{"id":2549,"date":"2024-02-21T11:07:11","date_gmt":"2024-02-21T02:07:11","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2549"},"modified":"2024-02-21T11:07:11","modified_gmt":"2024-02-21T02:07:11","slug":"%e5%bf%83%e8%a1%80%e7%ae%a1%e7%96%be%e6%82%a3%e3%83%aa%e3%82%b9%e3%82%af%e3%81%ae%e3%81%82%e3%82%8b%e6%88%90%e4%ba%ba%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e5%9c%b0%e4%b8%ad%e6%b5%b7%e9%a3%9f%e3%81%ae","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2549","title":{"rendered":"\u5fc3\u8840\u7ba1\u75be\u60a3\u30ea\u30b9\u30af\u306e\u3042\u308b\u6210\u4eba\u306b\u304a\u3051\u308b\u5730\u4e2d\u6d77\u98df\u306e\u5065\u5eb7\u52b9\u679c"},"content":{"rendered":"

\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002
\n\uff0d\u6587\u732e\u540d\uff0d
\nKaram G, et al.Comparison of seven popular structured dietary programmes and risk of mortality and major cardiovascular events in patients at increased cardiovascular risk: systematic review and network meta-analysis. BMJ. 2023;380:e072003.<\/p>\n

\uff0d\u8981\u7d04\u30fc
\n\u3010Introduction\u3011
\n\u4e16\u754c\u4e2d\u3067\u3001\u6210\u4eba\u6b7b\u4ea1\u306e22\uff05\u3001\u969c\u5bb3\u8abf\u6574\u751f\u5b58\u5e74\u306e15\uff05\u304c\u98df\u751f\u6d3b\u306b\u8d77\u56e0\u3059\u308b\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u308b\u3002\u3053\u308c\u304c\u4e8b\u5b9f\u3067\u3042\u308c\u3070\u3001\u98df\u4e8b\u306f\u6b7b\u4ea1\u304a\u3088\u3073\u91cd\u5927\u306a\u7f79\u60a3\u306e\u4e3b\u8981\u306a\u539f\u56e0\u3067\u3042\u308b\u3002\u533b\u7642\u8005\u305f\u3061\u306f\u3001\u98df\u4e8b\u7642\u6cd5\u304c\u4e3b\u8981\u306a\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3092\u6e1b\u5c11\u3055\u305b\u308b\u3053\u3068\u3092\u63d0\u5531\u3057\u3066\u3044\u308b\u3002\u3053\u308c\u3089\u306e\u98df\u4e8b\u7642\u6cd5\u306b\u306f\u3001\u7dcf\u8102\u80aa\u307e\u305f\u306f\u98fd\u548c\u8102\u80aa\u306e\u5c11\u306a\u3044\u98df\u4e8b\u7642\u6cd5\uff08\u4f8b\u3048\u3070\u3001National Cholesterol Education Program\u306e\u98df\u4e8b\u7642\u6cd5\uff09\u3001\u5730\u4e2d\u6d77\u5f0f\u98df\u4e8b\u7642\u6cd5\u3001\u304a\u3088\u3073Dietary Approaches to Stop Hypertension\uff08DASH\uff09\u98df\u4e8b\u7642\u6cd5\u304c\u542b\u307e\u308c\u308b\u3002
\n\u98df\u4e8b\u7642\u6cd5\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u3001\u591a\u304f\u306e\u98df\u4e8b\u7642\u6cd5\u30d7\u30ed\u30b0\u30e9\u30e0\u304c\u4e3b\u8981\u306a\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u30ea\u30b9\u30af\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u304c\u3001\u305d\u308c\u3089\u306f\u4e00\u822c\u7684\u306b\u3001\u4ee3\u66ff\u30a2\u30a6\u30c8\u30ab\u30e0\u3001\u307e\u305f\u306f\u975e\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13\u30c7\u30b6\u30a4\u30f3\u304b\u3089\u5f97\u3089\u308c\u305f\u78ba\u4fe1\u5ea6\u306e\u4f4e\u3044\u3001\u307e\u305f\u306f\u975e\u5e38\u306b\u4f4e\u3044\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u4f9d\u5b58\u3057\u3066\u3044\u308b\u3002
