Breaking News
September 18, 2018 - Hospitalization after antibiotic initiation found to be higher for people with Alzheimer’s disease
September 18, 2018 - Many children with special healthcare needs do not have access to ‘PCMH-concordant’ care
September 18, 2018 - Investigational nasal influenza vaccine tested in children and teens
September 18, 2018 - Lymphatic vessels surrounding the brain play crucial role in multiple sclerosis, research suggests
September 18, 2018 - New fiber laser-based ultrasound sensor may have potential applications in medical diagnostics
September 18, 2018 - Protect your heart and health during ‘dog days’ of summer
September 18, 2018 - Faculty receive awards for promise in biomedical research, clinical care | News Center
September 18, 2018 - Digital games for CVD-related self-management improve exercise capacity and energy expenditure
September 18, 2018 - Adding PET scans to CT imaging can change treatment for women with cervical cancer
September 18, 2018 - Human brains may be wired to prefer lying on the couch, suggests research
September 18, 2018 - Zika virus vaccine shows promise for treatment of fatal glioblastoma
September 18, 2018 - Theravance Biopharma and Mylan to Report New Data from Phase 3 Studies of Yupelri (revefenacin) in Oral Presentation at European Respiratory Society International Congress 2018
September 18, 2018 - INSiGHT identifies unique retinal regulatory genes
September 18, 2018 - Diversity, science leadership grants awarded to student-faculty pairs | News Center
September 18, 2018 - Many parents blame electronics for sleep problems among teens
September 18, 2018 - Researchers study neuronal activity in brain that prevents individuals from doing physical activity
September 18, 2018 - Purifying Proteins from Mammalian Cell Culture
September 18, 2018 - Researchers map 3D structure of toxic proteins used by Pseudomonas aeruginosa to trigger infection
September 18, 2018 - Outcome of ACL reconstruction related to the way you move post-surgery
September 18, 2018 - Study aims to investigate risk factors for PPCs in surgical patients with gastric cancer
September 18, 2018 - Ardelyx Submits New Drug Application for Tenapanor for IBS-C
September 18, 2018 - Sociodemographic disparities in eyeglass use among elderly
September 18, 2018 - New Drug Shows Promise for Progressive Form of MS
September 18, 2018 - Babies exposed to higher levels of organochlorine compounds in womb may have worse lung function
September 18, 2018 - Women exposed to trauma in their lives gave birth to underweight male infants
September 18, 2018 - Probiotic supplementation may reduce use of antibiotics, scientific analysis shows
September 18, 2018 - Resveratrol decreases pain severity and levels of inflammatory biomarkers in osteoarthritis patients
September 18, 2018 - Research shows pollution is reaching the placenta
September 18, 2018 - KAIST researchers develop heart-targeting drug delivery technology using tannin acid
September 18, 2018 - Muscle relaxants used during general anesthesia can increase risk of pulmonary complications
September 18, 2018 - Silicone breast implants may increase risk of rare adverse outcomes in women
September 18, 2018 - Pediatricians Have a Role in Encouraging Play Among Children
September 18, 2018 - California’s Medicaid program hits ‘print’ when the feds need info
September 18, 2018 - Genes, environment and schizophrenia—new study finds the placenta is the missing link
September 18, 2018 - Boehringer Ingelheim announces study results of COPD patients treated with Spiolto Respimat
September 18, 2018 - PAREXEL launches Patient Innovation Center to improve drug development process
September 18, 2018 - Children’s National and NIAID launch pediatric clinical research partnership
September 18, 2018 - Researchers may be overlooking complexities in social relations of primates
September 18, 2018 - Key signaling molecule that helps stem cells make healthy bone declines as we age
September 18, 2018 - More women veterans with chronic pain use CIH therapies than men
September 18, 2018 - As Earth Warms, Heat-Related Deaths Will Multiply
September 18, 2018 - Labetalol use up for patients with preeclampsia and asthma
September 18, 2018 - MoreGrasp project shows significant results in field of thought-controlled grasp neuroprosthetics
September 18, 2018 - Drumming can benefit school children with autism
September 18, 2018 - Busyness can help people to make virtuous choices, research shows
September 18, 2018 - Two-minute bursts of in-class exercise breaks do not disrupt learning and teaching
September 18, 2018 - New online tools aid surgeons and specialists who care for older people
September 18, 2018 - Researchers use CRISPR to identify gene that helps cells resist flavivirus infection
September 18, 2018 - Brain’s support cells may play a central role in repetitive behaviors related to OCD
September 18, 2018 - Scientists discover novel mechanism by which synthesized proteins reach target compartment in cell
September 18, 2018 - Easy and rapid test for viral infections can cut antibiotic use, hospitalizations
September 18, 2018 - Gunshot victims more likely to require blood transfusions and die than other trauma patients
September 18, 2018 - Cyclacel Pharmaceuticals Announces Initiation of Phase 1b/2 Clinical Trial of Sapacitabine With Olaparib in BRCA Mutant Breast Cancer
September 18, 2018 - Older adults fitted with cochlear implants exhibit poor brain function
September 18, 2018 - Inexpensive testing spurs cancer patients’ relatives to assess own disease risk | News Center
September 18, 2018 - Aging may have originated at the very beginning of life, says study
September 18, 2018 - New research on sperm quality updates advice for couples trying to conceive
September 18, 2018 - Paracetamol use in infancy may increase risk of developing asthma by the age of 18
September 18, 2018 - Promising gene therapy for ‘day blind’ sheep now safe for clinical trials in human patients
September 18, 2018 - New research shows evidence of soot from polluted air in placentas
September 17, 2018 - Expanding primary care buprenorphine treatment could curb opioid overdose crisis
September 17, 2018 - A look inside the child detention centers near the U.S. border
September 17, 2018 - New issue considers role of coronary angiography after cardiac arrest
September 17, 2018 - Scientists explore whether seafood could be the source of next anti-cancer drug
September 17, 2018 - Epidural stimulation aids in recovery of individuals with spinal cord injury
September 17, 2018 - ATS publishes new guideline on role of weight management in sleep apnea treatment
September 17, 2018 - Study reveals long-term safety, efficacy of Ofev in patients with idiopathic pulmonary fibrosis
September 17, 2018 - Risks Posed by Spreading Oil and Gas Wastewater on Roads
September 17, 2018 - How to choose a nursing home: MedlinePlus Medical Encyclopedia
September 17, 2018 - Death from touching fentanyl? A myth, says Trump administration training video
September 17, 2018 - Physician or physician-scientist — a new curriculum at the School of Medicine trains both
September 17, 2018 - Why Genetic Mutations Cause Disease in Some People but Not Others
September 17, 2018 - EU-funded project makes recommendations to protect rights of intersex people
September 17, 2018 - Discovery of unusual biosynthetic pathways could aid in the search for new natural products
September 17, 2018 - FDA approves Teva’s AJOVY injection for preventive treatment of migraine in adults
September 17, 2018 - People battling substance use disorders may benefit from meth-relapse prevention compound
September 17, 2018 - Inhaled steroid use linked to greater risk of NTM lung infections
September 17, 2018 - KKH develops new test to enable faster diagnosis of critically ill children with rare diseases
September 17, 2018 - How to Reassure Kids When Florence Strikes
September 17, 2018 - Scientists develop new technique to heal large ulcers by reprogramming wound cells into skin cells
AHA: Home-Delivered Meals Keep Heart Failure Patients Out of Hospital

