Luis Guerra-Sánchez, Mar Fresno-Flores, Carmen Martínez-Rincón
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Introduction: malnutrition is commonly associated with, and worsens the prognosis of heart failure. The management of chronic heart failure and its complications based only on the application of pharmacologic guidelines is incomplete. The benefits of interventions to improve nutritional status may be limited by the multifactorial nature of malnutrition. The objective of the present study was to determine whether nutritional advice and nutritional supplementation can improve the nutritional status of patients with chronic heart failure. Methods: we performed a randomized clinical trial on an intention-to-treat basis with blinded observers. We divided a sample of 76 patients into 2 groups: one that received structured advice combined with nutritional supplements for 12 weeks (test group), and one that received treatment as usual (control group). The outcome measure was nutritional status as evaluated using the Subjective Global Assessment and the Mini Nutritional Assessment tools. After 12 weeks of treatment the test group received a leaflet that served as a reminder. No further interventions were applied in either group. Patients were followed for 1 year. Results: at 3 months of follow-up nutritional status improved 4-fold in the test group, whereas no change was observed in the control group. At 9 months nutritional status in the intervention group had improved 2-fold with respect to the baseline visit, whereas no differences were recorded in the control group. Differences in mortality and length of stay at 1 year did not reach statistical significance.
Palabras Clave: Nutrition in vulnerable groups. Clinical trial. Heart failure. Dietary supplements.
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Luciana Rossi , Julio Tirapegui
Jessie Nallely Zurita-Cruz , Rodolfo Rivas-ruiz , Virginia Gordillo-Álvarez , Miguel Ángel Villasís-Keever
Ismael San Mauro-martin , Luis Collado-yurrita , Javier Andrés Blumenfeld-olivares , María Ángeles Cuadrado-cenzual , María Elisa Calle-purón , Marta Hernández-cabria , Elena Garicano-vilar , Eva Pérez-arruche , Esperanza Arce-delgado , María José Ciudadcabañas
Norma Isela Vizuet Vega , Teresa Shamah-Levy , Elsa Berenice Gaona Pineda , Lucía Cuevas Nasu , Ignacio Méndez Gómez-humarán
Raquel Rodríguez-Blanque , Juan Carlos Sánchez-García , Antonio Manuel Sánchez-lópez , Norma Mur-villar , Rafael Fernández-castillo , María José Aguilar Cordero
Juan Luis Bonilla Palomas , Antonio Luis Gámez López , Mirian Moreno Conde , María Cristina López Ibáñez , Patricia Castellano García , Carlos Javier Ráez Ruiz , Rocío Ruíz Quirós , Esmeralda Ramiro Ortega
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María José Arias Téllez , Gabriela Noemi Carrasco Navarro , Julio Plaza Díaz
Fabiola de la Rosa Oliva , Abelardo Meneses García , Héctor Ruiz Calzada , Horacio Astudillo de la Vega , Enrique Bargalló Rocha , Fernando Lara-Medina , Alberto Alvarado Miranda , Juan Matus-Santos , Diana Flores-Díaz , Luis F. Oñate-Acuña , Gabriela Gutiérrez-Salmeán , Erika Ruiz García , Antonio Ibarra
Michelli Cristina Silva de Assis , Andreia Barcellos Teixeira Macedo , Cláudia Hallal Alves Gazal , Célia Mariana Barbosa de Souza Martins , Luciana Verçoza Viana
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Ana Cantón Blanco
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Mei Jiang , Mengyun Sun , Xuan Zhang , Ruijian Li
Lucía Arcos Castellanos , Bricia López-Plaza , Marina Morato Martínez , Marlhyn Valero Pérez , Samara Palma Milla , Carmen Gómez Candela
Rodrigo Fernandes Weyll Pimentel , Arthur Pinto Silva , Amália Ivine Costa Santana , Douglas de Souza e Silva , Mariângela de Souza Ramos , Márcio Costa de Souza , Vivian Marques Miguel Suen , Isolda Padro de Negreiros Nogueira Maduro , Durval Ribas Filho , Argemiro D’Oliveira Júnior , Dandara Almeida Reis da Silva , Julita Maria Freitas Coelho , Antonio Marcos Tosoli Gomes , Paulo Roberto Lima Machado , Magno Conceição das Merces
Jefferson Alencar da Silva , Vitor De Salles Painelli , Isabella Caroline Santos , Déborah Cristina Marques , Fabiano Mendes de Oliveira , Leonardo Pestillo de Oliveira , Braulio Henrique Magnani Branco
Roberto Luis Zagury , Paulo Lacativa , Luis Henrique de Gregório , Valéria Abrahão Schilling Rosenfeld , Leticia Fuganti Campos , Renata Alexandra Calixto Pinheiro , Samuel Ferreira da Costa , Luis Augusto Tavares Russo
Danitza Díaz Vargas , Marcell Leonario-Rodríguez
Ana Zugasti Murillo , M.ª Jesús Chinchetru , Rosa Burgos Peláez , José Manuel García Almeida , Pilar Matía Martín , Samara Palma Milla , Alejandro Sanz Paris , José Joaquín Alfaro-Martínez , Ana Artero-Fullana , Alfonso Calañas Continente , Katherine García Malpartida , Víctor González-Sánchez , María Laínez López , Antonio Jesús Martínez Ortega , Juana Oliva Roldán , Clara Serrano-Moreno , José Pablo Suárez Llanos , Ángela González-Díaz Faes
Isabel María Vegas Aguilar , Cristina Porca Fernández , Tamara Casañas Quintana , Alicia Calleja Fernández , Cristina Tejera Pérez , Francisco José Tinahones Madueño , Diego Bellido Guerrero , José Manuel García Almeida
José Manuel García Almeida , Isabel María Vegas Aguilar , Alicia Calleja Fernández , Cristina Porca Fernández , Tamara Casañas Quintana , Cristina Tejera Pérez , Francisco José Tinahones Madueño , Diego Bellido Guerrero
Sonia López-Cisneros , Samuel Ramos-Acevedo , Leonardo Miguel Reyes-Ramírez , Luis Rodríguez-Gómez , Aurora E. Serralde-Zúñiga , Ailema González-Ortiz , Ángeles Espinosa-Cuevas
Gözde Okburan , Murat Baş , Sultan Ogmen
Denisse Chu Montiel , Samara Palma Milla , Bricia López-Plaza , Marlhyn Valero Pérez , Carmen Gómez Candela , Laura M. Bermejo
Joaquín González Aroca
Joaquín González Aroca