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Insight Into Differences in Dietary Sodium Adherence Between Men and Women With Heart Failure
- Source :
- J Cardiovasc Nurs
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- Background Men with heart failure are reported to be less adherent to low-sodium diets than women are. One potential reason may be that men consume more food and, consequently, more sodium than women do. Objectives The aims of this study were to compare dietary sodium intake, urine sodium excretion, and sodium density of diet consumed between men and women with heart failure and to determine whether sex moderated the relationship of kilocalories (kcals) consumed with dietary and urine sodium. Methods A total of 223 patients with heart failure (mean age, 62 ± 12 years; 70% men, 46% New York Heart Association class III-IV) completed detailed 4-day food diaries and provided 24-hour urine sodium samples. To account for sodium density of food, dietary sodium and urine sodium were referenced to sodium per 1000 kcal. Results On an absolute basis, men consumed 23% more kcals and 28% more sodium than women did; 24-hour sodium excretion was 16% higher in men than in women. There were no differences between men and women when dietary sodium and urinary sodium were referenced to 1000 kcal, indicating they consumed foods with similar sodium density. However, both moderation analyses showed that the dietary sodium intake of men and women with lower kcal intake was similar, whereas men with higher kcal intake consumed more sodium-dense foods than women did. Conclusion The results suggest that the men with higher sodium intake than women had 2 reasons for nonadherence. They consumed more food and foods with higher sodium density than women did.
- Subjects :
- Male
Calorie
Sodium
Physiology
chemistry.chemical_element
Nursing
030204 cardiovascular system & hematology
Article
Urine sodium
Excretion
03 medical and health sciences
Sex Factors
0302 clinical medicine
Dietary Sodium
Sodium excretion
Humans
Medicine
Longitudinal Studies
030212 general & internal medicine
Aged
Heart Failure
Advanced and Specialized Nursing
business.industry
digestive, oral, and skin physiology
Dietary sodium intake
Sodium, Dietary
Diet, Sodium-Restricted
Middle Aged
medicine.disease
chemistry
Heart failure
Patient Compliance
Female
1102 Cardiorespiratory Medicine and Haematology, 1110 Nursing
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15505049 and 08894655
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiovascular Nursing
- Accession number :
- edsair.doi.dedup.....94f31d748a9620b4674b1d1f5f2a8d07