McParland Victoria, Wilck Nicola
Experimental and Clinical Research Center, eine Kooperation von Charité - Universitätsmedizin Berlin und Max-Delbrück-Centrum für Molekulare Medizin, Berlin, Deutschland.
Max-Delbrück-Centrum für Molekulare Medizin in der Helmholtz-Gemeinschaft, Berlin, Deutschland.
Internist (Berl). 2021 Mar;62(3):269-276. doi: 10.1007/s00108-021-00988-0. Epub 2021 Feb 16.
Arterial hypertension along with a number of dietary risk factors top the global mortality statistics for noncommunicable diseases. The so-called Western diet and an increasingly sedentary lifestyle are partly responsible for the high prevalence of hypertension. A healthier diet has a major role in the prevention and treatment of hypertension. Given the wide range of options for dietary modifications, it is necessary to define important evidence-based cornerstones of a blood pressure-lowering diet and to assess its blood pressure-lowering potential. While extensive evidence has been generated in recent decades and guidelines emphasize healthier diets, implementation of dietary modifications remains a challenge in everyday clinical practice. Information and education as well as medical and nutritional support for patients can help to implement measures, such as weight and sodium restriction in the long term to improve the prognosis of patients with hypertension.
动脉高血压与一些饮食风险因素在全球非传染性疾病死亡率统计中名列前茅。所谓的西方饮食和日益久坐的生活方式在一定程度上导致了高血压的高患病率。更健康的饮食在高血压的预防和治疗中起着重要作用。鉴于饮食调整的选择范围广泛,有必要确定降压饮食的重要循证基石,并评估其降压潜力。尽管近几十年来已经产生了大量证据,且指南强调更健康的饮食,但在日常临床实践中实施饮食调整仍然是一项挑战。为患者提供信息和教育以及医疗和营养支持有助于实施一些措施,如长期限制体重和钠摄入,以改善高血压患者的预后。