Lifestyle Modifications for Preventing and Treating Heart Failure

Aggarwal, Monica; Bozkurt, Biykem; Panjrath, Gurusher; Aggarwal, Brooke; Ostfeld, Robert J.; Barnard, Neal D.; Gaggin, Hanna K.; Freeman, Andrew M.; Allen, Kathleen; Madan, Shivank; Massera, Daniele; Litwin, Sheldon E.

doi:10.1016/j.jacc.2018.08.2160

Cited by 99 publications

(83 citation statements)

References 156 publications

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“…Many plant-based foods, including fruits and vegetables, are good sources of melatonin, and clinical trials demonstrate that consumption of these foods can improve parameters related to sleep quality, such as sleep disturbances [3]. Green leafy vegetables are also a rich source of nitrates that convert to nitric oxide when consumed; the Mediterranean diet contains significantly higher amounts of nitrate than the typical Western diet [42]. Reduced nitric oxide bioavailability may contribute to endothelial dysfunction [43], which has been linked to poor sleep in women [44].…”

Section: Discussionmentioning

confidence: 99%

A Mediterranean Dietary Pattern Predicts Better Sleep Quality in US Women from the American Heart Association Go Red for Women Strategically Focused Research Network

et al. 2020

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Consumption of a Mediterranean diet has been linked to better sleep health in older, European populations. However, whether this dietary pattern is predictive of sleep quality in US women, a group prone to poor sleep, is unknown. This prospective cohort study of 432 US women (20–76 y; 60% racial/ethnic minority) evaluated whether compliance with a Mediterranean diet at baseline predicted sleep quality at 1-y follow-up. Alternate Mediterranean (aMed) diet scores and habitual sleep quality were computed from the validated Block Brief Food Frequency Questionnaire and Pittsburgh Sleep Quality Index (PSQI), respectively. Linear regression models evaluated prospective associations of the aMed diet pattern and its components with measures of sleep quality, after adjustment for age, BMI, race/ethnicity, education, and health insurance status. Higher baseline aMed scores were associated with lower PSQI scores (β = −0.30 ± 0.10, p < 0.01), indicative of better sleep quality, higher sleep efficiency (β = 1.20 ± 0.35, p < 0.001), and fewer sleep disturbances (β = −0.30 ± 0.12, p = 0.01) at 1-y. Fruit and vegetable consumption also predicted lower PSQI scores, higher sleep efficiency and fewer sleep disturbances (all p < 0.05). Higher legume intake predicted better sleep efficiency (β = 1.36 ± 0.55, p = 0.01). These findings suggest that adherence to a Mediterranean diet pattern should be evaluated as a strategy to promote sleep quality in US women.

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Section: Discussionmentioning

confidence: 99%

A Mediterranean Dietary Pattern Predicts Better Sleep Quality in US Women from the American Heart Association Go Red for Women Strategically Focused Research Network

et al. 2020

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“…A recent randomized prospective study by Howden et al, noted a reduction in LV myocardial stiffness in middle‐aged adults after 2 years of rigorous supervised aerobic exercise training . Conversely, a sedentary lifestyle has been associated with increased LV stiffness, impaired insulin sensitivity, and a higher incidence of HFpEF …”

Section: Potential Interventions For CV Agingmentioning

confidence: 99%

“…57 Conversely, a sedentary lifestyle has been associated with increased LV stiffness, impaired insulin sensitivity, and a higher incidence of HFpEF. 57,58 7 | CONCLUSIONS…”

Section: Amyloid Infiltrationmentioning

confidence: 99%

Cardiac changes associated with vascular aging

Singam

Fine

Fleg

2019

Clinical Cardiology

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Cardiovascular aging is a complex process of adaptive structural and functional changes over time. With advancing age, the arterial tree thickens and decreases in compliance, resulting in increased pulse wave velocity, systolic blood pressure, and left ventricular afterload. In response to these arterial changes, the myocardium remodels to maintain systolic function and diastolic filling. These adaptive mechanisms are not necessarily pathologic but increase the susceptibility for myocardial ischemia and heart failure in the presence of common age‐associated comorbidities. This article reviews the pathophysiology of cardiovascular aging and discusses therapeutic interventions that may ameliorate these processes.

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“…10,11 Decades of research indicates that lifestyle changes (diet, exercise, smoking cessation) and medical management (pills and inhalers), prevent hospitalizations and surgeries for these diseases, while prolonging life. 12,13 But the work to manage these conditions is under-valued and under-paid. So chronic conditions persist and thrive, while we debate length-of-stay and re-admission rates.…”

Section: The Over-reliance On Elective Surgeriesmentioning

confidence: 99%

COVID-19 and the Case for Medical Management and Primary Care

Dominguez

Willis

2020

J Prim Care Community Health

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Hospitals and health systems suffer an over-reliance on elective surgeries to remain profitable. As a result, systems report record losses, while demand for emergency room, hospital, and intensive care beds have surged. Studies have admitted that many surgeries are unnecessary, and physician leaders admit that profit plays a role in driving such needless cost and risk. Most diseases are better managed with medications and lifestyle changes. But it pays more to replace a knee than to prevent that replacement. We must bring surgical and medical value closer in-line. Communities of color are suffering disproportionately from coronavirus. The social determinants of health that lead to higher concentrations of hypertension and diabetes can be mitigated by investment in primary care. Such investment has been proven to decrease cost and increase quality of life. However, the United States spends 50% less on primary care, than other developed countries. While showing promise, telehealth is not a panacea. It relies on continued reimbursement parity, and there remains a digital divide. Any meaningful fix will draw the ire from those who profit from such a profligate system. If we want to improve quality, access and equity, while avoiding unnecessary hospitalizations, risky surgeries, and runaway costs, we must invest in primary care.

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Lifestyle Modifications for Preventing and Treating Heart Failure

Cited by 99 publications

References 156 publications

A Mediterranean Dietary Pattern Predicts Better Sleep Quality in US Women from the American Heart Association Go Red for Women Strategically Focused Research Network

A Mediterranean Dietary Pattern Predicts Better Sleep Quality in US Women from the American Heart Association Go Red for Women Strategically Focused Research Network

Cardiac changes associated with vascular aging

COVID-19 and the Case for Medical Management and Primary Care

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