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DASH Diet in Heart Failure Outpatients

Not Applicable
Active, not recruiting
Conditions
Heart Failure
Interventions
Behavioral: DASH diet
Registration Number
NCT05117086
Lead Sponsor
University of California, Davis
Brief Summary

The purpose of this study is to refine the classification of the effectiveness of the DASH diet for outpatient heart failure (HF) management, using behavioral, clinical, and laboratory correlative science approaches.

Detailed Description

The overall objective of this pilot study is to refine the classification of the effectiveness of the DASH diet for outpatient HF management using behavioral, clinical, and laboratory correlative science approaches. The investigators will integrate the use and evaluation of DASH diet nutrition education in a clinical population using a pragmatic study approach. The investigators will assess dietary behavior change. The investigators will assess the medical effectiveness of the DASH diet to improve patient symptomology and clinical biomarkers. Exploratory investigations will involve metabolomics analyses of plasma samples for biomarker discovery of clinical phenotypes in HF patients, to characterize metabolic profiles related to dietary exposure.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
26
Inclusion Criteria
  • Heart Failure diagnosis
  • Guideline directed medical therapy optimization on stable regimen at least 30 days
Exclusion Criteria
  • BMI < 18/5 kg/m squared
  • cardiac cachexia
  • end-stage renal disease or dialysis
  • acute inflammatory condition
  • uncontrolled arrhythmias or ischemia
  • status post heart transplant or implanted left ventricular assist device

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Dietary Intervention ArmDASH dietSubjects will receive the active intervention of nutrition education and medical nutrition therapy counseling for dietary and behavioral lifestyle changes. The focus will be on DASH diet implementation and adherence for management of heart failure. The subjects will have 4 study visits with a Registered Dietitian over 6 months (visits at 1, 2, 3, and 6 months). Outcome measures will be assessed at baseline, 3 and 6 months.
Primary Outcome Measures
NameTimeMethod
Dietary intakeDietary intake at 6 months

Dietary intake assessed by nutrient analysis of food records

Blood PressureSystolic and diastolic Blood Pressure at 6 months

Blood Pressure assessed with systolic and diastolic pressure

Diet scoreDietary intake at 6 months

Dietary intake assessed by calculation of DASH diet score (Dietary Approaches to Stop Hypertension diet score). Minimum to Maximum values: 8-40 Higher scores mean better outcome and diet composition.

Secondary Outcome Measures
NameTimeMethod
Patient report of HF symptomsKCCQ at 6 months

Kansas City Cardiomyopathy Questionnaire (KCCQ) will assess patient report of symptoms. Minimum to Maximum values: 0-100. Higher scores represent better outcome.

Heart Failure clinical markerproBNP at 6 months

proBNP will be assessed as a marker of severity of heart failure

Patient report of eating habit self efficacyEating Habits at 6 months

Eating Habits Questionnaire will assess patient report of self efficacy for behavior change around DASH diet eating habits. Minimum to Maximum values:27-135. Higher value is better outcome.

Trial Locations

Locations (1)

UC Davis Health Center - Cardiology Department

🇺🇸

Sacramento, California, United States

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