ArticleBMC nutrition2021
Dietary diversity and food security status among heart failure patients in the north of Iran.
Article in BMC nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 9 citations in OpenAlex.
- The impact of an integrated early palliative care telehealth intervention on the quality of life of heart failure patients: a randomized controlled feasibility study.BMC palliative care · 2024Trial
- Food literacy as a moderator in the relationship between food security and dietary diversity among adults in Seoul: based on the 2021-2023 Seoul Food Survey.Nutrition research and practice · 2026Article
- A study on dietary diversification intervention for elderly patients with chronic heart failure who can eat by mouth.Frontiers in nutrition · 2026Article
- Association between dietary quality index-international (DQI-I) and cardiovascular diseases: insights from RaNCD cohort study.BMC nutrition · 2025Article
- Cultural adaptation of ENABLE (Educate, Nurture, Advise, Before Life Ends) an early palliative care model for Iranian patients with heart failure and their caregivers: a qualitative study protocol.Archives of public health = Archives belges de sante publique · 2025Article
- The association between dietary quality index- international and metabolic risk factors in RaNCD cohort study.BMC public health · 2024Article
- Article
- Dietary diversity and association with non-communicable diseases (NCDs) among adult men (15-54 years): A cross-sectional study using National Family and Health Survey, India.PLOS global public health · 2023Article
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4 authors at 1 institution in 1 country.
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Abstract
backgroundDietary diversity score (DDS) is an indicator for assessing nutritional adequacy. Food security is another important measure in nutrition field which can be associated with several cardiovascular risk factors. Considering the importance of nutrition in heart failure (HF) patients, this study was designed to evaluate the DDS and food security of patients with HF.
methodsA total of 200 HF patients were enrolled. DDS was evaluated using valid and reliable food frequency questionnaire and was calculated by scoring food intakes as 5 main groups. Household food insecurity access scale was applied to assess food security status. Data were analyzed using descriptive statistics, Chi-square and Kruskal-Wallis tests and multiple logistic regression models.
resultsThe mean age of patients was 65 (standard deviation: 12) years and 59% of patients were male. Median of DDS was 1.96 (range: 0.29 to 6.12). Adjusted odds of greater DDS (> = median of 2) was 2.58 times higher for patients without hypertension than for patients with hypertension (95%CI: 1.31-5.08, P = 0.006). Also, odds of greater DDS were more in ex-smokers' patients when compared to non-smokers (adjusted odds ratio (AOR): 2.70, 95%CI: 1.27-5.75, P = 0.010), patients with supplement use (AOR: 2.42, 95%CI: 1.16-5.05, P = 0.019), patients with lower total cholesterol level (AOR: 1.01, 95%CI: 1.00-1.02, P = 0.051), and patients with higher ejection fraction (AOR: 1.03, 95%CI: 1.00-1.05, with borderline. P = 0.073). About 57% of patients had experienced degrees of food insecurity as mild (26%), moderate (16%) and severe (15%). On the other hand, women (AOR: 1.90, 95%CI: 0.90-3.71, with borderline P = 0.061) and patients with middle (AOR: 3.48, 95%CI: 1.79-6.76, P < 0.001) or high (AOR: 20.32, 95%CI: 2.56-161.19, P = 0.004) socio-economic status were more likely to be food secure or mild insecure. Also, no relation between DDS and food security was found (r = - 0.08, P = 0.262).
conclusionThis study found that HF patients had a low DDS and more than half of the patients were food insecure to some extents.
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