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JAMA:饮食改变一小步，健康改善一大步：医患饮食教育工具

2017-09-11 文韬 中国循环杂志

饮食健康营养
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Manson等在JAMA杂志撰文称，有越来越多令人信服的证据表明，饮食改变一小步，健康改善一大步。

Manson等在JAMA杂志撰文称，有越来越多令人信服的证据表明，饮食改变一小步，健康改善一大步。

比如，每天增加一份水果，就可以降低8%的心血管死亡风险，美国每年减少6万人、全球可减少160万人死于心血管病。

但目前的问题是临床医生几乎很少与患者讨论营养问题。而且，关于饮食问题，信息也比较混乱。怎么办？

作者认为，这主要是因为医生缺乏评估和教育工具，而下表中的评估和建议可帮助医生对患者进行教育。



原始出处：Kahan S, Manson JE, Nutrition Counseling in Clinical Practice: How Clinicians Can Do Better. JAMA. 2017 Sep 7. 

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    2017-09-13 微笑人参

    衣食住行.把食放在先

    0

  2. 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    2017-09-13 millore

    #医患#

    0

  3. 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authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220317/1c3b2db4747d42e88e5018b394979434/be0fcebf07344e9ab886c37c502e2f29.jpg, createdBy=6bb22051299, createdName=微笑人参, createdTime=Mon Sep 11 22:47:26 CST 2017, time=2017-09-11, status=1, ipAttribution=)]
    2017-09-12 亚丽

    好知识

    0

  4. 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createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/17/0ed05bbc4eb124766d2a39104932ec4e.jpg, createdBy=5afd2091871, createdName=情途末路, createdTime=Tue Sep 12 06:59:50 CST 2017, time=2017-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243014, encodeId=404724301421, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Mon Sep 11 23:41:28 CST 2017, time=2017-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=242984, encodeId=87e224298432, content=生活习惯.改变寿命, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220317/1c3b2db4747d42e88e5018b394979434/be0fcebf07344e9ab886c37c502e2f29.jpg, createdBy=6bb22051299, createdName=微笑人参, createdTime=Mon Sep 11 22:47:26 CST 2017, time=2017-09-11, status=1, ipAttribution=)]
    2017-09-12 微笑人参

    健康饮食.健康生活.

    0

  5. 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authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220317/1c3b2db4747d42e88e5018b394979434/be0fcebf07344e9ab886c37c502e2f29.jpg, createdBy=6bb22051299, createdName=微笑人参, createdTime=Mon Sep 11 22:47:26 CST 2017, time=2017-09-11, status=1, ipAttribution=)]
    2017-09-12 damiao93

    谢谢分享

    0

  6. 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authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220317/1c3b2db4747d42e88e5018b394979434/be0fcebf07344e9ab886c37c502e2f29.jpg, createdBy=6bb22051299, createdName=微笑人参, createdTime=Mon Sep 11 22:47:26 CST 2017, time=2017-09-11, status=1, ipAttribution=)]
    2017-09-12 戒馋，懒，贪

    谢谢分享

    0

  7. 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createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/17/0ed05bbc4eb124766d2a39104932ec4e.jpg, createdBy=5afd2091871, createdName=情途末路, createdTime=Tue Sep 12 06:59:50 CST 2017, time=2017-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243014, encodeId=404724301421, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Mon Sep 11 23:41:28 CST 2017, time=2017-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=242984, encodeId=87e224298432, content=生活习惯.改变寿命, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220317/1c3b2db4747d42e88e5018b394979434/be0fcebf07344e9ab886c37c502e2f29.jpg, createdBy=6bb22051299, createdName=微笑人参, createdTime=Mon Sep 11 22:47:26 CST 2017, time=2017-09-11, status=1, ipAttribution=)]
    2017-09-12 cherry bomb

    学习了.谢谢分享

    0

  8. 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createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/17/0ed05bbc4eb124766d2a39104932ec4e.jpg, createdBy=5afd2091871, createdName=情途末路, createdTime=Tue Sep 12 06:59:50 CST 2017, time=2017-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243014, encodeId=404724301421, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Mon Sep 11 23:41:28 CST 2017, time=2017-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=242984, encodeId=87e224298432, content=生活习惯.改变寿命, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220317/1c3b2db4747d42e88e5018b394979434/be0fcebf07344e9ab886c37c502e2f29.jpg, createdBy=6bb22051299, createdName=微笑人参, createdTime=Mon Sep 11 22:47:26 CST 2017, time=2017-09-11, status=1, ipAttribution=)]
    2017-09-12 情途末路

