性饮食对血压的影响:GRADE评估的系统性审查和随机对照试验的元分析
Mohammad Reza Amini1, Moein Askarpour2, Hamid Ghalandari3
1Student Research Committee, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition & Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Nutrition and Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
性饮食 (KDs) 对高血压患者降低血压 (BP) 没有显著影响. 需要进一步的研究来确定最佳的脂肪摄入量,以获得潜在的益处.
科学领域:
- 心脏病学 心脏病学
- 营养科学 营养科学
- 代谢健康 代谢健康
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- 高血压是心血管疾病的主要危险因素.
- 性饮食 (KD) 正在越来越多地研究其潜在的健康益处.
研究的目的:
- 分析关于性饮食 (KDs) 对血压 (BP) 的影响的现有文献.
- 评估KDs在管理高血压方面的有效性.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 搜索了四个主要的数据库 (PubMed/Medline,SCOPUS,Cochrane图书馆,谷歌学者) 到2022年11月.
- 包括23个RCT与1664名参与者;执行子组和剂量反应分析.
主要成果:
- 性饮食没有显著影响缩血压 (SBP) (WMD: -0.87 mmHg) 或腹缩血压 (DBP) (WMD: -0.11 mmHg).
- 亚组分析和非线性剂量反应分析没有显示KD脂肪摄入量和BP水平之间的显著关联.
- 随着KD干预,没有观察到血压的显著改善.
结论:
- 目前的证据表明,性饮食在改善血压方面并不有效.
- 建议进行进一步的研究,以探索最佳的脂肪摄入比例,以了解KD对BP的潜在临床益处.
- 在高血压管理中KDs的作用需要进一步的研究.
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