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Management of Hypertension pp 89–100Cite as

The Role of Dietary Modifications in Controlling Blood Pressure

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Abstract

Hypertension is the result of multiple pathophysiological mechanisms influenced by diverse environmental and genetic parameters Regarding dietary parameters increased sodium intake, inadequate potassium consumption and alcohol play a key role for the pathogenesis and evolution of the hypertensive phenotype. Excess weight usually accompanied by lack of physical activity that characterizes modern lifestyle further contribute to blood pressure (BP) increase. Therefore, lifestyle and dietary interventions are important clinically in order to reduce BP and overall cardiovascular risk. Adoption of the DASH and the Mediterranean diets is related to reduction of BP independently of other lifestyle changes.

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References

  1. Jordan J, Yumuk V, Schlaich M, Nilsson PM, Zahorska-Markiewicz B, Grassi G, Schmieder RE, Engeli S, Finer N. Joint statement of the European Association for the Study of Obesity and the European Society of Hypertension: obesity and difficult to treat arterial hypertension. J Hypertens. 2012;30(6):1047–55.

    Article  CAS  PubMed  Google Scholar 

  2. Leggio M, Lombardi M, Caldarone E, Severi P, D'Emidio S, Armeni M, Bravi V, Bendini MG, Mazza A. The relationship between obesity and hypertension: an updated comprehensive overview on vicious twins. Hypertens Res. 2017;40(12):947–63.

    Article  PubMed  Google Scholar 

  3. Wilson PW, D’Agostino RB, Sullivan L, Parise H, Kannel WB. Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med. 2002;162(16):1867–72.

    Article  PubMed  Google Scholar 

  4. Elliott P, Stamler J, Nichols R, Dyer AR, Stamler R, Kesteloot H, Marmot M. Intersalt revisited: further analyses of 24 hour sodium excretion and blood pressure within and across populations. Intersalt Cooperative Research Group. BMJ (Clinical research ed). 1996;312(7041):1249–53.

    Article  CAS  Google Scholar 

  5. Mente A, O’Donnell MJ, Rangarajan S, McQueen MJ, Poirier P, Wielgosz A, Morrison H, Li W, Wang X, Di C, et al. Association of urinary sodium and potassium excretion with blood pressure. N Engl J Med. 2014;371(7):601–11.

    Article  PubMed  CAS  Google Scholar 

  6. Adrogue HJ, Madias NE. The impact of sodium and potassium on hypertension risk. Semin Nephrol. 2014;34(3):257–72.

    Article  CAS  PubMed  Google Scholar 

  7. Takase H, Sugiura T, Kimura G, Ohte N, Dohi Y. Dietary sodium consumption predicts future blood pressure and incident hypertension in the Japanese Normotensive General Population. J Am Heart Assoc. 2015;4(8):e001959.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  8. Zhang Z, Cogswell ME, Gillespie C, Fang J, Loustalot F, Dai S, Carriquiry AL, Kuklina EV, Hong Y, Merritt R, et al. Association between usual sodium and potassium intake and blood pressure and hypertension among U.S. adults: NHANES 2005–2010. PloS one. 2013;8(10):e75289.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Rodrigues SL, Baldo MP, Machado RC, Forechi L, Molina Mdel C, Mill JG. High potassium intake blunts the effect of elevated sodium intake on blood pressure levels. J Am Soc Hypertens (JASH). 2014;8(4):232–8.

    Article  CAS  Google Scholar 

  10. Kieneker LM, Gansevoort RT, Mukamal KJ, de Boer RA, Navis G, Bakker SJ, Joosten MM. Urinary potassium excretion and risk of developing hypertension: the prevention of renal and vascular end-stage disease study. Hypertension (Dallas, Tex : 1979). 2014;64(4):769–76.

    Article  CAS  Google Scholar 

  11. Klatsky AL. Alcohol and cardiovascular mortality: common sense and scientific truth. J Am Coll Cardiol. 2010;55(13):1336–8.

    Article  PubMed  Google Scholar 

  12. Puddey IB, Beilin LJ. Alcohol is bad for blood pressure. Clin Exp Pharmacol Physiol. 2006;33(9):847–52.

    Article  CAS  PubMed  Google Scholar 

  13. Puddey IB, Beilin LJ, Vandongen R. Regular alcohol use raises blood pressure in treated hypertensive subjects. A randomised controlled trial. Lancet (London, England). 1987;1(8534):647–51.

    Article  CAS  Google Scholar 

  14. Nunez-Cordoba JM, Martinez-Gonzalez MA, Bes-Rastrollo M, Toledo E, Beunza JJ, Alonso A. Alcohol consumption and the incidence of hypertension in a Mediterranean cohort: the SUN study. Rev Esp Cardiol. 2009;62(6):633–41.

    Article  PubMed  Google Scholar 

  15. Frisoli TM, Schmieder RE, Grodzicki T, Messerli FH. Beyond salt: lifestyle modifications and blood pressure. Eur Heart J. 2011;32(24):3081–7.

