{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T03:00:57Z","timestamp":1760238057462,"version":"build-2065373602"},"reference-count":63,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T00:00:00Z","timestamp":1653955200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>Background: \u201cThe effective treatment of Heart Failure (HF) involves care with food intake. Recently, the Ministry of Health created the Brazilian Cardioprotective Diet and its dietary index, BALANCE, which assesses adherence to the standard\u2019s recommendations\u201d. Methods: This observational prospective study is part of the Congestive Heart Failure Registry (VICTIM-CHF) of Aracaju\/SE. Observations and data collection took place from April 2018 to February 2021. Sociodemographic and clinical aspects and food consumption were evaluated. Food intake was determined using the food frequency questionnaire. Foods were categorized using the BALANCE dietary index into green, yellow, blue and red food groups. The BALANCE dietary index was obtained using median and interquartile ranges, scores of the Mann\u2013Whitney U test, and associations between clinical variables and the index, through linear regression. Results: Participants included 240 patients with HF (61.12 \u00b1 1.06 years), who were assisted by the Unified Health System (67.5%). Individuals with a partner showed greater adherence to the green food group recommendations (0.09; 0.00\u20130.17). The lowest adherence to recommendations regarding the blue food group was observed in individuals with excess weight, who had a higher consumption of foods rich in animal protein (0.54; 0.38\u20130.78). As for the red food group (ultra-processed foods) the highest adherence was observed by patients with diabetes mellitus (0.41; 0.05\u20130.77). The greatest adherence to the yellow food group, and a higher score, was observed in patients with the smallest left ventricular systolic diameter (LVSD). Conclusions: Being married was directly associated with the consumption of foods in the green group, while being overweight and having diabetes were inversely associated with adherence to the blue and red food groups, respectively. Greater adherence to the yellow food group recommendations was inversely associated with less change in the DSFVE.<\/jats:p>","DOI":"10.3390\/clinpract12030043","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T09:24:29Z","timestamp":1653989069000},"page":"383-395","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["BALANCE Dietary Index in Patients with Heart Failure, and Its Adherence in Sergipe, Brazil"],"prefix":"10.3390","volume":"12","author":[{"given":"Jamille Oliveira","family":"Costa","sequence":"first","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe J.","family":"Aidar","sequence":"additional","affiliation":[{"name":"Group of Studies and Research in Performance, Sport, Health and Paralympic Sports\u2014GEPEPS, Federal University of Sergipe (UFS), S\u00e3o Crist\u00f3v\u00e3o 49100-000, SE, Brazil"},{"name":"Graduate Program in Physical Education, Federal University of Sergipe (UFS), S\u00e3o Crist\u00f3v\u00e3o 49100-000, SE, Brazil"},{"name":"Graduate Program in Physiological Science, Federal University of Sergipe (UFS), S\u00e3o Crist\u00f3v\u00e3o 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7232-3971","authenticated-orcid":false,"given":"Juliana Santos","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciana Vieira Sousa","family":"Alves","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor Batista","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larissa Marina Santana Mendon\u00e7a de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raysa Manuelle Santos","family":"Rocha","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diva Aliete dos Santos","family":"Vieira","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Campus Prof. Ant\u00f4nio Garcia Filho, Federal University of Sergipe (UFS), Lagarto 49400-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid Maria Novais Barros de Carvalho","family":"Costa","sequence":"additional","affiliation":[{"name":"Federal Institute of Sergipe, S\u00e3o Crist\u00f3v\u00e3o Campus, Food Technology Coordination, S\u00e3o Crist\u00f3v\u00e3o 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rcia Ferreira C\u00e2ndido de","family":"Souza","sequence":"additional","affiliation":[{"name":"Graduate Program Professional in Management and Technological Innovation in Health, Federal University of Sergipe, Aracaju 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4325-0590","authenticated-orcid":false,"given":"Joselina Luzia Menezes","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, SE, Brazil"},{"name":"Department of Medicine, Federal University of Sergipe (UFS), S\u00e3o Crist\u00f3v\u00e3o 49100-000, SE, Brazil"},{"name":"Division of Cardiology, University Hospital of Federal University of Sergipe (UFS), S\u00e3o Crist\u00f3v\u00e3o 49100-000, SE, Brazil"},{"name":"Clinic and Hospital S\u00e3o Lucas\/Rede D\u2019Or S\u00e3o Luiz, Aracaju 49060-676, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo","family":"Baumworcel","sequence":"additional","affiliation":[{"name":"Clinic and Hospital S\u00e3o Lucas\/Rede D\u2019Or S\u00e3o Luiz, Aracaju 49060-676, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4507-6562","authenticated-orcid":false,"given":"Eduardo Borba","family":"Neves","sequence":"additional","affiliation":[{"name":"Graduate Program in Biomedical Engineering, Federal Technological University of Paran\u00e1 (UTFPR), Curitiba 80230-901, PR, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfonso L\u00f3pez","family":"D\u00edaz-de-Durana","sequence":"additional","affiliation":[{"name":"Sports Department, Physical Activity and Sports Faculty-INEF, Universidad Polit\u00e9cnica de Madrid, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0622-6257","authenticated-orcid":false,"given":"Marcos Antonio","family":"Almeida-Santos","sequence":"additional","affiliation":[{"name":"Clinic and Hospital S\u00e3o Lucas\/Rede D\u2019Or S\u00e3o Luiz, Aracaju 49060-676, SE, Brazil"},{"name":"Graduate Program in Health and Environment, Tiradentes University (UNIT), Aracaju 49010-390, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4158-9726","authenticated-orcid":false,"given":"Ant\u00f4nio Carlos Sobral","family":"Sousa","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, SE, Brazil"},{"name":"Department of Medicine, Federal University of Sergipe (UFS), S\u00e3o Crist\u00f3v\u00e3o 49100-000, SE, Brazil"},{"name":"Division of Cardiology, University Hospital of Federal University of Sergipe (UFS), S\u00e3o Crist\u00f3v\u00e3o 49100-000, SE, Brazil"},{"name":"Clinic and Hospital S\u00e3o Lucas\/Rede D\u2019Or S\u00e3o Luiz, Aracaju 49060-676, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,5,31]]},"reference":[{"key":"ref_1","unstructured":"WHO (2020). 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