高血压仍然是喀麦隆的公共卫生问题,尽管生活方式和饮食措施是预防和管理高血压的主要方法。本研究旨在评估使用当地食物停止高血压(DASH)饮食的饮食方法对Ngaoundere地区医院高血压患者状况的影响。对160名高血压患者进行了病例对照研究,分为两组,测试和对照组。使用食物调查表评估患者的饮食习惯,并设计DASH饮食的表格,以提供最大2000kcal/d。对试验组(88例患者)进行DASH饮食,而对照组(72例)消耗正常饮食。两组均随访8周。收缩压和舒张压(SBP,DBP),体重指数(BMI),甘油三酯,HDL-c,观察两组患者干预前后的LDL-c和总胆固醇水平。结果表明,DASH饮食改善了测试组中高血压的所有指标,BMI显着降低,SBP,DBP,LDL-c和总胆固醇。对照组患者收缩压和舒张压升高的风险增加了14倍和7倍,分别,并因此暴露于高血压并发症。因此,本研究中建立的DASH饮食对于高血压的管理是有效的。
Hypertension remains a public health issue in Cameroon, though lifestyle and dietetic measures are the main approaches for the prevention and management of hypertension. The present study aimed at evaluating the impact of a Dietary Approaches to Stop Hypertension (DASH) diet using local foodstuffs on the status of hypertensive patients at the Ngaoundere Regional Hospital. A
case-control study was carried out with 160 hypertensive patients divided into two groups, a test and a control group. A food questionnaire was used to evaluate the food habits of patients and design the sheet of the DASH diet to provide a maximum of 2000 kcal/d. The DASH diet was administered to the test group (eighty-eight patients), while the control group (seventy-two patients) consumed their normal diet. Both groups were followed up for 8 weeks. The systolic and diastolic blood pressures (SBP, DBP), body mass index (BMI), triglycerides, HDL-c, LDL-c and total-cholesterol levels of patients of the two groups were measured before and after the intervention. The results indicate that the DASH diet improves all the markers of hypertension in the test group with significant decreases in BMI, SBP, DBP, LDL-c and total-cholesterol. Patients of the control group had fourteen and seven times more risk of having increased systolic and diastolic pressures, respectively, and are thus exposed to hypertension complications. The DASH diet established in this study is therefore effective for the management of hypertension.