Dietary management of heart failure: Dash diet and precision nutrition perspectives

Brooke E. Wickman, Byambaa Enkhmaa, Ronit Ridberg, Erick Romero, Martin Cadeiras, Frederick Meyers, Francene Steinberg

Research output: Contribution to journalReview articlepeer-review

Abstract

Heart failure (HF) is a major health care burden increasing in prevalence over time. Effective, evidence-based interventions for HF prevention and management are needed to improve patient longevity, symptom control, and quality of life. Dietary Approaches to Stop Hypertension (DASH) diet interventions can have a positive impact for HF patients. However, the absence of a consensus for comprehensive dietary guidelines and for pragmatic evidence limits the ability of health care providers to implement clinical recommendations. The refinement of medical nutrition therapy through precision nutrition approaches has the potential to reduce the burden of HF, improve clinical care, and meet the needs of diverse patients. The aim of this review is to summarize current evidence related to HF dietary recommendations including DASH diet nutritional interventions and to develop initial recommendations for DASH diet implementation in outpatient HF management. Articles involving human studies were obtained using the following search terms: Dietary Approaches to Stop Hypertension (DASH diet), diet pattern, diet, metabolism, and heart failure. Only full-text articles written in English were included in this review. As DASH nutritional interventions have been proposed, limitations of these studies are the small sample size and non-randomization of interventions, leading to less reliable evidence. Randomized controlled interventions are needed to offer definitive evidence related to the use of the DASH diet in HF management.

Original languageEnglish (US)
Article number4424
JournalNutrients
Volume13
Issue number12
DOIs
StatePublished - Dec 2021

Keywords

  • DASH diet
  • Diet pattern
  • Dietary approaches to stop hypertension
  • Heart failure
  • Metabolism
  • Metabolomics
  • Personalized nutrition
  • Precision nutrition

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

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