翻译失误：心血管危险因素的饮食管理很少得到实施。

Lost in translation: dietary management of cardiovascular risk factors is seldom implemented.

作者信息

Grange Matthieu, Mayén Ana-Lucia, Guessous Idris, Waeber Gérard, Vollenweider Peter, Marques-Vidal Pedro

机构信息

Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Biopôle 2, Route de la Corniche 10, 1010 Lausanne, Switzerland.

Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Biopôle 2, Route de la Corniche 10, 1010 Lausanne, Switzerland; Unit of Population Epidemiology, Division of primary care medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Switzerland.

出版信息

Prev Med. 2015 Jul;76:68-73. doi: 10.1016/j.ypmed.2015.03.024. Epub 2015 Apr 18.

DOI:10.1016/j.ypmed.2015.03.024

PMID:25895841

Abstract

OBJECTIVE

To assess dietary management of cardiovascular risk factors (CVRFs) in the general population.

METHOD

Cross-sectional study conducted between 2009 and 2012 on 4811 participants (2567 women, 58±11years) living in Lausanne, Switzerland.

RESULTS

Sixteen percent of participants diagnosed with overweight/obesity reported a slimming diet. Slimming diet was associated with diagnosis of hypertension: Odds ratio and (95% confidence interval): 0.61 (0.40-0.93); older age [0.84 (0.58-1.21), 0.79 (0.53-1.18) and 0.47 (0.27-0.81) for [50-60[, [60-70[ and [70+ years, respectively]; female gender [1.84 (1.36-2.48)] and diagnosis of diabetes [2.16 (1.13-4.12)]. Only 8% of participants diagnosed with hypertension reported a low-salt diet. Low-salt diet was associated with antihypertensive drug treatment [2.17 (1.28-3.68)] and diagnosis of diabetes [2.72 (1.26-5.86)]. One-third of participants diagnosed with dyslipidemia reported a low-fat diet. Low-fat diet was associated with female gender [1.47 (1.17-1.86)]; older age [1.29 (0.89-1.87), 1.71 (1.18-2.48) and 2.01 (1.33-3.03) for [50-60[, [60-70[ and [70+ years, respectively]; hypolipidemic drug treatment [OR=1.68 (1.29-2.18)]; current smoking [0.70 (0.51-0.96)] and obesity [0.67 (0.45-1.00)]. Approximately half of participants diagnosed with diabetes reported an antidiabetic diet. Antidiabetic diet was associated with current smoking [0.44 (0.22-0.88)] and antidiabetic drug treatment [OR=3.26 (1.81-5.86)].

CONCLUSION

Dietary management of CVRFs is seldom implemented in Switzerland.

摘要

目的

评估普通人群中心血管危险因素（CVRFs）的饮食管理情况。

方法

于2009年至2012年对居住在瑞士洛桑的4811名参与者（2567名女性，年龄58±11岁）进行横断面研究。

结果

被诊断为超重/肥胖的参与者中有16%报告采用了减肥饮食。减肥饮食与高血压诊断相关：比值比及（95%置信区间）：0.61（0.40 - 0.93）；年龄较大[50 - 60岁为0.84（0.58 - 1.21），60 - 70岁为0.79（0.53 - 1.18），70岁及以上为0.47（0.27 - 0.81）]；女性[1.84（1.36 - 2.48）]以及糖尿病诊断[2.16（1.13 - 4.12）]。被诊断为高血压的参与者中只有8%报告采用了低盐饮食。低盐饮食与抗高血压药物治疗[2.17（1.28 - 3.68）]以及糖尿病诊断[2.72（1.26 - 5.86）]相关。被诊断为血脂异常的参与者中有三分之一报告采用了低脂饮食。低脂饮食与女性[1.47（1.17 - 1.86）]、年龄较大[50 - 60岁为1.29（0.89 - 1.87），60 - 70岁为1.71（1.18 - 2.48），70岁及以上为2.01（1.33 - 3.03）]、降血脂药物治疗[比值比 = 1.68（1.29 - 2.18）]、当前吸烟[0.70（0.51 - 0.96）]以及肥胖[0.67（0.45 - 1.00）]相关。被诊断为糖尿病的参与者中约有一半报告采用了糖尿病饮食。糖尿病饮食与当前吸烟[0.44（0.22 - 0.88）]以及抗糖尿病药物治疗[比值比 = 3.26（1.81 - 5.86）]相关。