Abstract:
BACKGROUND:Diet is an essential part of the nonpharmacological management of hypertension. The aim of this study was to investigate in a primary health care setting the effect of intensified diet counseling on the diet of hypertensive subjects. METHODS:A total of 715 free-living subjects, ages 25-74 years, with systolic blood pressure 140-179 mm Hg and/or diastolic blood pressure 90-109 mm Hg and/or drug treatment for hypertension participated in an open randomized trial with a 2-year follow-up at health centers in eastern Finland. The intervention group (n = 360) was advised to reduce their total fat, saturated fat, and salt intake and to increase monounsaturated and polyunsaturated fat intake as well as to reduce weight and to use alcohol in moderation if at all. The usual care group (n = 355) continued with their usual primary health care. The subjects filled out a 4-day food record, and 24-h urine samples were collected at baseline and at 1- and 2-year examinations. RESULTS:The 2-year net changes (change in intervention minus change occurring in usual care group) in total fat intake [-2.7 E% (95% CI -4.0, -1.6; P < 0.0005)], in saturated fatty acid intake [-1.7 E% (95% CI -2.3, -1.1; P < 0.0005)], and in body weight [-1.4 kg (95% CI -2.0, -0.8; P < 0.0005)] were significant. Furthermore, the 2-year net change in daily sodium intake was significant, -9 mmol (95% CI -17, -2; P = 0.021), but the 24-h urinary sodium excretion showed no difference between the study groups. CONCLUSION:The intensified diet counseling in primary health care resulted in dietary changes interpreted as being of benefit in the long-term treatment of hypertension and prevention of atherosclerotic vascular diseases.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Korhonen M,Kastarinen M,Uusitupa M,Puska P,Nissinen Adoi
10.1006/pmed.2002.1120subject
Has Abstractpub_date
2003-01-01 00:00:00pages
8-16issue
1eissn
0091-7435issn
1096-0260pii
S0091743502911205journal_volume
36pub_type
临床试验,杂志文章,随机对照试验abstract::Marketing activities have attracted increased attention from scholars interested in racial disparities in obesity prevalence, as well as the prevalence of other preventable conditions. Although reducing the marketing of nutritionally poor foods to racial/ethnic communities would represent a significant step forward in...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2011.12.021
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:Habitual short sleep duration is a common practice linked to weight gain and risk of obesity. Our objective was to examine the association between sleep duration with other behaviors, such as physical activity and nutrition, which are important for obesity prevention efforts. METHODS:We used cross-sectional ...
journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ypmed.2007.11.008
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Many primary care practices do not have systematic protocols to identify patients who smoke or to encourage clinicians to provide smoking cessation advice. We designed a study to assess the relative effectiveness of two brief interventions on screening for smoking, physician cessation advice and patient smok...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.ypmed.2003.09.045
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abstract:BACKGROUND:In this paper two large nationwide trials are described, both of which will test a comparable telephone-based counseling intervention to promote cancer screening among the first-degree relatives (FDRs) of breast and colorectal cancer patients. The unit of randomization will be the family unit of eligible FDR...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0408
更新日期:1999-03-01 00:00:00
abstract::To investigate the effects of acclimation to a cold environment on the alteration of glucose and fat metabolism in diabetes, the levels of blood glucose, triacylglycerol, nonesterified fatty acid, and immunoreactive insulin were measured before and on the 3rd and 14th days after streptozotocin treatment in cold-acclim...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(87)90006-5
更新日期:1987-01-01 00:00:00
abstract::Up-to-date estimates of current and projected future cancer burden attributable to various exposures are essential for planning and implementing cancer prevention initiatives. The Canadian Population Attributable Risk of Cancer (ComPARe) study was conducted to: i) estimate the number and proportion of cancers diagnose...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.03.007
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Few published data in particular from the United States indicate that the implementation of guidelines for prevention of coronary heart disease (CHD) is far from optimal. The objective of our study was to identify the type and prevalence of lipid-lowering medications in a German outpatient CHD population and...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.2002.1050
更新日期:2002-07-01 00:00:00
abstract::Comparing lifestyle of people remaining sedentary during longer periods of their life with those favourably changing their behaviour can provide cues to optimize interventions targeting sedentary behaviour. The objective of this study was to determine lifestyle predictors of sustained leisure time sedentary behaviour ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.05.019
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Studies of the cardiovascular consequences of combat stress are few and inconclusive. OBJECTIVE:The association between combat exposure and subclinical atherosclerosis at Atherosclerosis Risk in Communities (ARIC) Study visits 1 (1987-1989) and 2 (1990-1992) was assessed among 5347 men from four U.S. commun...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2010.02.009
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:To assess the association between the built environment and physical fitness and physical activity in adolescents. METHODS:The study included 3528 adolescents, aged 12.5-17.5 years, who participated in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. The health-related physical fit...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2013.09.015
