Identifying predictors of high sodium excretion in patients with heart failure: A mixed effect analysis of longitudinal data

Ruth Masterson Creber, Maxim Topaz, Terry A. Lennie, Christopher Lee, Houry Puzantian, Barbara Riegel

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: A low-sodium diet is a core component of heart failure self-care but patients have difficulty following the diet. Aim: The aim of this study was to identify predictors of higher than recommended sodium excretion among patients with heart failure.

Methods: The World Health Organization Five Dimensions of Adherence model was used to guide analysis of existing data collected from a prospective, longitudinal study of 280 community-dwelling adults with previously or currently symptomatic heart failure. Sodium excretion was measured objectively using 24-hour urine sodium measured at three time points over six months. A mixed effect logistic model identified predictors of higher than recommended sodium excretion.

Results: The adjusted odds of higher sodium excretion were 2.90, (95% confidence interval (CI): 1.15-4.25, p

Conclusion: Three factors were associated with excess sodium excretion and two factors, obesity and diabetes, are modifiable by changing dietary food patterns.

Original languageEnglish (US)
Pages (from-to)549-558
Number of pages10
JournalEuropean Journal of Cardiovascular Nursing
Volume13
Issue number6
DOIs
StatePublished - Dec 24 2014

Fingerprint

Heart Failure
Sodium
Independent Living
Sodium-Restricted Diet
Self Care
Longitudinal Studies
Obesity
Logistic Models
Urine
Prospective Studies
Confidence Intervals
Diet
Food

Keywords

  • diet
  • diet therapy
  • Heart failure
  • sodium-restricted
  • urine sodium

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing
  • Medical–Surgical

Cite this

Identifying predictors of high sodium excretion in patients with heart failure : A mixed effect analysis of longitudinal data. / Masterson Creber, Ruth; Topaz, Maxim; Lennie, Terry A.; Lee, Christopher; Puzantian, Houry; Riegel, Barbara.

In: European Journal of Cardiovascular Nursing, Vol. 13, No. 6, 24.12.2014, p. 549-558.

Research output: Contribution to journalArticle

Masterson Creber, Ruth ; Topaz, Maxim ; Lennie, Terry A. ; Lee, Christopher ; Puzantian, Houry ; Riegel, Barbara. / Identifying predictors of high sodium excretion in patients with heart failure : A mixed effect analysis of longitudinal data. In: European Journal of Cardiovascular Nursing. 2014 ; Vol. 13, No. 6. pp. 549-558.
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