A dietary approach to prevent hypertension: A review of the dietary approaches to stop hypertension (DASH) study

Sacks, Frank M.; Appel, Lawrence J.; Moore, Thomas J.; Obarzanek, Eva; Vollmer, William M.; Svetkey, Laura P.; Bray, George A.; Vogt, Thomas; Cutler, Jeffrey A.; Windhauser, Marlene M.; Lin, Pao Hwa; Karanja, Njeri

doi:10.1002/clc.4960221503

Cited by 173 publications

(140 citation statements)

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“…The relation with weight loss was less strong owing to the small weight loss seen over 1 year (0.64 kg). For subjects with blood pressures greater than 130/85, the systolic blood pressure reduction of 13 mm Hg was similar to that reported for the DASH and PREMIER diets (Appel et al, 1997;Sacks et al, 1999;Chobanian et al, 2003), whereas those already with target blood pressures showed little effect. The blood pressure reductions were not altered when the seven completers on stable doses of blood pressure medication were removed.…”

Section: Discussionsupporting

confidence: 83%

“…As with the major diet and lifestyle blood pressure studies, the main effect was seen in those with the higher blood pressure (Appel et al, 1997(Appel et al, , 2003Sacks et al, 1999;Chobanian et al, 2003;Svetkey et al, 2005). Dividing the group into those with blood pressures above or below 130/ 85 mm Hg gave systolic blood pressure reductions of 13.271.7 versus 1.871.4 mm Hg, respectively.…”

Section: Discussionmentioning

confidence: 98%

“…The success of diet and lifestyle modification in reducing blood pressure has renewed interest in non-pharmacological approaches to control hypertension (Appel et al, 1997(Appel et al, , 2003Sacks et al, 1999;Svetkey et al, 2005). Before the publication of the benefits of the DASH diet (Appel et al, 1997;Dwyer et al, 1998;Sacks et al, 1999;Lin et al, 2003), rapid growth in the number of effective drugs developed for the control of hypertension had been a major factor resulting in a relative lack of enthusiasm for employing dietary approaches for blood pressure control.…”

Section: Introductionmentioning

confidence: 99%

“…Before the publication of the benefits of the DASH diet (Appel et al, 1997;Dwyer et al, 1998;Sacks et al, 1999;Lin et al, 2003), rapid growth in the number of effective drugs developed for the control of hypertension had been a major factor resulting in a relative lack of enthusiasm for employing dietary approaches for blood pressure control. However, the demonstration that application of diet could result in blood pressure reductions similar to the starting dose of drug monotherapy renewed interest in diet as an important component of hypertension control (Appel et al, 1997(Appel et al, , 2003Sacks et al, 1999;Svetkey et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Long-term effects of a plant-based dietary portfolio of cholesterol-lowering foods on blood pressure

et al. 2007

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Objective: To determine the effect on blood pressure of dietary advice to consume a combination of plant-based cholesterollowering foods (dietary portfolio). Methods: For 1 year, 66 hyperlipidemic subjects were prescribed diets high in plant sterols (1.0 g/1000 kcal), soy protein (22.5 g/1000 kcal), viscous fibers (10 g/1000 kcal) and almonds (22.5 g/1000 kcal). There was no control group. Seven-day diet record, blood pressure and body weight were monitored initially monthly and later at 2-monthly intervals throughout the study. Results: Fifty subjects completed the 1-year study. When the last observation was carried forward for non-completers (n ¼ 9) or those who changed their blood pressure medications (n ¼ 7), a small mean reduction was seen in body weight 0.770.3 kg (P ¼ 0.036). The corresponding reductions from baseline in systolic and diastolic blood pressure at 1 year (n ¼ 66 subjects) were À4.271.3 mm Hg (P ¼ 0.002) and À2.370.7 mm Hg (P ¼ 0.001), respectively. Blood pressure reductions occurred within the first 2 weeks, with stable blood pressures 6 weeks before and 4 weeks after starting the diet. Diastolic blood pressure reduction was significantly related to weight change (r ¼ 0.30, n ¼ 50, P ¼ 0.036). Only compliance with almond intake advice related to blood pressure reduction (systolic: r ¼ À0.34, n ¼ 50, P ¼ 0.017; diastolic: r ¼ À0.29, n ¼ 50, P ¼ 0.041). Conclusions: A dietary portfolio of plant-based cholesterol-lowering foods reduced blood pressure significantly, related to almond intake. The dietary portfolio approach of combining a range of cholesterol-lowering plant foods may benefit cardiovascular disease risk both by reducing serum lipids and also blood pressure.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long-term effects of a plant-based dietary portfolio of cholesterol-lowering foods on blood pressure

et al. 2007

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“…Salt reduction may be difficult in populations using it for food conservation. The implementation of controlled diets like promoted in Dietary Approaches to Stop Hypertension (DASH) (46,47), may be difficult in SSA settings because those measures require change in preparation, conservation and other infrastructures and resources not available in SSA. Since the conservation of food in SSA can be difficult, fresh food should be promoted.…”

Section: Different Focus In Preventive Strategiesmentioning

confidence: 99%

Management of hypertension at the community level in Sub-Saharan Africa (SSA): towards a rational use of available resources

Twagirumukiza

Bortel

2010

J Hum Hypertens

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DASH for Less Cash?

Bertoni¹,

Whitt-Glover

2013

JAMA Intern Med

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It is well established that the Dietary Approaches to Stop Hypertension (DASH) eating plan, which emphasizes increased consumption of fruits, vegetables, and reduced dietary saturated fat, cholesterol, and sodium, improves blood pressure. 1 Intervention studies, for example the Exercise and Nutrition Interventions for Cardiovascular Health (ENCORE) studies, have demonstrated have demonstrated that DASH can be implemented with other lifestyle changes including weight loss and physical activity, which also addresses other ongoing epidemics in our society, including obesity and diabetes. DASH was formally adopted into the Dietary Guidelines for Americans, 2010. 2 Despite recommendations, widespread adoption of and long-term adherence to DASH has been limited, particularly among lowincome and racial/ethnic minority groups, who are also at greatest risk for hypertension and the resulting poor health consequences. In this issue, Monsivais and colleagues 3 highlight the relationship of the DASH eating pattern to food costs using data from the 2001-2002 National Health and Nutrition Examination Survey (NHANES). The authors scored diets reported by 4744 adults based on accordance with DASH and determined estimated retail costs for reported foods per 2000 kilocalories. DASH accordance was positively related to diet cost; specifically, the foods reported by those in the top 20% of adherence to the DASH dietary pattern cost 19% more to obtain than foods reported by those in the lowest DASH adherence category. The mean diet cost for the healthiest quintile was 34% higher for white adults and 21% for black adults, both statistically significantly higher than the cost for the lowest quintile in either race/ethnic group. In marked contrast, Hispanic adults (predominantly Mexican American in this sample) in the top DASH accordance quintile were consuming foods costing only 6% more than the lowest quintile.

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A dietary approach to prevent hypertension: A review of the dietary approaches to stop hypertension (DASH) study

Cited by 173 publications

References 10 publications

Long-term effects of a plant-based dietary portfolio of cholesterol-lowering foods on blood pressure

Long-term effects of a plant-based dietary portfolio of cholesterol-lowering foods on blood pressure

Management of hypertension at the community level in Sub-Saharan Africa (SSA): towards a rational use of available resources

DASH for Less Cash?

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