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高血压药物治疗患者的营养与生活方式

Nutrition and lifestyle in patients pharmacologically treated due to hypertension.

作者信息

Jarosz Mirosław, Wolańska Diana, Stolińska Hanna, Respondek Wioleta, Kłosiewicz-Latoszek Longina

机构信息

Department of Nutrition and Dietetics with Clinic of Metabolic Disea ses and Gastroenterology, National Food and Nutrition Institute, Warsaw, Poland.

Department of Prevention of Diet-related Diseases with Outpatient Clinic of Metabolic Diseases. National Food and Nutrition Institute.

出版信息

Cardiol J. 2016;23(5):491-496. doi: 10.5603/CJ.a2016.0049. Epub 2016 Jul 21.

Abstract

BACKGROUND

Proper nutrition and physical activity are together an important way of non-pharmacological treatment of arterial hypertension. The aim of the study was to answer the question whether patients with hypertension use non-pharmacological methods of hypertension treatment.

METHODS

The study included a group of 280 patients aged 18-85, suffering from hypertension. In the study, 10 nutritional and non-nutritional factors affecting the treatment of hypertension were analyzed. Data regarding the diet were collected by a method of 24-h recall. Basic anthropometric measurements (body weight, body height, waist and hip circumference) were taken, as well as threefold measurement of blood pressure. The data were statistically analyzed.

RESULTS

The average value of blood pressure was 131.2 ± 15.5/82.9 ± 10.5 mm Hg. Approximately 90% of the respondents had abnormal body weight, i.e. excessive weight or obesity. Abdominal obesity according to waist hip ratio assessment was diagnosed in 87% of women and 66% of men; according to the measurement of waist circumference, it was diagnosed in 140 (81%) women and 88 (81%) men. Among the ingredients with antihypertensive effect, the sodium intake was 4,417.8 ± 2,052.7 mg/d, which when converted to salt is on average 11 g/d, potassium: 3,808.5 ± 1,265.7 mg/d, calcium: 724.6 ± 413.7 mg/d, and magnesium: 383.9 ± 139.3 mg/d. One in 5 (18%) people declared smoking. Only 5% of subjects reported high level of physical activity.

CONCLUSIONS

In persons with diagnosed hypertension, vast majority of patients did not implement non-pharmacological hypertension treatment.

摘要

背景

合理营养与体育活动共同构成了动脉高血压非药物治疗的重要方式。本研究旨在回答高血压患者是否采用高血压非药物治疗方法这一问题。

方法

本研究纳入了一组280名年龄在18 - 85岁的高血压患者。研究中分析了影响高血压治疗的10个营养和非营养因素。通过24小时回顾法收集饮食数据。进行了基本人体测量(体重、身高、腰围和臀围)以及三次血压测量。对数据进行了统计分析。

结果

血压平均值为131.2±15.5/82.9±10.5毫米汞柱。约90%的受访者体重异常,即超重或肥胖。根据腰臀比评估,87%的女性和66%的男性被诊断为腹型肥胖;根据腰围测量,140名(81%)女性和88名(81%)男性被诊断为腹型肥胖。在具有降压作用的成分中,钠摄入量为4417.8±2052.7毫克/天,换算成盐平均为11克/天,钾:3808.5±1265.7毫克/天,钙:724.6±413.7毫克/天,镁:383.9±139.3毫克/天。五分之一(18%)的人宣称吸烟。只有5%的受试者报告有高水平的体育活动。

结论

在已确诊高血压的人群中,绝大多数患者未实施高血压非药物治疗。

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