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Nathenson, Paul. "The DASH diet." Nursing 47, no. 4 (April 2017): 57–59. http://dx.doi.org/10.1097/01.nurse.0000512500.35560.b7.
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Champagne, Catherine M. "Following the DASH Diet." Medicine & Science in Sports & Exercise 36, Supplement (May 2004): S282. http://dx.doi.org/10.1097/00005768-200405001-01352.
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Champagne, Catherine M. "Following the DASH Diet." Medicine & Science in Sports & Exercise 36, Supplement (May 2004): S282. http://dx.doi.org/10.1249/00005768-200405001-01352.
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Song, Yazhen, Andrea J. Lobene, Yanfang Wang, and Kathleen M. Hill Gallant. "The DASH Diet and Cardiometabolic Health and Chronic Kidney Disease: A Narrative Review of the Evidence in East Asian Countries." Nutrients 13, no. 3 (March 18, 2021): 984. http://dx.doi.org/10.3390/nu13030984.
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The rising incidence of cardiometabolic diseases and chronic kidney disease (CKD) is a leading public health problem in East Asia. Diet is an important modifiable risk factor; thus, adopting a healthy diet such as the Dietary Approaches to Stop Hypertension (DASH) diet may help combat these chronic diseases. The DASH diet was originally developed in a U.S. population, and East Asia is demographically and culturally different from the U.S. Therefore, it is important to examine the evidence regarding the DASH diet and chronic disease in this unique population. This narrative review summarizes the evidence on the DASH diet and cardiometabolic health and CKD in East Asia. Culturally-modified DASH diets have been developed in some East Asian countries. Studies suggest the DASH diet is effective at lowering blood pressure in this population, though the long-term benefits remain unclear. Evidence also suggests the DASH diet may reduce the risk of type 2 diabetes and metabolic syndrome. Further research indicates the DASH diet and its components may reduce CKD risk. However, recommending the DASH diet in those who already have CKD is controversial, as it conflicts with current CKD dietary guidelines, especially in advanced CKD. Notably, current intakes in the general population differ from the DASH dietary pattern, suggesting public health efforts would be needed to encourage adoption of the DASH diet.
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Astuti, Agustina Pungki, Didit Damayanti, and Iskari Ngadiarti. "PENERAPAN ANJURAN DIET DASH DIBANDINGKAN DIET RENDAH GARAM BERDASARKAN KONSELING GIZI TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI PUSKESMAS LARANGAN UTARA." GIZI INDONESIA 44, no. 1 (March 31, 2021): 109–20. http://dx.doi.org/10.36457/gizindo.v44i1.559.
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The low sodium and Diet Approaches to Stop Hypertension (DASH) are diets for reducing high blood pressure. This study aimed to analyze the effect of nutrition counseling on the DASH diet compared to low sodium diet on blood pressure in hypertensive patients. The study design was an experimental study that randomly allocated 34 respondents to DASH diet and 35 respondents to low sodium diet. The ages of respondents were 43 to 76 years and women were 74.3 percent. Nutrition counseling was conducted by researchers to respondents who visited health center or Posbindu Larangan Utara. Nutritional counseling was conducted for an average of 20 minutes using existing brochures. Low sodium diet emphasizes reducing sodium intake while DASH diet emphasis more on consuming lots of vegetables, fruit, nuts and low-fat products. Variables collected were the characteristics of respondent, disease, drugs taken and nutritional status, while blood pressure using a sphygmomanometer, food intake including sodium were measured before and 2 weeks after nutritional counseling. Results showed that there was a significant difference in diastolic blood pressure after patients were given DASH diet compared to low sodium diet (p 0.05) and there was a significant difference in delta of systolic and diastolic reduction in DASH diet compared to low sodium diet. Test also showed a significant reduction in systolic, diastolic blood pressure and sodium intake (p 0.001) in both diet groups after receiving counseling. It concluded that DASH diet can be recommended to decrease blood pressure in hypertensive patients with consider nutritional status. ABSTRAK Diet Rendah Garam (RG) dan Diet Approaches to Stop Hypertension (DASH) adalah diet untuk menurunkan tekanan darah tinggi. Penelitian ini bertujuan untuk menganalisa pengaruh konseling gizi diet DASH dibandingkan diet RG terhadap tekanan darah pasien hipertensi. Rancangan penelitian adalah eksperimen yang secara acak mengalokasi diet DASH kepada 34 orang dan diet RG kepada 35 orang responden. Usia responden antara 43 hingga 76 tahun dan sebagian besar perempuan (74,3%). Konseling gizi dilakukan oleh tim peneliti kepada pasien hipertensi yang memeriksakan diri ke puskesmas atau posbindu Larangan Utara. Konseling gizi dilakukan rata-rata 20 menit menggunakan brosur yang sudah ada. Diet RG menekankan pengurangan asupan natrium sedangkan diet DASH lebih menekankan ke banyak konsumsi sayur, buah, kacang-kacangan dan produk rendah lemak. Variabel yang dikumpulkan adalah karakteristik responden, penyakit dan obat yang diminum serta status gizi sedangkan tekanan darah menggunakan sfigmomanometer, asupan makanan, zat gizi termasuk natrium diukur sebelum dan 2 minggu setelah konseling gizi dilakukan. Hasil menunjukkan adanya perbedaan yang bermakna pada tekanan darah diastolik setelah pasien diberi diet DASH dibandingkan dengan pasien yang diberi diet RG (p0,05) dan terdapat perbedaan delta penurunan sistolik dan diastolik bermakna pada diet DASH dibanding diet RG. Analisa juga menunjukkan adanya penurunan tekanan darah sistolik, diastolik dan asupan natrium yang bermakna (p0.001) pada kedua kelompok diet setelah mendapat konseling diet DASH dan diet RG. Disimpulkan diet DASH dapat direkomendasikan untuk membantu menurunkan tekanan darah pada pasien hipertensi dengan memperhatikan status gizi. Kata kunci: hipertensi, tekanan darah, diet rendah garam, diet DASH
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Brechtel, Royceann D. "The DASH Diet for Hypertension." AORN Journal 81, no. 3 (March 2005): 695–96. http://dx.doi.org/10.1016/s0001-2092(06)60455-9.
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Bathrellou, Eirini, Meropi D. Kontogianni, Evaggelia Chrysanthopoulou, Ekavi Georgousopoulou, Christina Chrysohoou, Christos Pitsavos, and Demosthenes Panagiotakos. "Adherence to a DASH-style diet and cardiovascular disease risk: The 10-year follow-up of the ATTICA study." Nutrition and Health 25, no. 3 (July 18, 2019): 225–30. http://dx.doi.org/10.1177/0260106019862995.
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Background: Recent findings suggest a protective role of the DASH dietary pattern on cardiovascular disease (CVD) incidence and mortality. Aim: In this direction, we aimed at investigating the relationship between adherence to a DASH-style diet and CVD risk in a Greek cohort. Methods: This sub-sample from the ATTICA epidemiological study consisted of 669 adults with a complete dietary profile at baseline, adequate to calculate DASH-diet score, and complete 10-year follow-up (2002–2012). Demographic, clinical and lifestyle parameters were thoroughly assessed at baseline and CVD incidence was recorded upon medical records at follow-up. Adherence to the DASH-style diet was assessed by a DASH-style diet score developed for the study (range 9–45). Results: Mean value (SD) of the DASH-diet score was 27.1 (5.1) (range 13–41). Adherence to a DASH-style diet was associated neither with the 10-year CVD risk nor with baseline clinical parameters. Multiple regression analysis revealed that, after appropriate adjustments, only age (46% increase per 5-life-years) and BMI (9.7% increase per unit of BMI) were associated with 10-year CVD events. Conclusions: In this small cohort of a Mediterranean population, a cardioprotective effect of a DASH-style diet was not detected.
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Khan, Subhana Akber, Assad Hafeez, Siham Sikander, Abdul Wali Khan, and Rizwana Yasmin. "A SYSTEMATIC REVIEW ON DIETARY APPROACHES TO STOP HYPERTENSION (DASH) TO CONTROL RAISED BLOOD PRESSURE AMONG HYPERTENSIVE PATIENTS." Pakistan Journal of Public Health 9, no. 4 (March 25, 2020): 198–202. http://dx.doi.org/10.32413/pjph.v9i4.437.
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Introduction: Hypertension is a widely recognized public health problem worldwide. Its further complications lead to cardiovascular diseases, stroke, retinal and renal diseases. DASH diet has been recommended to control raised blood pressure among hypertensive patients. However; limited evidence exists for it in Asian countries. This study aimed to review published research articles on DASH diet for hypertension control. Methods: Studies on hypertension and DASH diet (N=54) were searched using PubMed Central from 2012 to 2019 including all countries. The search strategy consisted of keywords "hypertension OR raised blood pressure OR blood pressure" and "Dietary Approaches to Stop Hypertension OR DASH diet". Whereas; no limitation was used for searching the literature and further references of the relevant studies were also analyzed. Full text articles of 31 researches were retrieved and analyzed for this review article. Results: Findings of this review suggests that DASH diet is significantly effective in lowering the blood pressure as well as for prevention of cardiovascular diseases (CVDs). In addition, a low-sodium diet is beneficial for individuals and hypertensive patients in reducing CVD related events. However; evidence suggests that adherence to DASH diet for a longer duration is effective along with lifestyle modifications in the population. Conclusion: Consuming a DASH diet as recommended can be a useful preventive measure to reduce blood pressure. Country-specific dietary recommendations are thus required. DASH diet along with pharmacological therapy and lifestyle modifications are proven to be effective. Further, longitudinal studies establishing temporal associations between consumption of DASH diet and its effect on blood pressure will be essential for clinical and public health practice.
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Barak, Farzaneh, Ebrahim Falahi, Ammar Hassanzadeh Keshteli, Ahmadreza Yazdannik, and Ahmad Esmaillzadeh. "Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet in relation to obesity among Iranian female nurses." Public Health Nutrition 18, no. 4 (May 8, 2014): 705–12. http://dx.doi.org/10.1017/s1368980014000822.
