Hipertansiyonun Önlenmesi ve Tedavisinde Beslenme: Güncel Yaklaşımlar

Hipertansiyon tanısı alan bireylerin sayısı tüm dünyada, gün geçtikçe artmakta ve ölümler için en başta gelen risk etmeni olarak değerlendirilmektedir. Hipertansiyonun yönetimi, tıbbi beslenme tedavisinin içinde yer aldığı yaşam tarzı değişiklikleri ve hastalığa özel olan ilaçlar ile sağlanabilmektedir. Güncel veriler ışığında diyetin etkileri değerlendirildiğinde, hipertansiyonu önleme ve tedavi süreçlerinde diyetteki karbonhidrat, protein ve lipidler gibi makro besin ögelerinin yanı sıra sodyum, klor, potasyum, kalsiyum ve magnezyum ile C, D, E vitaminleri gibi bazı vitaminler, diyet posası ile alkol tüketiminin etkilerinin olduğu görülmüştür.

Nutrition in Prevention and Treatment of Hypertension: Current View

Diagnosis of hypertension around the world is increasing day by day and becoming the major risk factor for the death. Hypertension could be managed by lifestyle modification including nutritional treatment and disease-spesific drugs. To prevent and treat the hypertension, dietary evaluation made by current literature show the effects of not only the macro nutrients like carbohydrate, protein, lipids but also micro nutrients like sodium, chloride, potassium, calcium, magnesium, vitamin C, D, E, fiber and alcohol intake.

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1.Global brief on hypertension. Silent killer, global public health crisis. Geneva: World Health Organization. 2013; WHO/DCO/ WHD/2013.2.
2.The World Health Organization Global Status Report on Noncommunicable Diseases 2014. World Health Organization 2014. ISBN 978 92 4 156485 4.
3.Mendis S, Davis S, Norrving B. One more landmark step in the combat against atroke and vascular disease. Stroke 2015;46(5):e121-e122.
4.Lacklandm DT, Blumenthal RS, Cannon CP, de Lemos JA, Gersh BJ, Gore JM, et al. Treatment of hypertension in patients with coronary artery disease. Hypertens 2015;65:1998-2038.
5.Wuerznera G, Burnier M. Management of arterial hypertension. Cardiovasc Med 2015;18(1):6-8.
6.Appel LJ. ASH position paper: dietary approaches to lower blood pressure. J Clin Hypertens 2009;11(7):358- 368.
7.Health, United States, 2014: With Special Feature on Adults Aged 5564. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. DHHS Publication No. 2015-1232.
8.James PA, Oparil S, Carter B, Cushman WC, Dennison- Himmelfarb C, Handler J, et al. Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014;311(5):507-520.
9.Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH); Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC). ESH/ ESC Guidelines for the Management of Arterial Hypertension. Blood Press 2013;22(4):193-278.
10.Onat A, Şenocak M, Örnek E, Gözükara Y, Şurdum- Avcı G, Karaaslan Y, et al. Türkiyede erişkinlerde kalp has- talığı ve risk faktörleri sıklığı taraması: 5. Hipertansiyon ve sigara içimi. Türk Kardiyol Dern Arş 1991;19:169-177.
11.Altun B, Arıcı M, Nergizoğlu G, Derici Ü, Karatan O, Turgan Ç, Sindel Ş, Erbay B, Hasanoğlu E, Çağlar Ş, and for the Turkish Society of Hypertension and Renal Diseases. Prevalence, awareness, treatment and control of hypertension in Turkey (the PatenT study) in 2003. J Hypertens 2005;23(10):1817-1823.
12.Satman İ, Alagöl F, Ömer B, Kalaca S, Tütüncü Y, Çolak N. Türkiye diyabet, hipertansiyon, obezite ve endokrinolojik hastalıklar prevalans çalışması-II. TURDEP II). Türkiye Endokrinoloji ve Metabolizma Derneği resmi web sayfası: 2011. Erişim: http://www.istanbul.edu.tr/itf/attachments/021_turdep.2.sonuclarinin.aciklamasi.pdf.
13.Arıcı M, Turgan C, Altun B, Sindel S, Erbay B, Derici U, et al. Hypertension incidence in Turkey (HinT): a population-based study. J Hypertens 2010;28:240-244.
