Enteral nutrition and congestive heart failure: a systematic review
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Journal of Nutrology (Online) |
Texto Completo: | https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/280 |
Resumo: | Introduction: Congestive heart failure (CHF) is a serious and growing public health problem worldwide. Approximately 23 million people are carriers of this disease and two million new cases are diagnosed each year. The clinical evolution of patients with CHF is moving towards variable malnutrition, making it necessary to adhere to enteral nutrition (EN). This picture can occur due to inadequate intake, altered metabolism, proinflammatory state, increased oxidative stress, and greater loss of nutrients, even due to drug interactions. Objective: It was to carry out a systematic review of the main clinical outcomes that demonstrate the importance of enteral nutrition in patients with congestive heart failure. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from September to October 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 122 articles were found. A total of 87 articles were evaluated and 28 were included in this systematic review. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 7 studies with a high risk of bias and 8 studies that did not meet GRADE. There is moderate scientific evidence of the effectiveness of enteral nutrition in increasing survival and reducing morbidity in patients with congestive heart failure, as there are few randomized clinical trials that have evaluated this issue, however, enteral nutrition is highly indicated in the attempt to mitigate weight loss in these patients. |
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International Journal of Nutrology (Online) |
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Enteral nutrition and congestive heart failure: a systematic reviewCongestive heart failureEnteral therapyEnteral nutritionClinical studiesLevel of EvidenceIntroduction: Congestive heart failure (CHF) is a serious and growing public health problem worldwide. Approximately 23 million people are carriers of this disease and two million new cases are diagnosed each year. The clinical evolution of patients with CHF is moving towards variable malnutrition, making it necessary to adhere to enteral nutrition (EN). This picture can occur due to inadequate intake, altered metabolism, proinflammatory state, increased oxidative stress, and greater loss of nutrients, even due to drug interactions. Objective: It was to carry out a systematic review of the main clinical outcomes that demonstrate the importance of enteral nutrition in patients with congestive heart failure. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from September to October 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 122 articles were found. A total of 87 articles were evaluated and 28 were included in this systematic review. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 7 studies with a high risk of bias and 8 studies that did not meet GRADE. There is moderate scientific evidence of the effectiveness of enteral nutrition in increasing survival and reducing morbidity in patients with congestive heart failure, as there are few randomized clinical trials that have evaluated this issue, however, enteral nutrition is highly indicated in the attempt to mitigate weight loss in these patients.MetaScience Press2023-03-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/28010.54448/ijn23206International Journal of Nutrology; Vol. 16 No. 2 (2023): International Journal of Nutrology (IJN) - March 20232595-28541984-301110.54448/ijn232reponame:International Journal of Nutrology (Online)instname:Associação Brasileira de Nutrologia (ABRAN)instacron:ABRANenghttps://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/280/268Copyright (c) 2023 Laís Lopes Mascarenhas de Lacerda, Darwin dos Santos Ribeiro, Valdir Cerqueira de Sant’Ana Filho, Murilo Costa Safira Andrade, Joaquim Paulo Castro de Santanahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLacerda, Laís Lopes Mascarenhas deRibeiro, Darwin dos SantosSant’Ana Filho, Valdir Cerqueira deAndrade, Murilo Costa SafiraSantana, Joaquim Paulo Castro de2023-03-21T21:12:16Zoai:ojs2.ijn.zotarellifilhoscientificworks.com:article/280Revistahttps://ijn.zotarellifilhoscientificworks.com/index.php/ijnONGhttps://ijn.zotarellifilhoscientificworks.com/index.php/ijn/oaiijn@zotarellifilhoscientificworks.com || editorchief@zotarellifilhoscientificworks.com10.544482595-28541984-3011opendoar:2023-03-21T21:12:16International Journal of Nutrology (Online) - Associação Brasileira de Nutrologia (ABRAN)false |