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AbstractObjectiveLimited observational studies have considered habitual consumption of the general population to examine the relationship between the Dietary Approaches to Stop Hypertension (DASH) diet and obesity. The aim of the present study was to investigate adherence to the DASH diet in relation to general and central obesity among female nurses in Isfahan, Iran.DesignCross-sectional study carried out among 293 female nurses aged >30 years who were selected by a multistage, cluster random sampling method. Usual dietary intakes were assessed using a validated FFQ. We constructed the DASH score based on foods and nutrients emphasized or minimized in the DASH diet, focusing on eight components: high intake of fruits, vegetables, nuts and legumes, low-fat dairy products and whole grains and low intakes of sodium, sweetened beverages, and red and processed meats. General and abdominal obesity were defined as BMI ≥25 kg/m2 and waist circumference ≥88 cm, respectively.SettingIsfahan, Iran.SubjectsFemale nurses (n 293) aged >30 years.ResultsIncreased adherence to the DASH diet was associated with older age (P<0·01) and lower waist circumference (P=0·04). There was no statistically significant difference in the prevalence of general obesity between extreme quartiles of the DASH diet score. After adjustment for age, energy intake and other confounding factors, DASH diet score was not significantly associated with obesity. However, with further controlling for other dietary factors, those in the highest quartile of DASH diet score were 71 % less likely to have general obesity compared with those in the lowest quartile. In addition, following a DASH diet was inversely associated with central obesity after adjustment for potential confounders (OR=0·37; 95 % CI 0·14, 0·96).ConclusionsWe found that adherence to the DASH diet was inversely related to central obesity among Iranian adult females. This association remained significant even after adjustment for potential confounders.
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Yao, Jie, Lin Cong, Benli Zhu, and Ting Wang. "Effect of dietary approaches to stop hypertension diet plan on pregnancy outcome patients with gestational diabetes mellitus." Bangladesh Journal of Pharmacology 10, no. 4 (September 17, 2015): 732. http://dx.doi.org/10.3329/bjp.v10i4.23813.
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<p class="Abstract">The purpose of this study is to test the effects of Dietary Approaches to Stop Hypertension (DASH) diet plan on pregnancy outcomes patients with gestational diabetes mellitus. This randomized controlled clinical trial was performed among 33 women diagnosed with gestational diabetes. These patients were randomly distributed to the control group (n = 16) or DASH diet group (n = 17) for 4 weeks. Whereas 47.1% of women in the DASH diet needed to have a cesarean section, this percentage of mean gestational age in control diet was 81.3% (p<0.01). Approximately 23.5% of women in the DASH diet and 75% of women in control diet needed to commence insulin therapy after intervention (p<0.01). In conclusion, the effect of DASH diet improved pregnancy outcomes patients with gestational diabetes.</p><p> </p>
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Arghavani, Hana, Elnaz Daneshzad, Nazli Namazi, Bagher Larijani, Mohammadreza Askari, Nick Bellissimo, Katherine Suitor, and Leila Azadbakht. "Association of adherence to the dietary approach to stop hypertension diet and diet quality indices among women in Tehran: A cross sectional study." Health Promotion Perspectives 9, no. 4 (October 24, 2019): 291–98. http://dx.doi.org/10.15171/hpp.2019.40.
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Background: Examining dietary approach to stop hypertension (DASH) diet based on other dietary quality indices can be helpful to clarify positive aspects of this healthy dietary pattern. We aimed to examine the association between the DASH diet score and some diet quality indices among Iranian women. Methods: In this cross-sectional study, 304 women aged 20 to 50 years old were recruited. Dietary diversity score (DDS), dietary energy density (DED), adherence to DASH diet, AlternativeHealthy Eating Index (AHEI) and mean adequacy ratio (MAR) were examined as suggested by previous articles. Dietary quality indices, anthropometric indices, and dietary intake were categorized based on DASH tertiles. A semi-quantitative food frequency questionnaire with 168items was used for dietary assessment. Results: There were no significant differences in the demographic characteristics of participants across DASH tertiles (P>0.05). Participants who adhered more to the DASH diet had lower DEDthan those with lower adherence (0.99±0.35 vs 1.26±0.30; P=0.01). Significant differences were observed in the index of DDS across tertiles (P=0.01), however no differences in nutrient adequacy ratio (NAR) and MAR (0.93) index across the DASH categories were found.Additionally, DDS to DED in the top tertile of the DASH diet was greater than the bottom one(6.7±2.9 vs 4.4±1.9; P=0.001). Conclusion: The present study indicated that greater adherence to the DASH diet is inversely associated with DED and AHEI. As well as, there was a positive association between the DASHdiet and DDS/DED ratio. However, more studies are needed to confirm the results of this study.
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Beydoun, Nkodo, Fanelli-Kuczmarski, Maldonado, Beydoun, Popkin, Evans, and Zonderman. "Longitudinal Associations between Monetary Value of the Diet, DASH Diet Score and the Allostatic Load among Middle-Aged Urban Adults." Nutrients 11, no. 10 (October 3, 2019): 2360. http://dx.doi.org/10.3390/nu11102360.
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: Lower cost can lead to poorer-quality diets, potentially worsening metabolic profiles. We explored these pathways among urban adults. Longitudinal data were extracted from 1224–1479 participants in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study. DASH(mean) (Dietary Approaches to Stop Hypertension) score was computed using four 24 h recalls (v1/v2: 2004–2013) linked with a national food price database to estimate monetary value of the diet [MVD(mean)]. Allostatic load (AL) was measured at visits 2 (v2) and 3 (v3) in 2009–2018. Mixed-effects regression and structural equation modeling (SEM) were conducted, linking MVD(mean)/DASH(mean) to AL [v2 and annual change(v3–v2)] and exploring mediating pathways between MVD(mean) and AL(v3) through DASH(mean), stratifying by sex, race and poverty status. MVD(mean) tertiles were linearly associated with contemporaneous DASH(mean), after energy adjustment. In mixed-effects regression models, DASH(mean) was consistently linked to lower AL(v2). DASH(mean) and MVD(mean) were positively associated with higher serum albumin(v2). In SEM, MVD(mean) was linked to AL(v3) through DASH(mean), mainly among Whites and specifically for the cholesterol and Waist-Hip-Ratio AL components. In summary, energy and other covariate-adjusted increase in MVD may have a sizeable impact on DASH which can reduce follow-up AL among urban White middle-aged adults. More studies are needed to replicate findings in comparable samples of urban adults.
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Saglimbene, Valeria M., Germaine Wong, Jonathan C. Craig, Marinella Ruospo, Suetonia C. Palmer, Katrina Campbell, Vanessa Garcia-Larsen, et al. "The Association of Mediterranean and DASH Diets with Mortality in Adults on Hemodialysis: The DIET-HD Multinational Cohort Study." Journal of the American Society of Nephrology 29, no. 6 (April 25, 2018): 1741–51. http://dx.doi.org/10.1681/asn.2018010008.
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Background Mediterranean and Dietary Approaches to Stop Hypertension (DASH) diets associate with lower cardiovascular and all-cause mortality in the general population, but the benefits for patients on hemodialysis are uncertain.Methods Mediterranean and DASH diet scores were derived from the GA2LEN Food Frequency Questionnaire within the DIET-HD Study, a multinational cohort study of 9757 adults on hemodialysis. We conducted adjusted Cox regression analyses clustered by country to evaluate the association between diet score tertiles and all-cause and cardiovascular mortality (the lowest tertile was the reference category).Results During the median 2.7-year follow-up, 2087 deaths (829 cardiovascular deaths) occurred. The adjusted hazard ratios (95% confidence intervals) for the middle and highest Mediterranean diet score tertiles were 1.20 (1.01 to 1.41) and 1.14 (0.90 to 1.43), respectively, for cardiovascular mortality and 1.10 (0.99 to 1.22) and 1.01 (0.88 to 1.17), respectively, for all-cause mortality. Corresponding estimates for the same DASH diet score tertiles were 1.01 (0.85 to 1.21) and 1.19 (0.99 to 1.43), respectively, for cardiovascular mortality and 1.03 (0.92 to 1.15) and 1.00 (0.89 to 1.12), respectively, for all-cause mortality. The association between DASH diet score and all-cause death was modified by age (P=0.03); adjusted hazard ratios for the middle and highest DASH diet score tertiles were 1.02 (0.81 to 1.29) and 0.70 (0.53 to 0.94), respectively, for younger patients (≤60 years old) and 1.05 (0.93 to 1.19) and 1.08 (0.95 to 1.23), respectively, for older patients.Conclusions Mediterranean and DASH diets did not associate with cardiovascular or total mortality in hemodialysis.
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Mokhtari, Zeinab, Maryam Sharafkhah, Hossein Poustchi, Sadaf G. Sepanlou, Masoud Khoshnia, Abdolsamad Gharavi, Amir Ali Sohrabpour, et al. "Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet and risk of total and cause-specific mortality: results from the Golestan Cohort Study." International Journal of Epidemiology 48, no. 6 (May 5, 2019): 1824–38. http://dx.doi.org/10.1093/ije/dyz079.
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Abstract Objective To evaluate the association between adherence to the Dietary Approaches to Stop Hypertension (DASH) diet and overall and cause-specific mortality in the Golestan Cohort Study (GCS). Methods A total of 50 045 participants aged 40 years or older were recruited from Golestan Province, Iran, from 2004 to 2008 and followed for a mean of 10.64 years. The DASH diet score was calculated for each individual based on food groups. The primary outcome measure was death from any cause. Results During 517 326 person-years of follow-up, 6763 deaths were reported. After adjustment for potential confounders, DASH diet score was inversely associated with risk of death from all causes and cancers [hazard ratio (HR): 0.86; 95% confidence interval (CI): 0.75, 0.98; and HR: 0.65; 95% CI: 0.47, 0.90, respectively]. A higher DASH diet score was associated with lower risk of gastrointestinal cancer mortality in men (HR: 0.55; 95% CI: 0.30, 0.99). A greater adherence to DASH diet was also associated with lower other-cancer mortality in women (HR: 0.50; 95% CI: 0.24, 0.99). No association between DASH diet score and cardiovascular disease mortality was observed, except that those dying of cardiovascular disease were younger than 50 years of age and smokers. Conclusions Our findings suggest that maintaining a diet similar to the DASH diet is independently associated with reducing the risk of total death, cancers, and especially gastrointestinal cancers in men.
