HF: Monitor and Evaluate Effectiveness of MNT
➤ The RDN should monitor and evaluate the assessment items in Table 1 in
adults with HF (NYHA Classes I–IV/AHA Stages B, C and D), to determine the
effectiveness of MNT. (Strong, Imperative)
Criteria for Recommendation Ratings
Statement Definition
Strong
• Benefits clearly exceed the harms (or harms clearly exceed the
benefits for a negative recommendation)
• The quality of the supporting evidence is excellent/good
(grade I or II)
Fair
• Benefits exceed the harms (or harms clearly exceed the benefits for
a negative recommendation)
• Quality of evidence is not as strong (grade II or III)
Weak
• Quality of evidence that exists is suspect
• Or that well-done studies (grade I, II or III)* show little clear
advantage to one approach versus another
Consensus
• Expert opinion (grade IV) supports the guideline recommendation
Insufficient
Evidence
• Both a lack of pertinent evidence (grade V)* and/or an unclear
balance between benefits and harms
Nutrition Monitoring and Evaluation
