Three Gram Sodium Intake is Associated With Longer Event-Free Survival Only in Patients With Advanced Heart Failure
Abstract Background There is limited evidence to support the recommendation that patients with heart failure (HF) restrict sodium intake. The purpose of this study was to compare differences in cardiac event-free survival between patients with sodium intake above and below 3 g. Methods A total of 30...
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| Veröffentlicht in: | Journal of cardiac failure 2011-04, Vol.17 (4), p.325-330 |
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| creator | Lennie, Terry A., PhD, RN, FAAN Song, Eun Kyeung, PhD, RN Wu, Jia-Rong, PhD, RN Chung, Misook L., PhD, RN Dunbar, Sandra B., DNS Pressler, Susan J., PhD Moser, Debra K., DNSc, RN, FAAN |
| description | Abstract Background There is limited evidence to support the recommendation that patients with heart failure (HF) restrict sodium intake. The purpose of this study was to compare differences in cardiac event-free survival between patients with sodium intake above and below 3 g. Methods A total of 302 patients with HF (67% male, 62 ± 12 years, 54% New York Heart Association [NYHA] Class III/IV, ejection fraction 34 ± 14%) collected a 24-hour urine sodium (UNa) to indicate sodium intake. Patients were divided into 2 groups using a 3-g UNa cutpoint and stratified by NYHA Class (I/II vs. III/IV). Event-free survival for 12 months was determined by patient or family interviews and medical record review. Differences in cardiac event-free survival were determined by Kaplan-Meier survival curve with log-rank test and Cox hazard regression. Results The Cox regression hazard ratio for 24-hour UNa ≥ 3 g in NYHA Class I/II was 0.44 (95% confidence interval [CI] = 0.20-0.97) and 2.54 (95% CI = 1.10-5.84) for NYHA III/IV after controlling for age, gender, HF etiology, body mass index, ejection fraction, and total comorbidity score. Conclusions These data suggest that 3 g dietary sodium restriction may be most appropriate for patients in NYHA functional Classes III and IV. |
| doi_str_mv | 10.1016/j.cardfail.2010.11.008 |
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The purpose of this study was to compare differences in cardiac event-free survival between patients with sodium intake above and below 3 g. Methods A total of 302 patients with HF (67% male, 62 ± 12 years, 54% New York Heart Association [NYHA] Class III/IV, ejection fraction 34 ± 14%) collected a 24-hour urine sodium (UNa) to indicate sodium intake. Patients were divided into 2 groups using a 3-g UNa cutpoint and stratified by NYHA Class (I/II vs. III/IV). Event-free survival for 12 months was determined by patient or family interviews and medical record review. Differences in cardiac event-free survival were determined by Kaplan-Meier survival curve with log-rank test and Cox hazard regression. Results The Cox regression hazard ratio for 24-hour UNa ≥ 3 g in NYHA Class I/II was 0.44 (95% confidence interval [CI] = 0.20-0.97) and 2.54 (95% CI = 1.10-5.84) for NYHA III/IV after controlling for age, gender, HF etiology, body mass index, ejection fraction, and total comorbidity score. Conclusions These data suggest that 3 g dietary sodium restriction may be most appropriate for patients in NYHA functional Classes III and IV.</description><identifier>ISSN: 1071-9164</identifier><identifier>EISSN: 1532-8414</identifier><identifier>DOI: 10.1016/j.cardfail.2010.11.008</identifier><identifier>PMID: 21440871</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cardiovascular ; Diet ; Diet, Sodium-Restricted ; Disease-Free Survival ; Female ; Heart Failure - diet therapy ; Humans ; Kaplan-Meier Estimate ; Male ; Middle Aged ; NYHA class ; Proportional Hazards Models ; Prospective Studies ; sodium restriction ; Sodium, Dietary - administration & dosage ; Survival Analysis ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of cardiac failure, 2011-04, Vol.17 (4), p.325-330</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><rights>2010 Elsevier Inc. All rights reserved. 