Education by a dietitian in patients with heart failure results in improved adherence with a sodium-restricted diet: A randomized trial

Arcand, JoAnne; Brazel, Sandra; Joliffe, Courtney; Choleva, Marlene; Berkoff, Frances; Allard, Johane P.; Newton, Gary E.

doi:10.1016/j.ahj.2005.02.016

Cited by 76 publications

(77 citation statements)

References 26 publications

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“…A score of ≥16 indicates the presence of depressive symptoms. To differentiate between patients with moderate or severe depressive symptoms, the following cut-off scores of the CES-D were used: 0-15 (no depressive symptoms), [16][17][18][19][20][21][22][23] (moderate depressive symptoms), and ≥24 (severe depressive symptoms). 9 Compliance with recommendations on a sodium-restricted diet, fluid restriction, exercise, and daily weighing was measured using the Revised Heart Failure Compliance Scale.…”

Section: Methodsmentioning

confidence: 99%

“…Although knowledge alone does not ensure compliance 16 , it has nevertheless been confirmed as an important determinant of compliance in the HF literature. [17][18][19][20] An explanation for low compliance with weighing could be that many HF patients do not recognize the importance of daily weighing to check for fluid retention. 16 Also, having a stable weight over a longer period of time is another reason why patients weigh themselves less often.…”

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confidence: 99%

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Long-Term Compliance With Nonpharmacologic Treatment of Patients With Heart Failure

Nieuwenhuis

Jaarsma

Veldhuisen

et al. 2012

The American Journal of Cardiology

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The aim of this study was to examine long-term compliance with non-pharmacological treatment of patients with heart failure (HF) and its associated variables. Data of 648 hospitalized HF patients (mean age 69±12 years; 38% female; mean left ventricular ejection fraction [LVEF] 33±14%) were analyzed. Compliance was assessed by means of self-report at baseline and 1, 6, 12, and 18 months after discharge. Patients completed questionnaires on depressive symptoms, HF knowledge, and physical functioning at baseline. Logistic regression analyses were performed to examine independent associations with low long-term compliance. From baseline to 18 months at follow-up, long-term compliance with diet and fluid restriction ranged from 77%-91% and 72%-89% respectively. In contrast, compliance with daily weighing (34%-85%) and exercise (48%-64%) was lower. Patients who were in New York Heart Association (OR 3.55,), and less physical functioning (OR 0.99, were associated with low compliance with exercise. In conclusion, long-term compliance with exercise and daily weighing was lower than long-term compliance with advice on diet and fluid restriction. Although knowledge on HF and being offered educational support positively affected compliance with weighing and fluid restriction, these variables were not related to compliance with exercise. Therefore, new approaches to help HF patients stay physically active are needed. Key-words:Adherence; Compliance; Heart Failure; Non-Pharmacological Treatment. 3Although it has been well established, most studies on determinants of compliance in patients with heart failure (HF) are cross-sectional, or focus solely on compliance with 1 specific non-pharmacological recommendation. Data on temporal trends in compliance with cardiovascular medication have been reported previously 1 , but little is known about long-term compliance with non-pharmacological treatment (i.e., sodium-restricted diet, fluid restriction, daily weighing, and exercise) and its determinants. Noncompliance with non-pharmacological treatment is related to adverse outcomes 2 and lower quality of life. 3 It is therefore vital to identify those patients who are at risk for noncompliance over a longer period of time, especially since studies have shown that noncompliance is a problem in the HF population. 4 It has been suggested that compliance with a specific recommendation might be a marker for compliance with other recommendations or lifestyle changes. 5 Unfortunately, direct comparisons of compliance with different recommendations in the same study population are not available. The present study aims to address this gap by examining long-term compliance with nonpharmacological recommendations and by assessing variables associated with long-term compliance. MethodsThe study employed a descriptive, prospective design and used data from the COACH (Coordinating study evaluating Outcomes of Advising and Counseling in Heart failure) study.COACH was a randomized, multi-center, controlled study in which 1023 HF patient...

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

Long-Term Compliance With Nonpharmacologic Treatment of Patients With Heart Failure

Nieuwenhuis

Jaarsma

Veldhuisen

et al. 2012

The American Journal of Cardiology

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“…18 Congruent with this observation, a recent study reported that only 34% of patients consume Ͻ3000 mg and only 15% consume Ͻ2000 mg sodium daily based on their 24-hour urinary sodium excretion. 20 Sodium consumption Ͻ2000 mg/d is difficult to achieve even with dietician education, 21 and studies have demonstrated that sex 22 and race 23 affect dietary preferences and adherence to sodium restriction recommendations in patients with HF.…”

Section: Sodium Intake Recommendations and Patternsmentioning

confidence: 99%

Dietary Sodium Intake in Heart Failure

et al. 2012

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“…Recent studies highlight an alternative hypothesis that low sodium diets in conjunction with high-dose diuretics and fluid restriction could be harmful and in two studies has actually shown to promote increases in hospital readmission and death in patients with HF (Arcand et al, 2011;Paterna et al, 2009;Paterna, Gasparo, Fasullo, Sarullo, & Di, 2008). Arcand et al (2005) observed trends toward reduced blood pressure in patients with HF after three months of education on a 2 gm sodium diet. Additionally, those who had two individualized education sessions with a registered dietitian had significant decreases in blood pressure.…”

Section: Sodium Water and Heart Failurementioning

confidence: 94%

The Effect of Low Sodium Diet Education in the Prevention of Hospital Readmission for Heart Failure Patients

Doxtater

Tidwell

Williams

et al. 2014

Journal of the Academy of Nutrition and Dietetics

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Education by a dietitian in patients with heart failure results in improved adherence with a sodium-restricted diet: A randomized trial

Cited by 76 publications

References 26 publications

Long-Term Compliance With Nonpharmacologic Treatment of Patients With Heart Failure

Long-Term Compliance With Nonpharmacologic Treatment of Patients With Heart Failure

Dietary Sodium Intake in Heart Failure

The Effect of Low Sodium Diet Education in the Prevention of Hospital Readmission for Heart Failure Patients

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