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SVETKEY, LAURA P., FRANK M. SACKS, EVA OBARZANEK, WILLIAM M. VOLLMER, LAWRENCE J. APPEL, PAO-HWA LIN, NJERI M. KARANJA, et al. "The DASH Diet, Sodium Intake and Blood Pressure Trial (DASH-Sodium)." Journal of the American Dietetic Association 99, no. 8 (August 1999): S96—S104. http://dx.doi.org/10.1016/s0002-8223(99)00423-x.
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Blumenthal, James A., Patrick J. Smith, Stephanie Mabe, Alan Hinderliter, Pao-Hwa Lin, Lawrence Liao, Kathleen A. Welsh-Bohmer, et al. "Lifestyle and neurocognition in older adults with cognitive impairments." Neurology 92, no. 3 (December 19, 2018): e212-e223. http://dx.doi.org/10.1212/wnl.0000000000006784.
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ObjectiveTo determine the independent and additive effects of aerobic exercise (AE) and the Dietary Approaches to Stop Hypertension (DASH) diet on executive functioning in adults with cognitive impairments with no dementia (CIND) and risk factors for cardiovascular disease (CVD).MethodsA 2-by-2 factorial (exercise/no exercise and DASH diet/no DASH diet) randomized clinical trial was conducted in 160 sedentary men and women (age >55 years) with CIND and CVD risk factors. Participants were randomly assigned to 6 months of AE, DASH diet nutritional counseling, a combination of both AE and DASH, or health education (HE). The primary endpoint was a prespecified composite measure of executive function; secondary outcomes included measures of language/verbal fluency, memory, and ratings on the modified Clinical Dementia Rating Scale.ResultsParticipants who engaged in AE (d = 0.32, p = 0.046) but not those who consumed the DASH diet (d = 0.30, p = 0.059) demonstrated significant improvements in the executive function domain. The largest improvements were observed for participants randomized to the combined AE and DASH diet group (d = 0.40, p = 0.012) compared to those receiving HE. Greater aerobic fitness (b = 2.3, p = 0.049), reduced CVD risk (b = 2.6, p = 0.042), and reduced sodium intake (b = 0.18, p = 0.024) were associated with improvements in executive function. There were no significant improvements in the memory or language/verbal fluency domains.ConclusionsThese preliminary findings show that AE promotes improved executive functioning in adults at risk for cognitive decline.ClinicalTrials.gov identifierNCT01573546.Classification of evidenceThis study provides Class I evidence that for adults with CIND, AE but not the DASH diet significantly improves executive functioning.
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Lin, Pao-Hwa, Stephan van Vliet, Chung-Yon Lin, Laura Svetkey, Crystal Tyson, and Julia Scialla. "Impact of the DASH Diet on Intestinal Permeability and Inflammation Markers." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 542. http://dx.doi.org/10.1093/cdn/nzaa046_042.
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Abstract Objectives The DASH (Dietary Approaches to Stop Hypertension) diet consistently reduces blood pressure (BP), but the mechanism remains unclear. Emerging evidence suggests that intestinal dysbiosis leading to increased intestinal permeability (IP) and inflammation may contribute to elevated BP. Using data collected from a pilot controlled feeding study (DASH-Mechanism) designed to explore the mechanisms of the BP-lowering of DASH, we examined the impact of DASH on IP and inflammatory markers. Methods Randomized controlled feeding study where participants consumed a typical American diet for one week then were randomized to either continue the typical diet (control) or the DASH diet for two weeks. Data were collected at the end of the first week (baseline) and after two weeks of randomized feeding. Sera were analyzed for the IP marker-zonulin and for inflammatory markers hsCRP, IFN-g, IL-6 and TNF-a. Multivariate models were used to examine the effect of diet on the aforementioned biomarkers and the association of the change in biomarkers with change in BP. Results Twenty unmedicated participants with stage 1 hypertension completed the study. Sera for this analysis were available for 18 participants (9 in control and 9 in DASH; Race: 5 Whites, 12 Blacks and 1 other; systolic/diastolic BP:140.1 ± 12.3/86.8 ± 14.2 mmHg). DASH diet significantly reduced SBP/DBP (−10.3 ± 11.7/−10.9 ± 5.9 vs 3.9 ± 6.6/3.6 ± 10.5 mmHg in control, P < 0.01 for both). There was a non-significant reduction in zonulin with DASH (Control: −1.97 ± 8.70 ng/ml; DASH: −5.81 ± 10.49 ng/ml), and a significant positive association between change in zonulin from baseline and change in both SBP (P = 0.03) and DBP (P = 0.05). Controlling for collinearity, multivariate linear model showed that change in zonulin, diet and age (for DBP only) (all P < 0.05) affect change in BP significantly (overall model: SBP P = 0.015 and DBP P = 0.022). Changes in inflammation markers did not differ between arms and none was associated with change in BP. Conclusions Our findings suggest that the DASH diet may improve IP and such impact may be related to the BP lowering effect of DASH. Multivariate models also suggest independent effect of diet and zonulin on BP further implicates the potential role of IP in BP regulation. Investigation of the effect of DASH on the microbiota is warranted. Funding Sources AHA.
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Liang, Hailun, Hind A. Beydoun, Sharmin Hossain, Ana Maldonado, Alan B. Zonderman, Marie T. Fanelli-Kuczmarski, and May A. Beydoun. "Dietary Approaches to Stop Hypertension (DASH) Score and Its Association with Sleep Quality in a National Survey of Middle-Aged and Older Men and Women." Nutrients 12, no. 5 (May 22, 2020): 1510. http://dx.doi.org/10.3390/nu12051510.
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Complex processes appear to link sleep duration and quality with dietary patterns. Numerous studies show healthful benefits of the Dietary Approaches to Stop Hypertension (DASH) diet, but few have examined its association with sleep duration or quality. The current study tested cross-sectional associations of DASH diet quality score with sleep quality among adults. Analyses of participants were from the 2005–2008 wave of the National Health and Nutrition Examination Surveys (n = 3941 adults ≥30 years of age, complete data). We performed sex- and age group-stratified multiple OLS regression analyses with DASH total score and components as main predictors and sleep quality as main outcomes, adjusting sequentially for socio-demographic, behavioral and health-related factors. Sex and age differences in associations of DASH with sleep quality, adjusting for covariates, were also examined by incorporating two-way interaction terms between sex/age and the DASH score in each unstratified model. We found that the DASH diet score was inversely related to poor sleep-related daytime dysfunction adjusted by age, sex, demographic and socio-economic factors. Some sex-specific associations were detected between DASH diet component scores and sleep quality. Notably, the potassium DASH component was inversely associated with Factor 1 (“sleepiness and sleep disturbance”) among women. The fiber DASH component was associated with better sleep quality and inversely related to Factor 2 (“sleep-related daytime dysfunction”) in younger subjects. This study indicates health benefits of the DASH diet for sleep duration and quality. Future longitudinal studies and randomized placebo-controlled trials are required to ascertain protective effects.
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WENDLING, PATRICE. "Few Hypertension Patients Follow DASH Diet." Internal Medicine News 40, no. 14 (July 2007): 36. http://dx.doi.org/10.1016/s1097-8690(07)70878-8.
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Steinberg, Dori, Gary G. Bennett, and Laura Svetkey. "The DASH Diet, 20 Years Later." JAMA 317, no. 15 (April 18, 2017): 1529. http://dx.doi.org/10.1001/jama.2017.1628.
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Hinderliter, Alan L., Michael A. Babyak, Andrew Sherwood, and James A. Blumenthal. "The DASH Diet and Insulin Sensitivity." Current Hypertension Reports 13, no. 1 (November 9, 2010): 67–73. http://dx.doi.org/10.1007/s11906-010-0168-5.
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Craddick, Shirley R., Patricia J. Elmer, Eva Obarzanek, William M. Vollmer, Laura P. Svetkey, and Martha C. Swain. "The DASH diet and blood pressure." Current Atherosclerosis Reports 5, no. 6 (November 2003): 484–91. http://dx.doi.org/10.1007/s11883-003-0039-5.
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Wickman, Brooke E., Byambaa Enkhmaa, Ronit Ridberg, Erick Romero, Martin Cadeiras, Frederick Meyers, and Francene Steinberg. "Dietary Management of Heart Failure: DASH Diet and Precision Nutrition Perspectives." Nutrients 13, no. 12 (December 10, 2021): 4424. http://dx.doi.org/10.3390/nu13124424.
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Heart failure (HF) is a major health care burden increasing in prevalence over time. Effective, evidence-based interventions for HF prevention and management are needed to improve patient longevity, symptom control, and quality of life. Dietary Approaches to Stop Hypertension (DASH) diet interventions can have a positive impact for HF patients. However, the absence of a consensus for comprehensive dietary guidelines and for pragmatic evidence limits the ability of health care providers to implement clinical recommendations. The refinement of medical nutrition therapy through precision nutrition approaches has the potential to reduce the burden of HF, improve clinical care, and meet the needs of diverse patients. The aim of this review is to summarize current evidence related to HF dietary recommendations including DASH diet nutritional interventions and to develop initial recommendations for DASH diet implementation in outpatient HF management. Articles involving human studies were obtained using the following search terms: Dietary Approaches to Stop Hypertension (DASH diet), diet pattern, diet, metabolism, and heart failure. Only full-text articles written in English were included in this review. As DASH nutritional interventions have been proposed, limitations of these studies are the small sample size and non-randomization of interventions, leading to less reliable evidence. Randomized controlled interventions are needed to offer definitive evidence related to the use of the DASH diet in HF management.
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Rahadiyanti, Ayu, Budi Yuli Setianto, and Martalena Br Purba. "Asupan makan DASH-like diet untuk mencegah risiko hipertensi pada wanita prediabetes." Jurnal Gizi Klinik Indonesia 11, no. 3 (January 30, 2015): 115. http://dx.doi.org/10.22146/ijcn.19290.
