Authors
Michał Czapla, Adrian Kwaśny, Joanna Popiołek-Kalisz, Małgorzata Słoma-Krześlak, Grzegorz Kostelecki, Klaudia Wiśniewska, Szymon Warzecha, Anna Brończyk-Puzoń, Izabella Uchmanowicz, Piotr Jankowski
Published in
Advances in clinical and experimental medicine : official organ Wroclaw Medical University. Oct 02, 2026. Epub Oct 02, 2026.
Abstract
Poor nutritional status and suboptimal dietary patterns are strongly associated with adverse outcomes in patients with chronic heart failure (CHF), including increased mortality, reduced functional capacity, and a higher risk of hospitalization. This scientific statement from the Polish Society of Dietetics summarizes the current evidence and provides clinically oriented guidance on the role of nutrition in the management of CHF. It outlines the key components of nutritional care across the spectrum of CHF, including screening, assessment, dietary strategies, and supplementation. The main features of evidence-based nutritional management in CHF include: 1) routine nutritional screening using validated tools and structured assessment incorporating the GLIM criteria; 2) identification of malnutrition, cachexia, sarcopenia, and sarcopenic obesity; 3) individualized dietary management tailored to the HF phenotype and clinical status; 4) prioritization of dietary patterns rich in plant-based and minimally processed foods, with the Mediterranean diet as the dietary model supported by the strongest evidence; 5) avoidance of excessive sodium intake and unnecessary fluid restriction in stable patients; 6) ensuring adequate energy intake and protein intake to preserve lean body mass; and 7) targeted, rather than routine, use of micronutrient supplementation, with particular consideration of iron deficiency.
PMID:
42823935
Bibliographic data and abstract were imported from PubMed on 02 Oct 2026.
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