\n\u7121\u4f5c\u70ba\u5316\u5bfe\u7167\u8a66\u9a13\u306e\u30da\u30a2\u30ef\u30a4\u30ba\u30e1\u30bf\u89e3\u6790\u3067\u306f\u3001\u3044\u304f\u3064\u304b\u306e\u98df\u4e8b\u7642\u6cd5\u304a\u3088\u3073\u98df\u4e8b\u7642\u6cd5\u30d7\u30ed\u30b0\u30e9\u30e0\u304c\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3092\u6e1b\u5c11\u3055\u305b\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u6b7b\u4ea1\u7387\u3078\u306e\u6709\u76ca\u306a\u5f71\u97ff\u306f\u4e0d\u660e\u3067\u3042\u308b\u3002 \u73fe\u5728\u307e\u3067\u306e\u3068\u3053\u308d\u3001\u7121\u4f5c\u70ba\u5316\u5bfe\u7167\u8a66\u9a13\u3092\u7cfb\u7d71\u7684\u306b\u8981\u7d04\u3057\u3001\u69cb\u9020\u5316\u3055\u308c\u305f\u98df\u4e8b\u7642\u6cd5\u30d7\u30ed\u30b0\u30e9\u30e0\u304c\u6b7b\u4ea1\u7387\u304a\u3088\u3073\u4e3b\u8981\u306a\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\uff08\u4f8b\u3048\u3070\u3001\u8133\u5352\u4e2d\u304a\u3088\u3073\u5fc3\u7b4b\u6897\u585e\uff09\u306b\u53ca\u307c\u3059\u5f71\u97ff\u3092\u6bd4\u8f03\u3057\u305f\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u30e1\u30bf\u89e3\u6790\u306f\u4e0d\u8db3\u3057\u3066\u3044\u308b\u3002\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u30e1\u30bf\u89e3\u6790\u306e\u624b\u6cd5\u306b\u3088\u308a\u3001\u76f4\u63a5\u6bd4\u8f03\u3055\u308c\u3066\u3044\u306a\u3044\u4ecb\u5165\u3092\u6bd4\u8f03\u3059\u308b\u305f\u3081\u306e\u76f4\u63a5\u7684\u30a8\u30d3\u30c7\u30f3\u30b9\uff08\u7a4d\u6975\u7684\u4ecb\u5165\u5bfe\u76f4\u63a5\u6bd4\u8f03\uff09\u304a\u3088\u3073\u9593\u63a5\u7684\u30a8\u30d3\u30c7\u30f3\u30b9\uff08\u4ecb\u5165\u5bfe\u975e\u7a4d\u6975\u7684\u5bfe\u7167\uff09\u306e\u4f7f\u7528\u304c\u53ef\u80fd\u3068\u306a\u308a\u3001\u3088\u308a\u6b63\u78ba\u306a\u8981\u7d04\u63a8\u5b9a\u5024\u3092\u5f97\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u6b7b\u4ea1\u7387\u304a\u3088\u3073\u4e3b\u8981\u306a\u5fc3\u8840\u7ba1\u8ee2\u5e30\u306e\u4e88\u9632\u306e\u305f\u3081\u306e\u69cb\u9020\u5316\u3055\u308c\u305f\u540d\u524d\u4ed8\u304d\u98df\u4e8b\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u6bd4\u8f03\u3059\u308b\u305f\u3081\u306b\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u5bfe\u7167\u8a66\u9a13\u306e\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u304a\u3088\u3073\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u30e1\u30bf\u89e3\u6790\u3092\u5b9f\u65bd\u3057\u305f\u3002<\/p>\n

\u3010Method\u3011
\nDATA SOURCE\uff1aSAMED (Allied and Complementary Medicine Database), CENTRAL (Cochrane Central Register of Controlled Trials), Embase, Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and ClinicalTrials.gov were searched up to September 2021.<\/p>\n

