1、营养膳食与疾病 慢性非传染性疾病的预防与控制改变生活方式可以预防高血压,这是一条经济、简便、有效途径 JNC7:生活方式调整 预防和控制高血压 JNC7:美国预防、检测、评估与治疗 高血压全国联合委员会第七次报告蔬菜水果和血压,血胆固醇p高血压是心脏病和脑中风的第一位的危险因素p控制血压十分重要,膳食对控制血压相当有效.Dietary Approaches to Stop Hypertension(DASH)studyp富含蔬菜水果;低脂肪(饱和脂肪,总脂肪)饮食 收缩压(高压)11 mm Hg 舒张压(低压)6 mm Hg -和降压药的效果类似150160170180190200210220
2、0102030(day )(mmHg)BTP treated groupControl vs.BTP treated group:*p0.05Control vs.GTP treated group:p240 mg/dL OR 6.2 mmol/L)Hypertension(DBP 90 mm Hg)x2.5x7x11x6x3x3x3Relationship between Cholesterol and CHD risk:The Framingham Study0255075100125150204205-234235-264265-294295CHD incidence per 1000S
3、erum cholesterol(mg/100 mL)mg/dL x 0.0259=mmol/L(Adapted from Verschuren et al.,1995)Serum total cholesterol(mmol/l)35302520151050Death rate from CHD/1000 men2.603.253.904.505.155.806.457.107.758.409.05Northern EuropeUnited StatesSouthern Europe,inlandSouthern Europe,MediterraneanJapanSerbia多酚消费和冠心病的关系北欧 2.6 mg/d克罗地亚 13.1mg/d 日本 68.2 mg/d