Lancet Neurol:地中海饮食或可降低二次脑卒中发生风险

2021-01-10 MedSci原创 MedSci原创

脑卒中又称中风,是一种急性脑血管疾病,具有高发病率、高致残率、高死亡率以及高复发率等特点,已成为我国民众健康的“头号杀手”。

卒中又称中风,是一种急性脑血管疾病,具有高发病率、高致残率、高死亡率以及高复发率等特点,已成为我国民众健康的“头号杀手”。然而,脑卒中是可防可控的,及早筛查危险因素并加以针对性控制,就可显著降低脑卒中发病风险。饮食质量是一过性脑卒中发病率的重要危险因素。复发性脑卒中的危险因素与首次脑卒中的危险因素基本相同,而且饮食对血压和体重等脑卒中致病危险因素有直接影响。有研究显示,饮食质量最高的个体比饮食质量最低的个体发生卒中的发生风险要低40%。

近日,发表在Lancet Neurol杂志的一项研究显示,饮食质量与减少脑卒中复发存在潜在的关系。地中海饮食模式和抑制高血压饮食模式可显著预防脑卒中复发。然而,如果单纯补充微量元素,包括维生素B,维生素D以及omega-3对预防二次脑卒中没有显著作用。

在这项研究中,研究人员通过GRADE系统学分析方法对对已发表的饮食模式、营养素补充剂和特定食物与脑卒中复发的研究进行分析,结果发现,地中海饮食和控制高血压饮食均可降低脑卒中复发风险,低盐饮食也有助于降低卒脑中复发风险。

然而,补充叶酸,维生素B12、维生素B3、维生素D、omega-3以及低脂饮食不能降低脑卒中复发风险。特种食物预防脑卒中复发研究较少,但多吃植物来源食物可能降低脑卒中复发风险。

因此,脑卒中患者任何时候都可能从遵循健康饮食中获益。然而,脑卒中后的损伤包括手臂无力、交流困难、疲劳和认知困难,使坚持饮食干预具有很大的挑战。此外,饮食干预预防卒中复发仍需要更为严格的临床研究进行深入探讨。

原始出处

English, C., MacDonald-Wicks, L., Patterson, A., Attia, J., & Hankey, G. J. (2020). The role of diet in secondary stroke prevention. The Lancet Neurology.

 

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    2021-12-12 howi
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    2021-07-17 yinhl1978
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    2021-03-01 wxl882001

    了解

    0

  4. 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createdName=ms5000002068566774, createdTime=Sun Jan 10 21:08:12 CST 2021, time=2021-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=915357, encodeId=efa091535e81, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d75446261, createdName=ms8000001063934801, createdTime=Sun Jan 10 20:33:39 CST 2021, time=2021-01-10, status=1, ipAttribution=)]
    2021-01-13 健康达人

    地中海饮食是热点,被认为是最健康的饮食,而中国传统饮食一般被认为多半是不健康的,这是事实吗?其实需要更多严谨的科学证据,而不是猜测!

    0

  5. 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time=2021-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=915373, encodeId=7aa59153e37f, content=地中海饮食 是, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210110/25654714fed842f6828a369dc3af3ff3/b7b91dc69b1d4644b26bb22f64d4bc27.jpg, createdBy=0c945451645, createdName=ms5000002068566774, createdTime=Sun Jan 10 21:19:55 CST 2021, time=2021-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=915371, encodeId=91869153e111, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210110/25654714fed842f6828a369dc3af3ff3/b7b91dc69b1d4644b26bb22f64d4bc27.jpg, createdBy=0c945451645, createdName=ms5000002068566774, createdTime=Sun Jan 10 21:08:12 CST 2021, time=2021-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=915357, encodeId=efa091535e81, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d75446261, createdName=ms8000001063934801, createdTime=Sun Jan 10 20:33:39 CST 2021, time=2021-01-10, status=1, ipAttribution=)]
    2021-01-12 wgx311
  6. 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createdName=ms5000002068566774, createdTime=Sun Jan 10 21:08:12 CST 2021, time=2021-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=915357, encodeId=efa091535e81, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d75446261, createdName=ms8000001063934801, createdTime=Sun Jan 10 20:33:39 CST 2021, time=2021-01-10, status=1, ipAttribution=)]
    2021-01-10 lovetcm

    #地中海饮食#健康饮食习惯

    0

  8. 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    2021-01-10 ms5000002068566774

    地中海饮食 是

    0

  9. 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createdName=ms5000002068566774, createdTime=Sun Jan 10 21:08:12 CST 2021, time=2021-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=915357, encodeId=efa091535e81, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d75446261, createdName=ms8000001063934801, createdTime=Sun Jan 10 20:33:39 CST 2021, time=2021-01-10, status=1, ipAttribution=)]
    2021-01-10 ms5000002068566774

    学习学习

    0

  10. 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    2021-01-10 ms8000001063934801

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