STUDY SELECTION\uff1a\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13\u3067\u3001
\n\u98df\u4e8b\u30d7\u30ed\u30b0\u30e9\u30e0\u3068\u6700\u5c0f\u9650\u306e\u4ecb\u5165\uff08\u4f8b\u3048\u3070\u3001\u5065\u5eb7\u7684\u306a\u98df\u4e8b\u306e\u30d1\u30f3\u30d5\u30ec\u30c3\u30c8\u3092\u3082\u3068\u306b\u6307\u5c0e\uff09\u53c8\u306f\u4ee3\u66ff\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u3001\u5c11\u306a\u304f\u3068\u30829\u30f5\u6708\u8ffd\u8de1\u3057\u6b7b\u4ea1\u7387\u307e\u305f\u306f\u4e3b\u8981\u306a\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\uff08\u8133\u5352\u4e2d\u307e\u305f\u306f\u975e\u81f4\u6b7b\u7684\u5fc3\u7b4b\u6897\u585e\u306a\u3069\uff09\u306b\u3064\u3044\u3066\u6bd4\u8f03\u3057\u305f\u3082\u306e\u3002
\n\u98df\u4e8b\u4ecb\u5165\u306b\u52a0\u3048\u3066\u3001\u98df\u4e8b\u30d7\u30ed\u30b0\u30e9\u30e0\u306b\u306f\u904b\u52d5\u3001\u884c\u52d5\u652f\u63f4\u3001\u85ac\u7269\u6cbb\u7642\u306a\u3069\u306e\u4ed6\u306e\u4e8c\u6b21\u4ecb\u5165\u3082\u542b\u307e\u308c\u3046\u308b\u3002<\/p>\n

OUTCOMES AND MEASURES\uff1a\u5168\u6b7b\u56e0\u6b7b\u4ea1\u7387\uff0c\u5fc3\u8840\u7ba1\u6b7b\u4ea1\u7387\uff0c\u500b\u3005\u306e\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\uff08\u8133\u5352\u4e2d\uff0c\u975e\u81f4\u6b7b\u7684\u5fc3\u7b4b\u6897\u585e\uff0c\u8a08\u753b\u5916\u306e\u5fc3\u8840\u7ba1\u30a4\u30f3\u30bf\u30fc\u30d9\u30f3\u30b7\u30e7\u30f3\uff09\u3002<\/p>\n

REVIEW METHODS\uff1a2\u4eba1\u7d44\u306e\u30ec\u30d3\u30e5\u30a2\u30fc\u304c\u72ec\u7acb\u3057\u3066\u30c7\u30fc\u30bf\u3092\u62bd\u51fa\u3057\u3001\u30d0\u30a4\u30a2\u30b9\u306e\u30ea\u30b9\u30af\u3092\u8a55\u4fa1\u3057\u305f\u3002\u5404\u7d50\u679c\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u3092\u6c7a\u5b9a\u3059\u308b\u305f\u3081\u306b\u3001\u983b\u51fa\u4e3b\u7fa9\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u3068GRADE\uff08grading of recommendations assessment, development and evaluation\uff09\u6cd5\u3092\u7528\u3044\u3066\u30e9\u30f3\u30c0\u30e0\u52b9\u679c\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u30e1\u30bf\u89e3\u6790\u3092\u884c\u3063\u305f\u3002
\n\u203b\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9https:\/\/www.jstage.jst.go.jp\/article\/hct\/9\/3\/9_20-002\/_pdf<\/p>\n

