中青年营养状况与冠心病的关系

邓洁; 刘晓明; 卢微

doi:10.16766/j.cnki.issn.1674-4152.004239

中青年营养状况与冠心病的关系

doi: 10.16766/j.cnki.issn.1674-4152.004239

邓洁^{1, 2},
刘晓明^1, ,,
卢微^{1, 2}

1.
唐山市工人医院全科医疗二科, 河北唐山 063000
2.
华北理工大学临床医学院, 河北唐山 063000

基金项目:

河北省科技计划项目 20231798

详细信息

通讯作者:
刘晓明，E-mail：yuyan52001@qq.com

中图分类号: R541.4
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- 文章访问数: 2
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- PDF下载量: 0
- 被引次数: 0
出版历程
- 收稿日期: 2024-11-23
- 网络出版日期: 2026-01-07

The relationship between nutritional status and coronary atherosclerotic heart disease in young and middle-aged people

DENG Jie^{1, 2},
LIU Xiaoming^{1
, ,},
LU Wei^{1, 2}

1.
School of Clinical Medicine, North China University of Science and Technology, Tangshan, Hebei 063000, China

摘要

摘要: 近年来冠心病发病逐渐年轻化，35~45岁中青年人群发病增加尤为明显。中青年冠心病患者起病急，猝死风险高，预后更差。营养失衡已被确认是影响冠心病的主要危险因素之一，超过70%的冠心病住院患者有营养失衡风险。由于营养状况是目前通过行为干预重要的可改变因素，因此可作为冠心病的最佳干预目标。本文旨在总结使用控制营养状况(CONUT)评分评定的营养不良、微量营养素(尤其是维生素D、叶酸及维生素B₁₂、锌、铁、硒)水平与冠心病之间的关系以及补充这些营养素对冠心病预后的影响。营养不良、微量营养素(尤其是维生素D、叶酸及维生素B₁₂、锌、硒等)水平与冠心病预后显著相关。补充叶酸可改善心血管健康，但补充维生素D、维生素B₁₂、锌等对心血管健康的有益影响尚存争议。出现这些相互矛盾的结果可能与人群特征、共病情况、心血管疾病类别、营养状况和营养补充方案有关。目前仍建议通过合理营养结合生活方式管理来预防心血管疾病，促进心血管健康。
- 冠心病 /
- 中青年 /
- 营养状况 /
- 营养失衡 /
- 营养管理
Abstract: In recent years, the incidence of coronary artery disease (CAD) has gradually become younger, especially in young and middle-aged people aged 35 to 45. Young and middle-aged patients with CAD have an acute onset, a high risk of sudden death, and a worse prognosis. Nutrition has been identified as one of the main risk factors affecting CAD. More than 70% of hospitalized patients with CAD are at risk of nutritional imbalance. Since nutrition is an important modifiable factor through behavioral intervention, it seems to be the best intervention target for CAD. The purpose of this review is to summarize the use of controlling nutritional status (CONUT), the relationship between malnutrition, micronutrients (especially vitamin D, folic acid, vitamin B₁₂, zinc, iron, and selenium) levels and coronary heart disease, and the effect of these nutrient supplementation on the prognosis of coronary heart disease. Malnutrition, micronutrients (especially vitamin D, folic acid and vitamin B₁₂, zinc, selenium, etc.) levels are significantly associated with the prognosis of CAD. Folic acid supplementation can improve cardiovascular health, but the beneficial effects of vitamin D, vitamin B₁₂, and zinc supplementation on cardiovascular health are still controversial. These conflicting results may be related to population characteristics, comorbidities, cardiovascular disease categories, nutritional status, and nutritional supplementation regimens. Appropriate nutrition combined with lifestyle management is still recommended to prevent cardiovascular disease and promote cardiovascular health.
- Coronary atherosclerotic heart disease /
- Young and middle-aged /
- Nutritional status /
- Nutritional imbalances /
- Nutritional management

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