14.Eckel RH, Jakicic JM, Ard JD, de Jesus JM, Miller NH, Hubbard VS, et al. AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk. A report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation 2014;129(suppl 2):S76-S99.
15.Weber MA, Schiffrin EL, White WB, Mann S, Lindholm LH, Kenerson JG, et al. Clinical practice guidelines for the management of hypertension in the community, a statement by the American Society of Hypertension and the International Society of Hypertension. J Clin Hypertens 2014;16(1):14-26.
16.Turnbull F. Blood Pressure Lowering Treatment Trialists Collaboration. Effects of different blood- pressure-lowering regimens on major cardiovascular events: results of prospectively-designed overviews of randomised trials. The Lancet 2003;362(9395):1527- 1535.
17.Nguyen H, Odelola OA, Rangaswami J, Amanullah A. A review of nutritional factors in hypertension management. Int J Hypertens 2013, 1-12 http://dx.doi.org/10.1155/2013/698940.
18.Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer PJ, Sacks FM. Dietary approaches to prevent and treat hypertension a scientific statement from the American Heart Association. Hypertens 2006;47(2):96-308.
19.Pereira MA, Swain J, Goldfine AB, Rifai N, Ludwig DS. Effects of a low-glycemic load diet on resting energy expenditure and heart disease risk factors during weight loss. JAMA 2004;292:2482-2490.
20.Visvanathan R, Chen R, Horowitz M, Chapman I. Blood pressure responses in healthy older people to 50 g carbohydrate drinks with differing glycaemic effects. Br J Nutr 2004;92:335-340.
21.Appel LJ, Sacks FM, Carey VJ, Obarzanek E, Swain JF, Miller ER, Omni Heart Collaborative Research Group. Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids: results of the OmniHeart randomized trial. JAMA 2005;294(19):2455-2464.
22.Rebholz CM, Friedman EE, Powers LJ, Arroyave WD, He J, Kelly TN. Dietary protein intake and blood pressure: a meta-analysis of randomized controlled trials. Am J Epidemiol 2012;176(suppl 7):27-43.
23.Elliott P. Protein intake and blood pressure in cardiovascular disease. Proceed Nutr Soc 2003;62(02):495-504.
24.Wang YF, Yancy WS, Yu D, Champagne C, Appel LJ, Lin PH. The relationship between dietary protein intake and blood pressure: results from the PREMIER study. J Hum Hypertens 2008;22(11):745-754.
25.Steffen LM, Kroenke CH, Yu X, Pereira MA, Slattery ML, Van Horn L, Jacobs DR. Associations of plant food, dairy product, and meat intakes with 15-y incidence of elevated blood pressure in young black and white adults: the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Am J Clin Nutr 2005;82(6):1169-1177.
26.Umesawa M, Sato S, Imano H, Kitamura A, Shimamoto T, Yamagishi K, Iso H. Relations between protein intake and blood pressure levels in Japanese men and women: the Circulatory Risk in Communities Study (CIRCS). The Am J Clin Nutr 2009;90:1-8.
27.Altorf-van der Kuil, W, Engberink MF, Brink EJ, van Baak MA, Bakker SJ, Navis G, Geleijnse JM. Dietary protein and blood pressure: a systematic review. PLoS One 2010; 5(8):1-15
28.Ferrara LA, Raimondi AS, dEpiscopo L, Guida L, Russo AD, Marotta T. Olive oil and reduced need for antihypertensive medications. Arch Intern Med 2000;160(6):837-842.
29.Mori TA, Watts, GF, Burke V, Hilme, E., Puddey, I. B., & Beilin, L.J. Differential effects of eicosapentaenoic acid and docosahexaenoic acid on vascular reactivity of the forearm microcirculation in hyperlipidemic, overweight men. Circulation 2000;102(11):1264-1269.
30.Brown IJ, Tzoulaki I, Candeias V, Elliott P. Salt intakes around the world: implications for public health. Int J Epidemiol 2009;38(3):791-813.
31.Koliaki C, Katsilambros N. Dietary sodium, potassium, and alcohol: key players in the pathophysiology, prevention, and treatment of human hypertension. Nutr Rev 2013;71(6):402-411.
