Stroke：AHA指南推荐地中海饮食预防卒中

2014-11-17 美国心脏病学学院中国联络处美国心脏病学学院中国联络处

日前刊登在Stroke上的一项美国心脏学会/美国卒中学会（AHA/ASA）关于卒中一级预防的最新指南称，应鼓励人们调整生活方式，包括采用地中海饮食或防治高血压的饮食方法研究（DASH）饮食、参加体育锻炼、控制血压，以降低首次卒中的风险。 [pdf free] 这项声明旨在为医生和患者提供基于证据的、全面的预防卒中的方案。地中海和DASH饮食方案的特点是强调水果、蔬菜、全谷物、坚

日前刊登在Stroke上的一项美国心脏学会/美国卒中学会（AHA/ASA）关于卒中一级预防的最新指南称，应鼓励人们调整生活方式，包括采用地中海饮食或防治高血压的饮食方法研究（DASH）饮食、参加体育锻炼、控制血压，以降低首次卒中的风险。 [pdf free]

这项声明旨在为医生和患者提供基于证据的、全面的预防卒中的方案。地中海和DASH饮食方案的特点是强调水果、蔬菜、全谷物、坚果、家禽和鱼的重要性，同时限制摄入红肉及含饱和脂肪酸的食物。

指南还建议高血压患者在家监测血压。为防止高血压前期发展为高血压，建议调整生活方式，如加强体院锻炼、健康饮食及控制体重（尤其是减少钠盐的摄入）。指南还建议定期评估血压及降压药物是否有不良反应，戒烟。指南指出，对于伴有偏头痛的女性，吸烟者比一般人群的卒中风险高。

Meschia教授指出，我们有很多机会阻止新发卒中，尤其是出现在90%卒中患者中的高血压，中风并不致命，但其导致的身体、情感及精神障碍是可以避免的。

后记

尽管药物治疗有所帮助，但预防卒中最好的办法是改变人们的生活方式，养成健康的饮食和锻炼习惯。说服患者吃药很容易，让他们彻底改变生活方式却很难，但我们必须期望生活方式干预也有同样的证据标准。

原始出处：

Meschia JF, Bushnell C, Boden-Albala B, Braun LT, Bravata DM, Chaturvedi S, Creager MA, Eckel RH, Elkind MS, Fornage M, Goldstein LB, Greenberg SM, Horvath SE, Iadecola C, Jauch EC, Moore WS, Wilson JA.Guidelines for the Primary Prevention of Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association.Stroke. 2014 Oct 28. pii: STR.0000000000000046. [pdf free]

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2015-01-01 baihao215

生活方式的改变才是所有治疗的基石

171 0
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2014-12-19 rosa00tong

采用地中海饮食或防治高血压的饮食方法研究（DASH）饮食、参加体育锻炼、控制血压，以降低首次卒中的风险

159 0
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2014-11-19 zhaohui6731

#AHA#

88 0
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2014-11-19 wgx311

#地中海#

78 0

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