DASH饮食模式治疗高血压的研究进展与挑战  

Effect of the Modified DASH Diet of Hypertension:Research Progress and Challenges

作　　者：郭茹 廖晓阳[1] 李志超[1] 赵茜[1] GUO Ru;LIAO Xiaoyang;LIZhichao;ZHAO Qian(Interntional Medical Center/Department of General Practice and National Clinical Research Center for Geriatrics,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院特需医疗中心全科病房,国家老年疾病临床医学研究中心,四川省成都市610041

出　　处：《中国全科医学》2021年第20期2508-2513,共6页Chinese General Practice

基　　金：国家老年疾病临床医学研究中心重点项目(Z20191009);四川省科技计划项目(20SYSX0293)。

摘　　要：高血压是心血管疾病中导致全球疾病负担及死亡的主要原因,但全球的高血压控制率均较低。终止高血压(DASH)饮食常作为国际高血压联盟及多国高血压防治指南推荐的一线非药物控制血压措施,但因推广性较差、患者依从性低难以有效发挥其作用。改良DASH饮食契合不同的饮食文化和疾病特殊需求,有利于提升饮食外推性、治疗效果及患者依从性。但DASH饮食的改良方法繁多,目前的研究显示其对高血压相关危险因素的防治效果并不统一。本文从改良DASH饮食起源与发展、改良DASH饮食的效果、改良DASH饮食目前的挑战及展望进行阐述,以期为改良DASH饮食降压效果提供依据,为未来改良DASH饮食研究方向提供参考。Hypertension is a primary risk factor for cardiovascular disease,which is the leading cause of premature death worldwide.However,few people with hypertension achieve effective BP control.DASH diet,as a first-line blood pressure control measure recommended guidelines of hypertension by the Global Hypertension Practice and many Countries,is difficult to follow and translate,so the effectiveness was reduced.The modified DASH diet improves the effect of BP reduction and culture suitableness and is conducive to improving diet promotion,treatment effect,and diet compliance.However,there are many ways to the modified DASH diet,and the current research shows that evidence on the effect of the modified DASH diet on BP reduction is inconsistent.In this review,we summarized the research progress of the modified DASH diet,the effect of the modified DASH diet,the current challenges of the modified DASH diet,offering a reference to the effectiveness of the modified DASH diet and future research.

关 键 词：高血压 心血管疾病 DASH饮食 终止高血压膳食疗法 研究进展 挑战 

分 类 号：R544.1[医药卫生—心血管疾病]