膳食模式对心力衰竭患者影响的概况性评价

A scoping review of studies on dietary patterns in patients with heart failure

目的系统分析心力衰竭患者膳食模式的类别,评分方法及对心力衰竭疾病的影响。方法系统检索Medline,Embase和Cochrane图书馆等数据库建库至2019年12月31日发表的有关心力衰竭患者膳食模式的文献,应用Arksey和O′Malley的范畴综述方法对文献进行范畴分析。结果检索到1500篇引文,最终纳入21篇文献,主要研究了地中海膳食模式(11篇)、控制高血压膳食模式(7篇)、旧石器时代膳食模式(1篇)、低脂膳食模式(1篇),高蛋白膳食模式(1篇)等。结论地中海膳食模式和DASH膳食模式对心力衰竭疾病预防和治疗有积极的保护作用,但仍需要开展严谨的随机对照试验,以提高结论的可靠性。

Objective To analyze the categories,scoring methods and effects of dietary patterns in heart failure patients,systematically.Methods The databases such as Medline,Embase,and Cochrane were searched to obtain articles on dietary patterns of heart failure patients up to December 31,2019.Arksey and O′Malley's scoping review method was applied to analyze the articles.Results A total of 1500 studies were identified,21 of them met the inclusion criteria.These studies mainly studied Mediterranean diet(11 articles),Dietary Approaches to Stop Hypertension Diet(7 articles),Palaeolithic diet(1 article),low fat diet(1 article),High-protein Diet(1 article).Conclusions The Mediterranean and DASH dietary patterns have a positive protective effect on heart failure disease prevention and treatment,but more randomized controlled trials are needed to improve the reliability of the conclusions.