Cardiovascular Medicine Book

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DASH Diet

Aka: DASH Diet, Dietary Approaches to Stop Hypertension
  1. See Also
    1. Nonpharmacologic Management of Hypertension
    2. Hypertension
    3. Hypertension Management
  2. Indications
    1. Hypertension
    2. Vascular Disease Prevention (CAD, CVA)
  3. Components: DASH Diet
    1. Foods that are encouraged
      1. Fruits and vegetables (4.5 cups or more per day)
        1. Fruits: 4-5 servings daily
        2. Vegetables: 4-5 servings daily
      2. Whole grains or Fiber: 6-8 servings daily
      3. Nuts, seeds or beans 4-5 servings daily
      4. Dairy (low fat): 2-3 servings daily
      5. Lean Meat: 2 servings daily
      6. Fish (preferably oily fish): 2 or more 3.5 oz servings per week
    2. Foods to limit
      1. Fat or oil 2-3 servings daily (<6% of daily calories is ideal)
      2. Red meat (limit to <3 oz up to 3 times weekly)
      3. Low Cholesterol intake (<150 mg daily is ideal)
      4. Low Sodium intake (<2.4 grams daily)
      5. Sweets: <5 servings per week
        1. Sweetened beverages <450 calories and <36 oz per week
  4. Components: Additional measures
    1. Calcium 1250 mg daily
    2. Magnesium 500 mg daily (41 meq/day)
    3. Potassium 4700 mg daily (120 meq/day)
  5. Efficacy
    1. Coronary Artery Disease and CVA risk each reduced 21%
      1. Salehi-Abargouei (2013) Nutrition 29(4): 611-18 [PubMed]
    2. Reduces systolic Blood Pressure >10 mmHg in those with Hypertension
      1. Appel (1997) N Engl J Med 336: 1117-24 [PubMed]
      2. Sacks (2001) N Engl J Med 344: 3-10 [PubMed]
  6. Resources
    1. DASH Eating Plan
      1. http://www.nhlbi.nih.gov/health/public/heart/hbp/dash
    2. DASH pdf
      1. http://www.nhlbi.nih.gov/files/docs/public/heart/hbp_low.pdf

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