Clinical study on nutritional therapy for hypertension among obese children and adolescents
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Clinical study on nutritional therapy for hypertension among obese children and adolescents
Journal of Chongqing Medical UniversityVol. 37, Issue 2, Pages: 177-179(2012)
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解放军第309医院营养科,北京,100091
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Published:2012,
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ZUO Xiaoxia, WANG Jing, ZHANG Ye. Clinical study on nutritional therapy for hypertension among obese children and adolescents. [J]. Journal of Chongqing Medical University 37(2):177-179(2012)
DOI:
ZUO Xiaoxia, WANG Jing, ZHANG Ye. Clinical study on nutritional therapy for hypertension among obese children and adolescents. [J]. Journal of Chongqing Medical University 37(2):177-179(2012)DOI:
Clinical study on nutritional therapy for hypertension among obese children and adolescents
目的:研究肥胖儿童高血压的发病率及经合理饮食干预、运动等综合治疗后的转归,为儿童青少年高血压的防治提供营养治疗指导。方法:以72例6~18岁的肥胖伴高血压儿童青少年为研究对象。总热能根据年龄、性别、身高及肥胖程度制定,一般为4 180~7 524 kJ/d,高蛋白质、脂肪和碳水化合物三者占总热能的百分比分别为20%~25%、25%~30%和45%~50%。除营养干预外,每天运动不少于30 min并常规补充多种维生素及微量元素制剂。结果:经以合理营养干预为主的综合治疗后,体质指数(Body mass index,BMI)、收缩压、舒张压较治疗前明显下降(P<0.05),高血压的痊愈率为79.2%(57/72),好转率为16.7%(12/72),未愈率为4.1%(3/72)。结论:以合理营养干预为主的综合治疗对儿童青少年肥胖伴原发性高血压(Essential hyperten-sion,EH)的防治具有明显疗效。
Abstract
Objective:To investigate the effect of nutrition intervention-oriented comprehensive treatment on obese children and ado-lescents with hypertension. Methods:Totally 72 obese children and adolescents with hypertension,aged 6~18 years,were enrolled. The total calories of diet were based on age,sex,height and degree of obesity,usually 4 180~7 524 kJ/d,which contained 20%~25% proteins,25%~30% fats,and 45%~50% carbohydrates. Besides nutrition intervention,the measurement included physical activities more than 30 min a day and supplements with vitamin compounds and trace elements daily. Results:After nutrition intervention-oriented comprehensive treatment,the values of BMI,SP,DP were statistically lower (P<0.05). The response rate was 79.2%(57/72),the im-provement rate was 16.7%(12/72) and the ineffectiveness rate was 4.1%(3/72). Conclusion:The nutrition intervention-oriented com-prehensive treatment can prevent and cure hypertension among obese children and adolescents
关键词
儿童青少年肥胖高血压营养干预
Keywords
children and adolescentobesityhypertensionnutritional intervention
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Echocardiographic changes in patients with acromegaly with hypertension and abnormal glucose metabolism
Clinical features of obstructive sleep apnea-hypopnea syndrome with overweight or obesity and related influencing factors
Clinical efficacy of Liraglutide combined with metformin in overweight or obese patients with PCOS
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