Deteriorating dietary habits among adults with hypertension
Deteriorating dietary habits among adults with hypertension
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DOI：
10.1001/archinternmed.2007.119
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发表时间：
2008-02-11
影响因子：
--
通讯作者：
Goff, David C.
中科院分区：
文献类型：
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作者：
Mellen, Philip B.;Gao, Sue K.;Goff, David C.
背景：尽管得舒饮食（终止高血压膳食疗法试验）是针对高血压患者推荐的治疗性生活方式改变之一，但人们对得舒饮食的遵循情况尚不明确。
方法：利用1988 - 1994年以及1999 - 2004年期间美国国家健康与营养检查调查（NHANES）的数据，根据9种营养指标（脂肪、饱和脂肪、蛋白质、胆固醇、纤维、镁、钙、钠和钾）（得分范围为0 - 9）评估了自述患有高血压的个体对得舒饮食的遵循情况。利用1999 - 2004年的数据，我们在年龄和能量校正模型中比较了不同人口群体的得舒饮食得分，并使用多变量逻辑回归对符合得舒饮食模式（≥4.5分）的几率进行建模。将得舒饮食得分、得舒饮食遵循情况以及达到各项指标的参与者百分比与1988 - 1994年NHANES数据的估计值进行了比较。
结果：在近期调查期间（1999 - 2004年），基于4386名已知患有高血压的参与者，在对年龄和能量摄入进行校正后，得舒饮食平均（标准误）得分为2.92（0.05），其中19.4%（1.2%）被归类为符合得舒饮食。在多变量逻辑回归模型中，符合得舒饮食与年龄较大、非黑人种族、较高的教育程度以及已知的糖尿病相关。与1988 - 1994年的NHANES相比，近期调查期间符合得舒饮食的比例低7.3%（1988 - 1994年为26.7%[1.1%]）（P
Background: Although the DASH (Dietary Approaches to Stop Hypertension trial) diet is among the therapeutic lifestyle changes recommended for individuals with hypertension (HTN), accordance with the DASH diet is not known.Methods: Using data from the National Health and Nutrition Examination Survey (NHANES) from the 19881994 and 1999-2004 periods, DASH accordance among individuals with self-reported HTN was estimated based on 9 nutrient targets (fat, saturated fat, protein, cholesterol, fiber, magnesium, calcium, sodium, and potassium) (score range, 0-9). Using data from 1999-2004, we compared the DASH score among demographic groups in age- and energy-adjusted models and modeled the odds of a DASH-accordant dietary pattern (>= 4.5) using multivariable logistic regression. The DASH score, DASH accordance, and percentage of participants achieving individual targets were compared with estimates from NHANES 1988-1994 data.Results: Based on 4386 participants with known HTN in the recent survey period (1999-2004), the mean (SE) DASH score, after adjustment for age and energy intake, was 2.92 (0.05), with 19.4% (1.2%) classified as DASH accordant. In multivariable logistic regression models, DASH accordance was associated with older age, nonblack ethnicity, higher education, and known diabetes mellitus. Accordance with DASH was 7.3% lower in the recent survey period compared with NHANES 1988-1994 (26.7% [1.1%]) (P