Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA.
Department of Cardiology, University of Texas Medical Branch, Galveston, TX 77555, USA.
Int J Environ Res Public Health. 2023 Feb 14;20(4):3337. doi: 10.3390/ijerph20043337.
Cardiovascular disease remains the leading cause of death globally and here in the United States. Diet has a major impact on the pathogenesis of atherosclerosis and subsequent cardiovascular morbidity and mortality. An unhealthy diet is the most significant potential behavioral and modifiable risk factor for ischemic heart disease. Despite these established facts, dietary interventions are far less frequent than pharmaceutical and procedural interventions in the management of cardiovascular disease. The beneficial effects of a plant-based diet on cardiovascular morbidity and mortality have been demonstrated in a number of recent clinical studies. The significant findings of each study are discussed in this review article, highlighting the role of a healthy plant-based diet in improving cardiovascular outcomes. From a clinician's standpoint, the knowledge and understanding of the facts and data points from these recent clinical studies would ensure more effective patient counseling on the substantial benefits of dietary interventions.
心血管疾病仍然是全球和美国的主要死亡原因。饮食对动脉粥样硬化的发病机制以及随后的心血管发病率和死亡率有重大影响。不健康的饮食是缺血性心脏病最重要的潜在行为和可改变的危险因素。尽管有这些既定事实,但在心血管疾病的管理中,饮食干预远远低于药物和手术干预。最近的一些临床研究已经证明了植物性饮食对心血管发病率和死亡率的有益影响。本综述文章讨论了每项研究的重要发现,强调了健康植物性饮食在改善心血管结局方面的作用。从临床医生的角度来看,了解和理解这些最近的临床研究的事实和数据点,将确保更有效地对患者进行关于饮食干预的实质性益处的咨询。