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Diet and Congestive Heart Failure - An Overview

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Diet plays a major role in preventing various cardiovascular disorders. Read the article to know the association between diet and congestive heart failure.

Medically reviewed by

Dr. Muhammad Zohaib Siddiq

Published At March 28, 2024
Reviewed AtMarch 28, 2024

Introduction

A diet low in saturated fats and sodium prevents cardiovascular diseases and maintains overall health. The importance of calorie intake based on age, gender, and level of physical activity, as well as understanding the ingredients in the foods consumed daily, are essential in maintaining weight. Regular exercises or physical activities can also help in weight management and cardiovascular fitness. Nutrition facts and food labels must be checked before consuming packaged or processed foods. Smoking, drug abuse, and alcohol consumption must be avoided to prevent chronic health disorders. Nutritionists and healthcare professionals recommend various comprehensive dietary approaches to combat cardiac diseases. Therefore, a multifaceted lifestyle approach and medical therapy are necessary to promote improved heart failure outcomes.

What Is Congestive Heart Failure?

Congestive heart failure is a condition in which the heart is unable to pump oxygen-rich blood efficiently to meet the body’s demands. It can affect one or both sides of the heart and also the functioning of other organs and can lead to serious problems. However, the left side is more commonly affected than the right side. Congestive heart failure can occur in both men and women. Still, people with unhealthy eating habits, smoking, alcohol consumption, drug abuse, or with a family history of heart failure or other medical conditions are at a high risk of developing it. Congestive heart failure often develops slowly from chronic medical conditions. Still, in some cases, it can also occur suddenly after a serious disorder or due to an injury to the heart muscles. The treatment is mainly based on the type and severity of the condition and is managed by lifestyle changes, medications, surgery, and cardiac rehabilitation.

How Does Diet Affect Congestive Heart Failure?

Congestive heart failure mainly occurs due to the accumulation of extra fluid in the body tissues, which affects the functioning of the heart. Therefore, doctors recommend certain dietary changes to reduce the risk of fluid buildup. Studies have shown that restricting or reducing sodium intake can help decrease fluid retention. Most packaged or processed foods these days contain high amounts of fats, salts, additives, and preservatives, which can harm the body. A diet rich in sodium is linked to hypertension (increased blood pressure), which affects the heart and can result in stroke or heart failure. Research also shows that following certain dietary changes along with reduced sodium consumption can lower the development of heart diseases. It is also recommended that the food labels printed on the packaging be checked to understand the ingredients and their amount per serving. Diet-related risk factors include conditions such as high blood pressure, uncontrolled diabetes, and obesity, which may also lead to congestive heart failure.

Atherosclerosis, or the accumulation of fatty deposits along the walls of the arteries, can affect normal blood flow, resulting in reduced blood supply to the heart muscles, leading to heart failure. This mainly occurs due to unhealthy lifestyles and consuming foods rich in cholesterol or saturated fats (bad fats). Trans fats and saturated fats can potentially increase the levels of low-density lipoproteins (bad cholesterol) in the blood and decrease the high-density lipoprotein (good cholesterol) levels, increasing the risk of cardiovascular diseases. Therefore, it is necessary to pay attention to the foods and their nutritional value before consuming them to prevent various chronic health disorders.

Nutrition care is an integral part of the management of congestive heart failure. However, personalizing the diet also depends on the severity of the condition, symptoms, and general health of the patient. Severe diet restrictions can also lead to reduced palatability (acceptable taste), affecting the overall intake of nutrients and thus increasing the risk of nutritional deficiencies. Therefore, healthy diet patterns, such as the DASH (dietary approaches to stop hypertension) diet and Mediterranean diet, can provide various nutrient patterns and strategies for individuals with congestive heart failure to achieve adequate nutritional support and prevent malnutrition.

The DASH diet mainly emphasizes consuming fruits, vegetables, low-fat dairy, fish, whole grains, legumes, poultry, lean meat, nuts, and seeds, and less use of trans fats and oils.

Foods rich in antioxidants, fiber, nitrates and low in saturated fats are highly beneficial for heart health. This diet pattern is suggested to address the underlying cause of heart failure and helps promote blood fluidity, restoring micronutrient status and preventing malnutrition. Studies have also shown that the controlled feeding pattern and certain dietary restrictions in the DASH diet are beneficial in preventing the incidence of heart failure, especially in younger patients. The Mediterranean diet is considered one of the healthy diet patterns recognized by the World Health Organization (WHO). It is typically a plant-based diet and only allows moderate amounts of eggs, meat, poultry, and dairy. However, unsaturated fats like nuts, seeds, legumes, and fish like Salmon, Tuna, Mackerel, etc., are important inclusions in the Mediterranean diet as they are abundant in omega-3 fatty acids.

What Are the Dietary Changes Required to Prevent Congestive Heart Failure?

A healthy diet low in fats, sugars, and sodium is highly important to prevent cardiovascular diseases. Certain dietary changes to improve heart health include:

  • Consuming plenty of fruits and vegetables.

  • Choosing foods low in salt, such as plain rice, oats, and pasta.

  • Season the dishes with lemon juice, fresh or dried herbs, and spices.

  • Avoiding oily and packed foods rich in salt and trans fats.

  • Reading the food labels is necessary before using processed foods such as cookies, biscuits, instant mixes, snacks, and frozen products, as they may contain hidden salts.

  • It is better to avoid fast foods or consuming food outside. However, special requests can be made to prepare dishes with low salt and fats if unavoidable.

  • Replacing saturated fats like butter, coconut oil, etc, with unsaturated oils such as extra virgin olive oil, peanut oil, sesame oil, soybean oil, etc.

  • Limit processed and red meat consumption and substitute it with plant proteins.

Conclusion

Diet is a crucial factor in the management of congestive heart failure. Following diet plans such as the Mediterranean diet, DASH diet, etc, under the guidance of healthcare experts or certified dieticians can be beneficial. Taking the prescribed medications and performing regular physical activities to maintain cardiac health. A healthy, balanced diet low in sodium and saturated fats and rich in fruits and vegetables is essential for preventing cardiovascular diseases and maintaining overall health.

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Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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