Tsuchihashi Takuya
Division of Hypertension, National Kyushu Medical Center.
Nihon Rinsho. 2008 Aug;66(8):1537-41.
Hypertension is the most common lifestyle related disease in Japan. Among the lifestyle modifications, salt restriction is most important especially in Japanese hypertensive patients. Although Japanese as well as international guidelines recommend the restriction of salt intake less than 6 g/day, our report suggests that very few Japanese hypertensive patients achieve this goal. Other lifestyle modifications include the increased intake of vegetables and fruits, maintenance of appropriate body weight, regular exercise, the restriction of alcohol intake and cessation of smoking. It is emphasized that comprehensive lifestyle modification is more effective. Since the long term compliance of lifestyle modification is difficult especially in the patients with mild hypertension, continuous encouragement and support should be done at the opportunity of health screening or health guidance.
高血压是日本最常见的与生活方式相关的疾病。在生活方式的改变中,限制盐摄入尤为重要,特别是对于日本高血压患者。尽管日本和国际指南都建议将盐摄入量限制在每日6克以下,但我们的报告表明,很少有日本高血压患者能达到这一目标。其他生活方式的改变包括增加蔬菜和水果的摄入量、保持适当体重、定期锻炼、限制酒精摄入和戒烟。需要强调的是,全面的生活方式改变更为有效。由于长期坚持生活方式改变很困难,尤其是轻度高血压患者,因此应在健康筛查或健康指导时持续给予鼓励和支持。