饮食中的对血压的影响:交叉试验
Deepak K Gupta1,2, Cora E Lewis3, Krista A Varady4
1Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
JAMA
|November 11, 2023
概括
在大多数成年人中,减少饮食中的摄入量可显著降低血压 (BP),无论高血压状态或药物治疗如何. 这种饮食变化对不同人群的血压管理是安全有效的.
科学领域:
- 心血管健康
- 营养科学
- 高血压管理
背景情况:
- 饮食中摄入量的变化会影响血压 (BP) 的反应.
- 在使用抗高血压药物的个体中,对血压的影响尚未得到充分研究.
研究的目的:
- 分析个人对的血压反应的分布.
- 为了确定高和低饮食之间的血压差异.
- 调查这些差异是否因起始血压和药物使用而有所不同.
主要方法:
- 有213名社区参与者 (年龄在50至75岁之间) 的前性交叉设计.
- 参与者完成了为期1周的高摄入量 (大约 添加的2200毫克/天) 和低 (约. 每天500毫克) 的饮食.
- 测量了24小时的门诊血压,平均动脉压和脉压.
主要成果:
- 在低饮食中,平均动脉压降低了4 mm Hg (P < .001).
- 73. 4%的人在低饮食中经历了血压下降.
- 包括高血压患者和服药者在内,血压降低在各个小组中是一致的.
结论:
- 在大多数中年至老年人中,饮食减少有效降低血压.
- 降血压的作用与高血压状态和抗高血压药物无关.
- 降低是控制血压的安全和一致的干预措施.
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