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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >The Effect of Intensified Diet Counseling on the Diet of Hypertensive Subjects in Primary Health Care: A 2-Year Open Randomized Controlled Trial of Lifestyle Intervention against Hypertension in Eastern Finland.
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The Effect of Intensified Diet Counseling on the Diet of Hypertensive Subjects in Primary Health Care: A 2-Year Open Randomized Controlled Trial of Lifestyle Intervention against Hypertension in Eastern Finland.

机译：在初级卫生保健中强化饮食咨询对高血压受试者饮食的影响：芬兰东部生活方式干预高血压的2年开放随机对照试验。

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Background. Diet is an essential part of the nonpharmacological management of hypertension. The aim of this study was to investigate in a primary health care setting the effect of intensified diet counseling on the diet of hypertensive subjects.Methods. A total of 715 free-living subjects, ages 25-74 years, with systolic blood pressure 140-179 mm Hg and/or diastolic blood pressure 90-109 mm Hg and/or drug treatment for hypertension participated in an open randomized trial with a 2-year follow-up at health centers in eastern Finland. The intervention group (n = 360) was advised to reduce their total fat, saturated fat, and salt intake and to increase monounsaturated and polyunsaturated fat intake as well as to reduce weight and to use alcohol in moderation if at all. The usual care group (n = 355) continued with their usual primary health care. The subjects filled out a 4-day food record, and 24-h urine samples were collected at baseline and at 1- and 2-year examinations.Results. The 2-year net changes (change in intervention minus change occurring in usual care group) in total fat intake [-2.7 E% (95% CI -4.0, -1.6; P < 0.0005)], in saturated fatty acid intake [-1.7 E% (95% CI -2.3, -1.1; P < 0.0005)], and in body weight [-1.4 kg (95% CI -2.0, -0.8; P < 0.0005)] were significant. Furthermore, the 2-year net change in daily sodium intake was significant, -9 mmol (95% CI -17, -2; P = 0.021), but the 24-h urinary sodium excretion showed no difference between the study groups.Conclusion. The intensified diet counseling in primary health care resulted in dietary changes interpreted as being of benefit in the long-term treatment of hypertension and prevention of atherosclerotic vascular diseases.
机译：背景。饮食是高血压非药物治疗的重要组成部分。这项研究的目的是在初级保健中研究强化饮食咨询对高血压受试者饮食的影响。共有715名年龄在25-74岁，收缩压在140-179 mm Hg和/或舒张压在90-109 mm Hg和/或对高血压进行药物治疗的自由受试者参加了一项在芬兰东部的医疗中心进行为期两年的随访。建议干预组（n = 360）减少其总脂肪，饱和脂肪和盐的摄入量，并增加单不饱和和多不饱和脂肪的摄入量，并减轻体重，并酌情使用酒精。常规护理组（n = 355）继续常规的初级保健。受试者填写了4天的食物记录，并在基线以及1年和2年检查时收集了24小时尿液样本。饱和脂肪酸摄入量[-2.7 E％（95％CI -4.0，-1.6; P <0.0005）]的2年净变化（干预变化减去常规护理组中发生的变化）[-2.7 E％（95％CI -4.0，-1.6; P <0.0005）]。 1.7 E％（95％CI -2.3，-1.1; P <0.0005）]和体重[-1.4 kg（95％CI -2.0，-0.8; P <0.0005）]是显着的。此外，两组每日钠摄入量的2年净变化显着，为-9 mmol（95％CI -17，-2; P = 0.021），但研究组之间的24小时尿钠排泄量无差异。 。在初级卫生保健中加强饮食咨询会导致饮食变化，这被解释为对高血压的长期治疗和预防动脉粥样硬化性血管疾病有益。

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