在高血压患者中,食纤维摄入量与外围动脉疾病之间的关联
Yingnan Liu1,2, Ruihong Wei1,2, Zhouyong Tan1,2
1Department of Hand and Foot and Microvascular Surgery, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China.
Journal of health, population, and nutrition
|August 9, 2024
概括
较高的食纤维摄入量与高血压患者的外周动脉疾病 (PAD) 风险较低有关. 增加每日纤维消耗可能对管理该人口中PAD风险至关重要.
科学领域:
- 心血管健康 心血管健康
- 营养流行病学 营养流行病学
- 公共卫生 公共卫生
背景情况:
- 周围动脉疾病 (PAD) 是一种严重的血管并发症,特别是在高血压患者中.
- 在高血压患者中,食纤维摄入量与PAD风险之间的关系仍未得到充分研究.
- 这项研究通过调查这种关联来解决知识差距.
研究的目的:
- 评估饮食纤维摄入量与外围动脉疾病 (PAD) 风险之间的关联.
- 专门在高血压患者群体中检查这种关系.
- 为高血压管理中的饮食干预提供基于证据的建议.
主要方法:
- 从国家健康和营养检查调查中对4628名参与者的横截面分析.
- 测量脚-手臂压力指数 (ABPI) 来诊断PAD.
- 后勤回归分析,包括子组分析,以探索关联并调整混因素.
主要成果:
- 较高的食纤维摄入量 (每天>21克) 与高血压患者PAD风险降低有关 (OR=0.67,95% CI 0.46-0.99).
- 这种保护性关联在包括60岁以下的患者,没有失脂症,没有糖尿病的患者和非吸烟者在内的子组中是显著的.
- 在这些子组中,特定的ORs从0.23到0.50不等,表明显著的风险降低.
结论:
- 饮食纤维摄入量增加与高血压患者中PAD风险降低有显著关联.
- 这些发现强调了提高高血压患者的饮食质量,特别是纤维消费的重要性.
- 在高血压的背景下,食纤维可能在防止PAD发展方面发挥保护作用.
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