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首页> 外文期刊>BMJ: British medical journal >Reducing sodium and increasing potassium intake
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Reducing sodium and increasing potassium intake

机译：减少钠盐和增加钾的摄入

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Hypertension and its associated cardiovascular and renal complications is a global health problem that imposes a heavy burden in terms of individual disability and financial costs to individuals and communities. Prevention and treatment of hypertension therefore is a major challenge to health institutions. The recommendation to reduce dietary sodium intake has been incorporated into guidelines for preventing and treating hypertension for decades, yet it is widely ignored even by patients with hypertension. In addition, despite the robust evidence that underlies a reduction in sodium intake, its implementation at the population level remains the object of recurrent criticism, with counterarguments often based on confounded study results or analyses that lack statistical power. Two linked research papers that focus on the effects of reduced sodium intake on blood pressure and related health problems are timely and may help dissipate the public's doubts about the value of reducing sodium intake. Another linked paper examines the health effects of higher potassium intake in adults and children and adds to earlier findings of an inverse association between potassium intake, as well as fruit and vegetable consumption, and blood pressure. Of note, the Department of Nutrition for Health and Development of the World Health Organization was directly involved in two of the three articles, and the results were used in the compilation of the recently updated WHO guidelines on sodium and potassium intake at population level. All three linked papers are systematic reviews and were conducted according to Cochrane Collaboration recommended methods. All report the results of updated meta-analyses of the findings of relevant studies conducted in healthy people (studies that recruited patients with major illnesses or diabetes were excluded). The authors mainly considered the results of randomised controlled trials of dietary interventions, but cohort studies were also included when information from such trials was unavailable or inconclusive.
机译：心血管和高血压及其相关肾的并发症是一个全球性的健康问题征收沉重的负担的个人残疾和财务成本个人和社区。因此治疗高血压是主要的对卫生机构的挑战。建议减少膳食钠摄入量已经被纳入指南预防和治疗高血压几十年来,然而人们普遍忽视甚至患者高血压证据是减少钠在人口摄入,它的实现水平仍然反复批评的对象,与反驳通常基于羞愧研究结果或分析,缺乏统计权力。减少钠的摄入对血液的影响压力和及时相关的健康问题和可以帮助消除公众的疑虑减少钠摄入量的价值。论文检查对健康的影响有关高钾摄入量在成人和儿童和增加了早些时候发现的逆钾摄入量之间的联系,以及食用水果和蔬菜,和血液压力。世界卫生的健康和发展组织是直接参与的两个三篇文章,和使用的结果编译的最近更新钠和钾的摄入量在指导方针人口水平。进行了系统回顾和显示Cochrane协作推荐的方法。所有报告更新的荟萃分析的结果相关研究的结果健康人(研究招募的病人重大疾病或糖尿病患者被排除在外)。作者主要考虑的结果随机对照试验的膳食干预措施,但队列研究也包括当信息从这些试验不可用或不确定。

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