Geriatric Out-of-Hospital Randomized Meal Trial in Heart Failure (GOURMET-HF) Pilot Randomized Trial: Primary Results

Hummel, Scott L.; Karmally, Wahida; Gillespie, Brenda W.; Helmke, Stephen; Teruya, Sergio; Wessler, Jeffrey D.; Wells, Joanna; Jimenez, Omar; Trumble, Erika; Cornellier, Maria L.; Marolt, Cara; Maurer, Mathew S.

doi:10.1016/j.cardfail.2017.10.005

Cited by 6 publications

(17 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We therefore included 9 unique studies involving 479 unique participants. [15][16][17][18][19][20][21][22][23] We also identified 5 potentially relevant current trials (eTable 3 in the Supplement). During our analysis, preliminary data from one of these trials was published in the form of an abstract.…”

Section: Results Of the Searchmentioning

confidence: 99%

“…During our analysis, preliminary data from one of these trials was published in the form of an abstract. 22 We included data from this abstract in our review and corresponded with the lead author (Scott L. Hummel, MD, email communication, April 30, 2018). 24 Table 1 contains a summary of the 9 included studies, none of which involved more than 100 participants.…”

Section: Results Of the Searchmentioning

confidence: 99%

“…24 Table 1 contains a summary of the 9 included studies, none of which involved more than 100 participants. Eight studies were published in English [15][16][17][18][19][20]22,23 and 1 was published in Portuguese. 21 Three studies were conducted in Europe, 16,19,20 2 in South America, 15,21 and 4 in North America.…”

Section: Results Of the Searchmentioning

confidence: 99%

See 2 more Smart Citations

Reduced Salt Intake for Heart Failure

et al. 2018

View full text Add to dashboard Cite

show abstract

Section: Results Of the Searchmentioning

confidence: 99%

Section: Results Of the Searchmentioning

confidence: 99%

See 1 more Smart Citation

Reduced Salt Intake for Heart Failure

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Diet adherence was average in that trial, with subjects reporting that about 75% of meals consumed were the study-approved salt-restricted meals. Subjects on the meal-delivery arm of that trial had, on average, fewer hospitalizations, as well as improved symptoms [9].…”

Section: Introductionmentioning

confidence: 99%

Design and rationale of a randomized–controlled trial of home-delivered meals for the management of symptomatic ascites: the SALTYFOOD trial

Tapper

Baki

Hummel

et al. 2019

Gastroenterology Report

View full text Add to dashboard Cite

Background When patients with cirrhosis develop ascites, it is associated with sharply increased mortality and healthcare utilization with decreased quality of life. Dietary salt restriction is first-line therapy for ascites but it is limited by poor adherence. Methods We will recruit 40 patients with cirrhosis and ascites who have received a recent paracentesis or hospitalization for a 1:1 randomized trial of standard care (education on salt restriction) versus home-delivered meals. Our primary outcome is the number of paracenteses needed over 12 weeks. Secondary outcomes include hospital-bed days, health-related quality of life (HRQOL, Ascites Symptom Inventory-7 and Visual Analogue Scale) and performance on batteries of physical function including hand grip (kg) and walk speed (m/s). All subjects follow up through a series of calls where any paracenteses, hospital readmissions, weight changes and diuretic dosage changes are recorded. In a final Week 12 visit, knowledge of dietary sodium intake, quality of life and frailty are reassessed, and satisfaction with the meal-delivery program is evaluated. Paired comparison testing will be conducted between the two arms. Discussion A nutritionally standardized meal-delivery program for patients with cirrhosis and ascites post discharge has a variety of potential patient-based benefits, including the effective management of ascites, reduction of healthcare utilization and improvement of HRQOL. We have three core hypotheses. First, patients will report interest in and satisfaction with a home-delivered meals program. Second, subjects on a salt-restricted (2 g sodium) meal-delivery program will have fewer therapeutic paracenteses and all-cause readmissions than subjects receiving standard of care. Third, subjects on a salt-restricted (2 g sodium) meal-delivery program will report increased HRQOL compared to subjects receiving standard of care.

show abstract

“…(1) In heart failure: There is insufficient scientific evidence to support sodium restriction [101]. Several studies are ongoing to assess the effects of a restricted salt (NaCl) consumption in the setting of heart failure (GOURMET-HF [102], SODIUM-HF [103], ProhibitSodium [104]) and should enable the providing of answers in the coming years.…”

Section: Commentmentioning

confidence: 99%

Guidelines on Standard and Therapeutic Diets for Adults in Hospitals by the French Association of Nutritionist Dieticians (AFDN) and the French Speaking Society of Clinical Nutrition and Metabolism (SFNCM)

et al. 2021

View full text Add to dashboard Cite

Aim: Hospital food provision is subject to multiple constraints (meal production, organization, health safety, environmental respect) which influence the meal tray offered to the patient. Multiple diets can add complexity and contribute to non-consumption of the meal. To avoid undernutrition, it appeared necessary to propose guidelines for foods and diets in hospitals. Methods: These guidelines were developed using the Delphi method, as recommended by the HAS (French Health Authority), based on a formal consensus of experts and led by a group of practitioners and dieticians from the AFDN (French Association of Nutritionist Dieticians) and SFNCM (French Society of Clinical Nutrition and Metabolism). Results: Twenty-three recommendations were deemed appropriate and validated by a panel of 50 national experts, following three rounds of consultations, modifications and final strong agreement. These recommendations aim to define in adults: 1—harmonized vocabulary related to food and diets in hospitals; 2—quantitative and qualitative food propositions; 3—nutritional prescriptions; 4—diet patterns and patient adaptations; 5—streamlining of restrictions to reduce unnecessary diets and without scientific evidence; 6—emphasizing the place of an enriched and adapted diet for at-risk and malnourished patients. Conclusion: These guidelines will enable catering services and health-care teams to rationalize hospital food and therapeutic food prescriptions in order to focus on individual needs and tasty foods. All efforts should be made to create meals that follow these recommendations while promoting the taste quality of the dishes and their presentation such that the patient rediscovers the pleasure of eating in the hospital.

show abstract

Geriatric Out-of-Hospital Randomized Meal Trial in Heart Failure (GOURMET-HF) Pilot Randomized Trial: Primary Results

Cited by 6 publications

References 0 publications

Reduced Salt Intake for Heart Failure

Reduced Salt Intake for Heart Failure

Design and rationale of a randomized–controlled trial of home-delivered meals for the management of symptomatic ascites: the SALTYFOOD trial

Guidelines on Standard and Therapeutic Diets for Adults in Hospitals by the French Association of Nutritionist Dieticians (AFDN) and the French Speaking Society of Clinical Nutrition and Metabolism (SFNCM)

Contact Info

Product

Resources

About