HF: Encourage Individualized Physical Activity Plan for Adults
➤ Unless medically contraindicated, the RDN should encourage an
individualized physical activity plan for adults with HF (NYHA Classes I–IV/
AHA Stages B, C and D). Regular physical activity is recommended as safe
and effective for patients with HF who are able to participate to improve
functional status and cardiac rehabilitation can be useful in clinically
stable patients with HF to improve functional capacity, exercise duration,
health-related quality of life and mortality. (Strong, Conditional)
HF: Educate on Self-Care for Adults
➤ For adults with HF (NYHA Classes I–IV/AHA Stages B, C and D), the RDN
should educate on self-care, on topics such as, but not limited to:
• Appropriate eating plan based on stage and class of HF, as well as other
comorbidities
• Energy and protein intake
• Sodium and fluid intake
• Physical activity
• Self-monitoring of weight and symptoms
Adults with HF should receive specific education to facilitate HF self-care.
(Fair, Imperative)
HF: Coordination of Care for Adults
➤ For adults with HF (NYHA Classes I–IV/AHA Stages B, C and D), the
RDN should implement MNT for HF and coordinate care as part of
an interdisciplinary health care team. Every patient with HF should
have a clear, detailed, and evidence-based plan of care that ensures
the achievement of GDMT goals, effective management of comorbid
conditions, timely follow-up with the healthcare team, appropriate
dietary and physical activities, and compliance with secondary prevention
guidelines for cardiovascular disease. This plan of care should be updated
regularly and made readily available to all members of each patient's
healthcare team. (Fair, Imperative)
HF: Consult with Interdisciplinary Health Care Team Regarding
Vitamin, Mineral and Herbal Supplementation
➤ For adults with HF (NYHA Classes I–IV/AHA Stages B, C and D), the RDN
should consult with others on the interdisciplinary health care team
regarding vitamin, mineral and herbal supplementation. Due to the many
interactions between various supplements and common medications,
it is unclear whether certain supplements, such as omega-3 fatty acids,
coenzyme Q10, vitamin D, iron and thiamin, are appropriate for patients
with HF. (Weak, Imperative)