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-87f0d7a444f3ce1649fbbebeca78b61fbe4acbfdd64d32976e9433ab607fe3303</citedby><cites>FETCH-LOGICAL-c525t-87f0d7a444f3ce1649fbbebeca78b61fbe4acbfdd64d32976e9433ab607fe3303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1071916410012285$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21440871$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lennie, Terry A., PhD, RN, FAAN</creatorcontrib><creatorcontrib>Song, Eun Kyeung, PhD, RN</creatorcontrib><creatorcontrib>Wu, Jia-Rong, PhD, RN</creatorcontrib><creatorcontrib>Chung, Misook L., PhD, RN</creatorcontrib><creatorcontrib>Dunbar, Sandra B., DNS</creatorcontrib><creatorcontrib>Pressler, Susan J., PhD</creatorcontrib><creatorcontrib>Moser, Debra K., DNSc, RN, FAAN</creatorcontrib><title>Three Gram Sodium Intake is Associated With Longer Event-Free Survival Only in Patients With Advanced Heart Failure</title><title>Journal of cardiac failure</title><addtitle>J Card Fail</addtitle><description>Abstract Background There is limited evidence to support the recommendation that patients with heart failure (HF) restrict sodium intake. The purpose of this study was to compare differences in cardiac event-free survival between patients with sodium intake above and below 3 g. Methods A total of 302 patients with HF (67% male, 62 ± 12 years, 54% New York Heart Association [NYHA] Class III/IV, ejection fraction 34 ± 14%) collected a 24-hour urine sodium (UNa) to indicate sodium intake. Patients were divided into 2 groups using a 3-g UNa cutpoint and stratified by NYHA Class (I/II vs. III/IV). Event-free survival for 12 months was determined by patient or family interviews and medical record review. Differences in cardiac event-free survival were determined by Kaplan-Meier survival curve with log-rank test and Cox hazard regression. Results The Cox regression hazard ratio for 24-hour UNa ≥ 3 g in NYHA Class I/II was 0.44 (95% confidence interval [CI] = 0.20-0.97) and 2.54 (95% CI = 1.10-5.84) for NYHA III/IV after controlling for age, gender, HF etiology, body mass index, ejection fraction, and total comorbidity score. Conclusions These data suggest that 3 g dietary sodium restriction may be most appropriate for patients in NYHA functional Classes III and IV.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiovascular</subject><subject>Diet</subject><subject>Diet, Sodium-Restricted</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Heart Failure - diet therapy</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Middle Aged</subject><subject>NYHA class</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>sodium restriction</subject><subject>Sodium, Dietary - administration & dosage</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1071-9164</issn><issn>1532-8414</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUsFq3DAQNaWlSdP-QtCtJ28lS7bsS-gSsklgIYVN6XGQpXFWG6-USrZh_z4ym4S2l54kNO-9eZo3WXbO6IJRVn3bLbQKplO2XxR0fmQLSut32SkreZHXgon36U4lyxtWiZPsU4w7mhCCyo_ZScGEoLVkp1m83wZEch3Unmy8seOe3LpBPSKxkSxj9NqqAQ35ZYctWXv3gIFcTeiGfDXzNmOY7KR6cuf6A7GO_FCDTdV4JCzNpJxO9BtUYSCrZHcM-Dn70Kk-4peX8yz7ubq6v7zJ13fXt5fLda7LohzyWnbUSCWE6LjG9Iuma1tsUStZtxXrWhRKt50xlTC8aGSFjeBctRWVHXJO-Vl2cdR9Gts9Gp18BdXDU7B7FQ7glYW_K85u4cFPwKnkktVJ4OuLQPC_R4wD7G3U2PfKoR8j1GVDS17xIiGrI1IHH2PA7q0LozAHBjt4DQzmwIAxSHEk4vmfHt9orwklwPcjANOkJosBok4TTkO1AfUAxtv_97j4R0L31lmt-kc8YNz5MbiUAzCIBVDYzGszbw2jlBVFXfJnn2nBrA</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Lennie, Terry A., PhD, RN, FAAN</creator><creator>Song, Eun Kyeung, PhD, RN</creator><creator>Wu, Jia-Rong, PhD, RN</creator><creator>Chung, Misook L., PhD, RN</creator><creator>Dunbar, Sandra B., DNS</creator><creator>Pressler, Susan J., PhD</creator><creator>Moser, Debra K., DNSc, RN, FAAN</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110401</creationdate><title>Three Gram Sodium Intake is Associated With Longer Event-Free Survival Only in Patients With Advanced Heart