Mann W A
Endokrinologikum, Zentrum für Hormon- und Stoffwechselerkrankungen, Frankfurt am Main.
MMW Fortschr Med. 2004 May 27;146(22):28-30.
Hypertension and diabetes mellitus are of great importance for morbidity and mortality in Germany. At a current prevalence of 20% of adults for hypertension, and at least 5-8% for diabetes, there appears to be an increasing tendency. This demographic development resulting in an increase in the need for treatment is aligned against a decrease in resources in the public health sector. The present article takes a look at the nonpharmacological basic treatment of hypertension and type 2 diabetes. For so-called lifestyle interventions such as weight reduction, dietary changes, etc., an impact on blood pressure and metabolism has been shown, which in many cases is comparable with that of medical treatment. A number of studies have shown that these measures are successful in terms of the primary and secondary prevention of sequelae.
高血压和糖尿病对德国的发病率和死亡率至关重要。目前,成年人高血压患病率为20%,糖尿病患病率至少为5 - 8%,且呈上升趋势。这种人口结构的变化导致治疗需求增加,而公共卫生部门的资源却在减少。本文探讨了高血压和2型糖尿病的非药物基础治疗。对于减重、饮食改变等所谓的生活方式干预,已表明其对血压和代谢有影响,在许多情况下与药物治疗相当。多项研究表明,这些措施在一级和二级预防后遗症方面是成功的。