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:We estimated uptake of seasonal and 2009 influenza A(H1N1) vaccine among U.S. adults and assessed their perceptions of the seriousness of both types of influenza and corresponding attitudes toward vaccination during the 2009-2010 influenza season. We further documented how vaccine uptake and attitudes varied ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2010.05.008
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:Walkable urban form predicts physical activity and lower body mass index, which lower C-reactive protein (CRP). However, urban form is also related to pollution, noise, social and health behavior, crowding, and other stressors, which may complement or contravene walkability effects. PURPOSE:This paper asses...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2013.09.019
更新日期:2013-12-01 00:00:00
abstract::Although socioeconomic, behavioural, psychological, and biological factors have been individually linked to multimorbidity, data on the importance of these factors are limited. Our study aimed to determine the leading predictors for multimorbidity of chronic conditions in middle-aged Australian adults using machine le...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106260
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To examine the individual, behavioral, social and built environment correlates of body mass index (BMI) in an Australian adult population. METHOD:Using data from 2003 to 2005 on 1151 participants in the RESIDential Environments project (RESIDE), Perth, Western Australia, linear regression was used to constru...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2011.05.004
更新日期:2011-07-01 00:00:00
abstract:PURPOSE:To examine the association between medical marijuana dispensary (MMD) availability and adolescent marijuana use. METHODS:The study sample was comprised of 8th, 10th, and 12th graders (N=14,953) from 141 schools in the 2014 Monitoring the Future study, who resided in the 18 states that had legalized medical mar...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.07.015
更新日期:2016-10-01 00:00:00
abstract:OBJECTIVE:Despite the burden of colorectal cancer and improved health care outcomes with early detection and treatment, screening rates among eligible adults are low. We previously developed through a series of studies an interactive electronic tool, Colorectal Web, to promote colorectal cancer screening. METHOD:From ...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.ypmed.2007.07.003
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:Several international guidelines have recommended the involvement of general practitioners (GPs) in screening programs, but current evidence suggests this is very difficult. We implemented a survey to understand the attitudes, knowledge, and practices regarding colorectal cancer screening of GPs in the Lazio...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.11.010
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:While the effects of smoking and other modifiable risk factors on mortality and specific diseases are well established, their effects on ill health more generally are less known. Using two national, longitudinal surveys, the objective of this study was to analyze the effect of smoking and other modifiable ri...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2001.0991
更新日期:2002-03-01 00:00:00
abstract::Both cigarette smoking and obesity are significant public health concerns and are associated with increased risk of early mortality. It is well established that the mesolimbic dopamine pathway is an important component of the reward system within the brain and is implicated in the development of addiction. Indeed, nic...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2016.08.009
更新日期:2016-11-01 00:00:00
abstract::Some questions about adolescent smoking levels as reported in national surveys were recently raised by M. B. Mittelmark, D. M. Murray, R. N. Luepker, and T. F. Pechacek, [Prev. Med. 11, 708-712 (1982)]: such levels may be underreported, calling into question the decline in adolescent smoking. The present article sugge...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(84)90033-1
更新日期:1984-07-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2008.12.009
更新日期:2009-03-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1996.0096
更新日期:1996-09-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2015.01.011
更新日期:2015-04-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ypmed.2004.03.005
更新日期:2004-10-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2013.10.021
更新日期:2014-01-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ypmed.2017.03.008
更新日期:2017-06-01 00:00:00
abstract::OBJECTIVE.: The aim of the study was to explore opportunities for more effective interventions on lifestyle modifications among hypertensives. METHODS.: Using 2007 data from the Behavioral Risk Factor Surveillance System from the United States, we assessed the prevalence of various lifestyle behaviors and receipt of p...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2009.12.007
更新日期:2010-03-01 00:00:00
abstract::We conducted a health impact assessment (HIA) of cycling network expansions in seven European cities. We modeled the association between cycling network length and cycling mode share and estimated health impacts of the expansion of cycling networks. First, we performed a non-linear least square regression to assess th...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.12.011
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:The relationship between smoking regulations at the workplace and smoking habits was assessed among public-sector employees in southern Germany. METHODS:A cross-sectional study was conducted among 931 employees who were working under three different, long-existing types of smoking regulations: (a) no restri...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1994.1031
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:The effect of dieting and weight-control perceptions, goals, and behaviors on food intake, including fruit and vegetable (F&V) consumption, is not completely understood. We examined these associations in 1,755 young adolescents. METHODS:Data from the Teens Eating for Energy and Nutrition at School (TEENS) s...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.05.022
更新日期:2005-02-01 00:00:00