    Article  PubMed  Google Scholar 

  16. The treatment of mild hypertension study. A randomized, placebo-controlled trial of a nutritional-hygienic regimen along with various drug monotherapies. The Treatment of Mild Hypertension Research Group. Arch Intern Med. 1991;151(7):1413–23.

    Google Scholar 

  17. Elmer PJ, Obarzanek E, Vollmer WM, Simons-Morton D, Stevens VJ, Young DR, Lin PH, Champagne C, Harsha DW, Svetkey LP, et al. Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: 18-month results of a randomized trial. Ann Intern Med. 2006;144(7):485–95.

    Article  PubMed  Google Scholar 

  18. Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Bohm M, Christiaens T, Cifkova R, De Backer G, Dominiczak A, Redon J, Tsioufis C, Bueno H, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the task force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2013;31(7):1281–357.

    Article  CAS  Google Scholar 

  19. Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, Depalma SM, Gidding S, Jamerson KA, Jones DW, et al. ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and Management of High Blood Pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2018;71(19):2199–269.

    Google Scholar 

  20. Neter JE, Stam BE, Kok FJ, Grobbee DE, Geleijnse JM. Influence of weight reduction on blood pressure: a meta-analysis of randomized controlled trials. Hypertension (Dallas, Tex : 1979). 2003;42(5):878–84.

    Article  CAS  Google Scholar 

  21. Stevens VJ, Obarzanek E, Cook NR, Lee IM, Appel LJ, Smith West D, Milas NC, Mattfeldt-Beman M, Belden L, Bragg C, et al. Long-term weight loss and changes in blood pressure: results of the Trials of Hypertension Prevention, phase II. Ann Intern Med. 2001;134(1):1–11.

    Article  CAS  PubMed  Google Scholar 

  22. Effects of weight loss and sodium reduction intervention on blood pressure and hypertension incidence in overweight people with high-normal blood pressure. The Trials of Hypertension Prevention, phase II. The Trials of Hypertension Prevention Collaborative Research Group. Arch Intern Med. 1997;157(6):657–67.

    Google Scholar 

  23. He J, Whelton PK, Appel LJ, Charleston J, Klag MJ. Long-term effects of weight loss and dietary sodium reduction on incidence of hypertension. Hypertension (Dallas, Tex : 1979). 2000;35(2):544–9.

    Article  CAS  Google Scholar 

  24. Straznicky N, Grassi G, Esler M, Lambert G, Dixon J, Lambert E, Jordan J, Schlaich M. European Society of Hypertension Working Group on Obesity Antihypertensive effects of weight loss: myth or reality? J Hypertens. 2010;28(4):637–43.

    Article  CAS  PubMed  Google Scholar 

  25. Ryan DH. The pharmacological and surgical management of adults with obesity. J Fam Pract. 2014;63(7 Suppl):S21–6.

    PubMed  Google Scholar 

  26. He FJ, Li J, Macgregor GA. Effect of longer term modest salt reduction on blood pressure: Cochrane systematic review and meta-analysis of randomised trials. BMJ (Clinical research ed). 2013;346:f1325.

    Google Scholar 

  27. Aburto NJ, Ziolkovska A, Hooper L, Elliott P, Cappuccio FP, Meerpohl JJ. Effect of lower sodium intake on health: systematic review and meta-analyses. BMJ (Clinical research ed). 2013;346:f1326.

    Google Scholar 

  28. MacGregor GA, Markandu ND, Sagnella GA, Singer DR, Cappuccio FP. Double-blind study of three sodium intakes and long-term effects of sodium restriction in essential hypertension. Lancet (London, England). 1989;2(8674):1244–7.

    Article  CAS  Google Scholar 

  29. Benetos A, Xiao YY, Cuche JL, Hannaert P, Safar M. Arterial effects of salt restriction in hypertensive patients. A 9-week, randomized, double-blind, crossover study. J Hypertens. 1992;10(4):355–60.

    Article  CAS  PubMed  Google Scholar 

  30. Fotherby MD, Potter JF. Effects of moderate sodium restriction on clinic and twenty-four-hour ambulatory blood pressure in elderly hypertensive subjects. J Hypertens. 1993;11(6):657–63.

    Article  CAS  PubMed  Google Scholar 

  31. Cappuccio FP, Markandu ND, Carney C, Sagnella GA, MacGregor GA. Double-blind randomised trial of modest salt restriction in older people. Lancet (London, England). 1997;350(9081):850–4.

    Article  CAS  Google Scholar 

  32. Gates PE, Tanaka H, Hiatt WR, Seals DR. Dietary sodium restriction rapidly improves large elastic artery compliance in older adults with systolic hypertension. Hypertension (Dallas, Tex : 1979). 2004;44(1):35–41.

