JACC: Basic to Translational Science (Oct 2017)

Dietary Fat, Sugar Consumption, and Cardiorespiratory Fitness in Patients With Heart Failure With Preserved Ejection Fraction

  • Salvatore Carbone, MS,
  • Justin M. Canada, MS, RCEP,
  • Leo F. Buckley, PharmD,
  • Cory R. Trankle, MD,
  • Hayley E. Billingsley, RD,
  • Dave L. Dixon, PharmD,
  • Adolfo G. Mauro, MS,
  • Sofanit Dessie, MD,
  • Dinesh Kadariya, MD,
  • Eleonora Mezzaroma, PhD,
  • Raffaella Buzzetti, MD,
  • Ross Arena, PhD,
  • Benjamin W. Van Tassell, PharmD,
  • Stefano Toldo, PhD,
  • Antonio Abbate, MD, PhD

DOI
https://doi.org/10.1016/j.jacbts.2017.06.009
Journal volume & issue
Vol. 2, no. 5
pp. 513 – 525

Abstract

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Heart failure with preserved ejection fraction (HFpEF) is associated with obesity and, indirectly, with unhealthy diet. The role of dietary components in HFpEF is, however, largely unknown. In this study, the authors showed that in obese HFpEF patients, consumption of unsaturated fatty acids (UFA), was associated with better cardiorespiratory fitness, and UFA consumption correlated with better diastolic function and with greater fat-free mass. Similarly, mice fed with a high-fat diet rich in UFA and low in sugars had preserved myocardial function and reduced weight gain. Randomized clinical trials increasing dietary UFA consumption and reducing sugar consumption are warranted to confirm and expand our findings.

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