Department of Family Medicine and Public Health, UC San Diego Health, San Diego, CA, USA.
American International Medical University, Gros Islet, Saint Lucia.
Curr Cardiol Rep. 2024 Mar;26(3):121-134. doi: 10.1007/s11886-023-02008-z. Epub 2024 Mar 25.
Hypertension results in significant morbidity, mortality, and healthcare expenditures. Fortunately, it is largely preventable and treatable by implementing dietary interventions, though these remain underutilized. Here, we aim to explore the role of healthy dietary patterns in hypertension management and describe approaches for busy clinicians to address nutrition effectively and efficiently with patients.
DASH, Mediterranean, vegetarian, and vegan diets that include minimally processed, plant-based foods as core elements have consistently shown positive effects on hypertension. Recommendations that distill the most healthful components of these diets can significantly impact patient outcomes. Clinicians can harness evidence-based dietary assessment and counseling tools to implement and support behavioral changes, even during brief office visits. Healthful plant-based dietary patterns can often effectively prevent and treat hypertension. Clinicians may help improve patient outcomes by discussing evidence-based nutrition with their patients. Future work to promote infrastructural change that supports incorporating evidence-based nutrition into medical education, clinical care, and society at large can support these efforts.
高血压会导致严重的发病率、死亡率和医疗支出。幸运的是,通过实施饮食干预,高血压在很大程度上是可以预防和治疗的,尽管这些干预措施仍未得到充分利用。在这里,我们旨在探讨健康饮食模式在高血压管理中的作用,并描述忙碌的临床医生如何有效地、高效地为患者解决营养问题。
DASH 饮食、地中海饮食、素食和纯素饮食,这些饮食以加工程度低的植物性食物为核心要素,一直以来都对高血压有积极影响。从这些饮食中提炼出最健康成分的建议可以显著影响患者的治疗效果。临床医生可以利用基于证据的饮食评估和咨询工具来实施和支持行为改变,即使是在短暂的就诊期间。健康的植物性饮食模式通常可以有效地预防和治疗高血压。临床医生可以通过与患者讨论基于证据的营养来帮助改善患者的治疗效果。未来的工作可以促进基础设施的改变,支持将基于证据的营养纳入医学教育、临床护理和整个社会,从而为这些努力提供支持。