中国全科医学2017，Vol.20Issue(3)：304-307,4.DOI:10.3969/j.issn.1007-9572.2017.03.008
北京市房山区张坊村高血压患者营养素摄入比例对握力的影响及机制研究
Effect and Mechanism of the Intake Proportion of Nutrients on Handgrip Strength of Patients with Hypertension in Zhangfang Village of Fangshan District of Beijing
王佳 1洪忠新 1武力 1丁冰杰 1毕研霞 1顾中一 1李伟1
作者信息
- 1. 100050北京市，首都医科大学附属北京友谊医院营养科
- 折叠
摘要
Abstract
Objective To investigate the effect and possible mechanism of the intake proportion of nutrients on handgrip strength of patients with hypertension in Zhangfang Village of Fangshan District of Beijing. Methods In May 2014, Department of Nutrition in Beijing Friendship Hospital, Capital Medical University carried out free clinics for villagers in Zhangfang Village, and according to the inclusion criteria, 69 patients with hypertension were enrolled as research objects. Physical indicators〔including body mass index( BMI),content of body fat( BF),waist ―hip ratio( WHR),arm muscle circumference ( AMC )〕were detected;the handgrip strength was measured by the grip dynamometer;and their drinking,smoking, activities and sleeping situations were recorded. The nutritional intake situation of villagers〔including carbohydrates intake proportion ( CHO﹪), protein intake proportion ( PRO﹪), fat intake proportion ( FAT﹪)〕was investigated by 24―hour dietary recall method. All the subjects'fasting venous blood was drawn to conduct the high―sensitivity C―reactive protein(hs-CRP). Results The CHO﹪ was positively related with hs-CRP and BF(p〈0. 05),and negatively related with AMC ( p 〈 0. 05 ). The PRO﹪ and FAT﹪ were negatively related with hs-CRP ( p 〈 0. 05 );PRO﹪ was negatively related with BF,and was positively related with AMC(p 〈0. 05). The hs-CRP was negatively related with grip strength of the left hand and the right hand(p〈0. 05). In the body indexes,BF was negatively related with handgrip strength ( p〈0. 05 ), and AMC was positively related with handgrip strength ( p 〈0. 05 ) . Conclusion Among the patients with hypertension,CHO﹪ and PRO﹪ may affect the level of grip strength by changing the degree of inflammatory reaction and body composition. Improving the dietary pattern,increasing the PRO﹪,and decreasing the CHO﹪ properly can alleviate the body inflammation reaction,decrease the body fat,increase the muscle mass,improve handgrip strength and muscle strength,and enhance the quality of life.关键词
高血压/握力/膳食/C反应蛋白质/体脂肪率Key words
Hypertension/Hand strength/Diet/C-reactive protein/Adiposity分类
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王佳,洪忠新,武力,丁冰杰,毕研霞,顾中一,李伟..北京市房山区张坊村高血压患者营养素摄入比例对握力的影响及机制研究[J].中国全科医学,2017,20(3):304-307,4.
