Heart failure symptom burden,dietary intake,and inflammation:An integrative review of the literature  

作　　者：Erica DAVIS Sandra DUNBAR Melinda HIGGINS Kathryn WOOD Erin FERRANTI Alanna MORRIS Brittany BUTTS 

机构地区：[1]Emory University Nell Hodgson Woodruff School of Nursing,Atlanta,Georgia,United States of America

出　　处：《Journal of Integrative Nursing》2023年第2期81-92,共12页中西医结合护理杂志（英文）

摘　　要：Heart failure(HF)is characterized by high symptom burden including,but not limited to fatigue,dyspnea,and edema.Up to 21.5%of HF patients experience significant depressive symptoms,much higher than 7.1%in adults without HF.Diet,metabolites,and other inflammatory mechanisms have gained notable attention in recent studies for contributions to symptoms in HF.Symptoms for black adults(B/As)with HF are often influenced by lifestyle factors,which may influence their higher mortality rates;few studies address these factors.Distinguishing the links between key elements with diet,inflammation,and symptoms may bring clarity for new dietary strategies in HF clinical care.The purpose of this integrative review is to examine the existing literature regarding relationships among physiologic pathways in HF along with physical and emotional symptoms in the context of inflammation,dietary intake,tumor necrosis factor‑alpha(TNF‑a),a biomarker of inflammation,and trimethylamine‑N‑Oxide(TMAO).Based on available evidence,inflammation may be a key link between physical symptoms,diet,depression,TMAO,and TNF‑a in persons with HF and warrants further examination to clarify pathological links to solidify evidence for better guidance with dietary modifications.The literature reviewed in this study demonstrates that more work is needed to examine dietary planning,social support,and differences between men and women in the B/A community.Results of this literature review call attention to the essential,personalized care needs related to symptom monitoring and dietary planning which is expected to decrease symptom burden in the HF population.

关 键 词：DEPRESSION diet/dietary patterns heart failure INFLAMMATION symptom burden trimethylamine‑N‑oxide 

分 类 号：R473.5[医药卫生—护理学] R541.6[医药卫生—临床医学]