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生活方式、心理、社会经济和环境因素及其对 2019 冠状病毒病大流行期间高血压的影响。

Lifestyle, psychological, socioeconomic and environmental factors and their impact on hypertension during the coronavirus disease 2019 pandemic.

机构信息

Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institut für Klinische Pharmakologie und Toxikologie, Berlin, Germany.

Department of Hypertension, National Institute of Cardiology, Warsaw, Poland.

出版信息

J Hypertens. 2021 Jun 1;39(6):1077-1089. doi: 10.1097/HJH.0000000000002770.

DOI:10.1097/HJH.0000000000002770
PMID:33395152
Abstract

The coronavirus disease 2019 (COVID-19) pandemic considerably affects health, wellbeing, social, economic and other aspects of daily life. The impact of COVID-19 on blood pressure (BP) control and hypertension remains insufficiently explored. We therefore provide a comprehensive review of the potential changes in lifestyle factors and behaviours as well as environmental changes likely to influence BP control and cardiovascular risk during the pandemic. This includes the impact on physical activity, dietary patterns, alcohol consumption and the resulting consequences, for example increases in body weight. Other risk factors for increases in BP and cardiovascular risk such as smoking, emotional/psychologic stress, changes in sleep patterns and diurnal rhythms may also exhibit significant changes in addition to novel factors such as air pollution and environmental noise. We also highlight potential preventive measures to improve BP control because hypertension is the leading preventable risk factor for worldwide health during and beyond the COVID-19 pandemic.

摘要

2019 年冠状病毒病(COVID-19)大流行严重影响了健康、福祉、社会、经济和日常生活的其他方面。COVID-19 对血压(BP)控制和高血压的影响仍未得到充分探索。因此,我们全面回顾了在大流行期间可能影响 BP 控制和心血管风险的生活方式因素和行为以及环境变化的潜在变化。这包括对体力活动、饮食模式、饮酒量以及由此产生的后果(例如体重增加)的影响。其他可能导致 BP 升高和心血管风险增加的危险因素,如吸烟、情绪/心理压力、睡眠模式和昼夜节律变化,除了空气污染和环境噪声等新因素外,也可能发生显著变化。我们还强调了改善 BP 控制的潜在预防措施,因为高血压是 COVID-19 大流行期间及之后全球健康的主要可预防风险因素。

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