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饮食策略预防心血管疾病风险因素。

Dietary strategies for cardiovascular disease risk factors prevention.

机构信息

Lifestyle Medicine Students' Club, Medical University of Lublin, Poland, ul. Chodzki 7, Lublin 20-093, Poland.

Clinical Dietetics Unit, Medical University of Lublin, Poland, ul. Chodzki 7, Lublin 20-093, Poland.

出版信息

Curr Probl Cardiol. 2024 Sep;49(9):102746. doi: 10.1016/j.cpcardiol.2024.102746. Epub 2024 Jul 11.

Abstract

Nutrition can play a key role in cardiovascular disease risk reduction, and its risk factors modification. This paper aims to present, compare, and summarize the main dietary concepts for preventing the main cardiovascular disease risk factors - obesity, hypertension, and dyslipidemia. The dietary models and macronutrient intakes were compared between main cardiovascular risk factors prevention recommendations. Dietary recommendations related to selected cardiovascular risk factors share the points, that can be suggested as crucial for overall cardiovascular risk factors reduction. Recommendations suggest limiting saturated fatty acids intake to <10% of total caloric intake in obesity, and <7 % in hypercholesterolemia, along with an increased intake of mono- and polyunsaturated fatty acids. In addition, daily dietary fiber intake should reach a level of 25-40 g. The vegetables and fruits should be consumed at a daily minimum level of 200g (or 4-5 portions) each. Salt intake should not exceed 5g/day. Alcohol should be generally avoided, and moderate intake levels (sex-specific) should not be exceeded. It is also worth noting, that proteins are essential for tissue formation and regeneration. Carbohydrates are the main source of energy, but it is necessary to choose products with a low glycemic index. Dietary antioxidants help combat free radicals and prevent cell damage.

摘要

营养在降低心血管疾病风险和改变其危险因素方面起着关键作用。本文旨在介绍、比较和总结预防主要心血管疾病危险因素(肥胖、高血压和血脂异常)的主要饮食概念。比较了预防主要心血管危险因素的饮食模式和宏量营养素摄入量。与选定的心血管危险因素相关的饮食建议有一些共同之处,这些共同点可以被认为是降低整体心血管危险因素的关键。建议将饱和脂肪酸摄入量限制在肥胖者总热量摄入的<10%,高胆固醇血症者的<7%,同时增加单不饱和和多不饱和脂肪酸的摄入。此外,每日膳食纤维摄入量应达到 25-40 克。蔬菜和水果的每日最低摄入量应为 200 克(或 4-5 份)。盐的摄入量不应超过 5 克/天。一般应避免饮酒,且不应超过特定性别规定的适量饮酒水平。还值得注意的是,蛋白质是组织形成和再生所必需的。碳水化合物是能量的主要来源,但需要选择血糖指数低的产品。膳食抗氧化剂有助于对抗自由基并防止细胞损伤。

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