AHA: Home-Delivered Meals Keep Heart Failure Patients Out of Hospital

image_pdfDownload PDFimage_print

TUESDAY, Aug. 14, 2018 (American Heart Association) — The delivery of personalized, low-sodium meals to the homes of heart failure patients just out of the hospital has the potential to help them avoid rehospitalization in the days ahead, a new study shows.

Poor nutrition and excessive sodium consumption are common among patients with heart failure and are thought to contribute to their hospitalizations. These patients are usually advised by doctors to restrict their salt intake, but past studies have not shown that this basic recommendation reduces hospital readmissions or death.

“It’s really hard to stick to a low-sodium diet, even for people with good intentions. They may end up failing to consume other nutrients important for their general health,” said Dr. Scott Hummel, lead author of the University of Michigan-led study published last week in Circulation: Heart Failure.

Researchers examined whether regular home delivery of nutritious, low-salt meals to patients during the first month after hospital discharge could make a difference in quality of life and outcomes.

“Patients admitted to the hospital may start out weak and malnourished and frail, and you often have lots of other illnesses beside the heart failure. Nutrition seems like a good way to help patients in broad ways,” said Hummel, an assistant professor at the University of Michigan Frankel Cardiovascular Center and chief of cardiology at the Ann Arbor Veterans Affairs Health System. “So we thought, ‘Let’s bring the food to their door with a diet we think might be helpful.’ “

The study examined 66 patients, ages 55 and older, who had been hospitalized for heart failure at three medical centers. All patients received pamphlets about how to follow a sodium-restricted diet. Half also received weekly delivery of prepackaged meals that followed the DASH (Dietary Approaches to Stop Hypertension) eating plan, often advised for people with high blood pressure.

The DASH diet emphasizes whole grains, fruits and vegetables, and nuts and legumes, while restricting intake of red meat and sweets. But these specially prepared meals also restricted sodium to 1,500 milligrams a day, as advised by the American Heart Association.

Meal recipients could tailor their menu from various options each week. They received three daily meals already prepared, plus a snack and beverages for four weeks. Both groups were monitored for 12 weeks overall.

Patients who received customized meals were less likely to be readmitted to the hospital within 30 days and spent fewer days there than patients who didn’t get the meal delivery service. But Hummel sounded a cautious note about the findings because of the small number of participants in the study.

Dr. Lawrence Appel, a professor of medicine at Johns Hopkins University, said he found the study “very provocative” in spite of the small sample size.

“It really suggests that diet could have an important impact on readmissions,” he said.

Appel called the strategy of using a prepared meal delivery program “a very efficient way to deliver an intervention,” and one that can be easily duplicated across the country.

“Patients ask about diet all the time, no matter what condition they have. It’s the one thing where they feel they have more control, where they can potentially do something aside from taking medication,” said Appel, the lead author of an AHA advisory on sodium.

Appel said he found it remarkable how little research has been conducted on the health impact of delivering personalized, healthy meals to patients.

“It makes a lot of sense to me and also for the whole population, not just people with heart failure,” he said. “I think this needs to be tested in a larger, more robust setting in multiple sites. It could pay off big.”

© 2018 HealthDay. All rights reserved.

Posted: August 2018

Tagged with:

About author

Related Articles