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Background: Prediabetics have cardiovascular risk factors such as obesity, hypertension, and dyslipidemia. Unhealthy food intake can increase the risk of hypertension in prediabetes. Prediabetes hypertension has the impact on increasing prevalence of diabetes and cardiovascular disease. A cohort study has shown that DASH diet is related to the lower incidence of hypertension in women (1).Objective: Of this study had the purpose to know that inappropriate DASH-like diet intake is associated with hypertension risk at prediabetes women in Puskesmas Tlogosari Kulon Semarang.Method: A cross-sectional study was conducted in Puskesmas Tlogosari Kulon area on January – March 2014 among 117 prediabetes women. The subjects were selected using consecutive sampling. Independent variable in this study was DASH-like diet intake which assessed from FFQ and the dependent variable was hypertension risk. The subject was classified as at risk for hypertension if, in seated position, the mean of the two measurements was ≥120/80 mmHg. Chi-Square test and logistic regression were used to analyze the data.Results: The mean of DASH-like diet score in subjects who were not at hypertension risk (3.31) was higher than subjects who were at hypertension risk (3.23). There was 90,77% person with hypertension risk who did not consume DASH-like diet properly. But the association of DASH-like diet intake with hypertension risk was not significant (p=0.194). The multivariate result showed that there was association between family history (p=0.047), obesity (p=0.016), and fat intake (p=0.015) with hypertension risk.Conclusion: Inappropriate DASH-like diet intake may increase the risk of hypertension, but it is not statistically significant.
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Kawamura, Atsuko, Junko Inagaki, Seiji Umemoto, Katsuko Kajiya, Hiroko Kishi, Makoto Mitarai, Hiroshi Oda, and Sei Kobayashi. "Dietary Adherence, Self-Efficacy, and Health Behavior Change of WASHOKU-Modified DASH Diet: A Sub-analysis of the DASH-JUMP Study." Current Hypertension Reviews 16, no. 2 (September 3, 2020): 128–37. http://dx.doi.org/10.2174/1573402115666190318125006.
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Background: We previously reported the nutritional characteristics and effects of the DASH-JUMP diet, which is a WASHOKU-modified DASH diet, in Japanese participants with untreated high-normal blood pressure or stage 1 hypertension. The dietary adherence of the DASH diet in Japanese participants has never been evaluated before. Objective: We aimed to assess the relationships between dietary adherence, self-efficacy, and health behavior change among study participants who received the DASH-JUMP diet by home delivery. Methods: Participants were treated with the DASH-JUMP diet for 2 months and consumed their usual diets for the next 4 months. We conducted surveys using the stage of behavior change model questionnaire and the modified perceived health competence scale Japanese version questionnaire at baseline and 1, 2, 3, and 6 months to assess dietary adherence. Results: Forty-three participants (25 men, 18 women; mean age 53.6 ± 8.2 years) returned completed questionnaires, which we analyzed. Health behavior change was motivated by previous behavioral changes and improved biomarkers. The improvement and maintenance of self-efficacy were deeply related to health behavior change and previous self-efficacy. The experience of the DASH-JUMP study for participants included three processes to improve lifestyle habits: Phase 1, reflecting on previous lifestyle habits; Phase 2, learning through new experiences and the acquisition of knowledge; and Phase 3, desiring to maintain their own health. Conclusion: It indicated that the DASH-JUMP diet significantly increased self-efficacy and promoted health behavior change.
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Steinberg, Dori M., Melissa C. Kay, Laura P. Svetkey, Sandy Askew, Jacob Christy, Jasmine Burroughs, Hira Ahmed, and Gary G. Bennett. "Feasibility of a Digital Health Intervention to Improve Diet Quality Among Women With High Blood Pressure: Randomized Controlled Feasibility Trial." JMIR mHealth and uHealth 8, no. 12 (December 7, 2020): e17536. http://dx.doi.org/10.2196/17536.
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Background Over 100 million individuals have high blood pressure, and more than half of them are women. The Dietary Approaches to Stop Hypertension (DASH) dietary pattern is a proven lifestyle approach to lower blood pressure, yet population-level adherence is poor. Innovative strategies that promote DASH are needed. Objective This paper aims to improve adherence to the DASH diet among women with hypertension or prehypertension. Methods We conducted a 3-month randomized controlled feasibility trial comparing app-based diet tracking (active comparator) to app-based diet tracking plus feedback on DASH adherence via text message (intervention). The intervention platform extracted nutrient data from the app, compared it to DASH recommendations, and sent tailored feedback text messages. Outcomes included the number of days participants tracked their diet, changes in their DASH adherence score, and blood pressure. Results The women (N=59) had a mean age of 49.9 (SD 11.9) years and were primarily non-Hispanic White (41/59, 69%) and college educated (49/59, 83%). The mean baseline DASH score was 2.3 (SD 1.3). At 3 months, the intervention and active comparator participants had similar mean days tracked per week (4.2, SD 2.1 days vs 4.6, SD 2.7 days; P=.54) and mean changes in their DASH score (0.8, 95% CI 0.2-1.5 vs 0.8, 95% CI 0.4-1.2; P=.75). Intervention participants had lower systolic (mean difference: –2.8 mmHg, 95% CI –1.8 to 7.4; P=.23) and diastolic (mean difference: –3.6 mmHg, 95% CI –0.2 to 7.3; P=.07) blood pressure compared with active comparator participants. Most intervention participants (23/29, 79%) said they would recommend the DASH Cloud intervention to a friend or family member. However, only 34% (10/59) indicated that the feedback text messages helped them reach their diet goals. Conclusions A digital health intervention to improve DASH adherence is feasible and produces moderately high engagement among women with elevated blood pressure. The intervention did not enhance DASH adherence over diet tracking alone but resulted in greater reductions in blood pressure. Larger studies are needed to determine how digital health interventions can improve population-level adherence to DASH. Trial Registration ClinicalTrials.gov NCT03215472; https://clinicaltrials.gov/ct2/show/study/NCT03215472
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Na, Muzi, Yanxiu Wang, Ming Gao, Aijun Xing, Shouling Wu, and Xiang Gao. "Associations Between the DASH Diet and Nocturnal Blood Pressure in a Sample of Chinese Elderly Subjects." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 550. http://dx.doi.org/10.1093/cdn/nzaa046_050.
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Abstract Objectives The Dietary Approaches to Stop Hypertension (DASH) diet is known to reduce daytime blood pressure (BP). This study aims to examine the relationship between DASH diet and BP monitored during sleep in a sample of Chinese old adults. Methods A cross-sectional sample of 324 participants aged ≥ 60 years who did not take BP-lowering drugs were included (68.8% men; 70.1% with hypertension). Usual dietary intake was assessed using a validated food frequency questionnaire. The DSAH diet score was calculated based on the intake ranking of 9 dietary components. 24-hour ambulatory BP was measured and the mean and variability independent of the mean (VIM) for nocturnal systolic (SBP) and diastolic BP (DBP) were calculated. Multivariable linear regression models were constructed of each BP outcome as a function of the DASH diet score adjusting for socio-demographic characteristics (age, sex, and education), body mass index, hypertension, lifestyle factors (smoking, alcohol intake, and physical activity). The interaction between DASH diet and hypertension status was also tested in the above models. We further adjusted for three self-reported sleep parameters (duration, insomnia, snoring) to explore the potential impact of sleep on the diet-nocturnal BP relationship. Results Mean (SD) age of subjects was 66.3 (6.0) years. There was no significant relationship between the DASH diet score and mean nocturnal SBP or DBP. However, per one unit increase of DASH diet score, nocturnal VIM-SBP and VIM-DBP were significantly reduced by −0.16 SD (95%CI: −0.30, −0.01) and −0.16 SD (95%CI: −0.28, −0.05) in the adjusted model. No significant interaction was detected between DASH diet and hypertension status. The significant associations persisted after further adjustment for the sleep parameters. Conclusions Adherence to the DASH diet may contribute to lower nocturnal systolic and diastolic blood pressure variability in elderly people. Future studies are warrant to explore the effect of modifiable diet on blood pressure during sleep, which has significant predictive value of heart health and mortality in high-risk populations. Funding Sources Broadhurst Career Development Professorship for the Study of Health Promotion and Disease Prevention, College of Health and Human Development, Pennsylvania State University.
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Pourafshar, Shirin, Mira Nicchitta, Crystal C. Tyson, Laura P. Svetkey, David L. Corcoran, James R. Bain, Michael J. Muehlbauer, et al. "Urine and Plasma Metabolome of Healthy Adults Consuming the DASH (Dietary Approaches to Stop Hypertension) Diet: A Randomized Pilot Feeding Study." Nutrients 13, no. 6 (May 22, 2021): 1768. http://dx.doi.org/10.3390/nu13061768.
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We aimed to identify plasma and urine metabolites altered by the Dietary Approaches to Stop Hypertension (DASH) diet in a post-hoc analysis of a pilot feeding trial. Twenty adult participants with un-medicated hypertension consumed a Control diet for one week followed by 2 weeks of random assignment to either Control or DASH diet. Non-missing fasting plasma (n = 56) and 24-h urine (n = 40) were used to profile metabolites using untargeted gas chromatography/mass spectrometry. Linear models were used to compare metabolite levels between the groups. In urine, 19 identifiable untargeted metabolites differed between groups at p < 0.05. These included a variety of phenolic acids and their microbial metabolites that were higher during the DASH diet, with many at false discovery rate (FDR) adjusted p < 0.2. In plasma, eight identifiable untargeted metabolites were different at p < 0.05, but only gamma-tocopherol was significantly lower on DASH at FDR adjusted p < 0.2. The results provide insights into the mechanisms of benefit of the DASH diet.
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Powell-Wiley, Tiffany M., Paige E. Miller, Priscilla Agyemang, Tanya Agurs-Collins, and Jill Reedy. "Perceived and objective diet quality in US adults: a cross-sectional analysis of the National Health and Nutrition Examination Survey (NHANES)." Public Health Nutrition 17, no. 12 (March 17, 2014): 2641–49. http://dx.doi.org/10.1017/s1368980014000196.
