{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:59:52Z","timestamp":1787029192815,"version":"build-2736575974"},"reference-count":56,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T00:00:00Z","timestamp":1645747200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: The high rates of hospitalization and mortality caused by Heart Failure (HF) have attracted the attention of health sectors around the world. Dietary patterns that involve food combinations and preparations with synergistic or antagonistic effects of different dietary components can influence the worsening and negative outcomes of this disease. Objectives: To describe the dietary patterns of patients hospitalized for HF decompensation and associate them with demographic, economic, and clinical factors, and the type of care provided in Sergipe. Materials and Methods: Cross-sectional study that is part of the Congestive Heart Failure Registry (VICTIM-CHF)\u201d of Aracaju\/SE. Prospective data collection took place with all patients hospitalized between April 2018 and February 2021 in cardiology referral hospitals, 2 public and 1 private. The data collected were sociodemographic, clinical, lifestyle, anthropometric and food consumption variables. Daily dietary intake was estimated by applying a semiquantitative food frequency questionnaire. The extraction of dietary patterns, by exploratory factor analysis, was performed after grouping the foods according to the nutritional value and form of preparation into 34 groups. To assess the association between the factorial scores for adherence to the standards and the variables studied, the Mann-Whitney U test was applied. Linear regressions were also performed, considering the dietary pattern (one for each pattern) as a dependent variable. Results: The study included 240 patients hospitalized for HF decompensation, most of them elderly (mean age 61.12 \u00b1 1.06 years), male (52.08%) and attended by the Unified Health System\u2014SUS (67.5%). Three dietary patterns were identified, labeled \u201ctraditional\u201d (typical foods of the Brazilian northeastern population added to ultra-processed foods), \u201cMediterranean\u201d (foods recommended by the Mediterranean diet) and \u201cdual\u201d (healthy foods combined with fast and easy-to-prepare foods like snacks, bread, sweets and desserts). Adherence to the \u201ctraditional\u201d pattern was greater among men (p &lt; 0.031) and non-diabetics (p &lt; 0.003). The \u201cMediterranean\u201d was more consumed by the elderly (p &lt; 0.001), with partners (p = 0.001) and a lower income (p &lt; 0.001), assisted by the SUS (p &lt; 0.001) and without hypertension (p = 0,04). The \u201cdual\u201d diet pattern had greater adherence by the elderly (p &lt; 0.001), self-declared non-black (p = 0.012), with higher income (p &lt; 0.001), assisted in the private sector (p &lt; 0.001) and with less impaired functional capacity (p = 0.037). It was also observed that being female (p = 0.031) and being older reduced the average scores of performing the \u201ctraditional\u201d pattern (p = 0.002). Regarding the type of service, being from the public service reduced the average scores for adhering to the \u201cdual\u201d pattern (p = 0.008). Conclusions: Three dietary patterns representative of the population were found, called traditional, Mediterranean and dual, which were associated with demographic, economic and clinical factors. Thus, these standards must be considered in the development of nutritional strategies and recommendations in order to increase adherence to diets that are more protective against cardiovascular diseases.<\/jats:p>","DOI":"10.3390\/nu14050987","type":"journal-article","created":{"date-parts":[[2022,2,27]],"date-time":"2022-02-27T20:48:33Z","timestamp":1645994913000},"page":"987","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Food Patterns of Hospitalized Patients with Heart Failure and Their Relationship with Demographic, Economic and Clinical Factors in Sergipe, Brazil"],"prefix":"10.3390","volume":"14","author":[{"given":"Jamille Oliveira","family":"Costa","sequence":"first","affiliation":[{"name":"Postgraduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana Santos","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana Vieira Sousa","family":"Alves","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6229-8549","authenticated-orcid":false,"given":"Rebeca Rocha","family":"de Almeida","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor Batista","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa Monteiro Costa","family":"Pereira","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa Marina Santana Mendon\u00e7a","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raysa Manuelle Santos","family":"Rocha","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4080-3425","authenticated-orcid":false,"given":"Diva Aliete","family":"dos Santos Vieira","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Campus Prof. Ant\u00f4nio Garcia Filho, Federal University of Sergipe (UFS), Lagarto 49400-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiriaque Barra Ferreira","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Federal University of Sergipe (UFS), Sao Cristovao 49100-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid Maria Novais Barros","family":"de Carvalho Costa","sequence":"additional","affiliation":[{"name":"Food Technology Department, S\u00e3o Crist\u00f3v\u00e3o Campus, Federal Institute of Sergipe, Sao Cristovao 49100-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7378-4529","authenticated-orcid":false,"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), Sao Cristovao 49100-000, Brazil"},{"name":"Postgraduate Program in Physical Education, Federal University of Sergipe (UFS), Sao Cristovao 49100-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rcia Ferreira C\u00e2ndido","family":"de Souza","sequence":"additional","affiliation":[{"name":"Postgraduate Program Professional in Management and Technological Innovation in Health, Federal University of Sergipe (UFS), Aracaju 49100-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joselina Luzia Menezes","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil"},{"name":"Department of Medicine, Federal University of Sergipe (UFS), Sao Cristovao 49100-000, Brazil"},{"name":"Division of Cardiology, University Hospital of Federal University of Sergipe (UFS), Sao Cristovao 49100-000, Brazil"},{"name":"Clinic and Hospital S\u00e3o Lucas\/Division, Rede D\u2019Or S\u00e3o Luiz, Aracaju 49060-676, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Baumworcel","sequence":"additional","affiliation":[{"name":"Clinic and Hospital S\u00e3o Lucas\/Division, Rede D\u2019Or S\u00e3o Luiz, Aracaju 49060-676, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4507-6562","authenticated-orcid":false,"given":"Eduardo Borba","family":"Neves","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Biomedical Engineering, Federal Technological University of Paran\u00e1 (UTFPR), Curitiba 80230-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfonso L\u00f3pez","family":"D\u00edaz-de-Durana","sequence":"additional","affiliation":[{"name":"Sports Department, Physical Activity and Sports 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