生活方式干预可以降低冠心病风险:来自PREMIER试验的结果
Nisa M Maruthur1, Nae-Yuh Wang, Lawrence J Appel
1Division of General Internal Medicine and the Welch Center for Prevention, Epidemiology, and Clinical Research, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Circulation
|April 8, 2009
概括
与单独咨询相比,两项生活方式干预显著降低了估计冠心病 (CHD) 风险12-14%. 这些发现表明,控制心血管疾病风险因素对公共健康有很大的益处.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 生活方式干预对于控制心血管疾病风险因素至关重要.
- 弗雷明汉风险方程估计了10年冠心病 (CHD) 风险.
- 评估多元生活方式干预措施对估计心血管疾病风险的影响很重要.
研究的目的:
- 评估两种生活方式干预措施对估计的心脏病风险的影响,与单独的建议相比.
- 为了确定干预效应是否在基线子组之间存在差异.
主要方法:
- 810名患有前高血压/I期高血压的成年人被随机分为三个组:仅提供咨询,建立的生活方式建议,或建立加DASH饮食.
- 主要结局:10年慢性心血管疾病风险估计在6个月.
- 二次结局:10年慢性心血管疾病风险估计在18个月.
主要成果:
- 与仅接受咨询的组相比,既定和既定加DASH组的估计心脏病风险降低了12-14%.
- 相对风险比分分别为0.86和0.88 (P<0.001).
- 结果在敏感性分析,子组和18个月后一致.
结论:
- 多元组件的生活方式干预显著降低估计的心脏病风险.
- 这些减少为预防心血管疾病提供了显著的公共健康益处.
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