ASH Position Paper: Dietary Approaches to Lower Blood Pressure
Open accessAbstract
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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The DASH eating pattern is well established to reduce blood pressure, by 6.7/3.5 mm Hg in a recent meta-analysis.
“The Dietary Approaches to Stop Hypertension (DASH) eating pattern is well established to reduce BP, by 6.7/3.5 mm Hg in a recent meta-analysis.174,175”
From Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association (2018) · cites this paper as [174]
A reduced-sodium diet is well proven to decrease BP.
“A reduced-sodium diet is well proven to decrease BP.174,349”
From Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association (2018) · cites this paper as [174]
Weight loss can lead to successful withdrawal of medications, thereby easing hypertension control.
“particularly in light of the fact that weight loss can lead to the successful withdrawal of medications, thereby easing hypertension control.174,348”
From Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association (2018) · cites this paper as [174]
A DASH-style eating pattern, alcohol restriction to <10 g/d (women) and <20 g/d (men), and a variety of other dietary modifications can each yield significant reductions in BP among patients with hypertension.
“A DASH-style eating pattern,174,175 alcohol restriction to <10 g/d (women) and <20 g/d (men),162–165 and a variety of other dietary modifications174 can each yield significant reductions in BP among patients with hypertension.”
From Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association (2018) · cites this paper as [174]
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Severe Hypertensive Episode Associated With Excess Licorice Consumption
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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.
- ORCID
- 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
- PMC
- PMC8673392
- 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
- bronze
- doi.org
- 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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