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AbstractObjectiveThe Dietary Approaches to Stop Hypertension (DASH) dietary pattern has been shown to reduce cardiometabolic risk. Little is understood about the relationship between objective diet quality and perceived diet quality (PDQ), a potential psychosocial barrier to appropriate dietary intake. We compared PDQ and diet quality measured by a nutrient-based DASH index score in the USA.DesignCross-sectional study. Participants in the 2005–2006 National Health and Nutrition Examination Survey (NHANES) rated diet quality on a 5-point Likert scale and PDQ scores were generated (low, medium, high). A single 24 h dietary recall was used to estimate DASH index scores (range 0–9 points) by assigning 0, 0·5 or 1 point (optimal) for nine target nutrients: total fat, saturated fat, protein, cholesterol, fibre, Ca, Mg, K and Na.SettingNationally representative sample of the US population.SubjectsAdults aged ≥19 years in 2005–2006 NHANES (n 4419).ResultsParticipants with high PDQ (33 %) had higher DASH index scores (mean 3·0 (sd 0·07)) than those with low PDQ (mean 2·5 (sd 0·06), P < 0·001), but average scores did not align with targets for intermediate or optimal DASH accordance. Adults with high PDQ reported higher total fat, saturated fat and Na intakes compared with optimal DASH nutrient goals. Differences between those with high v. low PDQ were similar for Whites and Blacks, but there was no difference between PDQ groups for Mexican Americans.ConclusionsAmong Whites and Blacks, but not Mexican Americans, high PDQ may be associated with higher diet quality, but not necessarily a diet meeting DASH nutrient goals. This disconnect between PDQ and actual diet quality may serve as a target in obesity prevention.
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Susanti, Susanti, Difran Nobel Bistara, Nata Ratnawati, and Lina Andriani. "AApplication Of Dietary Approaches To Stop Hypertension (Dash) Diet: An Effort To Lower Blood Pressure In Individuals With Hypertension." Community Development Journal 5, no. 3 (December 14, 2021): 300–304. http://dx.doi.org/10.33086/cdj.v5i3.2183.
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Diet DASH (Dietary Approaches To Stop Hypertension) is one way to reduce hypertension. Dietary factors (dietary compliance) are important things to consider in patients with hypertension. Patients with hypertension should adhere to the DASH diet in order to prevent further complications. The implementation method in the community service program is by providing health education about the DASH diet management application in the form of lectures and questions and answers. The participants of this activity were residents of the Brigadier General Katamso area RT 23 RW 05 Waru Sidoarjo. The results of blood pressure showed that after being given KKL activities in the form of counseling, blood pressure checks, from a total of 10 residents (100%) who participated in KKL activities in the Brigadier General Katamso 2 RT 23 RW 05 Kelurahan Kedung Rejo, Waru District, the results of blood pressure for most residents in the area of Brigjen Katamso 2 RT 23 RW 05 Kedung Rejo Village Waru District before the KKL activity in the category 1 hypertension category was 6 people (60%), and after the KKL activity was in the high normal category there were 5 people (50%). Based on these data, it can be seen by using the Wilcoxon Signed Rank Test statistical test, the knowledge value p value = 0.003 so there is an effect of DASH diet counseling on blood pressure. Most of the respondents (50%) have a consumption pattern that triggers hypertension is not good at the time of the pretest. After being given the intervention and doing a posttest, it showed that most of the respondents (90%) had a good consumption pattern that triggers hypertension. This means that there is a decrease in consumption patterns that trigger hypertension before and after being given the DASH diet information guidebook for hypertension patients. The existence of a significant difference in knowledge between before and after being given the DASH dietary information guidebook for hypertension patients identified that health education about DASH diet information could increase public knowledge. Knowledge of hypertension patients increased after being given health education using the DASH diet manual. This increase in knowledge allows people to adjust their eating patterns as recommended in the DASH diet guide book
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Filippou, Christina D., Costas P. Tsioufis, Costas G. Thomopoulos, Costas C. Mihas, Kyriakos S. Dimitriadis, Lida I. Sotiropoulou, Christina A. Chrysochoou, Petros I. Nihoyannopoulos, and Dimitrios M. Tousoulis. "Dietary Approaches to Stop Hypertension (DASH) Diet and Blood Pressure Reduction in Adults with and without Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials." Advances in Nutrition 11, no. 5 (April 24, 2020): 1150–60. http://dx.doi.org/10.1093/advances/nmaa041.
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ABSTRACT The Dietary Approaches to Stop Hypertension (DASH) diet is recognized as an effective dietary intervention to reduce blood pressure (BP). However, among randomized controlled trials (RCTs) investigating the DASH diet–mediated BP reduction, there are significant methodological and clinical differences. The purpose of this study was to comprehensively assess the DASH diet effect on BP in adults with and without hypertension, accounting for underlying methodological and clinical confounders. We systematically searched Medline and the Cochrane Collaboration Library databases and identified 30 RCTs (n = 5545 participants) that investigated the BP effects of the DASH diet compared with a control diet in hypertensive and nonhypertensive adults. Both random-effects and fixed-effect models were used to calculate the mean attained systolic BP (SBP) and diastolic BP (DBP) differences during follow-up. Subgroup and meta-regression analyses were also conducted. Compared with a control diet, the DASH diet reduced both SBP and DBP (difference in means: −3.2 mm Hg; 95% CI: −4.2, −2.3 mm Hg; P < 0.001, and −2.5 mm Hg; 95% CI: −3.5, −1.5 mm Hg; P < 0.001, respectively). Hypertension status did not modify the effect on BP reduction. The DASH diet compared with a control diet reduced SBP levels to a higher extent in trials with sodium intake >2400 mg/d than in trials with sodium intake ≤2400 mg/d, whereas both SBP and DBP were reduced more in trials with mean age <50 y than in trials of older participants. The quality of evidence was rated as moderate for both outcomes according to the Grading of Recommendations, Assessment, Development, and Evaluation approach. The adoption of the DASH diet was accompanied by significant BP reduction in adults with and without hypertension, although higher daily sodium intake and younger age enhanced the BP-lowering effect of the intervention. This meta-analysis was registered at www.crd.york.ac.uk/prospero as CRD42019128120.
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Malloy-McFall, Joan, Jacob E. Barkley, Karen Lowry Gordon, Nancy Burzminski, and Ellen L. Glickman. "Effect of the DASH Diet on Pre- and Stage 1 Hypertensive Individuals in a Free-Living Environment." Nutrition and Metabolic Insights 3 (January 2010): NMI.S3871. http://dx.doi.org/10.4137/nmi.s3871.
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Background Dietary Approaches to Stop Hypertension (DASH) has been shown to successfully reduce systolic (SBP) and diastolic blood pressure (DBP) when evaluated in clinically controlled environments but there is a lack of information regarding the efficacy of the original DASH diet when it is applied in a free-living environment. Purpose To provide descriptive data as to the changes in blood pressure individuals could expect to achieve when following the DASH diet in a free-living environment for 4-weeks with no additional behavioral modifications. Methods Twenty, pre- and stage 1 hypertensive participants were randomly split into 2 groups; DASH (males N = 5, females N = 5, age = 38.5 ± 10.8) and control (males N = 7, females N = 3, age = 38.1 ± 11.1). The DASH group was instructed on how to follow the DASH diet on their own for 4-weeks while the control group continued their normal diet. SBP, DBP, body weight, 3-day food diaries and physical activity recall questionnaire data were collected pre and post intervention using a traditional person-to-person instructional technique. Results Two-way ANOVA demonstrated that there was a significant group (DASH, control) by time (pre, post) interaction for SBP ( P = 0.003) and no significant effects for DBP. The interaction was due to a significant reduction ( P < 0.001) in SBP in the DASH group (pre: 141.3 ± 11.3 mmHg vs. post: 130.7 ± 9.1 mmHg) over the course of the intervention with no change in SBP in the control group (pre: 133.5 ± 6.6 mmHg vs. post: 131.9 ± 8.9 mmHg). Pearson's correlation analyses revealed that changes in potential moderators of blood pressure including body weight, BMI, sodium intake and total kilocalories were each not associated with changes in SBP (r ≤ 0.14, P ≥ 0.5) or DBP (r < 0.10, P ≥ 0.6) pre- to post-treatment. Chi-square demonstrated no significant differences in the number of participants per group (n = 4 DASH, n = 1 control) who indicated increasing physical activity during the intervention. Conclusion DASH diet followed in a free-living environment significantly reduced SBP but not DBP. However, the changes in SBP and DBP were very similar to those noted in controlled clinical feeding evaluations of the DASH diet. Presently, none of the potential moderators of blood pressure that were assessed were independently associated with the observed changes in blood pressure which may be due to our small sample size or the possibility that it is the combined change in multiple factors that lead to reductions in blood pressure when following the DASH diet.
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Maddock, Jane, Nida Ziauddeen, Gina L. Ambrosini, Andrew Wong, Rebecca Hardy, and Sumantra Ray. "Adherence to a Dietary Approaches to Stop Hypertension (DASH)-type diet over the life course and associated vascular function: a study based on the MRC 1946 British birth cohort." British Journal of Nutrition 119, no. 5 (March 6, 2018): 581–89. http://dx.doi.org/10.1017/s0007114517003877.
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AbstractLittle is known about long-term associations between the Dietary Approaches to Stop Hypertension (DASH) diet and conventional cardiovascular (CV)-risk factors as well as novel measures of vascular function. This study aimed to examine whether long-term adherence to a DASH-type diet in a British birth cohort is associated with conventional CV-risk factors and two vascular function markers, carotid intima–media thickness (cIMT) and pulse wave velocity (PWV). Data came from 1409 participants of the Medical Research Council (MRC) National Survey of Health and Development. Dietary intake was assessed at 36, 43, 53 and 60–64 years using 5-d estimated food diaries. The DASH-type diet score was calculated using the Fung index. Conventional CV-risk factors (blood pressure (BP) and lipids), cIMT in the right and/or left common carotid artery and PWV was measured when participants were 60–64 years. Associations between the DASH-type diet score and outcomes were assessed using multiple regression models adjusted for socioeconomic position, BMI, smoking and physical activity. Participants in higher sex-specific quintiles (Q) of the long-term DASH-type diet had lower BP (P≤0·08), higher HDL-cholesterol (P<0·001) and lower TAG (P<0·001) compared with people in Q1. Participants in Q5 of the long-term DASH-type diet had lower PWV (−0·28sd; 95 % CI −0·50, −0·07,Ptrend=0·01) and cIMT (−0·24sd; 95 % CI −0·44, −0·04,Ptrend=0·02) compared with participants in the Q1. This association was independent of the conventional CV-risk factors. Greater adherence to a DASH diet over the life course is associated with conventional CV-risk factors and independently associated with cIMT and PWV.
