心力衰竭患者的饮食钠摄入限制:系统综述。

IF 4.5 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Congying Liu, Yating Wang, Heli Zhang, Sumei Tong
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引用次数: 0

摘要

本研究旨在识别、评估和总结有关心力衰竭患者饮食钠摄入限制的系统性综述。在 Pubmed、CINAHL、ScienceDirect、Cochrane 图书馆、中国国家知识基础设施和万方数据库(截至 2024 年 1 月)上进行了文献检索。采用澳大利亚 JBI 循证医疗中心(2016)的质量评估工具对纳入的综述进行了方法学质量评估。根据不同的结果指标,对系统综述和荟萃分析的结果进行了综合和展示。本研究共纳入了九篇系统综述。目前的证据并不支持限制心力衰竭患者的饮食钠摄入量会对死亡率、再住院率和生活质量产生积极影响。相反,严格限制饮食钠摄入量(≤ 2000 毫克/天)可能会增加死亡、再次住院和症状加重的风险。限制饮食钠摄入量可能不会对心衰患者的临床预后产生积极影响。不过,还需要更多证据来探讨不同程度的饮食钠限制对心衰患者预后和症状管理指标的影响差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dietary sodium intake restriction in patients with heart failure: an overview of systematic reviews.

This study aimed to identify, assess, and summarize systematic reviews on dietary sodium intake restrictions for patients with heart failure. Literature searches were conducted on Pubmed, CINAHL, ScienceDirect, Cochrane Library, China National Knowledge Infrastructure, and the Wanfang Database up to January 2024. The methodological quality of the included reviews was assessed using the quality assessment tool from the Australian JBI Center for Evidence-Based Healthcare (2016). The results of systematic reviews and meta-analyses were synthesized and presented according to different outcome indicators. Nine systematic reviews were included in this study. The current evidence does not support the fact that dietary sodium intake restrictions for patients with heart failure have a positive impact on mortality rates, rehospitalization rates, and quality of life. Conversely, strict dietary sodium intake restrictions (≤ 2000 mg/day) may increase the risk of death, rehospitalization, and symptom exacerbation. Dietary sodium intake restriction may not have a positive impact on clinical outcomes in patients with heart failure. Nevertheless, more evidence is required to explore the differences in the impact of various levels of dietary sodium restriction on the outcomes and symptom management indicators of patients with heart failure.

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来源期刊
Heart Failure Reviews
Heart Failure Reviews 医学-心血管系统
CiteScore
10.40
自引率
2.20%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Heart Failure Reviews is an international journal which develops links between basic scientists and clinical investigators, creating a unique, interdisciplinary dialogue focused on heart failure, its pathogenesis and treatment. The journal accordingly publishes papers in both basic and clinical research fields. Topics covered include clinical and surgical approaches to therapy, basic pharmacology, biochemistry, molecular biology, pathology, and electrophysiology. The reviews are comprehensive, expanding the reader''s knowledge base and awareness of current research and new findings in this rapidly growing field of cardiovascular medicine. All reviews are thoroughly peer-reviewed before publication.
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