Demarin Vida, Morović Sandra
Klinika za neurologiju, Klinicka bolnica "Sestre milosrdnice" Zagreb, Hrvatska.
Acta Med Croatica. 2010 May;64(2):123-8.
Stroke is the second leading cause of death and disability in Croatia. Risk factors for cerebrovascular disease can be divided into evidence-based risk factors and those with supposed relationship. Strong evidence suggests that current salt consumption is one of the most important factors influencing the increase in blood pressure, along with the risk of cerebrovascular disease. Hypertension is an important modifiable risk factor for stroke. Studies on salt have shown that a decrease in blood pressure is in correlation with lower salt intake. Over-consumption of salt carries a higher risk of cerebrovascular disease in overweight individuals. Conservative estimates suggest that salt intake reduction by 3 g/day could reduce the stroke rate by 13%; this percentage would be almost double if salt intake be reduced by 6 g/day and triple with a 9 g/day reduction. Salt intake reduction by 9 g/day could reduce the stroke rate by almost 30%. This corresponds to about 20,500 prevented strokes each year. There is evidence supporting a positive correlation of salt intake and stroke, independent of hypertension. The introduction of salt reduction proposal should be considered in future updates of recommendations for stroke prevention.
中风是克罗地亚第二大致死和致残原因。脑血管疾病的风险因素可分为循证风险因素和可能存在关联的因素。有力证据表明，目前的盐摄入量是影响血压升高以及脑血管疾病风险的最重要因素之一。高血压是中风的一个重要可改变风险因素。关于盐的研究表明，血压降低与较低的盐摄入量相关。超重个体过量摄入盐会带来更高的脑血管疾病风险。保守估计表明，每天减少3克盐的摄入量可使中风率降低13%；如果每天减少6克盐的摄入量，这一比例几乎会翻倍，而每天减少9克盐的摄入量则会使中风率降低两倍。每天减少9克盐的摄入量可使中风率降低近30%。这相当于每年可预防约20500例中风。有证据支持盐摄入量与中风之间存在正相关，且独立于高血压。在未来更新的中风预防建议中应考虑引入减盐提议。
