Abstract 14893: Obesity and Heart-Healthy Dietary Choices in Severe Aortic Stenosis

• Published in: Circulation (New York, N.Y.) N.Y.), 2018-11, Vol.138 (Suppl_1 Suppl 1), p.A14893-A14893
• Main Authors: Taylor, Zachary, Williams, Mathew, Zhao, Zhen-Gang, Du, Run, Staniloae, Cezar, Saric, Muhamed, Pushkar, Illya, Neuburger, Peter, Querijero, Michael, Vainrib, Alan, Hisamoto, Kazuhiro, Amoroso, Nicholas, Collins, Tara, Clark, Emily, Sin, Danielle, Shah, Binita, Lee, Hanah, Vidal, Samantha, Bamira, Daniel, Benenstein, Ricardo, Jilaihawi, Hasan
• Format: Article
• Language: English
• ISSN: 0009-7322; 1524-4539

IntroductionLittle has been reported on dietary choices and obesity in patients with valvular heart disease.HypothesisWe hypothesized that obesity is prevalent in patients with aortic stenosis and that significant differences in heart-healthy dietary choices may be observed between obese and non-obese patients.MethodsConsecutive patients with severe or critical aortic stenosis (AS) were evaluated in a busy Heart Valve Clinic for consideration of surgical or transcatheter valve replacement. All patients underwent a detailed dietary evaluation with a rate your plate (RYP) questionnaire. Obesity was defined as body mass index (BMI) ≥ 30 kg/m. Dietary data was stratified according to presence of obesity. Data was analyzed by student’s t-test for continuous data and chi-squared analysis for categorical data.ResultsA total of 138 patients were evaluated; of these, 41 (29.7%) were obese. Overall there was no difference in the RYP score for obese and non-obese patients. However, obese patients scored significantly worse on RYP heart-healthy (HH) choices for fried foods and grains (table) with no significant differences in other categories.ConclusionsObesity is common in patients with severe aortic stenosis. Self-reported heart-healthy choices differ only in categories of fried foods and grains (figure) which may be a good initial focus for nutritional intervention in this population.