Overview
This is a randomized, controlled, open-label, prospective, multicentre clinical trial designed to assess the effects of a nutritional intervention on morbidity and mortality in patients with chronic heart failure.
Through a simple 1:1 randomization process, patients will be assigned to the control group or the intervention group. Patients in the intervention group will undergo an individualised nutritional intervention program consisting of 3 pillars: diet optimization, specific recommendations ,and nutritional supplementation if nutritional targets are not achieved.
Eligibility
Inclusion Criteria:
- Patients older than 65 years with malnutrition (MNA-SF score ≤ 11) with chronic ambulatory heart failure (HF).
Exclusion Criteria:
- Admission for heart failure (HF) in the last month,
- Chronic renal failure on dialysis.
- Patients already on nutritional treatment.
- Concomitant diseases which, apart from the HF itself, could lead to a life expectancy of less than 1 year,
- Patients included in other clinical trials.
- Patients whose clinical situation makes it impossible to perform a nutritional assessment according to the design established in the study protocol or who do not give their consent for this purpose.
- Patients who during admission undergo surgical or percutaneous treatment to correct the cause of acute HF,