健康生活方式类别在高血压管理中的作用和得分趋势
Ali Vaezi1,2, Keyvan Karimi1,3, Mina Mirzad1
1Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Scientific reports
|August 25, 2025
概括
在高血压患者中,健康的生活方式显著改善了血压控制. 适度和良好的生活方式得分与不受控制的高血压的几率降低以及静脉压和静脉压的降低有关.
科学领域:
- 心脏病学与公共卫生
背景情况:
- 尽管服用药物,但许多高血压患者无法控制血压.
- 改变生活方式对于控制高血压至关重要.
- 关于健康生活方式对高血压控制的影响的证据是有限的.
研究的目的:
- 评估健康生活方式对高血压控制的影响.
- 评估生活方式因素与不受控制的高血压,静脉压 (SBP) 和静脉压 (DBP) 之间的关联.
主要方法:
- 分析2021年伊朗非传染性疾病风险因素监测全国性STEPwise方法调查数据 (2016-2021年).
- 包括来自农村和城市地区的9388名高血压成年人 (≥18岁).
- 包括体力活动,体重指数,酒精消耗,烟草使用和饮食习惯在内的生活方式变量得分;多变量分析对抗高血压药物的使用进行了调整.
主要成果:
- 适度生活方式和良好的健康生活方式组的患高血压的几率分别降低了9%,15%.
- 这些生活方式组显著降低了SBP-1. 22mmHg和-1. 39mmHg,而DBP则降低了-1. 01mmHg和-1. 47mmHg.
- 在对抗高血压药物的使用进行调整后观察到这些关联.
结论:
- 在高血压患者中,健康生活方式干预显著改善血压控制的潜力.
- 应将改变生活方式的策略纳入高血压管理的公共卫生计划.
- 这些发现强调了除了药物治疗之外,全面的生活方式对心血管健康的重要性.
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