Little P, Girling G, Hasler A, Trafford A, Craven A
Hypertension Clinic, Royal Sussex County Hospital, Brighton, UK.
Postgrad Med J. 1990 Aug;66(778):616-21. doi: 10.1136/pgmj.66.778.616.
An 8-week combination low sodium, low fat, high fibre diet was compared to the individual components of this diet in a controlled trial using 193 patients already on treatment for essential hypertension. No significant changes were observed in the high fibre group. The low sodium group showed a decrease in systolic blood pressure which was close to significance. The low fat group showed a small but significant decrease in seated diastolic blood pressure and weight. The combination group showed larger and highly significant decreases in seated and standing systolic blood pressures, seated diastolic blood pressure and weight, as well as a significant reduction in standing diastolic blood pressure. We conclude that multiple dietary intervention in this case in the form of a low sodium, low fat, high fibre diet, is more effective than any single dietary intervention and is useful in patients already on medication.
在一项对照试验中,对193名已接受原发性高血压治疗的患者采用为期8周的低钠、低脂、高纤维联合饮食,并与该饮食的各个成分进行比较。高纤维组未观察到显著变化。低钠组收缩压有所下降,接近显著水平。低脂组坐位舒张压和体重有小幅但显著的下降。联合饮食组坐位和站立位收缩压、坐位舒张压和体重均有更大幅度且高度显著的下降,站立位舒张压也有显著降低。我们得出结论,在这种情况下,以低钠、低脂、高纤维饮食形式进行的多种饮食干预比任何单一饮食干预更有效,并且对已在服药的患者有用。