A pilot study of salt and water restriction in patients with chronic heart failure

Scandinavian Cardiovascular Journal : SCJ
Henriette PhilipsonMaria Schaufelberger

Abstract

International guidelines recommend low sodium intake and fluid restriction for patients with chronic heart failure (CHF) despite little support from scientific research. We conducted a pilot study to evaluate if dietary restriction instructions and recommendations are effective in reducing sodium and fluid intake in patients with CHF and if such reductions affect quality of life, thirst and appetite. Design. A 12-week, prospective, randomized study with an intervention and control group. The intervention group (n=17) followed a sodium-restricted diet (2-3 g/day) and fluid restriction (1.5 L/day) while the control group (n=13) received general diet information on heart failure. Urine sodium excretion was measured on three consecutive days and para-aminobenzoic acid was used to secure urine collection. Individual dietary recommendations were provided. Fluid intake was reduced in the intervention group compared with the control group from baseline to follow-up: 1.6(0.4)L to 1.2(0.5)L vs. 1.7(0.8)L to 1.6(0.9)L (p=0.04). Sodium excretion was reduced by > or =25% in 57% of the patients in the intervention group and in 25% in the control group (p=0.049). Patients with CHF were able to reduce sodium and fluid intake. The effects in te...Continue Reading

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Citations

Jul 17, 2013·Current Heart Failure Reports·Terry A LennieDebra K Moser
Jul 22, 2014·Contemporary Nurse·Sabine M AllidaPhillip J Newton
Nov 21, 2012·Nutrition Reviews·Mindy Millard-StaffordTracy L Norman
Nov 4, 2015·Journal of Cardiac Failure·Martha AbshireCheryl Dennison Himmelfarb
Jun 22, 2013·European Journal of Heart Failure·Henriette PhilipsonMaria Schaufelberger
Nov 28, 2012·European Journal of Heart Failure·Nana WaldréusTiny Jaarsma
Dec 3, 2014·Journal of Clinical Nursing·Sabine M AllidaPhillip J Newton
Apr 22, 2015·Heart & Lung : the Journal of Critical Care·Carolyn Miller ReillyMarilyn A Prasun
May 25, 2016·Contemporary Nurse·Sabine M AllidaPhillip J Newton
Jun 22, 2014·Journal of Cardiac Failure·Nana WaldréusTiny Jaarsma
May 31, 2015·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Marilia E CornélioMaria-Cecilia Bj Gallani
Jul 6, 2014·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Carolyn Miller ReillySandra B Dunbar
Dec 13, 2017·Journal of Medical Internet Research·Molly M WarnerKatrina L Campbell
Jul 25, 2012·Circulation·Divya GuptaJaved Butler
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Dec 6, 2017·Current Opinion in Supportive and Palliative Care·Sabine M AllidaPhillip J Newton
Nov 26, 2015·Current Opinion in Cardiology·Eloisa Colin-Ramirez, Justin A Ezekowitz
Mar 17, 2017·Current Treatment Options in Cardiovascular Medicine·Eloisa Colin-RamirezJustin A Ezekowitz
Sep 7, 2021·The Korean Journal of Internal Medicine·Alejandra García-GarcíaMiguel Camafort

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