Korean J Community Nutr.  2016 Apr;21(2):190-199. 10.5720/kjcn.2016.21.2.190.

The Nutrient Intakes and their Relationships with the Use of Diuretics, Symptom Severity and Physical Functioning in Heart Failure Patients

• Jang JH
• Lee H
• Park Y
• Chun KJ
• Kim JH

• KMID: 2269419
• DOI: http://doi.org/10.5720/kjcn.2016.21.2.190

Abstract

OBJECTIVES
The purpose of this study was to identify the differences in nutrient intake according to using diuretics, symptom severity and degree of physical functioning in heart failure patients.
METHODS
A secondary data analysis was conducted by using baseline data of an intervention study for heart failure patients. In this study, 131 heart failure patients were included. Data were collected using medical records, NYHA (New York Heart Association functional classification) class, and 6-minute-walking test and 24-hour diet recall. Data were analyzed using descriptive statistics and Chi-square test by SPSS 21.0. Nutrient intake was assessed using CAN-pro 2.0.
RESULTS
Majority of the participants consumed total calorie less than Estimated Energy Requirement (EER) and consumed carbohydrates more than 65% of their total calorie intakes. 24.4% of the participants consumed fat more than 30% of their total calorie intakes and 23.7% consumed saturated fat more than 7% of their total calorie intakes. 100.0% of the participants consumed protein less than 7% of their total calorie intakes and 73.3% of the participants consumed more than recommended intakes of sodium. More than 90.0% of the participants consumed less than adequate intakes of potassium (90.1%) and Vitamin D (91.6%), respectively. 100% and 62.6% of the participants consumed less than Estimated Average Requirement (EAR) of magnesium and Vitamin B1, respectively. Nutrient intakes in heart failure patients were different for potassium intake according to the usage of diuretics. The participants with symptom severity tended to intake protein less properly and the participants walking more than 300.0 m tended to intake sodium improperly high.
CONCLUSIONS
The findings of this study indicated the need for screening nutrient intakes of heart failure patients. It is necessary to increase the intake of total calories and most nutrients and to restrict sodium intakes among heart failure patients.

Keyword

heart failure; nutrient intake; exercise capacity

MeSH Terms

Carbohydrates
Diet
Diuretics*
Heart Failure*
Heart*
Humans
Clinical Trial
Magnesium
Mass Screening
Medical Records
Potassium
Sodium
Statistics as Topic
Thiamine
Vitamin D
Walking
Carbohydrates
Diuretics
Magnesium
Potassium
Sodium
Thiamine
Vitamin D

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