Краткий ответ
Диастолическое артериальное давление можно снизить с помощью диеты DASH, различных форм физической активности, таких как аэробные нагрузки, ходьба, интервальные тренировки, футбол и бег, или комбинированных изменений образа жизни. Снижение может составлять от 1 до 9,6 мм рт. ст. в зависимости от подхода.
Обзор
Диетические меры, занятия спортом и комбинированные изменения образа жизни снижают диастолическое артериальное давление. В исследованиях по питанию диета DASH — с ограничением натрия или без него, снижением веса или увеличением потребления фруктов и овощей — снижает диастолическое давление примерно на 1–9,6 мм рт. ст. Например, в одном исследовании сообщалось о снижении на 6,4 мм рт. ст. при комбинации DASH и физической активности, а в другом было отмечено снижение на 9,6 мм рт. ст. при аналогичной комбинации.
Исследования физических нагрузок сообщают о пользе аэробной активности, ходьбы, интервальных тренировок и таких видов спорта, как футбол и бег. Снижение обычно составляет от 4 до 7 мм рт. ст., при этом в одном исследовании с футбольными тренировками было достигнуто снижение на 9 мм рт. ст. В испытаниях, сочетающих стратегии питания и физической активности, обычно наблюдалось снижение примерно от 3 до 6,6 мм рт. ст.
В нескольких работах отмечается, что такие вмешательства дают больший эффект у групп с гипертонией и высоким риском, таких как афроамериканцы и женщины в постменопаузе.
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Список литературы
01. Bhargava, A. (2018). Dietary Modifications and Lipid Accumulation Product Are Associated with Systolic and Diastolic Blood Pressures in the Women's Health Trial: Feasibility Study in Minority Populations. Current Hypertension Reports.
URL: https://link.springer.com/article/10.1007/s11906-018-0834-0
DOI: https://doi.org/10.1007/s11906-018-0834-0
02.Kucharska, A., Gajewska, D., Kiedrowski, M., Sińska, B., Juszczyk, G., Czerw, A., Augustynowicz, A., Bobiński, K., Deptała, A., & Niegowska, J. (2018). The Impact of Individualised Nutritional Therapy According to DASH Diet on Blood Pressure, Body Mass, and Selected Biochemical Parameters in Overweight/Obese Patients with Primary Arterial Hypertension: A Prospective Randomised Study. Kardiologia Polska.
URL: https://journals.viamedica.pl/kardiologia_polska/article/view/61463
DOI: https://doi.org/10.5603/KP.a2018.0006
03.Moreira-Rosário, A., Ismael, S., Barreiros-Mota, I., Morais, J., Rodrigues, C., Castela, I., Mendes, I. C., et al. (2023). Empowerment-Based Nutrition Interventions on Blood Pressure: A Randomized Comparative Effectiveness Trial. Frontiers in Public Health.
URL: https://www.frontiersin.org/articles/10.3389/fpubh.2023.1143707
DOI: https://doi.org/10.3389/fpubh.2023.1143707
04.Georgiades, A., Sherwood, A., Gullette, E., Babyak, M., Hinderliter, A., Waugh, R. A., Tweedy, D., Craighead, L., Bloomer, R. J., & Blumenthal, J. A. (2000). Effects of Exercise and Weight Loss on Mental Stress-Induced Cardiovascular Responses in Individuals with High Blood Pressure. Hypertension.
URL: https://www.ahajournals.org/doi/10.1161/01.HYP.36.2.171
DOI: https://doi.org/10.1161/01.HYP.36.2.171
05.Staffileno, B., Braun, L., & Rosenson, R. (1998). The Accumulative Effects of Physical Activity in Hypertensive Post-Menopausal Women. Journal of Cardiovascular Risk.
URL: https://journals.sagepub.com/doi/10.1177/204748739800500506
DOI: https://doi.org/10.1177/204748739800500506
06.Knoepfli-Lenzin, C., Sennhauser, C., Toigo, M., Boutellier, U., et al. (2010). Effects of a 12-week Intervention Period with Football and Running for Habitually Active Men with Mild Hypertension. Scandinavian Journal of Medicine & Science in Sports.
URL: https://onlinelibrary.wiley.com/doi/10.1111/j.1600-0838.2009.00924.x
DOI: https://doi.org/10.1111/j.1600-0838.2009.00924.x
07.Harsha, D., Lin, P., Obarzanek, E., Karanja, N., Moore, T. J., & Caballero, B. H. (1999). Dietary Approaches to Stop Hypertension: A Summary of Study Results. DASH Collaborative Research Group. Journal of the American Dietetic Association.
