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[高胆固醇血症的饮食疗法。临床营养师给出的指导方针能否进一步改善已遵循降胆固醇饮食的人群的饮食?]

[Diet therapy of hypercholesterolemia. Can the diet of persons who already follow a cholesterol-lowering diet be further improved by guidelines given by a clinical nutritionist?].

作者信息

Gørbitz C, Ose L

机构信息

Medisinsk avdeling A Rikshospitalet, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1994 Aug 10;114(18):2106-8.

PMID:7992266
Abstract

The objective of the study was to investigate whether expert advice from a clinical nutritionist improves the diet of patients who have previously been instructed by health professionals to follow a lipid-lowering diet. We investigated dietary composition before and after dietary intervention by a clinical nutritionist in 46 individuals, aged 33 to 65 years, with primary hypercholesterolemia. After intervention, there was a 25% reduction in the intake of saturated fat and of cholesterol (p < 0.0001) and an 65% elevation of the P/S-ratio (p < 0.05). Percentage of energy from fat remained unchanged. The diet of patients who are already following a lipid-lowering diet can be improved by expert advice from a clinical nutritionist, and they easily adjust to new habits.

摘要

该研究的目的是调查临床营养学家提供的专业建议是否能改善那些先前已接受健康专业人员指导遵循降脂饮食的患者的饮食情况。我们调查了46名年龄在33至65岁之间、患有原发性高胆固醇血症的个体在接受临床营养学家饮食干预前后的饮食构成。干预后,饱和脂肪和胆固醇的摄入量减少了25%(p<0.0001),P/S比值升高了65%(p<0.05)。脂肪提供的能量百分比保持不变。临床营养学家的专业建议可以改善已经在遵循降脂饮食的患者的饮食,并且他们很容易适应新的饮食习惯。

相似文献

1
[Diet therapy of hypercholesterolemia. Can the diet of persons who already follow a cholesterol-lowering diet be further improved by guidelines given by a clinical nutritionist?].[高胆固醇血症的饮食疗法。临床营养师给出的指导方针能否进一步改善已遵循降胆固醇饮食的人群的饮食?]
Tidsskr Nor Laegeforen. 1994 Aug 10;114(18):2106-8.
2
Dietary advice to reduce fat intake is more successful when it does not restrict habitual eating patterns.当减少脂肪摄入的饮食建议不限制习惯的饮食习惯时,会更成功。
J Am Diet Assoc. 1999 Jun;99(6):685-9. doi: 10.1016/S0002-8223(99)00166-2.
3
A clinical trial of the American Heart Association step one diet for treatment of hypercholesterolemia.美国心脏协会第一步饮食疗法治疗高胆固醇血症的临床试验。
J Fam Pract. 1991 Sep;33(3):249-54.
4
Maximal response to a plasma cholesterol-lowering diet is achieved within two weeks.血浆胆固醇降低饮食的最大反应在两周内即可实现。
Nutr Metab Cardiovasc Dis. 2002 Oct;12(5):291-5.
5
Women and men with hypercholesterolemia respond similarly to an American Heart Association step 1 diet.患有高胆固醇血症的女性和男性对美国心脏协会第一步饮食计划的反应相似。
J Am Diet Assoc. 1995 Apr;95(4):436-41. doi: 10.1016/S0002-8223(95)00118-2.
6
Individual responses to a cholesterol-lowering diet in 50 men with moderate hypercholesterolemia.50名中度高胆固醇血症男性对降胆固醇饮食的个体反应。
Arch Intern Med. 1994 Feb 14;154(3):317-25.
7
The Diet Habit Survey: a new method of dietary assessment that relates to plasma cholesterol changes.饮食习惯调查:一种与血浆胆固醇变化相关的膳食评估新方法。
J Am Diet Assoc. 1992 Jan;92(1):41-7.
8
Lipid management clinic: dietary intervention for patients with hypercholesterolemia.脂质管理诊所:高胆固醇血症患者的饮食干预
J Am Diet Assoc. 1990 Feb;90(2):272-4.
9
Intensive nutrition counseling enhances outcomes of National Cholesterol Education Program dietary therapy.强化营养咨询可提高国家胆固醇教育计划饮食疗法的效果。
J Am Diet Assoc. 1996 Oct;96(10):1003-10; quiz 1011-2. doi: 10.1016/S0002-8223(96)00268-4.
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Efficacy of the National Cholesterol Education Program Step I diet. A randomized trial incorporating quick-service foods.国家胆固醇教育计划第一步饮食方案的功效。一项纳入速食食品的随机试验。
Arch Intern Med. 1996 Feb 12;156(3):305-12.