Little P, Margetts B
Primary Medical Care, University of Southampton.
Br J Gen Pract. 1996 Mar;46(404):187-92.
Evidence from meta-analyses, physiological data and individual studies suggests that diet and exercise are important in the aetiology and treatment of many of the conditions that are managed predominantly in primary care (hypercholesterolaemia, hypertension, diabetes, obesity and excess alcohol intake). However, much of the evidence comes from outside primary care, and it is doubtful whether those studies done in primary care used optimal intervention strategies. A priority for future research should be to demonstrate the feasibility, efficacy and efficiency of lifestyle interventions in a general practice setting.
荟萃分析、生理数据及个体研究的证据表明,饮食和运动在许多主要在初级保健中处理的病症(高胆固醇血症、高血压、糖尿病、肥胖症及过量饮酒)的病因及治疗中起着重要作用。然而,大部分证据来自初级保健之外,而且在初级保健中开展的那些研究是否采用了最佳干预策略也值得怀疑。未来研究的一个优先事项应该是证明生活方式干预在全科医疗环境中的可行性、有效性和效率。