基于数据的中国成年人高血压保护性饮食模式的比较:基于全国性研究
Yuxiang Yang1, Wei Piao1,2, Shuya Cai1
1Department of Nutrition Surveillance, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Beijing, 100050, China.
European journal of nutrition
|June 19, 2023
概括
富含蔬菜,水果和乳制品的饮食模式,低含精制谷物,与中国成年人的高血压风险较低有关. 这些发现支持对高血压管理的饮食干预措施.
科学领域:
- 营养科学 营养科学
- 公共卫生 公共卫生
- 心血管健康 心血管健康
背景情况:
- 饮食模式对于管理高血压 (HTN) 至关重要,这是一个重大的公共卫生问题.
- 确定有效,成本效益的饮食策略对于HTN管理至关重要.
研究的目的:
- 在中国成年人中识别和比较高血压保护性饮食模式.
- 评估已识别的DP与HTN的流行率之间的关联.
主要方法:
- 利用了2015-2017年中国营养和健康监测 (CNHS) 中的52648名中国成年人 (年龄大于18岁) 的数据.
- 应用了减少等级回归 (RRR) 和部分最小平方 (PLS) 回归来识别DP.
- 采用多变量调整后勤回归来分析DP和HTN之间的关联.
主要成果:
- 无论是RRR-DP还是PLS-DP,都以高摄入量的蔬菜,水果,,海藻,大豆制品,豆类,乳制品和蛋为特征,精制谷物消费低.
- 对这些DP的更高的坚持与HTN的更低的几率显著相关 (例如,RRR-DP OR=0.77,PLS-DP OR=0.76).
- 简化DP得分在各种人口和健康小组中显示出一致的保护作用.
结论:
- 确定的DP与东亚的饮食习惯一致,并显示出中国成年人对高血压的显著保护性关联.
- 简化DP方法在提高HTN研究中DP分析的通用性方面具有前景.
- 这些发现支持将特定的饮食模式纳入公共卫生战略,以预防和控制高血压.
相关概念视频
01:28Hypertension IV: Drug Therapy and Lifestyle Modifications
19
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
19
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
33
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
33
01:28Hypertension I: Introduction
25
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
25
01:28Factors affecting Blood pressure
3.4K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.4K
01:18Hypertension and Regulation of Blood Pressure
2.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.1K
01:29Hypertension II: Pathophysiology
22
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
22