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JAMA Intern Med:SMASH行动对山东省盐摄入及血液的影响

2020-04-28 MedSci原创 MedSci原创

在中国山东省,由政府主导、以人群为基础的干预可减少饮食钠摄入量,适度改善血压

高盐摄入与高血压有关,而高血压是心血管疾病的最主要可变危险因素。近日研究人员评估了中国山东省政府主导、多部门和基于人口的干预措施对减少盐摄入量和血压的影响。
 
SMASH行动是一项为期5年的干预措施,旨在减少中国山东省的钠消费。在2011年(干预前参与者15350人)和2016年(干预后参与者16?490人)对两个具有代表性的成人(18-69岁)群体进行了调查,以检查与钠摄入量相关的血压、知识、态度和行为的变化,同时对尿钠和钾的排泄量进行测量。干预措施包括媒体宣传、分发小型盐匙、在市场和餐馆推广低钠产品,家庭和学校减钠教育活动。研究的主要结果是尿钠排泄量改变,次要结果是钾排泄、血压、知识、态度和行为的变化。
 
2011年的15350名参与者中,7683名(50.4%)为男性,平均年龄为40.7岁;2016年的16490名参与者中,8077名(50.7%)为男性,平均年龄为42.8岁。采集24小时尿样的参与者中,2011年男性1060人(51.8%),平均年龄40.9岁,2016年男性836人(50.7%),平均年龄40.7岁。24小时尿钠排泄量从2011年的5338毫克/天下降到4013毫克/天,下降了25%。钾排泄量从1607毫克/天增加到1850毫克/天,增加了15%。调整后所有参与者的平均收缩压从131.8毫米汞柱降至130.0毫米汞柱,舒张压从83.9毫米汞柱降至80.8毫米汞柱。与饮食钠减少和高血压相关的知识、态度和行为显著改善。
 
研究结果表明,在中国山东省,由政府主导、以人群为基础的干预可减少饮食钠摄入量,适度改善血压。
 
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    2020-04-30 kksonne
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    2020-04-30 江川靖瑶
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    2020-04-30 智慧医人
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    2020-04-28 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

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