The effect of diet, lifestyle and psychological factors in the prognosis of ischemic heart failure

Maria Salourou; Stefanos Archontakis; Skevos Sideris; Ioannis Parisis; Gerasimos Siasos; Evaggelos Oikonomou; Konstantinos Mourouzis; Konstantinos Sideris; Christodoulos Stefanadis; Dimitrios Tousoulis

doi:10.1016/j.metop.2019.03.001

The effect of diet, lifestyle and psychological factors in the prognosis of ischemic heart failure

Metabol Open. 2019 Mar 13:1:11-18. doi: 10.1016/j.metop.2019.03.001. eCollection 2019 Mar.

Affiliations

¹ First Cardiology Division, University of Athens, Hippokration General Hospital, 114 Vasilisis Sofias Str, Athens, Greece.
² Department of Cardiology, Hippokration General Hospital, 114 Vasilisis Sofias Str, Athens, Greece.
³ Second Cardiology Division, University of Athens, Attikon General Hospital, 1 Rimini Str, Haidari, Greece.

Abstract

Background/objective: Dietary patterns may play an important role in the prognosis of heart failure.

Methods: Dietary habits, sleeping habits, physical activity and anxiety and depression status were recorded in 326 patients (90 females, mean age 73.45 ± 10.9 years) with ischemic heart failure prospectively followed for 30 months.

Results: Lower ΗADS-depression scores (p = 0.03), a low-fat meat diet (p = 0.035) and moderate coffee consumption (p = 0.005) were associated with better prognosis. Non-significant differences were recorded in outcomes with regard to consumption of other dietary categories.

Conclusions: A balanced diet as well as emphasis on the treatment of depression may improve outcomes in ischemic heart failure.

Keywords: Coffee consumption; Depression in heart failure; Diet in heart failure; Heart failure; Mediterranean diet.