高血压患者的行为变化模型和盐摄入量之间的关系:单个非专业高血压诊所前性观察性研究
Hiromitsu Sekizuka1,2, Toshiya Ishii1,2, Hitoshi Miyake2
1Department of Internal Medicine, FUJITSU Clinic.
Blood pressure monitoring
|February 1, 2024
概括
在高血压患者中,越来越准备减少盐分导致12个月的盐分摄入量减少和摄入量增加. 然而,在研究期间,这种变化并没有显著改善血压.
科学领域:
- 心脏病学 心脏病学
- 行为科学 行为科学
- 营养科学 营养科学
背景情况:
- 高血压管理通常涉及饮食修改,包括减少盐分.
- 评估患者对行为改变的准备对于有效的干预至关重要.
- 超理论模型 (TTM) 为理解行为变化的阶段提供了一个框架.
研究的目的:
- 调查盐分减少准备度的变化与估计每日盐分摄入量和血压 (BP) 的变化之间的关联.
- 对高血压患者在12个月的时间内检查TTM阶段进展与盐摄入量和血压变化之间的关系.
主要方法:
- 86名高血压患者根据TTM被分为高 (UP) 和低 (DN) 准备小组,以减少盐分.
- 在12个月内,对TTM阶段的变化,估计的每日盐摄入量 (通过24小时尿液盐分泌) 和血压进行了监测.
- 分析了尿液中的和度,以评估饮食变化.
主要成果:
- 与DN组相比,UP组显示尿液含量显著增加,估计24小时尿液盐分泌量减少.
- 在UP组的患者表现出尿液中的和盐分泌量显著减少,尿液的增加更大.
- 尽管盐摄入量有所改善,但在12个月的观察期内,在任何一组中,家庭血压都没有显著改善.
结论:
- 在高血压患者中,增加或持续高准备减少盐量与减少盐量和增加摄入量有关.
- 通过TTM测量饮食改变的行为准备,影响饮食习惯,但可能需要更长的观察期或联合干预,以显著降低血压.
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