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Системные гипертензии

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Возможности коррекции артериального давления и метаболических нарушений при помощи диетических программ у пациентов с избыточной массой тела и ожирением

https://doi.org/10.26442/2075082X.2019.2.190354

Аннотация

Артериальная гипертония (АГ) является одним из значимых факторов риска сердечно-сосудистых заболеваний. Большинство экспертов признают тесную взаимосвязь избыточной массы тела и ожирения с повышенным давлением. Неуклонный рост доли лиц с АГ, который последнее время прослеживается в эпидемиологических исследованиях, связывают с пандемией ожирения и сопутствующими ему состояниями - метаболическим синдромом и сахарным диабетом. В связи с этим становится явным, что коррекция массы тела играет ключевую роль среди модифицируемых факторов риска. Согласно последним рекомендациям Американской кардиологической ассоциации и Европейского общества кардиологов все пациенты с АГ должны следовать диетическим рекомендациям. Существует огромное количество рекомендаций по питанию, потенциально снижающих артериальное давление (АД), таких как ограничение потребления соли, увеличение уровня калия в рационе, потребления клетчатки, полиненасыщенных жирных кислот. Некоторые рекомендации объединяются в диетические паттерны. Одним из таких является вегетарианство. Также есть диеты, показавшие свою эффективность в снижении АД. Среди них средиземноморская, северная, DASH-диета. Цель данного обзора состоит в рассмотрении популярных диетических подходов, снижающих АД, и имеющихся доказательств их эффективности.

Об авторах

Ю. В. Жернакова
ФГБУ «НМИЦ кардиологии»
Россия


Е. А. Железнова
ФГБУ «НМИЦ кардиологии»
Россия


И. Е. Чазова
ФГБУ «НМИЦ кардиологии»
Россия


Н. В. Блинова
ФГБУ «НМИЦ кардиологии»
Россия


К. П. Иванов
ФГБУ «НМИЦ кардиологии»
Россия


А. В. Стародубова
ФГБУН «ФИЦ питания и биотехнологии»
Россия


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Рецензия

Для цитирования:


Жернакова Ю.В., Железнова Е.А., Чазова И.Е., Блинова Н.В., Иванов К.П., Стародубова А.В. Возможности коррекции артериального давления и метаболических нарушений при помощи диетических программ у пациентов с избыточной массой тела и ожирением. Системные гипертензии. 2019;16(2):54-60. https://doi.org/10.26442/2075082X.2019.2.190354

For citation:


Zhernakova J.V., Zheleznova E.A., Chazova I.E., Blinova N.V., Ivanov K.P., Starodubova A.V. Possibilities of blood pressure and metabolic disorders correction by using diet programs in patients with overweight and obesity. Systemic Hypertension. 2019;16(2):54-60. https://doi.org/10.26442/2075082X.2019.2.190354

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