ID | 111398 |
著者 |
Bando, Masaaki
Bando Heart Clinic
Fujiwara, Ikuyo
Bando Heart Clinic
Imamura, Yuki
Bando Heart Clinic
Takeuchi, Yoko
Bando Heart Clinic
Hayami, Eiko
Bando Heart Clinic
Nagao, Nobuko
Bando Heart Clinic
Abe, Hatsue
Bando Heart Clinic
Okumura, Mayumi
Bando Heart Clinic
Little, Mito
Bando Heart Clinic
Tanaka, Noriko
Bando Heart Clinic
Mori, Shizue
Bando Heart Clinic
Yuasa, Megumi
Bando Heart Clinic
Sakai, Kayo
Bando Heart Clinic
Kimoto, Yayoi
Bando Heart Clinic
Nishitani, Natsuko
Bando Heart Clinic
Yoneda, Shigemi
Bando Heart Clinic
Yamada, Kumiko
Bando Heart Clinic
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キーワード | Hypertension
Antihypertensive agents
registered dietitian nutritionist
Non-pharmacological interventions
Lifestyle habits adjustment
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資料タイプ |
学術雑誌論文
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抄録 | Background: Hypertension is one of lifestyle-related diseases, and prevention and effect of reduction pressure can be expected by non-pharmacological interventions. Authors have continued guidance of adjustment for lifestyle to thousands of hypertensive patients, resulting 4.6%-6.1% case could discontinue hypertensive agents. This study enrolled patients with all necessary related data.
Subjects and methods: Subjects were 50 patients with hypertension (M/F: 25/25, age 65.4 ± 8.6 vs. 53.4 ± 6.2 years, BMI 23.4 ± 2.7 vs. 22.3 ± 2.5, respectively), who could discontinued antihypertensive agents. They received consultation and intervention from registered dietitian nutritionists, exercise therapists and nurses. Results: The comparative results on males and females are as follows: smoking habit was 76% vs. 0%, alcohol intake was 60% vs. 0%, diabetes complication was 16% vs. 8%, and hyperlipidemia was 32% vs. 52%, respectively. These cases showed rare to none incidence of cerebral vascular accident (CVA), coronary heart disease (CHD) and chronic kidney disease (CKD). Consultations in median were 4.0 vs. 4.0 times, median weight reduction was 2.2 kg vs. 1.6 kg and median period withdrawal of the drug was 2.0 years vs. 2.5 years. Discussion and conclusion: When living adjustment is advised, blood pressure decreases due to behavior change. Our results suggest that these cases have less arteriosclerosis development, which enables withdrawal of medicine. It is necessary to carefully observe the progress whether the antihypertensive drug will be unnecessary or will be restarted. Current results obtained would become the fundamental data in the future, and the adjustment for diet and exercise would be useful for more adequate treatment for hypertension. |
掲載誌名 |
Journal of Hypertension : Open Access
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ISSN | 21671095
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出版者 | OMICS International
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巻 | 7
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号 | 1
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開始ページ | 248
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発行日 | 2018-03-01
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権利情報 | © 2018 Bando M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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出版社版DOI | |
出版社版URL | |
フルテキストファイル | |
言語 |
eng
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著者版フラグ |
出版社版
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部局 |
医学系
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