Nutrition Assessment and Dietary Interventions in Heart Failure: JACC Review Topic of the Week

Elissa Driggin, Laura P. Cohen, Dympna Gallagher, Wahida Karmally, Thomas Maddox, Scott L. Hummel, Salvatore Carbone, Mathew S. Maurer

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations


Despite the high prevalence of nutrition disorders in patients with heart failure (HF), major HF guidelines lack specific nutrition recommendations. Because of the lack of standardized definitions and assessment tools to quantify nutritional status, nutrition disorders are often missed in patients with HF. Additionally, a wide range of dietary interventions and overall dietary patterns have been studied in this population. The resulting evidence of benefit is, however, conflicting, making it challenging to determine which strategies are the most beneficial. In this document, we review the available nutritional status assessment tools for patients with HF. In addition, we appraise the current evidence for dietary interventions in HF, including sodium restriction, obesity, malnutrition, dietary patterns, and specific macronutrient and micronutrient supplementation. Furthermore, we discuss the feasibility and challenges associated with the implementation of multimodal nutrition interventions and delineate potential solutions to facilitate addressing nutrition in patients with HF.

Original languageEnglish
Pages (from-to)1623-1635
Number of pages13
JournalJournal of the American College of Cardiology
Issue number16
StatePublished - Apr 26 2022


  • diet
  • heart failure
  • nutrition


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