Photo of Christina Andreae

Christina Andreae

I am RN, PhD. My research is to improve nutrition in persons with heart failure.

Nutrition in persons with heart failure

My research focuses on nutrition with focus on appetite and dietary intake. The goal is to increase knowledge on how to optimize nutritional intake to prevent or delay the development of malnutrition.

Decreased appetite is common in people with heart failure, especially in episodes of worsening heart failure. After hospitalization, appetite gradually improves but is still a problem more a year later. Heart failure-related symptoms such as fatigue and mental illness contribute to up to three times worse appetite compared to people without these symptoms. In the longer term, poor nutrition intake can lead to malnutrition, affecting both morbidity and prognosis. Both appetite and diet variety have an impact on food quality, and research suggests that a varied diet appears to play a particularly important role in nutrient intake. Nutrition should be an integrated part in cardiovascular nursing, with appetite and dietary intake being important areas to follow-up and to formulate strategies to promote dietary intake.


Cover of publication ''
Christina Andreae, Martje H. L. van der Wal, Dirk J. van Veldhuisen, Bei Yang, Anna Strömberg, Tiny Jaarsma (2021)

Journal of Cardiovascular Nursing , Vol.36 , s.539-545 Continue to DOI

Cover of publication ''
Terry A Lennie, Christina Andreae, Mary K Rayens, Eun Kyeung Song, Sandra B Dunbar, Susan J Pressler, Seongkum Heo, JinShil Kim, Debra K Moser (2018)

Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease , Vol.7 , s.1-10 Continue to DOI

Cover of publication ''
Christina Andreae, Terry A. Lennie, Misook L. Chung (2023)

European Journal of Cardiovascular Nursing , Vol.22 , s.537-543 Continue to DOI


Christina Andreae, Pia Tingström, Staffan Nilsson, Tiny Jaarsma, Nadine Karlsson, Anita Kärner Köhler (2023) Does problem-based learning improve patient empowerment and cardiac risk factors in patients with coronary heart disease in a Swedish primary care setting? A long-term prospective, randomised, parallel single randomised trial (COR-PRIM) BMJ Open, Vol. 13, Article e065230 Continue to DOI
Christina Andreae, Terry A. Lennie, Misook L. Chung (2023) Diet variety mediates the relationship between appetite and micronutrient intake in patients with heart failure European Journal of Cardiovascular Nursing, Vol. 22, p. 537-543 Continue to DOI


Christina Andreae, Martje H. L. van der Wal, Dirk J. van Veldhuisen, Bei Yang, Anna Strömberg, Tiny Jaarsma (2021) Changes in Appetite During the Heart Failure Trajectory and Association With Fatigue, Depressive Symptoms, and Quality of Life Journal of Cardiovascular Nursing, Vol. 36, p. 539-545 Continue to DOI


Rani Khatib, Geraldine A. Lee, Elena Marques-Sule, Laila Arnesdatter Hopstock, Sharon O'Donnell, Margrét Hrönn Svavarsdóttir, Christina Andreae, Ercole Vellone, Eva Goossens, Anna Strömberg, Barbro Kjellström, Tiny Jaarsma, Chloe Stewart (2020) Evaluating the extent of patient-centred care in a selection of ESC guidelines European Heart Journal - Quality of Care and Clinical Outcomes, Vol. 6, p. 55-61 Continue to DOI


Marta Wleklik, Magdalena Lisiak, Christina Andreae, Izabella Uchmanowicz (2019) Psychometric Evaluation Of Appetite Questionnaires In Elderly Polish Patients With Heart Failure Patient Preference and Adherence, Vol. 13, p. 1751-1759 Continue to DOI