DASH飲食法8周後血壓降10% DASH diet eight weeks after the blood pressure drop 10 percent

DASH飲食法8周後血壓降10% 　營養師們建議，DASH飲食原則，每日七到九份蔬果。 ●高血壓病患都知道要飲食控制，卻只有籠統概念，也不太清楚如何控制。美國研究團隊提出DASH(Dietary Approaches to Stop Hypertension) 飲食原則，是醫學界首度提供明確飲食比例，只要遵循此一原則，二周內血壓明顯下降，八周後，可以少吃一顆降血壓藥物！ 台灣營養學會、中華民國血脂及動脈硬化學會日前首度舉辦DASH飲食菜單設計競賽，希望將DASH飲食原則，變成實際可行的餐點設計，未來將推出食譜，供民眾及營養師參考。 血脂及動脈硬化學會理事長陳肇文說，美國DASH團隊的研究發現，在不控制病患鹽量攝取、不改變體重的條件下，若能遵循DASH飲食原則，八周後，降血壓的效果，和使用一顆降血壓藥物治療效果雷同。如果再加上限鹽策略，效果可達二倍。 陳肇文說，吃一顆降血壓藥物，可降低病患8%的血壓，而吃DASH飲食八周後，可以降低10%的血壓，因此強烈推薦爬敻ㄞf患或是瀕臨高血壓的民眾，將DASH飲食納入改善血壓的調整生活方式。 至於這DASH飲食原則到底為何？台北榮總營養部主任章樂綺指出，DASH飲食計畫營養素原則，一日熱量攝取不超過1800卡，熱量來源中，脂質佔27%、飽和脂肪佔6%、蛋白質佔18%、醣佔55%，再配合少鈉(2000毫克)、少膽固醇(300毫克)，攝取高量的鈣(750毫克)、鉀(4000毫克)、纖維(25克)。 台北的振興醫院營養師林孟瑜指出，DASH飲食設計並不容易。以鈉為例，一天2000毫克的鈉，代表只能吃5克的鹽，而天然食物中也有鈉，因此烹調時添加的鹽，一天只能放2.5克，如何在嚴格鹽分攝取限制中，又要有滋味，對營養師確是很高的挑戰。 DASH飲食概念還強調多攝取鈣、鎂、鉀，台灣基隆醫院營養室主任張皇瑜指出，鎂、鉀則可從堅果類攝取，一天至少一到二湯匙的芝麻、杏仁、核桃等堅果類。不過，張皇瑜警告，高鉀的餐點絕對不適合腎臟病患，腎臟病患應該先諮詢醫師與營養師。 有沒有簡明易懂的DASH飲食原則，營養師們建議，每日七到九份蔬果，吃點堅果類，二杯低脂牛奶，內臟、蛋黃千萬別碰，少鹽，多吃食物的天然滋味，就可以吃出健康。 陳肇文說，飲食控制最重要的是可近性要高，也就是要易做好吃。如果難吃或是太難烹調，病患根本不可能確實執行，美國設計的DASH餐點設計的很實際，所以接受度很高，因此才想廣召台灣的營養師、廚師設計DASH食譜，未來供民眾使用。（韋麗文） 2008-08-19 DASH diet eight weeks after the blood pressure drop 10 percent Dietitians recommend that, DASH diet principles, seven to nine fruits and vegetables daily. ● hypertensive patients to know that diet control, only a general concept, not too sure how to control. American research team proposed DASH (Dietary Approaches to Stop Hypertension) diet principles, the medical profession is the first time provide a clear diet ratio, simply follow this principle, two weeks, blood pressure decreased significantly, eight weeks, you can eat a blood pressure-lowering drugs ! Nutrition Institute in Taiwan, the Republic of China Institute of blood lipids and atherosclerosis before the first organized DASH diet menu design contest that will DASH diet principles into practical meal design, the future will offer recipes, for public reference and dieticians. Institute of blood lipids and atherosclerosis, chairman of Siu said, the U.S. team's DASH study found that patients in the control of salt intake does not, do not change the weight of the conditions, the DASH diet can follow the principle of eight weeks, the blood pressure-lowering effect, and The use of a blood pressure-lowering drug treatment identical. If we add salt cap strategy, up to twice the performance. Siu said, eating a blood pressure-lowering drugs, can reduce the 8 percent of patients with blood pressure, and eat eight weeks after the DASH diet, can reduce 10 percent of the blood pressure, therefore strongly recommended to climb Xiong ㄞ f suffering from hypertension or endangered the public, DASH diet improved blood pressure into the lifestyle adjustments. As this principle in the end of the DASH diet » Taipei Veterans General Hospital, director of the Department of Nutrition Le-chi pointed out that, DASH eating plan in principle nutrients day calorie intake is not more than 1,800 cards, the heat source, accounting for 27% of lipid, accounting for 6 percent saturated fat, protein accounted for 18 percent, sugar 55 per cent, With less sodium (2,000 mg) and less cholesterol (300 milligrams), a high intake of calcium (750 mg), potassium (4,000 mg), fiber (25 grams). Taipei's revitalization of the hospital dietitian Lin Meng Yu pointed out that, DASH diet is not easy to design. As an example to sodium, 2000 mg of sodium a day, eat only on behalf of five grams of salt, and natural foods have sodium, cooking, add the salt, can only take 2.5 grams a day, how to strictly limit salt intake, and You Ziwei to the dietitian is a very high challenge. DASH diet also stressed the concept of multi-intake of calcium, magnesium, potassium, Keelung, Taiwan Hospital nutrition director Zhang Huang-yu, magnesium, potassium intake may be from the nuts, one day at least 1 to 2 tablespoons of sesame seeds, almonds, walnuts and other nuts. However, Zhang Huang Yu warned that the high-K of the meal is not suitable for kidney disease, kidney disease should consult doctors and nutritionists. Are not easily understandable principles DASH diet, nutritionists recommended that seven to nine fruits and vegetables a day, eat nuts, 2 cups low-fat milk, offal, egg yolk 10 million Biepeng, Shaoyan, eat natural foods Taste, you can Chichu health. Siu said, diet control is the most important thing of the past may be high, that is easy to eat well. If Nanchi or too difficult to cook, the patient simply can not be implemented with certainty, the United States designed the DASH meals designed very practical, so a high degree of acceptance, so-called Taiwan only to the gourmet chefs design DASH diet, the future For public use. (Wei Li Wen) 2008-08-19 For more information, see World Journal News ePaper.

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