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日本中风和高血压的饮食风险因素——第3部分:日本农村和渔村风险因素的比较研究。

Dietary risk factors of stroke and hypertension in Japan -- Part 3: Comparative study on risk factors between farming and fishing villages in japan.

作者信息

Yamori Y, Kihara M, Fujikawa J, Soh Y, Nara Y, Ohtaka M, Horie R, Tsunematsu T, Note S, Fukase M

出版信息

Jpn Circ J. 1982 Sep;46(9):944-7. doi: 10.1253/jcj.46.944.

Abstract

General medical examinations were performed in two rural areas of Shimane Prefecture in Japan, one was a farming village and the other a fishing village where incidences of death due to stroke differed, higher in the former and lower in the latter. Comparisons were made on salt and protein intake by analyzing the fasting single spot urine collected in the morning and by blood tests. Urine samples were analyzed for sodium (Na), potassium (K), urea nitrogen (UN), inorganic sulfate (SO4) and creatinine (Cr) and blood samples for cholesterol (Chl), triglyceride (TG), hematocrit (Ht) and hemoglobin (Hb). Blood pressure, Na/Cr, Na/K and Ht were higher in the farming village and K/Cr, UN/Cr, SO4/Cr, SO4/UN, Chl and TG were higher in the fishing village. These findings indicate the higher salt intake and lower intake of K, animal protein and fat in the farming village. This typical dietary pattern of the Japanese may explain the higher incidence of hypertension and stroke in the farming village.

摘要

在日本岛根县的两个农村地区进行了一般体格检查,一个是农村村庄,另一个是渔村,中风死亡率有所不同,前者较高,后者较低。通过分析早晨采集的空腹单次晨尿和血液检测,对盐和蛋白质摄入量进行了比较。对尿液样本进行了钠(Na)、钾(K)、尿素氮(UN)、无机硫酸盐(SO4)和肌酐(Cr)的分析,对血液样本进行了胆固醇(Chl)、甘油三酯(TG)、血细胞比容(Ht)和血红蛋白(Hb)的分析。农村村庄的血压、Na/Cr、Na/K和Ht较高,渔村的K/Cr、UN/Cr、SO4/Cr、SO4/UN、Chl和TG较高。这些发现表明农村村庄的盐摄入量较高,而K、动物蛋白和脂肪的摄入量较低。日本人这种典型的饮食模式可能解释了农村村庄高血压和中风发病率较高的原因。

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