URL: https://www.sciencedirect.com/science/article/pii/S0002822399001088
DOI: https://doi.org/10.1016/S0002-8223(99)00108-8
08.Miller, E., Erlinger, T., Young, D., Jehn, M., Charleston, J., Rhodes, D., Wasan, S., & Appel, L. (2002). Results of the Diet, Exercise, and Weight Loss Intervention Trial (DEW-IT). Hypertension.
URL: https://www.ahajournals.org/doi/10.1161/01.HYP.0000032032.86493.7E
DOI: https://doi.org/10.1161/01.HYP.0000032032.86493.7E
09.Trials of Hypertension Prevention Collaborative Research Group. (1997). Effects of Weight Loss and Sodium Reduction Intervention on Blood Pressure and Hypertension Incidence in Overweight People with High-Normal Blood Pressure. The Trials of Hypertension Prevention, Phase II. Archives of Internal Medicine.
URL: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/622346
DOI: https://doi.org/10.1001/archinte.157.6.657
10.Dickinson, H., Mason, J. M., Nicolson, D., Campbell, F., Beyer, F., Cook, J. V., Williams, B., & Ford, G. (2006). Lifestyle Interventions to Reduce Raised Blood Pressure: A Systematic Review of Randomized Controlled Trials. Journal of Hypertension.
URL: https://journals.lww.com/jhypertension/Fulltext/2006/02000/Lifestyle_interventions_to_reduce_raised_blood.3.aspx
DOI: https://doi.org/10.1097/01.hjh.0000199800.72563.26
11.Langford, H., Davis, B., Blaufox, D., Oberman, A., Wassertheil-Smoller, S., & Hawkins, M. (1991). Effect of Drug and Diet Treatment of Mild Hypertension on Diastolic Blood Pressure. Hypertension.
URL: https://www.ahajournals.org/doi/10.1161/01.HYP.17.2.210
DOI: https://doi.org/10.1161/01.HYP.17.2.210
12.Mir, I. A., Chowdhury, M., Islam, R., Goh, Y. L., Chowdhury, A., Hasan, Z., & Higashi, Y. (2020). Relaxing Music Reduces Blood Pressure and Heart Rate Among Pre-hypertensive Young Adults: A Randomized Control Trial. The Journal of Clinical Hypertension.
URL: https://onlinelibrary.wiley.com/doi/10.1111/jch.13947
DOI: https://doi.org/10.1111/jch.13947
13.Leserman, J., Stuart, E., Mamish, M. E., Deckro, J., Beckman, R. J., Friedman, R., & Benson, H. (1989). Nonpharmacologic Intervention for Hypertension: Long-Term Follow-Up.
Примечание: библиографические детали в PDF неполные. Вероятный источник относится к программе релаксации Бенсона-Генри; точный журнал/DOI не указан.
14.Fu, J., Liu, Y., Zhang, L., Zhou, L., Li, D., Quan, H., Zhu, L., et al. (2020). Nonpharmacologic Interventions for Reducing Blood Pressure in Adults With Prehypertension to Established Hypertension. Journal of the American Heart Association.
URL: https://www.ahajournals.org/doi/10.1161/JAHA.120.016804
DOI: https://doi.org/10.1161/JAHA.120.016804
15.Senkus, K., Dudzik, J. M., Lennon, S. L., DellaValle, D. M., Moloney, L., Handu, D., & Rozga, M. (2024). Medical Nutrition Therapy Provided by a Dietitian Improves Outcomes in Adults with Pre-Hypertension or Hypertension: A Systematic Review and Meta-Analysis. American Journal of Clinical Nutrition.
URL: https://academic.oup.com/ajcn/article/119/5/1045/7625405
DOI: https://doi.org/10.1093/ajcn/nqae053
16.Appel, L., Champagne, C., Harsha, D., Cooper, L., Obarzanek, E., Elmer, P., Stevens, V., et al. (2003). Effects of Comprehensive Lifestyle Modification on Blood Pressure Control: Main Results of the PREMIER Clinical Trial. JAMA.
URL: https://jamanetwork.com/journals/jama/fullarticle/196204
DOI: https://doi.org/10.1001/jama.289.16.2083
17.Appel, L., Moore, T. J., Obarzanek, E., Vollmer, W., Svetkey, L., Sacks, F. M., Bray, G. A., et al. (1997). A Clinical Trial of the Effects of Dietary Patterns on Blood Pressure. DASH Collaborative Research Group. New England Journal of Medicine.