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Fitriyana, Mauluda, and Maulidta Karunianingtyas Wirawati. "Penerapan Pola Diet Dash Terhadap Tekanan Darah Pada Penderita Hipertensi Di Desa Kalikangkung Semarang." Jurnal Manajemen Asuhan Keperawatan 6, no. 1 (February 28, 2022): 17–24. http://dx.doi.org/10.33655/mak.v6i1.126.
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Latar Belakang: Hipertensi masih menjadi masalah kesehatan yang cukup besar untuk diatasi. WHO menyebutkan bahwa penyakit hipertensi sudah menyerang 22% dari penduduk di dunia. Sedangkan angka hipertensi di Jawa Tengah sendiri mencapai angka 36,53% atau sebanyak 8.888.585. Manajemen hipertensi dapat dilakukan salah satunya dengan cara non farmakologi. Salah satu cara untuk mengatur pola makan bagi penderita hipertensi adalah dengan menerapkan metode diet DASH (Dietary Approach to Stop Hypertension) sebab selama ini yang dilakukan hanya dengan pengaturan garam dan natriumnya saja (diet rendah garam).
Metode Penelitian: Jenis metode penelitian yang digunakan adalah metode deskriptif yang menggunakan pendekatan asuhan keperawatan. Subjek pada penelitian yaitu dua warga di Desa Kalikangkung Semarang yang sudah menderita penyakit hipertensi sejak 2-3 tahun yang lalu dan menjalani pengobatan terkontrol yaitu dengan mengkonsumsi obat amplodipin 10 mg yang diminum satu kali dalam sehari. Instrumen yang digunakan adalah panduan menu harian, lembar observasi, serta standar prosedur terapi pemberian diet DASH. Penelitian dilakukan pada tanggal 1-5 Juni 2021. Pola makan diet DASH ini diberikan 3x dalam sehari, yaitu menu makan pagi, menu makan siang, dan menu makan malam.
Hasil: Hasil penelitian menunjukkan adanya penurunan tekanan darah serta beberapa perubahan lainnya. Pada subjek I terjadi penurunan tekanan darah dari 156/100 mmHg menjadi 140/95 mmHg, sementara pada subjek II juga terjadi penurunan tekanan darah dari 155/100 mmHg menjadi 140/90 mmHg. Penelitian ini menunjukkan bahwa pemberian terapi pola makan diet DASH dapat menurunkan tekanan darah pada penderi hipertensi.
Kesimpulan: Ada pengaruh terapi pola diet DASH untuk menurunkan tekanan darah pada penderita hipertensi.
Kata kunci: Hipertensi, Tekanan Darah, Diet DASH.
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Francisco, S. C., L. F. Araújo, R. H. Griep, D. Chor, M. D. C. B. Molina, J. G. Mil, I. M. Bensenor, S. M. A. Matos, S. M. Barreto, and L. Giatti. "Adherence to the Dietary Approaches to Stop Hypertension (DASH) and hypertension risk: results of the Longitudinal Study of Adult Health (ELSA-Brasil)." British Journal of Nutrition 123, no. 9 (January 21, 2020): 1068–77. http://dx.doi.org/10.1017/s0007114520000124.
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AbstractWe investigated whether high adherence to the Dietary Approaches to Stop Hypertension (DASH) diet was independently associated with lower risk of incident hypertension. Participants included 5632 adults, without hypertension at the baseline (2008–2010) of the Longitudinal Study of Adult Health, who took part in the second follow-up visit (2012–2014). Adherence to the DASH diet was estimated at baseline using a score based on eight food items (final scores from 8 to 40 points) and was categorised as high adherence (≥30 points, or ≥75 %) and low adherence (<75 %; reference). Hypertension was defined as systolic blood pressure (BP) ≥140 mmHg or diastolic BP ≥90 mmHg, or use of antihypertensive drugs. The association between adherence to the DASH diet and the risk of incident hypertension was estimated using Cox regression models adjusted by covariates. In total, 780 new cases of hypertension (13·8 %) were identified in about 3·8-year follow-up. Participants with high adherence to the DASH diet had 26 % lower risk of hypertension (hazard ratio (HR) 0·74; 95 % CI 0·57, 0·95) after adjustment for socio-demographic characteristics, health-related behaviours, diabetes and family history of hypertension. The HR reduced to 0·81 (95 % CI 0·63, 1·04) and was of borderline statistical significance after adjustment for BMI, suggesting that lower body weight explains about 10 % of the association between high adherence to the DASH diet and hypertension risk reduction. The results indicate that high adherence to the DASH diet lowered the risk of hypertension by one-fourth over a relatively short follow-up period.
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Singh, Ram B., Jan Fedacko, Ghizal Fatima, Aminat Magomedova, Shaw Watanabe, and Galal Elkilany. "Why and How the Indo-Mediterranean Diet May Be Superior to Other Diets: The Role of Antioxidants in the Diet." Nutrients 14, no. 4 (February 21, 2022): 898. http://dx.doi.org/10.3390/nu14040898.
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The Seven Countries Study showed that traditional Japanese and Mediterranean diets are protective against cardiovascular diseases (CVDs). The Japanese diet is considered the healthiest because it provides Japanese populations with the highest longevity and health. DASH and Mediterranean-style diets are also considered healthy diets, although the Indo-Mediterranean-style diet may provide better protective effects among patients with CVDs compared to other diets. The concept of the Indo-Mediterranean type of diet was developed after examining its role in the prevention of CVDs in India, the value of which was confirmed by a landmark study from France: the Lyon Heart Study. These workers found that consuming an alpha-linolenic acid-rich Mediterranean-style diet can cause a significant decline in CVDs and all-cause mortality. Later in 2018, the PREDIMED study from Spain also reported that a modified Mediterranean-style diet can cause a significant decline in CVDs, type 2 diabetes mellitus (T2DM), and cancer. The Indo-Mediterranean diet may be superior to DASH and Mediterranean diets because it contains millets, porridge, and beans, as well as spices such as turmeric, cumin, fenugreek, and coriander, which may have better anti-inflammatory and cardioprotective effects. These foods are rich sources of nutrients, flavonoids, calcium, and iron, as well as proteins, which are useful in the prevention of under- and overnutrition and related diseases. It is known that DASH and Mediterranean-style diets have a similar influence on CVDs. However, the Indo-Mediterranean-style diet may be as good as the Japanese diet due to improved food diversity and the high content of antioxidants.
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Cherian, Laurel, Yamin Wang, Thomas Holland, Puja Agarwal, Neelum Aggarwal, and Martha Clare Morris. "DASH and Mediterranean-Dash Intervention for Neurodegenerative Delay (MIND) Diets Are Associated With Fewer Depressive Symptoms Over Time." Journals of Gerontology: Series A 76, no. 1 (February 21, 2020): 151–56. http://dx.doi.org/10.1093/gerona/glaa044.
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Abstract Background Depression is common in older adults and more prevalent in those with cognitive impairment, vascular risk factors, or stroke. Nonpharmacologic strategies to reduce depression, such as diet, may be effective; however, few studies have investigated the relation. Methods A total of 709 participants (23.3% men, mean age 80.4), from an observational prospective cohort study were assessed annually for an average of 6.53 years of follow-up. Participants with missing or invalid baseline dietary evaluations or fewer than two depression assessments were excluded. Depressive symptoms were assessed with a 10-item version of the Center for Epidemiologic Studies Depression scale. High burden of depressive symptoms was defined as the presence of four or more depressive symptoms. Diet scores were computed using a validated food frequency questionnaire for the Dietary Approaches to Stop Hypertension (DASH) diet, Mediterranean diet, Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet, and Western diets. Diet scores were modeled in tertiles. A generalized estimating equation (GEE) model was performed for the longitudinal analysis of depression as a binary outcome. Results Participants in the highest tertile of the DASH (β = −0.10, confidence interval [CI]: −0.20, −0.0064) and MIND (β = −0.12, CI: −0.23, −0.0092) diet scores had lower rates of depressive symptoms over time when compared to those in the respective lowest tertiles. The Western diet was positively associated with depressive symptoms over time (β = 0.093, p-trend = .05). Conclusions Diet may be effective in reducing depressive symptoms in older adults. A diet intervention trial may be needed to determine the optimal nutritional components for prevention of late onset depression.
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LOGAN, A. "DASH Diet: Time for a Critical Appraisal?" American Journal of Hypertension 20, no. 3 (March 2007): 223–24. http://dx.doi.org/10.1016/j.amjhyper.2006.10.006.
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Said, Marwa S., Inas T. El Sayed, Eman E. Ibrahim, and Ghada M. Khafagy. "Effect of DASH Diet Versus Healthy Dietary Advice on the Estimated Atherosclerotic Cardiovascular Disease Risk." Journal of Primary Care & Community Health 12 (January 2021): 215013272098095. http://dx.doi.org/10.1177/2150132720980952.
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Introduction: Cardiovascular disease (CVD) is the most leading cause of mortality worldwide. Changes in diet can reduce subclinical cardiac injury and inflammation in parallel with reductions of other CVD risk factors. Aim: The study aimed to evaluate the beneficial effect of the DASH diet versus usual healthy dietary advice (HDA) on the estimated risk of atherosclerotic cardiovascular disease (ASCVD). Methods: It was a prospective interventional nonrandomized controlled study, conducted on 92 participants attending Family Medicine Outpatient Clinics, Cairo University. The participants were assigned to 2 dietary groups, the DASH and HDA groups, for 12 weeks. All subjects were subjected to anthropometric measurement, assessment of lipid profile, and the estimated cardiovascular risk pre-and post-intervention. Results: The estimated cardiovascular risk was reduced significantly in both the DASH and HDA groups, with no statistically significant difference between the 2 groups regarding the risk reduction. By comparing the percent change between pre and post-intervention in both DASH and HDA groups, the following are the results: BMI dropped by 6.5% versus 2.5%, systolic blood pressure decreased by 6.9% and 4.1%, fasting blood sugar dropped by 5.5% and 3.1%, total cholesterol dropped by 5.2% and 3.1%, LDL dropped by 8.2%, and 3.1%, and HDL increased by 8.2% and 2.4%, in DASH and HDA groups, respectively. Conclusion: Both the DASH diet and HDA are associated with improvement in CVD risk factors. Although better risk factors decline with the DASH diet, there was no statistically significant difference between the 2 groups.
