Primary prevention of hypertension - Clinical and public health advisory from the National High Blood Pressure Education Program
Primary prevention of hypertension - Clinical and public health advisory from the National High Blood Pressure Education Program
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DOI：
10.1001/jama.288.15.1882
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发表时间：
2002-10-16
影响因子：
120.7
通讯作者：
Karimbakas, J
中科院分区：
文献类型：
--
作者：
Whelton, PK;He, J;Karimbakas, J
国家高血压教育计划协调委员会于1993年发表了关于高血压一级预防的第一份声明。本文更新了1993年的报告，使用了来自科学文献的新的和进一步的证据。目前高血压一级预防的建议涉及以人群为基础的方法和集中于高血压高危个体的强化靶向策略。这两种策略是互补的，强调了6种有效预防高血压的方法：进行适度的体力活动;保持正常的体重;限制饮酒;减少钠的摄入量;保持足够的钾摄入量;以及食用富含水果，蔬菜和低脂乳制品的饮食，减少饱和脂肪和总脂肪。将这些方法作为公共卫生和临床实践的一部分应用于普通人群，可以帮助预防血压升高，并有助于降低正常高血压或高血压患者的血压水平。
The National High Blood Pressure Education Program Coordinating Committee published its first statement on the primary prevention of hypertension in 1993. This article updates the 1993 report, using new and further evidence from the scientific literature. Current recommendations for primary prevention of hypertension involve a population-based approach and an intensive targeted strategy focused on individuals at high risk for hypertension. These 2 strategies are complementary and emphasize 6 approaches with proven efficacy for prevention of hypertension: engage in moderate physical activity; maintain normal body weight; limit alcohol consumption; reduce sodium intake; maintain adequate intake of potassium; and consume a diet rich in fruits, vegetables, and low-fat dairy products and reduced in saturated and total fat. Applying these approaches to the general population as a component of public health and clinical practice can help prevent blood pressure from increasing and can help decrease elevated blood pressure levels for those with high normal blood pressure or hypertension.