URL: https://www.nejm.org/doi/full/10.1056/NEJM199704173361601
DOI: https://doi.org/10.1056/NEJM199704173361601
18.Resnick, L., Oparil, S., Chait, A., Haynes, R., Kris-Etherton, P., Stern, J., Clark, S., et al. (2000). Factors Affecting Blood Pressure Responses to Diet: The Vanguard Study. American Journal of Hypertension.
URL: https://academic.oup.com/ajh/article/13/9/956/231075
DOI: https://doi.org/10.1016/S0895-7061(00)01216-0
19.Svetkey, L., Simons-Morton, D., Proschan, M., Sacks, F., Conlin, P., Harsha, D., & Moore, T. (2004). Effect of the Dietary Approaches to Stop Hypertension Diet and Reduced Sodium Intake on Blood Pressure Control. The Journal of Clinical Hypertension.
URL: https://onlinelibrary.wiley.com/doi/10.1111/j.1524-6175.2004.02448.x
DOI: https://doi.org/10.1111/j.1524-6175.2004.02448.x
20.Svetkey, L., Simons-Morton, D., Vollmer, W., Appel, L., Conlin, P., Ryan, D., Ard, J., & Kennedy, B. (1999). Effects of Dietary Patterns on Blood Pressure: Subgroup Analysis of the DASH Randomized Clinical Trial. Archives of Internal Medicine.
URL: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/485728
DOI: https://doi.org/10.1001/archinte.159.3.285
21.Conlin, P., Chow, D., Miller, E., Svetkey, L., Lin, P., Harsha, D., Moore, T., et al. (2000). The Effect of Dietary Patterns on Blood Pressure Control in Hypertensive Patients: Results from the DASH Trial. American Journal of Hypertension.
URL: https://academic.oup.com/ajh/article/13/9/949/227820
DOI: https://doi.org/10.1016/S0895-7061(00)01215-9
22.Elmer, P., Obarzanek, E., Vollmer, W., Simons-Morton, D., Stevens, V., Young, D., Lin, P., et al. (2006). Effects of Comprehensive Lifestyle Modification on Diet, Weight, Physical Fitness, and Blood Pressure Control: 18-Month Results of a Randomized Trial. Annals of Internal Medicine.
URL: https://www.acpjournals.org/doi/10.7326/0003-4819-144-7-200604040-00007
DOI: https://doi.org/10.7326/0003-4819-144-7-200604040-00007
23.Whelton, P. K., Kumanyika, S. K., Cook, N. R., Cutler, J. A., Borhani, N. O., Hennekens, C. H., Kuller, L. H., et al. (1997). Efficacy of Nonpharmacologic Interventions in Adults with High-Normal Blood Pressure: Results from Phase 1 of the Trials of Hypertension Prevention. American Journal of Clinical Nutrition.
URL: https://academic.oup.com/ajcn/article/65/2/652S/4655468
DOI: https://doi.org/10.1093/ajcn/65.2.652S
24.Whelton, P., Appel, L., Charleston, J., Dalcin, A., Ewart, C. K., Fried, L., Kaidy, D., et al. (1992). The Effects of Nonpharmacologic Interventions on Blood Pressure of Persons With High Normal Levels: Results of the Trials of Hypertension Prevention, Phase I. JAMA.
URL: https://jamanetwork.com/journals/jama/article-abstract/400887
DOI: https://doi.org/10.1001/jama.267.9.1213
25.Conlin, P. R. (1999). The DASH Clinical Trial: Implications for Lifestyle Modifications in the Treatment of Hypertensive Patients. Cardiology in Review.
URL: https://journals.lww.com/cardiologyinreview/Abstract/1999/01000/The_DASH_Clinical_Trial__Implications_for_Lifestyle.7.aspx
DOI: https://doi.org/10.1097/00045415-199901000-00007
26.Stamler, R., Stamler, J., Gosch, F., & McDonald, A. (1984). Primary Prevention of Hypertension–a Randomized Controlled Trial. Annals of Clinical Research.
URL: https://pubmed.ncbi.nlm.nih.gov/6370295/
Примечание: DOI не присвоен; доступна запись в PubMed.
27.Anderssen, S., Holme, I., Urdal, P., & Hjermann, I. (1995). Diet and Exercise Intervention Have Favourable Effects on Blood Pressure in Mild Hypertensives: The Oslo Diet and Exercise Study (ODES). Blood Pressure.
URL: https://www.tandfonline.com/doi/abs/10.3109/08037059509077553
DOI: https://doi.org/10.3109/08037059509077553
28.Biesinger, S., Michaels, H. A., Quadros, A., Qian, Y., Rabovsky, A. B., Badger, R. S., & Jalili, T. (2016). A Combination of Isolated Phytochemicals and Botanical Extracts Lowers Diastolic Blood Pressure in a Randomized Controlled Trial of Hypertensive Subjects. European Journal of Clinical Nutrition.