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Anjos, Karla Doralyce Gomes dos, Edcleide Oliveira dos Santos Olinto, Gina Araújo Martins Feitosa, Renan Gondim Araújo, Larissa Araújo Maia, Elisiandre Martins de Lima, Elivane Martins de Lima, and Laiana Keylha Alexandre Barroso. "Dieta DASH no tratamento da hipertensão arterial sistêmica/DASH diet in the treatment of systemic arterial hypertension." Brazilian Journal of Health Review 4, no. 1 (2021): 621–34. http://dx.doi.org/10.34119/bjhrv4n1-053.
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Tyson, Crystal C., Clemontina A. Davenport, Pao-Hwa Lin, Julia J. Scialla, Rasheeda Hall, Clarissa J. Diamantidis, Joseph Lunyera, et al. "DASH Diet and Blood Pressure Among Black Americans With and Without CKD: The Jackson Heart Study." American Journal of Hypertension 32, no. 10 (June 11, 2019): 975–82. http://dx.doi.org/10.1093/ajh/hpz090.
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Abstract BACKGROUND The Dietary Approaches to Stop Hypertension (DASH) diet lowers blood pressure (BP) more effectively in blacks compared to other US racial subgroups. Considering chronic kidney disease (CKD) raises BP through complex mechanisms, DASH may affect BP differently among blacks with and without CKD. We compared the association of DASH accordance to BP and prevalent hypertension among blacks with and without CKD. METHODS Our study involved 3,135 black Americans enrolled in the Jackson Heart Study (2000–2004) with diet and office BP data. Using linear models adjusted for demographics, health behaviors, and clinical factors, we determined the association of a modified DASH score (excluding sodium intake, ranging from 0 to 8 with increasing DASH accordance) with BP. We performed tests for interaction between DASH score and CKD status. RESULTS Among participants (mean age: 55 years; hypertension: 60%; CKD: 19%), the median DASH score was similar among participants with and without CKD (1.0 [interquartile range (IQR): 0.5–2] and 1.0 [IQR: 0.5–1.5]). CKD status modified the association of the DASH score with systolic BP (SBP) and diastolic BP (DBP; P interactions were 0.06 and <0.01). Among participants without CKD, SBP and DBP were not associated with the DASH score (−0.4 [95% confidence interval: −1.0, 0.1] mm Hg and −0.1 [−0.4, 0.2] mm Hg per one unit higher DASH score). Among participants with CKD, one unit higher DASH score was associated with lower SBP by 1.6 (0.5, 2.6) mm Hg and lower DBP by 0.9 (0.3, 1.5) mm Hg. CONCLUSIONS Despite low DASH scores overall, better DASH accordance was associated with lower BP among Black Americans with CKD.
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Iwuji, Anayo Charles, and Emeka Uchendu Agwu. "A Weighted Goal Programming Model for the DASH Diet Problem: Comparison with the Linear Programming DASH Diet Model." American Journal of Operations Research 07, no. 05 (2017): 307–22. http://dx.doi.org/10.4236/ajor.2017.75023.
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Rebholz, Casey M., Alice H. Lichtenstein, Zihe Zheng, Lawrence J. Appel, and Josef Coresh. "Serum untargeted metabolomic profile of the Dietary Approaches to Stop Hypertension (DASH) dietary pattern." American Journal of Clinical Nutrition 108, no. 2 (June 18, 2018): 243–55. http://dx.doi.org/10.1093/ajcn/nqy099.
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ABSTRACT Background The Dietary Approaches to Stop Hypertension (DASH) dietary pattern is recommended for cardiovascular disease risk reduction. Assessment of dietary intake has been limited to subjective measures and a few biomarkers from 24-h urine collections. Objective The aim of the study was to use metabolomics to identify serum compounds that are associated with adherence to the DASH dietary pattern. Design We conducted untargeted metabolomic profiling in serum specimens collected at the end of 8 wk following the DASH diet (n = 110), the fruit and vegetables diet (n = 111), or a control diet (n = 108) in a multicenter, randomized clinical feeding study (n = 329). Multivariable linear regression was used to determine the associations between the randomized diets and individual log-transformed metabolites after adjustment for age, sex, race, education, body mass index, and hypertension. Partial least-squares discriminant analysis (PLS-DA) was used to identify a panel of compounds that discriminated between the dietary patterns. The area under the curve (C statistic) was calculated as the cumulative ability to distinguish between dietary patterns. We accounted for multiple comparisons with the use of the Bonferroni method (0.05 of 818 metabolites = 6.11 × 10−5). Results Serum concentrations of 44 known metabolites differed significantly between participants randomly assigned to the DASH diet compared with both the control diet and the fruit and vegetables diet, which included an amino acid, 2 cofactors and vitamins (n = 2), and lipids (n = 41). With the use of PLS-DA, component 1 explained 29.4% of the variance and component 2 explained 12.6% of the variance. The 10 most influential metabolites for discriminating between the DASH and control dietary patterns were N-methylproline, stachydrine, tryptophan betaine, theobromine, 7-methylurate, chiro-inositol, 3-methylxanthine, methyl glucopyranoside, β-cryptoxanthin, and 7-methylxanthine (C statistic = 0.986). Conclusions An untargeted metabolomic platform identified a broad array of serum metabolites that differed between the DASH diet and 2 other dietary patterns. This newly identified metabolite panel may be used to assess adherence to the DASH dietary pattern. This trial was registered at http://www.clinicaltrials.gov as NCT03403166.
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Asemi, Zatollah, Zohreh Tabassi, Mansooreh Samimi, Taherh Fahiminejad, and Ahmad Esmaillzadeh. "Favourable effects of the Dietary Approaches to Stop Hypertension diet on glucose tolerance and lipid profiles in gestational diabetes: a randomised clinical trial." British Journal of Nutrition 109, no. 11 (November 13, 2012): 2024–30. http://dx.doi.org/10.1017/s0007114512004242.
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Although gestational diabetes mellitus (GDM) is associated with an increased risk of maternal and neonatal morbidity, there is no consensus as to the optimal approach of nutritional management in these patients. The present study was designed to assess the effect of the Dietary Approaches to Stop Hypertension (DASH) eating plan on glucose tolerance and lipid profiles of pregnant women with GDM. The present randomised controlled clinical trial was performed among thirty-four women diagnosed with GDM at 24–28 weeks of gestation. Subjects were randomly assigned to consume either the control diet (n 17) or the DASH eating pattern (n 17) for 4 weeks. The control diet was designed to contain 45–55 % carbohydrates, 15–20 % protein and 25–30 % total fat. The macronutrient composition of the DASH diet was similar to the control diet; however, the DASH diet was rich in fruits, vegetables, whole grains and low-fat dairy products, and contained lower amounts of saturated fats, cholesterol and refined grains with a total of 2400 mg Na/d. Fasting blood samples were taken at baseline and after 4 weeks of intervention to measure fasting plasma glucose, glycated Hb (HbA1c) and lipid profiles. Participants underwent a 3 h oral glucose tolerance tests and blood samples were collected at 60, 120 and 180 min to measure plasma glucose levels. Adherence to the DASH eating pattern, compared with the control diet, resulted in improved glucose tolerance such that plasma glucose levels reduced at 60 ( − 1·86 v. − 0·45 mmol/l, Pgroup= 0·02), 120 ( − 2·3 v. 0·2 mmol/l, Pgroup= 0·001) and 180 min ( − 1·7 v. 0·22 mmol/l, Pgroup= 0·002) after the glucose load. Decreased HbA1c levels ( − 0·2 v. 0·05 %, Pgroup= 0·001) was also seen in the DASH group compared with the control group. Mean changes for serum total ( − 0·42 v. 0·31 mmol/l, Pgroup= 0·01) and LDL-cholesterol ( − 0·47 v. 0·22 mmol/l, Pgroup= 0·005), TAG ( − 0·17 v. 0·34 mmol/l, Pgroup= 0·01) and total:HDL-cholesterol ratio ( − 0·6 (sd 0·9) v. 0·3 (sd 0·8), Pgroup= 0·008) were significantly different between the two diets. Additionally, consumption of the DASH diet favourably influenced systolic blood pressure ( − 2·6 v. 1·7 mmHg, Pgroup= 0·001). Mean changes of fasting plasma glucose ( − 0·29 v. 0·15 mmol/l, Pgroup= 0·09) were non-significant comparing the DASH diet with the control diet. In conclusion, consumption of the DASH eating pattern for 4 weeks among pregnant women with GDM resulted in beneficial effects on glucose tolerance and lipid profiles compared with the control diet.
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Uliatiningsih, Rita, and Adhila Fayasari. "Effect Education of DASH DIET on Dietary Intake Adherence and Blood Pressure of Hypertension Outpatients in Rumkital Marinir Cilandak." Jurnal Gizi dan Pangan Soedirman 3, no. 2 (December 16, 2019): 120. http://dx.doi.org/10.20884/1.jgps.2019.3.2.1924.
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Background: Diet DASH (Dietary Approaches To Stop Hypertension) is one of the methods to lowering high blood pressure. Dietary compliance is one of the important things that hypertensive patients need to care of. The hypertensive patients should obey DASH diet in order to avoid further complication. This study aims to discover the effect of DASH diet education on diet adherence and blood preesure re in hypertensive patients in Cilandak Marine Hospital, Jakarta.Method: This study used quasi experimental design with pretest-posttest one group design approaches. There were 75 respondents in this study which were obtained using purposive sampling type. The data were obtained from Cilandak Marine Hospital, Jakarta. The statistical analysis used paired sample t test. Result: The result of the study showed that dietary compliance of DASH diet with blood pressure in hypertensive patients in Cilandak Marine Hospital, Jakarta were categorized 3 parts as non compliants when the score is 31-45 for as many as 32 respondents (42,7%), fair compliants when the score is 46-60 for as many as 39 respondent (52,0%) and 4 respondents (5,3%) are categorized in compliant score 61-75. The analysis of the systole and diastole of the blood pressure before and after the intervention in hypertensive patients showed a significant related correlation (p=0,000) .Conclusion: There is a significant correlation between the dietary compliance of DASH diet with blood pressure in hypertensive patients in Cilandak Marine Hospital, Jakarta.
