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The DASH Diet for Blood Pressure Control. Presentation Prepared by Don Hall, DrPH, CHES (C) 2000 PrevMedix LLC. DASH Diet Study Design. Sponsored by National Heart, Lung, and Blood Institute (NHLBI) of NIH

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the dash diet for blood pressure control

The DASH Diet for Blood Pressure Control

Presentation Prepared by

Don Hall, DrPH, CHES

(C) 2000 PrevMedix LLC

dash diet study design
DASH Diet Study Design
  • Sponsored by National Heart, Lung, and Blood Institute (NHLBI) of NIH
  • Studied 459 people with moderate blood pressure (systolic less than 160, diastolic between 80-95)
  • All were fed an “average American diet for 3 weeks to establish a baseline blood pressure
  • Then they were feed the “DASH” for 8 weeks to see its effect on blood pressure

NEJM, April 17, 1997

dash diet
DASH Diet

Food groupDaily serv. Examples

Breads/grains, 6-8/day 1 sl bread, 1/2 C cereal w.w. bread, cereals,

mostly whole grains brown rice, oatmeal

Vegetables, 4-5 serv/day 1C raw, 1/2 C ckd tomato, potato, carrots

6 oz. veg. juice squash, broccoli, greens

Fruits, 4-5/day 1 med. fruit, 1/2 cup ckd apricots, banana, apple 1 C raw, 6 oz. fruit juice orange, melon, berries

Milk/dairy, 2-3/day 1 cup milk/yogurt, nonfat milk, yogurt or 1.5 oz. cheese nonfat cheese

Protein foods, 1-2/day 3 oz. meat, fish, poultry lean meat, skinless poul-

2/3 C legumes, 1/2 C tofu try, beans, tofu, meat alt.

Nuts and seeds, 5/week 1.5 oz. nuts or seeds almonds, walnuts, sun-

2 T. nut butter flower seeds, nut butter

NEJM, April 17, 1997

dash diet results
DASH Diet Results
  • In hypertensive subjects, the DASH diet:
    • lowered systolic BP by 11.4 points
    • diastolic BP by 5.5 points
  • A population-wide BP reduction of this magnitude is estimated to reduce deaths by:
    • 15% from heart disease
    • 27% from stroke

NEJM, April 17, 1997

other lifestyle factors for reducing blood pressure
Other Lifestyle Factors for Reducing Blood Pressure
  • Achieve and maintain a healthy weight
  • Regular physical activity, 30+ minutes daily of such activities as:
    • walking briskly
    • bike riding
    • swimming
    • mowing lawn and other active gardening
  • Avoiding or limiting alcohol
  • Limiting sodium intake to less than 2,000 mg/day
  • Not smoking or using tobacco

NEJM, April 17, 1997