2022-台灣高血脂初級預防指引- 14. 非藥物治療-健康的生活型態

2025-12-09 11:08AM

2022台灣血脂治療指引(英文版)下面中文使用google自動翻譯

健康的生活方式 所有成年人都應保持健康的飲食習慣，包括均衡的宏量營養素，並強調攝取植物性食物、瘦肉蛋白，同時限制反式脂肪、加工紅肉和精製碳水化合物的攝取。應維持理想體重。應鼓勵規律運動，並專注於累計運動量。應提倡減少飲酒和戒菸。另一方面，也應認識到生活方式改變的潛在障礙，例如難以獲得健康飲食或運動機會。透過醫病共同決策，可以提高病人對這些建議的依從性。表3列出了生活方式改變的整體建議及其對血脂的影響。

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建議飲食應富含植物性食物、ω-3脂肪酸來源（如魚類、堅果、豆類）和瘦蛋白，以維持健康的體重。 （證據等級I，證據等級B）盡量減少反式脂肪、飽和脂肪、加工肉類和精緻碳水化合物的攝取。 （證據等級IIa，證據等級B）建議定期進行體能訓練。 （證據等級I，證據等級A）建議減少飲酒並戒菸。 （證據等級I，證據等級B）

Healthy lifestyle All adults should consume a healthy diet which includes balanced macronutrients and emphasizes the intake of plant-based foods, lean animal protein with restriction of the amount of trans fat, processed red meat, and refined carbohydrate. Ideal body weight should be maintained. Regular exercise should be encouraged with emphasis on the total accumulated amount. Reduction in alcohol consumption and smoking cessation should be advocated. On the other hand, potential barriers to lifestyle modification, such as access to healthy diet or exercise options, should be recognized. Adherence to these suggestions may be enhanced through the process of shared decision making between clinicians and patients. The overall recommendations for lifestyle modification and the influences on lipid profile are shown in Table 3.

Recommendation

Diet rich in plant-based foods, sources of omega-3 fatty acids (e.g., fish, nuts, legumes), lean animal protein, which can maintain healthy body weight is suggested. (COR I, LOE B) Minimize the intake of trans and saturated fat, processed meat, and refined carbohydrate. (COR IIa, LOE B) Regular physical exercise is recommended. (COR I, LOE A) Reduction of alcohol intake and cessation of smoking are suggested. (COR I, LOE B)