盐摄入量和血压变化之间的关联:随机对照试验的系统审查和元分析
Zile Zhang1, Yang Xu2,3,4, Kaidi Nie2,3,4
1School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, China.
Nutrition reviews
|November 23, 2025
概括
较高的盐摄入量会增加血压 (BP),而较低的盐摄入量会显著降低血压,显示出明显的剂量反应关系. 这些发现支持公共卫生倡议,减少盐分,以对抗高血压和心血管疾病.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 营养 公共卫生 营养
- 高血压研究 高血压研究
背景情况:
- 过度摄入盐是高血压和心血管疾病的重要,可修改的危险因素.
- 虽然减少盐可以降低血压 (BP),但摄入量和影响因素之间的准确关联仍然不清楚.
研究的目的:
- 在随机对照试验中使用预定义的类别量化评估盐摄入量和血压之间的关联.
- 在研究水平上探索盐摄入量和BP的持续趋势.
主要方法:
- 在1983年至2024年间发表的43项随机对照试验 (RCT) 的综合系统性审查和元分析.
- 在没有语言限制的情况下搜索多个数据库;采用严格的数据提取和偏差风险评估 (RoB2工具).
- 使用随机效应的元分析,对摄入类别 (高>15g/day,中等5-15g/day,低<5g/day) 和连续趋势的元回归.
主要成果:
- 观察到一个分级的关联:较高的盐摄入与较高的血压相关,较低的摄入导致更大的血压降低.
- 对连续趋势的探索性分析没有统计学意义,可能是由于异质性,测量错误或坚持问题.
结论:
- 这些发现证实了盐摄入量和血压之间的剂量依赖关系,支持减少盐的策略.
- 个性化方法和公共卫生措施,如食品再配方和国家盐量减少计划,对于降低高血压和心血管疾病负担至关重要.
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