Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2684187 | Clinical Nutrition | 2011 | 6 Pages |
SummaryBackground & aimsDietary quality probably may impact heart failure outcomes. The aim of the study was to determine the potential effects of nutrient intake on homocysteine, MCP-1 and GGT levels in patients with heart failure.MethodsThe study group comprised 55 patients with diagnosed HF with coronary artery disease origin, below 65y, with NYHA class I/II. The patients had received standard treatment. The control comprised 55 patients with mild hyperlipidemia, not treated. Diet was evaluated on the basis of a dietary questionnaire and a 24-h dietary recall. The serum lipid profile, folic acid, homocysteine, GGT and MCP-1 were determined.ResultsIn the HF group significantly higher concentration of homocysteine (32%), MCP-1 (58%) and GGT (100%) are found as compared to the control group (p < 0.00001). Patients with HF had greater cholesterol consumption, with less folates, vitamin C and dietary fiber as compared to the control group (p < 0.05).ConclusionHigh consumption of total fat and dietary cholesterol accompanied by a low folate, antioxidant vitamin, a special vitamin C and dietary fiber intake, contributes to elevated Hcy, GGT and MCP-1 levels and in consequence, could lead to intense inflammatory process and atherosclerosis in HF patients.