JACC:饮食干预的降压效果堪比降压药物!

2017-12-07 许菁 中国循环杂志

近期,JACC发表的研究又为饮食干预控制高血压添力证!


近期,JACC发表的研究又为饮食干预控制高血压添力证!
 
研究者发现,对于高血压的高危人群,低盐饮食+健康(DASH)饮食可降低收缩压达21 mmHg,收缩压越高,降压效果越明显。
 
DASH饮食富含水果、蔬菜和全麦食品,还有低脂或脱脂乳制品、鱼类、家禽、豆类和坚果。
 
一直以来,低钠饮食和DASH饮食被认为可预防高血压。
 
该研究中,经过四周的DASH饮食后,研究人员发现,基线收缩压≥150 mmHg者的收缩压平均减少了11 mmHg,而<130 mmHg的受试者的收缩压仅降低了4 mmHg。
 
如果DASH饮食+低盐饮食,他们发现,随着基线收缩压的升高,收缩压下降的越多。基线收缩压<130者的收缩压降低5 mmHg;130~139 mmHg者的收缩压降低7 mmHg; 140~149 mmHg者的收缩压降低10 mmHg。
 
最令人惊讶的是,基线收缩压≥150 mmHg者,与高钠饮食相比,DASH饮食的同时低钠饮食,收缩压平均降低了21 mmHg。
 
研究者表示,这意味着那些患高血压风险最大的人能从饮食中的获益也最大。
 
FDA要求任何一种新的抗高血压药物要最低能以3~4 mmHg的幅度降低收缩压。目前,大多数的降压药物,如血管紧张素转换酶抑制剂、β受体阻滞剂或钙拮抗剂,平均减少收缩压10~15 mmHg。
 
看来,饮食干预的降压效果堪比降压药物!
 
在这项研究中,研究人员随访了412处于高血压前期或1期高血压的受试者,包括234名女性,年龄从23~76岁,收缩压120~159 mmHg,舒张压80~95 mmHg。研究人员将所有受试者接受DASH饮食或控制饮食12周。所有受试者在四周内随机接受50 mmol/L、100 mmol/L、150 mmol/L的钠。
 
原始出处:

Stephen P. Juraschek, Edgar R. Miller, Connie M.Weaver, Lawrence J. Appel. Effects ofSodium Reduction and the DASH Diet in Relation to Baseline BloodPressure. Journal of the American College of Cardiology, 2017; DOI: 10.1016/j.jacc.2017.10.011.

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    2018-06-14 hbwxf
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    2017-12-07 131****1460

    学习了受益匪浅

    0

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    2017-12-07 惠映实验室

    学习了.谢谢.

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1997538, encodeId=55c1199e538fd, content=<a href='/topic/show?id=81cf9814368' target=_blank style='color:#2F92EE;'>#降压效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98143, encryptionId=81cf9814368, topicName=降压效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dab8203, createdName=zsyan, createdTime=Wed May 16 21:09:00 CST 2018, time=2018-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1853869, encodeId=70521853869f4, content=<a href='/topic/show?id=48351020537' target=_blank style='color:#2F92EE;'>#JACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10205, encryptionId=48351020537, topicName=JACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55ce62, createdName=hbwxf, createdTime=Thu Jun 14 16:09:00 CST 2018, time=2018-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1291941, encodeId=1814129194112, content=<a href='/topic/show?id=9d32981418b' target=_blank style='color:#2F92EE;'>#降压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98141, encryptionId=9d32981418b, topicName=降压)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8f14236, createdName=经常头晕, createdTime=Sat Dec 09 02:09:00 CST 2017, time=2017-12-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1325629, encodeId=8b811325629fe, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Sat Dec 09 02:09:00 CST 2017, time=2017-12-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1503583, encodeId=db371503583ab, content=<a href='/topic/show?id=c8a91012335b' target=_blank style='color:#2F92EE;'>#饮食干预#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101233, encryptionId=c8a91012335b, topicName=饮食干预)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0b369667354, createdName=pandamao2013, createdTime=Sat Dec 09 02:09:00 CST 2017, time=2017-12-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=267572, encodeId=5c0d26e572f2, content=学习了受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Thu Dec 07 14:34:22 CST 2017, time=2017-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=267558, encodeId=184f26e558ea, content=学习了.谢谢., beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Thu Dec 07 13:08:25 CST 2017, time=2017-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=267547, encodeId=c88a26e547b2, content=学习了.涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Thu Dec 07 12:45:19 CST 2017, time=2017-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=267531, encodeId=b52326e531c8, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Thu Dec 07 11:52:25 CST 2017, time=2017-12-07, status=1, ipAttribution=)]
    2017-12-07 1ddf0692m34(暂无匿称)

    学习了.涨知识

    0

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    2017-12-07 神功盖世

    学习

    0

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