32.He FJ, Pombo-Rodrigues S, MacGregor GA. Salt reduction in England from 2003 to 2011: its relationship to blood pressure, stroke and ischaemic heart disease mortality. BMJ 2014;4(4):e004549.
33.Brown IJ, Tzoulaki I, Candeias V, Elliott P. Salt intakes around the world: implications for public health. International Journal of Epidemiology 2009;38(3):791- 813.
34.Zhang Z, Cogswell ME, Gillespie C, Fang J, Loustalot F, Dai S, Yang, Q. Association between usual sodium and potassium intake and blood pressure and hypertension among US adults: NHANES 20052010. PLoS One 2013;8(10):e75289.
35.Houston MC. The importance of potassium in managing hypertension. Curr Hypertens Rep 2011;13(4):309-317.
36.Houston MC, Harper KJ. Potassium, magnesium, and calcium: their role in both the cause and treatment of hypertension. J Clin Hypertens 2008;10(7 suppl 2):2 11.
37.Wang, L, Manson JE, Buring JE, Lee IM, Sesso HD. Dietary intake of dairy products, calcium, and vitamin D and the risk of hypertension in middle-aged and older women. Hypertens 2008;51:1073-1079.
38.Van Mierlo LAJ, Arends LR, Streppel MT, Zeegers MPA, Kok FJ, Grobbee DE, et al. Blood pressure response to calcium supplementation: a meta-analysis of randomized controlled trials. J Hum Hypertens 2006;20(8):571-580.
39.Khan AM, Sullivan L, McCabe E, Levy D, Vasan RS, Wang TJ. Lack of association between serum magnesium and the risks of hypertension and cardiovascular disease. Am Heart J 2010;160(4):715-720.
40.Song Y, Sesso HD, Manson JE, Cook NR, Burin JE, Liu S. Dietary magnesium intake and risk of incident hypertension among middle-aged and older US women in a 10-year follow-up study. Am J Cardiol 2006;98(12):1616-1621.
41.Chen J, He J, Hamm L, Batuman V, Whelton PK. Serum antioxidant vitamins and blood pressure in the United States population. Hypertens 2002;40(6):810-816.
42.Forman JP, Scott JB, Ng K, Drake BF, Suarez EG, Hayden DL, Chan AT. Effect of vitamin D supplementation on blood pressure in blacks. Hypertens 2013;61(4):779-785.
43.Hillbom M, Saloheimo P, Juvela S. Alcohol consumption, blood pressure, and the risk of stroke. Curr Hypertens Rep 2011;13(3):208-213.
44.Klatsky AL, Gunderson E. Alcohol and hypertension: a review. J Am Soc Hypertens 2008;2(5):307-317.
45.Xin X, He J, Frontini M G, Ogden LG, Motsamai O I, Whelton PK. Effects of alcohol reduction on blood pressure A meta-analysis of randomized controlled trials. Hypertens 2001;38(5):1112-1117.
46.Nunez-Cordoba JM, Alonso A, Beunza JJ, Palma S, Gomez-Gracia E, Martinez-Gonzalez MA. Role of vegetables and fruits in Mediterranean diets to prevent hypertension. Eur J Clin Nutr 2009;63(5):605-612.
47.Streppel MT, Arends LR, vant Veer P, Grobbee DE, Geleijnse JM. Dietary fiber and blood pressure: a meta- analysis of randomized placebo-controlled trials. Arch Intern Med 2005;165(2):150-156.
48.Saneei P, Abargouei AS, Esmaillzadeh A, Azadbakht. Influence of Dietary Approaches to Stop Hypertension (DASH) Diet On Blood Pressure: A systematic review and meta-analysis on randomized trials. Nutr Metab Cardiovasc 2014;24:1253-1261.
49.Al-Solaiman Y, Jesri A, Mountford WK, Lackland DT, Zhao Y, Egan BM. DASH lowers blood pressure in obese hypertensives beyond potassium, magnesium and fibre. J Hum Hypertens 2010;24(4):237-246.
50.Siervo M, Lara J, Chowdhury S, Ashor A, Oggioni C, Mathers JC. Effects of the Dietary Approach to Stop Hypertension (DASH) diet on cardiovascular risk factors: a systematic review and meta-analysis. Brit J Nutr 2015;113(01):1-15.