    学习了.获益匪浅!感谢分享

    0

  9. 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13:28:00 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243321, encodeId=c2f224332168, content=好知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=05fe2098903, createdName=亚丽, createdTime=Tue Sep 12 21:00:39 CST 2017, time=2017-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243310, encodeId=0b5224331009, content=健康饮食.健康生活., beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220317/1c3b2db4747d42e88e5018b394979434/be0fcebf07344e9ab886c37c502e2f29.jpg, createdBy=6bb22051299, createdName=微笑人参, createdTime=Tue Sep 12 19:56:26 CST 2017, time=2017-09-12, status=1, ipAttribution=), 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createdTime=Tue Sep 12 08:44:06 CST 2017, time=2017-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243133, encodeId=a5e024313355, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4Cr8ibeWnmTmmC1lthicNVicicXTX7Mn9OEib5S1eHg4jhM9usWmW2NBVm6NaJurhgeMl3UJ1gujuaQuIX7icVSa8F4JoFPCfib0Prsk/0, createdBy=b5bb2069360, createdName=cherry bomb, createdTime=Tue Sep 12 08:30:04 CST 2017, time=2017-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243080, encodeId=ca0524308046, content=学习了.获益匪浅!感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220317/1c3b2db4747d42e88e5018b394979434/be0fcebf07344e9ab886c37c502e2f29.jpg, createdBy=6bb22051299, createdName=微笑人参, createdTime=Mon Sep 11 22:47:26 CST 2017, time=2017-09-11, status=1, ipAttribution=)]
    2017-09-11 Y—xianghai

    学习了新知识

    0

  10. 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authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220317/1c3b2db4747d42e88e5018b394979434/be0fcebf07344e9ab886c37c502e2f29.jpg, createdBy=6bb22051299, createdName=微笑人参, createdTime=Mon Sep 11 22:47:26 CST 2017, time=2017-09-11, status=1, ipAttribution=)]
    2017-09-11 微笑人参

    生活习惯.改变寿命

    0

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在昨天的欧洲心脏病学会大会上，加拿大麦克马斯特大学的研究人员公布了他们一项历时10年，包括18个国家13万多人的大型队列（PURE）研究的结果，这是全球首个在经济水平不同的地区开展，将饮食习惯与心血管疾病死亡风险、非心血管疾病死亡风险和全因死亡风险联系在一起的研究。这个大型队列研究可能为膳食指导的制定提供了可修改的“余地”，研究结果以两篇论文的形式同时发表在了《柳叶刀》杂志上。

Am J Clin Nutr：低血糖负荷或富含谷物纤维的饮食能减重！

2017年8月，发表在《Am J Clin Nutr》的一项由荷兰、法国和丹麦科学家进行的研究，发现超重患者可通过消耗低血糖负荷或富含纤维和全谷物的饮食而成功减重和维持体重

Lancet Diabetes Endo：日常饮食与血脂血压异常

研究发现，减少饱和脂肪酸摄入或以碳水化合物代替饱和脂肪酸会导致参与者血脂代谢异常，不饱和脂肪酸替代饱和脂肪酸可能改善一些风险指标，但可能加重某些风险。脂蛋白B/脂蛋白A比例是最为全面的心血管脂代谢相关风险考察指标

Lancet：心血管死亡与水果、蔬菜和豆类饮食

研究认为，水果、蔬菜和豆类饮食可降低非心血管疾病和总死亡风险，每日摄入375-500克的水果、蔬菜和豆类即可获得最大的风险降低收益

Pediatrics：儿科医生警告：快速减肥对健康危害极大！

儿科医生警告说，年轻的体操运动员，花式滑冰运动员和摔跤手试图通过禁食或限制液体迅速减肥，可能危及他们的健康。

Cell Metab:模拟0碳水化合物饮食的药物能使人健康长寿？

美国研究人员称，一种模拟零碳水化合物饮食的药物能够帮助人们更健康长寿，步入老年后还能保持更好的记忆力。