Actionsets help people take an active role in managing a health condition.  High blood pressure: Using the DASH diet

Introduction

The DASH diet is an eating plan that is low in fat but rich in low-fat dairy foods, fruits, and vegetables. DASH stands for Dietary Approaches to Stop Hypertension. Hypertension is high blood pressure. Following the DASH diet may lower blood pressure. The DASH diet may also help you prevent high blood pressure if you have prehypertension (your blood pressure is between 120–139 over 80–89).1

DASH also recommends eating whole grains, fish, poultry, nuts, seeds, and dried beans (legumes) as part of a balanced diet.

DASH is one of several lifestyle changes your doctor may recommend to lower your high blood pressure. Your doctor may also want you to decrease the amount of sodium and sodium-rich prepared foods in your diet. Lowering sodium while following DASH has been proven to lower blood pressure even further than just DASH alone.2 You can cut down on your salt (sodium) intake by using a salt substitute. Talk to your doctor before trying a salt substitute.

Key points:

  • Eating fewer processed foods, such as snack items, luncheon meats, and canned soups, will reduce the amount of sodium in your diet and help you lower your blood pressure.
  • A diet high in calcium, potassium, and magnesium may lower your blood pressure.
  • A diet high in sodium may cause high blood pressure.
  • To increase the potassium in your diet, fruits and vegetables are excellent sources of this nutrient. Dairy products are high in calcium and magnesium. DASH recommends that you eat 8 to 10 servings of fruits and vegetables and 3 servings of low-fat dairy products each day.
  • Eating a diet low in both saturated fat and total fat will also help lower your blood pressure. Only 30% of your total calories should be from fat, with only 7% to 10% of your fat calories from saturated fat. Saturated fat is found in meats, cheeses, butter, poultry, snack foods, and other processed foods.
  • In general, vegetarian diets reduce blood pressure. The DASH diet could easily be a vegetarian diet if legumes were substituted for meat. Vegetarian diets tend to be higher in potassium, magnesium, and calcium, as is the DASH diet. Vegetarian diets also are higher in fiber and unsaturated fat than other diets.
  • Controlling your weight, increasing your physical activity, and reducing sodium in your diet will help reduce your blood pressure even more when combined with the DASH diet.

What? - What is the medical information or key concepts related to the action? What can I do to incorporate DASH into my lifestyle?
Why? - Why the action is important? Why does adding more fruits and vegetables and low-fat dairy products to my diet help me lower my high blood pressure?
How? - Learn the steps involved in taking action. How can I make sure I stay with the DASH eating plan?
Where? - Other resources and organizations that can help you take action Where to go from here

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Author: Robin Parks, MSLast Updated: April 24, 2007
Medical Review: Caroline S. Rhoads, MD - Internal Medicine
Robert A. Kloner, MD, PhD - Cardiology
Ruth Schneider, MPH, RD - Diet and Nutrition

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