{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T16:54:40Z","timestamp":1793984080222,"version":"4.8.0"},"reference-count":43,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Heart Failure"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>In patients with heart failure (HF), malnutrition and dietary sodium excess are common and may worsen outcomes. No prior studies have provided low-sodium, nutritionally complete meals following HF hospitalization.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p>\n              The GOURMET-HF study (Geriatric Out-of-Hospital Randomized Meal Trial in Heart Failure) randomized patients discharged from HF hospitalization to 4 weeks of home-delivered sodium-restricted Dietary Approaches to Stop Hypertension meals (DASH\/SRD; 1500 mg sodium\/d) versus usual care. The primary outcome was the between-group change in the Kansas City Cardiomyopathy Questionnaire summary score from discharge to 4 weeks postdischarge. Additional outcomes included changes in the Kansas City Cardiomyopathy Questionnaire clinical summary score and cardiac biomarkers. All patients were followed 12 weeks for death\/all-cause readmission and potential diet-related adverse events (symptomatic hypotension, hyperkalemia, acute kidney injury). Sixty-six patients were randomized 1:1 at discharge to DASH\/SRD versus usual care (age, 71\u00b18 years; 30% female; ejection fraction, 39\u00b118%). The Kansas City Cardiomyopathy Questionnaire summary score increased similarly between groups (DASH\/SRD 46\u00b123\u201359\u00b120 versus usual care 43\u00b119\u201353\u00b124;\n              <jats:italic>P<\/jats:italic>\n              =0.38), but the Kansas City Cardiomyopathy Questionnaire clinical summary score increase tended to be greater in DASH\/SRD participants (47\u00b122\u201365\u00b119 versus 45\u00b120\u201355\u00b126;\n              <jats:italic>P<\/jats:italic>\n              =0.053). Potentially diet-related adverse events were uncommon; 30-day HF readmissions (11% versus 27%;\n              <jats:italic>P<\/jats:italic>\n              =0.06) and days rehospitalized within that timeframe (17 versus 55;\n              <jats:italic>P<\/jats:italic>\n              =0.055) trended lower in DASH\/SRD participants.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Home-delivered DASH\/SRD after HF hospitalization appeared safe in selected patients and had directionally favorable effects on HF clinical status and 30-day readmissions. Larger studies are warranted to clarify the effects of postdischarge nutritional support in patients with HF.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Clinical Trial Registration<\/jats:title>\n            <jats:p>\n              URL:\n              <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.clinicaltrials.gov\">https:\/\/www.clinicaltrials.gov<\/jats:ext-link>\n              . Unique identifier: NCT02148679.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circheartfailure.117.004886","type":"journal-article","created":{"date-parts":[[2018,9,14]],"date-time":"2018-09-14T04:03:20Z","timestamp":1536897800000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":143,"title":["Home-Delivered Meals Postdischarge From Heart Failure Hospitalization"],"prefix":"10.1161","volume":"11","author":[{"given":"Scott L.","family":"Hummel","sequence":"first","affiliation":[{"name":"University of Michigan Frankel Cardiovascular Center, Ann Arbor (S.L.H., B.W.G., J.W., C.M., M.C.)."},{"name":"Ann Arbor Veterans Affairs Health System, MI (S.L.H., E.T.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wahida","family":"Karmally","sequence":"additional","affiliation":[{"name":"Ann Arbor Veterans Affairs Health System, MI (S.L.H., E.T.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda W.","family":"Gillespie","sequence":"additional","affiliation":[{"name":"University of Michigan Frankel Cardiovascular Center, Ann Arbor (S.L.H., B.W.G., J.W., C.M., M.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Helmke","sequence":"additional","affiliation":[{"name":"Columbia University, New York, NY (W.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Teruya","sequence":"additional","affiliation":[{"name":"Columbia University, New York, NY (W.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Wells","sequence":"additional","affiliation":[{"name":"University of Michigan Frankel Cardiovascular Center, Ann Arbor (S.L.H., B.W.G., J.W., C.M., M.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Trumble","sequence":"additional","affiliation":[{"name":"Ann Arbor Veterans Affairs Health System, MI (S.L.H., E.T.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Jimenez","sequence":"additional","affiliation":[{"name":"Columbia University, New York, NY (W.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cara","family":"Marolt","sequence":"additional","affiliation":[{"name":"University of Michigan Frankel Cardiovascular Center, Ann Arbor (S.L.H., B.W.G., J.W., C.M., M.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey D.","family":"Wessler","sequence":"additional","affiliation":[{"name":"Columbia University, New York, NY (W.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria L.","family":"Cornellier","sequence":"additional","affiliation":[{"name":"University of Michigan Frankel Cardiovascular Center, Ann Arbor (S.L.H., B.W.G., J.W., C.M., M.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathew S.","family":"Maurer","sequence":"additional","affiliation":[{"name":"Columbia University, New York, NY (W.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.03.067"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.08.046"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2016.3704"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1212324"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.80.5.437"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31829e8807"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2015.08.007"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0b013e31820f10ad"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2015.10.002"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005082-200603000-00008"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2014.11.021"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2013.11.010"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000437740.48606.d1"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31820d0793"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(99)00412-5"},{"issue":"1","key":"e_1_3_3_17_2","first-page":"S1","article-title":"K\/DOQI Clinical Practice Guidelines on Hypertension and Antihypertensive Agents in Chronic Kidney Disease.","volume":"43","author":"Foundation NK","year":"2004","unstructured":"Foundation NK. 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