URL: https://www.nature.com/articles/ejcn2016148
DOI: https://doi.org/10.1038/ejcn.2016.148
29.Maldonado-Martín, S., Gorostegi-Anduaga, I., Aispuru, G. R., Illera-Villas, M., Jurio-Iriarte, B., Francisco-Terreros, S., & Pérez-Asenjo, J. (2016). Effects of Different Aerobic Exercise Programs with Nutritional Intervention in Primary Hypertensive and Overweight/Obese Adults: EXERDIET-HTA Controlled Trial.
URL: https://pubmed.ncbi.nlm.nih.gov/27065747/
Примечание: Это, по-видимому, отчет о конференции/контролируемом исследовании; сведения о версии журнала ограничены.
30.Naseem, S., Ghazanfar, H., Assad, S., & Ghazanfar, A. (2016). Role of Sodium-Restricted Dietary Approaches to Control Blood Pressure in Pakistani Hypertensive Population. Journal of the Pakistan Medical Association.
URL: https://jpma.org.pk/article-details/7782
PubMed: https://pubmed.ncbi.nlm.nih.gov/27339537/
31.Shamsi, S., Salehzadeh, M., Ghavami, H., Asl, R. G. A., & Vatani, K. K. (2021). Impact of Lifestyle Interventions on Reducing Dietary Sodium Intake and Blood Pressure in Patients with Hypertension: A Randomized Controlled Trial. Turk Kardiyoloji Dernegi Arsivi (Turkish Journal of Cardiology).
URL: https://jag.journalagent.com/tkd/pdfs/TKDA_49_1_26_36.pdf
DOI: https://doi.org/10.5543/tkda.2020.67950
32.Sikiru, L., & Okoye, G. C. (2013). Effect of Interval Training Programme on Pulse Pressure in the Management of Hypertension: A Randomized Controlled Trial. African Health Sciences.
URL: https://www.ajol.info/index.php/ahs/article/view/90511
DOI: https://doi.org/10.4314/ahs.v13i3.30
33.Moore, T. J., Vollmer, W., Appel, L., Sacks, F., Svetkey, L., Vogt, T., et al. (1999). Effect of Dietary Patterns on Ambulatory Blood Pressure: Results from the DASH Trial. Hypertension.
URL: https://www.ahajournals.org/doi/10.1161/01.HYP.34.3.472
DOI: https://doi.org/10.1161/01.HYP.34.3.472
34.Paula, T. P., Viana, L., Neto, A. T. Z., Leitão, C., Gross, J., & Azevedo, M. (2015). Effects of the DASH Diet and Walking on Blood Pressure in Patients With Type 2 Diabetes and Uncontrolled Hypertension: A Randomized Controlled Trial. The Journal of Clinical Hypertension.
URL: https://onlinelibrary.wiley.com/doi/10.1111/jch.12455
DOI: https://doi.org/10.1111/jch.12455
35.Trials of Hypertension Prevention Collaborative Research Group. (1992). The Effects of Nonpharmacologic Interventions on Blood Pressure of Persons with High Normal Levels. Results of the Trials of Hypertension Prevention, Phase I. JAMA.
URL: https://jamanetwork.com/journals/jama/article-abstract/400887
DOI: https://doi.org/10.1001/jama.267.9.1213
36.Hypertension Prevention Trial Research Group. (1990). The Hypertension Prevention Trial: Three-Year Effects of Dietary Changes on Blood Pressure. Archives of Internal Medicine.
URL: https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/614267
DOI: https://doi.org/10.1001/archinte.150.1.153
37.The Treatment of Mild Hypertension Research Group. (1991). The Treatment of Mild Hypertension Study. A Randomized, Placebo-Controlled Trial of a Nutritional-Hygienic Regimen Along with Various Drug Monotherapies. Archives of Internal Medicine.
URL: https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/611797
DOI: https://doi.org/10.1001/archinte.151.7.1413
38.Applegate, W., Miller, S., Elam, J., Cushman, W., Derwi, D. E., Brewer, A., & Graney, M. (1992). Nonpharmacologic Intervention to Reduce Blood Pressure in Older Patients with Mild Hypertension. Archives of Internal Medicine.
URL: https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/614712
DOI: https://doi.org/10.1001/archinte.152.6.1160
39.Chen, Y.-L., Liu, Y.-F., Huang, C.-Y., Lee, S.-D., Chan, Y.-S., Chen, C.-C., Harris, B., & Kuo, C. (2010). Normalization Effect of Sports Training on Blood Pressure in Hypertensives. Journal of Sport Science.