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Hypertension:老年人采取地中海饮食获益良多

2019-03-06 国际循环编辑部 国际循环

地中海饮食对血压和动脉硬化会产生何等具体影响,临床仍存在争议。近期,发表于Hypertension杂志的文章对此展开论述。

地中海饮食对血压和动脉硬化会产生何等具体影响,临床仍存在争议。近期,发表于Hypertension杂志的文章对此展开论述。

通常意义上的地中海饮食是为满足针对老年人的饮食建议而制定。在为期12个月的随机对照试验中(NU-AGE[针对欧洲老年人口健康老龄化特殊需求的饮食新策略]),研究人员从欧洲5个医疗中心征集年龄在65岁至79岁的健康受试者共1294例,测量并记录所有人的血压,将其中225例受试者参与者纳入亚组进行动脉硬化情况的监测。对干预组患者分别给予量身定制的标准化饮食建议和常见食物,以增加其对地中海饮食的坚持。对照组患者维持正常饮食,并接受现行国家饮食指导。在最终完成研究的1142例(88.2%)受试者中,干预1年后,患者的收缩压显著降低(-5.5 mm Hg;95%CI:-10.7~-0.4;P=0.03)。其中,男性的收缩压改善更显著(-9.2 mm Hg,P=0.02)。干预后舒张压下降1.7 mm Hg(95%CI:-4.3~0.9),结果无统计学意义。在动脉硬化亚组(n=225)中,患者动脉硬化的增强指数在干预后得到改善(-12.4;95%CI:-24.4~-0.5;P=0.04),脉冲波速无变化。此外,干预后患者的24小时尿钾水平升高(8.8 mmol/L;95%CI:0.7~16.9;P=0.03)。同时,男性受试者(52%)脉压(-6.1 mm Hg;95%C:-12.0~-0.2;P=0.04)和24小时尿钠水平(-27.1 mmol/L;95%CI:-53.3~-1.0;P=0.04)均显著降低。

研究人员认为,地中海式饮食可有效改善血管健康水平,尤其可改善患者的血压和动脉硬化情况。

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    2019-03-07 feather89
  3. [GetPortalCommentsPageByObjectIdResponse(id=2039036, encodeId=e30d2039036e3, content=<a href='/topic/show?id=b45d1e274e8' target=_blank style='color:#2F92EE;'>#TENS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17274, encryptionId=b45d1e274e8, topicName=TENS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b172500206, createdName=12498ebem19暂无昵称, createdTime=Thu Dec 05 19:06:00 CST 2019, time=2019-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727921, encodeId=f48b1e2792164, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Thu Mar 07 23:06:00 CST 2019, time=2019-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=363291, encodeId=f6a5363291de, content=很好的学习机会, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/04/12/cd30eefc465f70dc4dad89bd57479781.jpg, createdBy=02be2318568, createdName=一天没事干, createdTime=Thu Mar 21 08:30:06 CST 2019, time=2019-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1025870, encodeId=20d310258e0ef, content=地中海饮食是热点,被认为是最健康的饮食,而中国传统饮食一般被认为多半是不健康的,这是事实吗?其实需要更多严谨的科学证据,而不是猜测!, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健康达人, createdTime=Sat Mar 09 21:06:00 CST 2019, time=2019-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1501356, encodeId=bf3515013569e, content=<a href='/topic/show?id=f2db9238f9' target=_blank style='color:#2F92EE;'>#Hypertension#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9238, encryptionId=f2db9238f9, topicName=Hypertension)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Fri Mar 08 12:06:00 CST 2019, time=2019-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575495, encodeId=4c1f15e549507, content=<a href='/topic/show?id=cd9941326bc' target=_blank style='color:#2F92EE;'>#地中海#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41326, encryptionId=cd9941326bc, topicName=地中海)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=303116130321, createdName=wgx311, createdTime=Fri Mar 08 12:06:00 CST 2019, time=2019-03-08, status=1, ipAttribution=)]
    2019-03-21 一天没事干

    很好的学习机会

    0

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    2019-03-09 健康达人

    地中海饮食是热点,被认为是最健康的饮食,而中国传统饮食一般被认为多半是不健康的,这是事实吗?其实需要更多严谨的科学证据,而不是猜测!

    0

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    2019-03-08 wgx311

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