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Bielopolski, Dana, Andrea Ronning, Dacia Vasquez, Glenis George-Alexander, Jeanne Walker, Jonathan N. Tobin, and Rhonda G. Kost. "4393 Translational Characterization of Blood Pressure Changes Following the DASH Diet– from Nutrition to Electrolytes to Exosomes." Journal of Clinical and Translational Science 4, s1 (June 2020): 41. http://dx.doi.org/10.1017/cts.2020.157.
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OBJECTIVES/GOALS: 1.analyze urinary protein exosome content pattern before and during DASH diet.2.characterize urine electrolyte changes associated with changes in protein profiles, and hormonal changes before/after DASH diet.3.analyze the association of these changes to the DASH-related BP response.METHODS/STUDY POPULATION: In this proof of concept study, hypertension stage 1 volunteers will receive a DASH based menu during 14 consecutive days of elective admission to the RU research hospital. Participants will complete a food frequency questionnaire (VioScreen) with a bionutritionist. Throughout the intervention period, participants will be assessed for blood pressure, plasma renin and aldosterone, and 24 hour urines for electrolytes, creatinine, protein, albumin and first morning urine collected for exosomes. Exosome analysis will be performed by a commercial lab. Proteome analysis will be conducted in the RU Mass-spectrometry service. RESULTS/ANTICIPATED RESULTS: The causal pathway we will elucidate hypothesizes that: 1) changes in diet affect blood electrolytes, and through these, aldosterone. 2) Aldosterone alters the expression of specific transporter proteins in the renal tubule; protein expression will be reflected in the urine exosome. 3) These transporters affect the excretion of electrolytes, as reflected by urinary ratio of sodium (Na) to Potassium (K). During consumption of the Western diet, the Na/K ratio is approximately 2-2.5, whereas we expect the urinary sodium/potassium ratio to be <1, when the participant is eating a DASH based diet. DISCUSSION/SIGNIFICANCE OF IMPACT: This assay provides a clinical tool to assess dietary adherence, and the project will provide insights into the mechanism whereby DASH reduces blood pressure.
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Rodrigues, Fernanda Guedes, Thalita Melo Lima, Lysien Zambrano, and Ita Pfeferman Heilberg. "Dietary pattern analysis among stone formers: resemblance to a DASH-style diet." Brazilian Journal of Nephrology 42, no. 3 (September 2020): 338–48. http://dx.doi.org/10.1590/2175-8239-jbn-2019-0183.
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Abstract Recent epidemiological studies have shown that dietary patterns may have a more persistent impact on the risk of stone formation than single nutrients of the diet. Dietary Approaches to Stop Hypertension (DASH), a low-sodium and fruits/vegetables-rich diet, has been associated with a lower risk of nephrolithiasis, due to altered urinary biochemistry. This observational study aimed to investigate whether the dietary pattern of stone formers (SF) resembled a DASH-diet and its influence on urinary lithogenic parameters. Anthropometric data, fasting serum sample, 24-h urine samples, and a 3-day food intake record under an unrestricted diet were obtained from 222 SF and compared with 136 non-SF subjects (controls). The DASH-diet food portions were determined from the food records whereas intakes of sodium chloride (NaCl) and protein (protein equivalent of nitrogen appearance, PNA) were estimated from 24-hr urinary sodium and urea. A dietary profile close to a DASH-diet was not observed in any of the groups. NaCl intake and PNA were significantly higher in SF versus non-SF (12.0 ± 5.2 v.s. 10.1 ± 3.4 g/day, p = 0.01 and 1.8 ± 0.1 v.s. 1.4 ± 0.1 g/kg/day, p = 0.03). SF exhibited a positive correlation of NaCl intake and PNA with urinary calcium, oxalate and uric acid, and of PNA with urinary sodium. SF consumed more vegetables and legumes, but less fruits and low-fat dairy items than non-SF. The present series presented a dietary profile characterized by low calcium and high salt and protein contents, not reflecting an ideal DASH-style diet pattern.
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Kucharska, Alicja, Mariusz Jaworski, Mariusz Panczyk, Magdalena Pilska, Danuta Gajewska, and Joanna Niegowska. "The Effectiveness of Dietary Approaches to Stop Hypertension Diet Intervention in Persons with Arterial Hypertension and Obesity: A Key Role of the Patients’ Personality Profile." Annals of Nutrition and Metabolism 72, no. 2 (2018): 104–11. http://dx.doi.org/10.1159/000486520.
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Background/Aims: Benefits resulting from weight loss and dietary approaches to stop hypertension (DASH) diet in the treatment of arterial hypertension led to a search for a better therapy that would include psychological factors. The present study aimed to assess the relationship between the personality traits included in the Big Five personality traits and the effectiveness of treatment for weight loss in patients with essential hypertension and excessive body weight. Methods: The study involved 84 patients with essential hypertension, overweight or obesity, managed by a hypertensiologist. All patients underwent a 3-month diet treatment as part of the development process of an individualised eating plan that follows the principles of DASH diet and food education. Body mass index and DASH index were calculated before and after the therapy. NEO Five-Factor Inventory was applied to measure psychological variables. Results: The intervention led to a statistically significant increase of DASH index measured before and after treatment. There was a significant correlation between the increase of DASH index and gender. Patients presented higher intensity of openness to experience, extraversion, conscientiousness and lower levels of neuroticism and agreeableness compared to general population. Conclusion: The influence of psychological variables on the observed difference between men and women in DASH values and weight loss was not demonstrated.
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Couch, Sarah C., Brian E. Saelens, Philip R. Khoury, Katherine B. Dart, Kelli Hinn, Mark M. Mitsnefes, Stephen R. Daniels, and Elaine M. Urbina. "Dietary Approaches to Stop Hypertension Dietary Intervention Improves Blood Pressure and Vascular Health in Youth With Elevated Blood Pressure." Hypertension 77, no. 1 (January 2021): 241–51. http://dx.doi.org/10.1161/hypertensionaha.120.16156.
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This randomized control trial assessed the post-intervention and 18-month follow-up effects of a 6-month dietary approaches to stop hypertension (DASH)-focused behavioral nutrition intervention, initiated in clinic with subsequent telephone and mail contact, on blood pressure (BP) and endothelial function in adolescents with elevated BP. Adolescents (n=159) 11 to 18 years of age with newly diagnosed elevated BP or stage 1 hypertension treated at a hospital-based clinic were randomized. DASH participants received a take-home manual plus 2 face-to-face counseling sessions at baseline and 3 months with a dietitian regarding the DASH diet, 6 monthly mailings, and 8 weekly and then 7 biweekly telephone calls focused on behavioral strategies to promote DASH adherence. Routine care participants received nutrition counseling with a dietitian consistent with pediatric guidelines established by the National High Blood Pressure Education Program. Outcomes, measured pre- and post-intervention and at 18-months follow-up, included change in BP, change in brachial artery flow-mediated dilation, and change in DASH score based on 3-day diet recalls. Adolescents in DASH versus routine care had a greater improvement in systolic BP (–2.7 mm Hg, P = 0.03, –0.3 z-score, P =0.03), flow-mediated dilation (2.5%, P =0.05), and DASH score (13.3 points, P <0.0001) from baseline to post-treatment and a greater improvement in flow-mediated dilation (3.1%, P =0.03) and DASH score (7.4 points, P =0.01) to 18 months. The DASH intervention proved more effective than routine care in initial systolic BP improvement and longer term improvement in endothelial function and diet quality in adolescents with elevated BP and hypertension. Registration: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT00585832.
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Beydoun, Hind A., Shuyan Huang, May A. Beydoun, Sharmin Hossain, and Alan B. Zonderman. "Mediating-Moderating Effect of Allostatic Load on the Association between Dietary Approaches to Stop Hypertension Diet and All-Cause and Cause-Specific Mortality: 2001–2010 National Health and Nutrition Examination Surveys." Nutrients 11, no. 10 (September 29, 2019): 2311. http://dx.doi.org/10.3390/nu11102311.
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This secondary analysis of survey data examined mediating-moderating effects of allostatic load score (calculated using the Rodriquez method) on the association between nutrient-based Dietary Approaches to Stop Hypertension (DASH) diet score (Mellen Index) and the all-cause and cause-specific mortality risks among 11,630 adults ≥ 30 years of age from the 2001–2010 National Health and Nutrition Examination Surveys with no history of cardiovascular disease or cancer at baseline, and who were followed-up for ~9.35 years. Multivariable models were adjusted for demographic, socioeconomic, lifestyle, and health characteristics. All-cause, cardiovascular disease, and cancer-specific mortality rates were estimated at 6.5%, 1.1%, and 1.9%, respectively. The median DASH total score was 3.0 (range: 1–8) (with 78.3% scoring < 4.5), whereas the median allostatic load score was 3 (range: 0–9). The DASH diet, fiber, and magnesium were negatively correlated with allostatic load, whereas allostatic load predicted higher all-cause mortality, irrespective of the DASH diet. Whereas protein was protective, potassium increased all-cause mortality risk, irrespective of allostatic load. Potassium was protective against cardiovascular disease-specific mortality but was a risk factor for cancer-specific mortality. Although no moderating effects were observed, mediation by the allostatic load on cardiovascular disease-specific mortality was observed for DASH total score and selected component scores. Direct (but not indirect) effects of DASH through the allostatic load were observed for all-cause mortality, and no direct or indirect effects were observed for cancer-specific mortality. From a public health standpoint, the allostatic load may be a surrogate for the preventive effects of the DASH diet and its components on cardiovascular disease-specific mortality risk.