dc.title.none.fl_str_mv |
Enteral nutrition and congestive heart failure: a systematic review |
title |
Enteral nutrition and congestive heart failure: a systematic review |
spellingShingle |
Enteral nutrition and congestive heart failure: a systematic review Lacerda, Laís Lopes Mascarenhas de Congestive heart failure Enteral therapy Enteral nutrition Clinical studies Level of Evidence |
title_short |
Enteral nutrition and congestive heart failure: a systematic review |
title_full |
Enteral nutrition and congestive heart failure: a systematic review |
title_fullStr |
Enteral nutrition and congestive heart failure: a systematic review |
title_full_unstemmed |
Enteral nutrition and congestive heart failure: a systematic review |
title_sort |
Enteral nutrition and congestive heart failure: a systematic review |
author |
Lacerda, Laís Lopes Mascarenhas de |
author_facet |
Lacerda, Laís Lopes Mascarenhas de Ribeiro, Darwin dos Santos Sant’Ana Filho, Valdir Cerqueira de Andrade, Murilo Costa Safira Santana, Joaquim Paulo Castro de |
author_role |
author |
author2 |
Ribeiro, Darwin dos Santos Sant’Ana Filho, Valdir Cerqueira de Andrade, Murilo Costa Safira Santana, Joaquim Paulo Castro de |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Lacerda, Laís Lopes Mascarenhas de Ribeiro, Darwin dos Santos Sant’Ana Filho, Valdir Cerqueira de Andrade, Murilo Costa Safira Santana, Joaquim Paulo Castro de |
dc.subject.por.fl_str_mv |
Congestive heart failure Enteral therapy Enteral nutrition Clinical studies Level of Evidence |
topic |
Congestive heart failure Enteral therapy Enteral nutrition Clinical studies Level of Evidence |
description |
Introduction: Congestive heart failure (CHF) is a serious and growing public health problem worldwide. Approximately 23 million people are carriers of this disease and two million new cases are diagnosed each year. The clinical evolution of patients with CHF is moving towards variable malnutrition, making it necessary to adhere to enteral nutrition (EN). This picture can occur due to inadequate intake, altered metabolism, proinflammatory state, increased oxidative stress, and greater loss of nutrients, even due to drug interactions. Objective: It was to carry out a systematic review of the main clinical outcomes that demonstrate the importance of enteral nutrition in patients with congestive heart failure. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from September to October 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 122 articles were found. A total of 87 articles were evaluated and 28 were included in this systematic review. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 7 studies with a high risk of bias and 8 studies that did not meet GRADE. There is moderate scientific evidence of the effectiveness of enteral nutrition in increasing survival and reducing morbidity in patients with congestive heart failure, as there are few randomized clinical trials that have evaluated this issue, however, enteral nutrition is highly indicated in the attempt to mitigate weight loss in these patients. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-03-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/280 10.54448/ijn23206 |
url |
https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/280 |
identifier_str_mv |
10.54448/ijn23206 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/280/268 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
MetaScience Press |
publisher.none.fl_str_mv |
MetaScience Press |
dc.source.none.fl_str_mv |
International Journal of Nutrology; Vol. 16 No. 2 (2023): International Journal of Nutrology (IJN) - March 2023 2595-2854 1984-3011 10.54448/ijn232 reponame:International Journal of Nutrology (Online) instname:Associação Brasileira de Nutrologia (ABRAN) instacron:ABRAN |
instname_str |
Associação Brasileira de Nutrologia (ABRAN) |
instacron_str |
ABRAN |
institution |
ABRAN |
reponame_str |
International Journal of Nutrology (Online) |
collection |
International Journal of Nutrology (Online) |
repository.name.fl_str_mv |
International Journal of Nutrology (Online) - Associação Brasileira de Nutrologia (ABRAN) |
repository.mail.fl_str_mv |
ijn@zotarellifilhoscientificworks.com || editorchief@zotarellifilhoscientificworks.com |
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1792204588427771904 |