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补钙预防高血压:现有证据综述及对实践的启示

Calcium supplementation for the prevention of hypertension: a synthesis of existing evidence and implications for practise.

作者信息

Hamer O, Mohamed A, Ali-Heybe Z, Schnieder E, Hill J E

机构信息

University of Central Lancashire.

Blackpool Teaching Hospitals NHS Foundation Trust.

出版信息

Br J Card Nurs. 2024 Feb 24;19(2):0010. doi: 10.12968/bjca.2023.0010.

Abstract

Hypertension (also known as high blood pressure), is a medical condition characterized as a persistently raised blood pressure of the pulmonary artery. Effective interventions to treat hypertension typically involve two approaches: lifestyle modifications and pharmacotherapy. One specific lifestyle intervention which aims to increase calcium uptake through dietary supplementation, has recently gained popularity because of its potential to be low-cost and population based. Research suggests that this intervention may be effective given that calcium has been found to have an inverse relationship with blood pressure and hypertension. That said, studies have shown that there may be potential risks to patient health through adverse events such as kidney stone formation and increased cardiovascular events. Association between calcium supplementation and adverse events could have an impact on population health and prevent widespread adoption of the intervention. Because of the need to establish the effectiveness of this intervention assessed against any possible harms, it is now necessary to review the current evidence and evaluate its implications for clinical practise.

摘要

高血压(也称为血压高)是一种以肺动脉血压持续升高为特征的医学病症。治疗高血压的有效干预措施通常涉及两种方法:生活方式改变和药物治疗。一种旨在通过膳食补充剂增加钙摄入量的特定生活方式干预措施,因其可能成本低且基于人群而最近受到欢迎。研究表明,鉴于已发现钙与血压和高血压呈负相关,这种干预措施可能有效。也就是说,研究表明,通过诸如肾结石形成和心血管事件增加等不良事件,可能对患者健康存在潜在风险。钙补充剂与不良事件之间的关联可能会影响人群健康,并阻碍该干预措施的广泛采用。由于需要确定这种干预措施相对于任何可能危害的有效性,现在有必要审查当前证据并评估其对临床实践的影响。

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