Cited by 109Sodium Intake and HealthBlood Pressure and Hypertension StudiesNutritional Studies and Diet

ASH Position Paper: Dietary Approaches to Lower Blood Pressure

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Appel, Lawrence J., on Behalf of the American Society of Hypertension Writing Group·2009·The Journal of Clinical Hypertension

Abstract

A substantial body of evidence has implicated several aspects of diet in the pathogenesis of elevated blood pressure (BP). Well‐established risk factors for elevated BP include excess salt intake, low potassium intake, excess weight, high alcohol consumption, and suboptimal dietary pattern. African Americans are especially sensitive to the BP‐raising effects of excess salt intake, insufficient potassium intake, and suboptimal diet. In this setting, dietary changes have the potential to substantially reduce racial disparities in BP and its consequences. In view of the age‐related rise in BP in both children and adults, the direct, progressive relationship of BP with cardiovascular‐renal diseases throughout the usual range of BP, and the worldwide epidemic of BP‐related disease, efforts to reduce BP in nonhypertensive as well as hypertensive individuals are warranted. In nonhypertensives, dietary changes can lower BP and delay, if not prevent, hypertension. In uncomplicated stage I hypertension, dietary changes serve as initial treatment before drug therapy. In hypertensive individuals already on drug therapy, lifestyle modifications can further lower BP. The current challenge is designing and implementing effective clinical and public health interventions that lead to sustained dietary changes among individuals and more broadly in the general population.

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  1. Morris RC Jr, Sebastian A, Forman A, et al. Normoten- sive salt sensitivity: Effects of race and dietary potas- sium. Hypertension. 1999;33:18-23.
  2. Food and Nutrition Board, Institute of Medicine. Die- tary Reference Intakes for Water, Potssium, Sodium, Chloride, and Sulfate. Washington, DC: National Acad- emies Press; 2005.
  3. Sacks FM, Rosner B, Kass EH. Blood pressure in vege- tarians. Am J Epidemiol. 1974;100:390-398.
  4. Hodges RE, Rebello T. Carbohydrates and blood pres- sure. Ann Intern Med. 1983;98:838-841.

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Authors
Appel, L. J., & on Behalf of the American Society of Hypertension Writing Group
Affiliations
Johns Hopkins University (US)
Corresponding author
Appel, Lawrence J.
Venue
The Journal of Clinical Hypertension
Publisher
Wiley
Published
2009-06-29
Volume
11
Issue
7
Pages
358-368
ISSN
  • 1524-6175 (ISSN-L)
  • 1751-7176
OpenAlex
W2035054318
Cited by
109
References
121
Citations by year
2025: 1 · 2024: 6 · 2023: 4 · 2022: 5 · 2021: 3 · 2020: 9 · 2019: 6 · 2018: 4 · 2017: 5 · 2016: 7 · 2015: 3 · 2014: 14 · 2013: 11 · 2012: 11
FWCI
10.00
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Hypertension (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords
salt intake, potassium intake, African Americans, hypertension prevention, stage 1 hypertension, lifestyle modification, alcohol consumption, overweight, dietary habits, cardiovascular-renal disease, public health interventions
MeSH terms
Adult, Alcohol Drinking, Animals, Blood Pressure, Child, Child, Preschool, Diet, Sodium-Restricted, Humans, Hypertension, Potassium, Diet, Vegetarian, Weight Loss, Health Behavior, Treatment Outcome, Evidence-Based Medicine, Young Adult

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