Evidence map›Paper›PMID 34482681›Full record

SynthesisThe Korean journal of internal medicine2022

Is there sufficient evidence to justify changes in dietary habits in heart failure patients? A systematic review.

Alejandra García-García, Luis A Alvarez-Sala-Walther, Hae-Young Lee, Cristina Sierra, Domingo Pascual-Figal, Miguel Camafort

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in The Korean journal of internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Pathophysiology and Management of Heart Failure in the Elderly.The International journal of angiology : official publication of the International College of Angiology, Inc · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Alejandra García-GarcíaDepartment of Internal Medicine, "Gregorio Marañon" University General Hospital, Madrid, Spain.
Luis A Alvarez-Sala-WaltherDepartment of Internal Medicine, "Gregorio Marañon" University General Hospital, Madrid, Spain.
Hae-Young LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Cristina SierraDepartment of Internal Medicine-ICMiD, Hospital Clinic, University of Barcelona, Barcelona, Spain.
Domingo Pascual-FigalDepartment of Cardiology, "Virgen de la Arrixaca" University General Hospital, University of Murcia, Murcia, Spain.
Miguel CamafortDepartment of Internal Medicine-ICMiD, Hospital Clinic, University of Barcelona, Barcelona, Spain.
Hospital Clínic de Barcelona · ESHospital General Universitario Gregorio Marañón · ESInstitute of Cardiology · PLSeoul National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence and prevalence of heart failure (HF) is increasing worldwide, leading to high morbidity and mortality. The global management of HF involves lifestyle changes in addition to pharmacological treatments. Changes include exercise and dietary recommendations, mainly salt and fluid restriction, but without any clear evidence. We conducted a systematic review to analyse the degree of evidence for these dietary recommendations in HF. Only randomized controlled trials (RCT), and observational studies in humans were selected. Studies were considered eligible if they included participants with HF and sodium and/or fluid restriction. Publications in languages other than English or Spanish were excluded. We included 15 studies related to sodium or fluid restriction. Nine RCT and six observational studies showed some improvements in symptoms and quality of life and a degree of reduction in new hospitalizations, but the results are based on limited population groups, applying different methodologies, and with different restriction goals. We found a lack of clear evidence of the benefits of sodium/fluid restriction in chronic HF. The evidence is limited to few studies with conflicting results. Randomized clinical trials are needed to fill this gap in our knowledge.

Indexed as

Heart FailureChronic DiseaseFeeding BehaviorHospitalizationHumansSodiumSodiumDiet, sodium-restrictedDiet therapyHeart failure

Identifiers

PMID34482681
PMCPMC8747930
OpenAlexW3196415603

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.