Özet:

The aim was to investigate whether the diet and exercise, recommended to control blood pressure and prevent hypertension in prehypertensive patients, and whether they have an effect on biochemical parameters. Material Method: 52 prehypertensive individuals were taken to our work. Those with secondary hypertension, diabetes mellitus and thyroid disorders and those using antihypertensive drugs were dismissed. At the beginning of the study, the size, weight, back circle, systolic and diastolic blood pressure of individuals were measured. The body mass index (VKI) is calculated. The biochemical parameters studied hunger serum glucose, lipid levels, hunger serum insulin, hs-CRP, creatine, homosysteine. The HOMA-IR formula calculated the glomerular filtration rate (GFR) with insulin resistance and the MDRD (Modification of Diet in Renal Disease). Oral glucose tolerance tests are performed. Spot urine microalbumin and urine creatine were measured. Patients were recommended 6 months DASH diet and exercise. The initial parameters were reanalysed in the patients' tests after 6 months. The average age of 50 patients was 38±7.6 years and 67% were women. After diet and exercise treatment, systolic and diastolic blood pressure, weight, BC, VKI, total cholesterol, LDL cholesterol, triglycerides, hunger insulin levels, statistically significant decline in insulin resistance and homosexuality, GFR also increased (as follows; p<0.001, p=0.003, p<0.001, p<0.001, p<0.001, p=0.006, p=0.006, p=0. 009, p=0.039, p<0.001, p=0.003, p=0.001, p<0.001.The result: DASH diet and exercise prehypertensive individuals have shown a corrective effect on metabolic parameters.

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