\u3010Results\u3011
\n7\u3064\u306e\u98df\u4e8b\u30d7\u30ed\u30b0\u30e9\u30e0\uff08\u4f4e\u8102\u80aa\u300118\u8a66\u9a13\uff1b\u5730\u4e2d\u6d77\u300112\u8a66\u9a13\uff1b\u8d85\u4f4e\u8102\u80aa\u30016\u8a66\u9a13\uff1b\u4fee\u6b63\u8102\u80aa\u30014\u8a66\u9a13\uff1b\u4f4e\u8102\u80aa\u3068\u4f4e\u30ca\u30c8\u30ea\u30a6\u30e0\u306e\u4f75\u7528\u30013\u8a66\u9a13\uff1bOrnish\u30013\u8a66\u9a13\uff1bPritikin\u30011\u8a66\u9a13\uff09\u306b\u304a\u3044\u3066\u300135,548\u4eba\u306e\u53c2\u52a0\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f40\u306e\u9069\u683c\u8a66\u9a13\u304c\u540c\u5b9a\u3055\u308c\u305f\u3002
\n\u6700\u5f8c\u306b\u5831\u544a\u3055\u308c\u305f\u8ffd\u8de1\u8abf\u67fb\u306b\u304a\u3044\u3066\u3001\u4e2d\u7a0b\u5ea6\u306e\u78ba\u304b\u3089\u3057\u3055\u3067\u3001\u5730\u4e2d\u6d77\u98df\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u6700\u5c0f\u9650\u306e\u4ecb\u5165\u3088\u308a\u3082\u3000\u5168\u6b7b\u4ea1\uff085\u5e74\u9593\u306e\u8ffd\u8de11000\u4eba\u5f53\u305f\u308a\u306e\u30ea\u30b9\u30af\u5dee\u306f17\u4eba\u6e1b\u5c11\uff09\u3001\u5fc3\u8840\u7ba1\u7cfb\u6b7b\u4ea1\uff081000\u4eba\u5f53\u305f\u308a13\u4eba\u6e1b\u5c11\uff09\u3001\u8133\u5352\u4e2d\uff081000\u4eba\u5f53\u305f\u308a7\u4eba\u6e1b\u5c11\uff09\u3001\u975e\u81f4\u6b7b\u7684\u5fc3\u7b4b\u6897\u585e\uff081000\u4eba\u5f53\u305f\u308a17\u4eba\u6e1b\u5c11\uff09\u306e\u4e88\u9632\u306b\u304a\u3044\u3066\u512a\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u8a3c\u660e\u3055\u308c\u305f\u3002
\n\u4e2d\u7a0b\u5ea6\u306e\u78ba\u5b9f\u6027\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u3068\u3001\u4f4e\u8102\u80aa\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u3001\u5168\u6b7b\u56e0\u6b7b\u4ea1\uff081,000\u4eba\u5f53\u305f\u308a9\u4eba\u6e1b\u5c11\uff09\u304a\u3088\u3073\u975e\u81f4\u6b7b\u7684\u5fc3\u7b4b\u6897\u585e\uff081,000\u4eba\u5f53\u305f\u308a7\u4eba\u6e1b\u5c11\uff09\u306e\u4e88\u9632\u306b\u304a\u3044\u3066\u3001\u6700\u5c0f\u9650\u306e\u4ecb\u5165\u3088\u308a\u3082\u512a\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u8a3c\u660e\u3055\u308c\u305f\u3002
\n\u4e21\u98df\u4e8b\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u7d76\u5bfe\u7684\u52b9\u679c\u306f\u9ad8\u30ea\u30b9\u30af\u60a3\u8005\u307b\u3069\u9855\u8457\u3067\u3042\u3063\u305f\u3002\u6b7b\u4ea1\u7387\u307e\u305f\u306f\u975e\u81f4\u6b7b\u7684\u5fc3\u7b4b\u6897\u585e\u306b\u3064\u3044\u3066\u306f\u3001\u5730\u4e2d\u6d77\u6599\u7406\u30d7\u30ed\u30b0\u30e9\u30e0\u3068\u4f4e\u8102\u80aa\u98df\u30d7\u30ed\u30b0\u30e9\u30e0\u3068\u306e\u9593\u306b\u8aac\u5f97\u529b\u306e\u3042\u308b\u5dee\u306f\u307f\u3089\u308c\u306a\u304b\u3063\u305f\u3002
\n\u6b8b\u308a\u306e5\u3064\u306e\u98df\u4e8b\u7642\u6cd5\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u3001\u901a\u5e38\u3001\u4f4e\uff5e\u4e2d\u7a0b\u5ea6\u306e\u78ba\u5b9f\u6027\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u6700\u5c0f\u9650\u306e\u4ecb\u5165\u3068\u6bd4\u8f03\u3057\u3066\u3001\u4e00\u822c\u7684\u306b\u307b\u3068\u3093\u3069\u6709\u76ca\u6027\u304c\u306a\u304b\u3063\u305f\u3002<\/p>\n

\uff1c\u4e2d\u30ea\u30b9\u30af\u60a3\u8005\u3067\uff1e
\n\"\"<\/a><\/p>\n

\uff1c\u9ad8\u30ea\u30b9\u30af\u60a3\u8005\u3067\uff1e
\n\"\"<\/a><\/p>\n

\u3010Discussion\u3011
\n\u4e3b\u306a\u6240\u898b
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\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002 \uff0d\u6587\u732e\u540d\uff0d Karam G, et al.Comparison of seven … \u7d9a\u304d\u3092\u8aad\u3080 \u5fc3\u8840\u7ba1\u75be\u60a3\u30ea\u30b9\u30af\u306e\u3042\u308b\u6210\u4eba\u306b\u304a\u3051\u308b\u5730\u4e2d\u6d77\u98df\u306e\u5065\u5eb7\u52b9\u679c<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33,17],"tags":[],"class_list":["post-2549","post","type-post","status-publish","format-standard","hentry","category-whats-new","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2549","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2549"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2549\/revisions"}],"predecessor-version":[{"id":2553,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2549\/revisions\/2553"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2549"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2549"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2549"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}