Failure</title><author>Lennie, Terry A., PhD, RN, FAAN ; Song, Eun Kyeung, PhD, RN ; Wu, Jia-Rong, PhD, RN ; Chung, Misook L., PhD, RN ; Dunbar, Sandra B., DNS ; Pressler, Susan J., PhD ; Moser, Debra K., DNSc, RN, FAAN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-87f0d7a444f3ce1649fbbebeca78b61fbe4acbfdd64d32976e9433ab607fe3303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiovascular</topic><topic>Diet</topic><topic>Diet, Sodium-Restricted</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Heart Failure - diet therapy</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>Middle Aged</topic><topic>NYHA class</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>sodium restriction</topic><topic>Sodium, Dietary - administration & dosage</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lennie, Terry A., PhD, RN, FAAN</creatorcontrib><creatorcontrib>Song, Eun Kyeung, PhD, RN</creatorcontrib><creatorcontrib>Wu, Jia-Rong, PhD, RN</creatorcontrib><creatorcontrib>Chung, Misook L., PhD, RN</creatorcontrib><creatorcontrib>Dunbar, Sandra B., DNS</creatorcontrib><creatorcontrib>Pressler, Susan J., PhD</creatorcontrib><creatorcontrib>Moser, Debra K., DNSc, RN, FAAN</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of cardiac failure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lennie, Terry A., PhD, RN, FAAN</au><au>Song, Eun Kyeung, PhD, RN</au><au>Wu, Jia-Rong, PhD, RN</au><au>Chung, Misook L., PhD, RN</au><au>Dunbar, Sandra B., DNS</au><au>Pressler, Susan J., PhD</au><au>Moser, Debra K., DNSc, RN, FAAN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three Gram Sodium Intake is Associated With Longer Event-Free Survival Only in Patients With Advanced Heart Failure</atitle><jtitle>Journal of cardiac failure</jtitle><addtitle>J Card Fail</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>17</volume><issue>4</issue><spage>325</spage><epage>330</epage><pages>325-330</pages><issn>1071-9164</issn><eissn>1532-8414</eissn><abstract>Abstract Background There is limited evidence to support the recommendation that patients with heart failure (HF) restrict sodium intake. The purpose of this study was to compare differences in cardiac event-free survival between patients with sodium intake above and below 3 g. Methods A total of 302 patients with HF (67% male, 62 ± 12 years, 54% New York Heart Association [NYHA] Class III/IV, ejection fraction 34 ± 14%) collected a 24-hour urine sodium (UNa) to indicate sodium intake. Patients were divided into 2 groups using a 3-g UNa cutpoint and stratified by NYHA Class (I/II vs. III/IV). Event-free survival for 12 months was determined by patient or family interviews and medical record review. Differences in cardiac event-free survival were determined by Kaplan-Meier survival curve with log-rank test and Cox hazard regression. Results The Cox regression hazard ratio for 24-hour UNa ≥ 3 g in NYHA Class I/II was 0.44 (95% confidence interval [CI] = 0.20-0.97) and 2.54 (95% CI = 1.10-5.84) for NYHA III/IV after controlling for age, gender, HF etiology, body mass index, ejection fraction, and total comorbidity score. Conclusions These data suggest that 3 g dietary sodium restriction may be most appropriate for patients in NYHA functional Classes III and IV.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21440871</pmid><doi>10.1016/j.cardfail.2010.11.008</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of cardiac failure, 2011-04, Vol.17 (4), p.325-330 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Aged, 80 and over Cardiovascular Diet Diet, Sodium-Restricted Disease-Free Survival Female Heart Failure - diet therapy Humans Kaplan-Meier Estimate Male Middle Aged NYHA class Proportional Hazards Models Prospective Studies sodium restriction Sodium, Dietary - administration & dosage Survival Analysis Treatment Outcome Young Adult |
| title | Three Gram Sodium Intake is Associated With Longer Event-Free Survival Only in Patients With Advanced Heart Failure |
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