Use of dietary sodium intervention effect on neurohormonal and fluid overload in heart failure patients: Review of select research based literature

Appl Nurs Res. 2018 Aug:42:17-21. doi: 10.1016/j.apnr.2018.04.004. Epub 2018 Apr 20.

Abstract

Aim: This literature review analyzed ten articles investigating the effects of low dietary sodium intake on neurohormonal and fluid overload on heart failure (HF).

Background: Recommendations for low dietary sodium to HF patients has been debated in the past one to two decades.

Methods: This report presents a literature review of interventional studies from 2006 to 2015 investigating adult HF patients.

Results: The results of the neurohormonal outcome variables seem to be the primary consideration for recommending a low sodium diet to patients with HF. Most of articles in this review reported that 2.6-3 g/day of dietary sodium is effective for decreased BNP, renin, and aldosterone (neurohormonal) plasma levels in patients with HF.

Conclusions: We have to provide the reason, effect, and amount of dietary sodium when providing dietary sodium recommendations to patients.

Keywords: Dietary sodium; Fluid volume overload; Heart failure; Neurohormonal.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Diet, Sodium-Restricted*
  • Edema / chemically induced*
  • Edema / diet therapy*
  • Female
  • Heart Failure / diet therapy*
  • Heart Failure / physiopathology*
  • Humans
  • Male
  • Middle Aged
  • Neurotransmitter Agents / adverse effects*
  • Sodium, Dietary / adverse effects*

Substances

  • Neurotransmitter Agents
  • Sodium, Dietary