean Diet and All-Cause Mortality After an Episode of Acute Heart Failure

Abstract: Adherence to the MedDiet did not influence long-term mortality after an episode of AHF, but it was associated with decreased rates of rehospitalization during the next year.

Cited by 42 publications

References 18 publications

Adherence to Mediterranean diet and prognosis in older patients scheduled to undergo cardiac resynchronization therapy

Adherence to Mediterranean diet and prognosis in older patients scheduled to undergo cardiac resynchronization therapy

Dietary Fats and Chronic Noncommunicable Diseases

Dietary approaches for patients with heart failure and diabetes

Contact Info

Product

Resources

About