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[在一个有组织人群中进行的为期3年的预防性干预期间缺血性心脏病的营养与风险因素动态变化]

[Nutritional and risk-factor dynamics of ischemic heart disease during a 3-year prophylactic intervention in an organized population].

作者信息

Khaltaev N G, Timofeeva T N, Zhukovskiĭ G S, Bulin V A, Ievlev A S

出版信息

Ter Arkh. 1989;61(11):102-7.

PMID:2633367
Abstract

An experimental and prophylactic study was performed in an organized population of 1563 men aged 20-59 years engaged in scientific work. Intervention was realized in a group at high risk, mainly at the expense of changes in nutrition. After 3 years the main group demonstrated the lowering of the total caloricity of nutrition, consumption of food cholesterol and refined sugar together with the rise of animal protein, poly- and monounsaturated fatty acids (PUFA and MUFA) and complex carbohydrates consumption, leading to reduction of risk factors for coronary disease. After 3 years the control group manifested a decrease of sugar and a rise of complex carbohydrates consumption, which was not associated with changes in risk factors. It has been established using a multiple step-by-step regression analysis that the greatest effect on the drop of blood plasma cholesterol was produced by body weight reduction and diminution of the content of SFA in the diet whereas the decrease of arterial pressure by body weight reduction and the rise of the PUFA portion in the diet.

摘要

对1563名年龄在20至59岁从事科研工作的男性组成的有组织人群进行了一项实验性和预防性研究。在高危组实施干预,主要通过改变营养方式。3年后,主要组显示营养总热量、食物胆固醇和精制糖的摄入量降低,同时动物蛋白、多不饱和脂肪酸和单不饱和脂肪酸(PUFA和MUFA)以及复合碳水化合物的摄入量增加,导致冠心病危险因素减少。3年后,对照组显示糖摄入量减少,复合碳水化合物摄入量增加,但这与危险因素的变化无关。通过多步逐步回归分析确定,体重减轻和饮食中饱和脂肪酸含量降低对血浆胆固醇下降的影响最大,而体重减轻和饮食中多不饱和脂肪酸比例增加对动脉血压下降有影响。

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