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生活方式可降低心血管疾病的风险因素。

Lifestyle decreases risk factors for cardiovascular diseases.

作者信息

Slavícek Jaroslav, Kittnar Otomar, Fraser Gary E, Medová Eva, Konecná Jana, Zizka Robert, Dohnalová Alena, Novák Vladimir

机构信息

Institute of Physiology, First Medical Faculty, Charles University in Prague, Albertov 5, 128 00, Prague 2, Czech Republic.

出版信息

Cent Eur J Public Health. 2008 Dec;16(4):161-4. doi: 10.21101/cejph.a3474.

Abstract

The morbidity and mortality of cardiovascular diseases is high in the developed countries. The lifestyle changes are capable to decrease it by 50%. The aim of the present study was to measure the parameters of some risk factors before and after a one-week NEW START rehabilitative retreat. 1349 volunteers, 320 men, 1029 woman, mean age 51 +/- 14.5 (SD) years participated in 30 rehabilitative retreats from 1999-2006 in the Czech Republic, using a low-fat, low-energy, lacto-ovo-vegetarian diet and exercise, in a stress-free environment. Body weight, height, BMI, blood pressure, heart rate, serum cholesterol and blood glucose were measured. Body weight decreased in 1223 measured persons from 71.2 +/- 14.38 (SD) to 70.6 +/- 14.02 kg (p<0.0001), BMI (1,046 measured persons) from 25.1 +/- 4.60 (SD) to 24.8+4.49 (SD) kg/m2 (p<0.0001), systolic blood pressure (1,218 persons) from 129.8 +/- 23.02 (SD) to 123.8 +/- 21.52 (SD) mmHg (p<0.0001), diastolic blood pressure (1210 persons) from 79.8 +/- 12.7 (SD) to 77.5 +/- 11.6 (SD) mmHg (p<0.0001), serum cholesterol (998 persons) from 4.86 +/- 0.95 (SD) to 4.32 +/- 0.77 (SD) mmol (p<0.0001), blood glucose (544 persons) from 4.31 +/- 1.59 (SD) to 3.88 +/- 1.33 (SD) mmol (p<0.0001). Heart rate was not significantly decreased. The parameters were lower in lacto-ovo vegetarians and Seventh-day Adventists than in controls who never observed the diet and avail the lifestyle programs. The parameters were nonsignificantly changed one year after finishing the retreat in the sample of 68 persons showing the positive effect of retreats. Our results showed, that the intake of a low-fat, low-energy diet, over the course of one week in a stress-free environment, had positive impact on the risk factors of cardiovascular diseases.

摘要

在发达国家,心血管疾病的发病率和死亡率很高。生活方式的改变能够将其降低50%。本研究的目的是测量在为期一周的“新起点”康复静修前后一些风险因素的参数。1999年至2006年期间,1349名志愿者(320名男性,1029名女性,平均年龄51±14.5(标准差)岁)在捷克共和国参加了30次康复静修,采用低脂、低能量的蛋奶素食饮食并进行锻炼,且处于无压力环境中。测量了体重、身高、体重指数、血压、心率、血清胆固醇和血糖。在1223名被测者中,体重从71.2±14.38(标准差)千克降至70.6±14.02千克(p<0.0001);在1046名被测者中,体重指数从25.1±4.60(标准差)千克/平方米降至24.8±4.49千克/平方米(p<0.0001);在1218名被测者中,收缩压从129.8±23.02(标准差)毫米汞柱降至123.8±21.52毫米汞柱(p<0.0001);在1210名被测者中,舒张压从79.8±12.7(标准差)毫米汞柱降至77.5±11.6毫米汞柱(p<0.0001);在998名被测者中,血清胆固醇从4.86±0.95(标准差)毫摩尔降至4.32±0.77毫摩尔(p<0.0001);在544名被测者中,血糖从4.31±1.59(标准差)毫摩尔降至3.88±1.33毫摩尔(p<0.0001)。心率没有显著下降。蛋奶素食者和基督复临安息日会信徒的这些参数低于从未遵循该饮食和生活方式计划的对照组。在68名显示出静修有积极效果的样本中,静修结束一年后这些参数没有显著变化。我们的结果表明,在无压力环境下,为期一周摄入低脂、低能量饮食对心血管疾病的风险因素有积极影响。

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