Miller Edgar R., Erlinger Thomas P., Young Deborah R., Prokopowicz Greg P., Appel Lawrence J.
Welch Center for Prevention, Epidemiology, and Clinical Research at the Johns Hopkins Medical Institutions, Baltimore, MD.
J Clin Hypertens (Greenwich). 1999 Nov;1(3):191-198.
Lifestyle modification is widely advocated as initial and adjuvant therapy for the treatment and prevention of hypertension. In addition to exercise, nutritional changes including sodium reduction, adoption of the Dietary Approaches to Stop Hypertension (DASH) diet, alcohol reduction, and weight loss have significant blood pressure lowering effects. The current challenge to clinicians has been developing and implementing practical and effective approaches for use in clinical practice. This review discusses the evidence supporting each current lifestyle recommendation, discusses evidence on specific programs or office based strategies, and provides practical advice. (c)1999 by Le Jacq Communications, Inc.
生活方式的改变作为高血压治疗和预防的初始及辅助疗法被广泛提倡。除运动外，包括减少钠摄入、采用终止高血压膳食疗法（DASH）饮食、减少饮酒和减重在内的营养改变具有显著的降压作用。临床医生当前面临的挑战是制定并实施适用于临床实践的实用且有效的方法。本综述讨论了支持当前每项生活方式建议的证据，探讨了关于特定项目或基于诊室策略的证据，并提供实用建议。版权所有(c)1999，Le Jacq通信公司。
