The role of nutraceuticals in heart failure muscle wasting as a result of inflammatory activity. The International Lipid Expert Panel (ILEP) Position Paper.

Author:

Bielecka-Dabrowa Agata Magdalena1ORCID,Banach Maciej23ORCID,Wittczak Andrzej3ORCID,Cicero Arrigo FG4ORCID,Kallel Amani5ORCID,Kubilius Raimondas6,Mikhailidis Dimitri P.7ORCID,Sahebkar Amirhossein8ORCID,Pantea Stoian Anca9ORCID,Vinereanu Dragos10ORCID,Penson Peter Edward11ORCID,Haehling Stephan von12ORCID

Affiliation:

1. Department of Cardiology and Congenital Diseases of Adults, Polish Mother’s Memorial Hospital Research Institute (PMMHRI), Poland

2. Medical University of Lodz, Poland, Poland

3. Department of Preventive Cardiology and Lipidology, Medical University of Lodz (MUL), Poland

4. IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy

5. University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia

6. Department of Rehabilitation, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, Lithuania

7. Department of Surgical Biotechnology, Division of Surgery and Interventional Science, University College London Medical School, University College London (UCL) and Department of Clinical Biochemistry, Royal Free Hospital Campus, UCL, United Kingdom

8. Applied Biomedical Research Center, Mashhad University of Medical Sciences, Iran

9. Faculty of Medicine, Diabetes, Nutrition and Metabolic Diseases, Carol Davila University, Romania

10. University Emergency Hospital of Bucharest, Romania

11. Clinical Pharmacy & Therapeutics Research Group, School of Pharmacy & Biomolecular Sciences, Liverpool John Moores University, United Kingdom

12. Department of Cardiology and Pneumology, University Medical Center Göttingen (UMG), Germany

Abstract

Muscle wasting is one of the main causes for exercise intolerance and ventilatory inefficiency in patients with heart failure and a strong predictor of frailty and reduced survival. The prevalence of sarcopenia is at least 20% in patients with heart failure. Patients with heart failure often have subclinical systemic inflammation, which may exert sustained effects on skeletal muscle. Besides exercise, nutrition should also be carefully evaluated, as an appropriate diet with selected nutraceuticals may be able to stimulate muscle anabolism and inhibit muscle catabolism. This review summarizes the epidemiological and clinical trial evidence supporting the recommendations for the use of nutraceuticals with anti-inflammatory properties in heart failure and provides an overview of the state of the evidence for nutraceutical supplementation to prevent and/or mitigate heart failure muscle wasting.

Publisher

Termedia Sp. z.o.o.

Subject

General Medicine

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