    Article  CAS  Google Scholar 

  33. Melander O, von Wowern F, Frandsen E, Burri P, Willsteen G, Aurell M, Hulthen UL. Moderate salt restriction effectively lowers blood pressure and degree of salt sensitivity is related to baseline concentration of renin and N-terminal atrial natriuretic peptide in plasma. J Hypertens. 2007;25(3):619–27.

    Article  CAS  PubMed  Google Scholar 

  34. Kojuri J, Rahimi R. Effect of “no added salt diet” on blood pressure control and 24 hour urinary sodium excretion in mild to moderate hypertension. BMC Cardiovasc Disord. 2007;7:34.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  35. Dickinson KM, Keogh JB, Clifton PM. Effects of a low-salt diet on flow-mediated dilatation in humans. Am J Clin Nutr. 2009;89(2):485–90.

    Article  CAS  PubMed  Google Scholar 

  36. He FJ, Marciniak M, Visagie E, Markandu ND, Anand V, Dalton RN, MacGregor GA. Effect of modest salt reduction on blood pressure, urinary albumin, and pulse wave velocity in white, black, and Asian mild hypertensives. Hypertension (Dallas, Tex : 1979). 2009;54(3):482–8.

    Article  CAS  Google Scholar 

  37. He J, Gu D, Chen J, Jaquish CE, Rao DC, Hixson JE, Chen JC, Duan X, Huang JF, Chen CS, et al. Gender difference in blood pressure responses to dietary sodium intervention in the GenSalt study. J Hypertens. 2009;27(1):48–54.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Liu F, Chen P, Li D, Yang X, Huang J, Gu D. Ambulatory blood pressure and blood pressure load responses to low sodium intervention in Han Chinese population. Clin Exp Hypertens. 2015;37(7):551–6.

    Article  CAS  PubMed  Google Scholar 

  39. Graudal NA, Hubeck-Graudal T, Jurgens G. Effects of low sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterol, and triglyceride. Cochrane Database Syst Rev. 2017;4:Cd004022.

    PubMed  Google Scholar 

  40. Whelton PK, Appel LJ, Espeland MA, Applegate WB, Ettinger WH Jr, Kostis JB, Kumanyika S, Lacy CR, Johnson KC, Folmar S, et al. Sodium reduction and weight loss in the treatment of hypertension in older persons: a randomized controlled trial of nonpharmacologic interventions in the elderly (TONE). TONE Collaborative Research Group. JAMA. 1998;279(11):839–46.

    Article  CAS  PubMed  Google Scholar 

  41. Stamler J. The INTERSALT Study: background, methods, findings, and implications. Am J Clin Nutr. 1997;65(2 Suppl):626s–42s.

    Article  CAS  PubMed  Google Scholar 

  42. Zhou BF, Stamler J, Dennis B, Moag-Stahlberg A, Okuda N, Robertson C, Zhao L, Chan Q, Elliott P. Nutrient intakes of middle-aged men and women in China, Japan, United Kingdom, and United States in the late 1990s: the INTERMAP study. J Hum Hypertens. 2003;17(9):623–30.

    Article  CAS  PubMed  Google Scholar 

  43. Cappucio FP, Markandu ND, Carney C, Sagnella GA, MacGregor GA. Double-blind randomized trial of modest salt restriction in older people. Lancet. 1997;350:850–4.

    Article  Google Scholar 

  44. Koliaki C, Katsilambros N. Dietary sodium, potassium, and alcohol: key players in the pathophysiology, prevention, and treatment of human hypertension. Nutr Rev. 2013;71(6):402–11.

    Article  PubMed  Google Scholar 

  45. Geleijnse JM, Kok FJ, Grobbee DE. Blood pressure response to changes in sodium and potassium intake: a metaregression analysis of randomised trials. J Hum Hypertens. 2003;17(7):471–80.

    Article  CAS  PubMed  Google Scholar 

  46. Aburto NJ, Hanson S, Gutierrez H, Hooper L, Elliott P, Cappuccio FP. Effect of increased potassium intake on cardiovascular risk factors and disease: systematic review and meta-analyses. BMJ (Clinical research ed). 2013;346:f1378.

    Google Scholar 

  47. Whelton PK, He J. Health effects of sodium and potassium in humans. Curr Opin Lipidol. 2014;25(1):75–9.

    Article  CAS  PubMed  Google Scholar 

  48. Dyer AR, Elliott P, Shipley M. Urinary electrolyte excretion in 24 hours and blood pressure in the INTERSALT Study. II. Estimates of electrolyte-blood pressure associations corrected for regression dilution bias. The INTERSALT Cooperative Research Group. Am J Epidemiol. 1994;139(9):940–51.

    Article  CAS  PubMed  Google Scholar 

  49. Tapsell LC, Neale EP, Satija A, Hu FB. Foods, nutrients, and dietary patterns: interconnections and implications for dietary guidelines. Adv Nutr (Bethesda, Md). 2016;7(3):445–54.

    Article  CAS  Google Scholar 

  50. Jacobs DR Jr, Steffen LM. Nutrients, foods, and dietary patterns as exposures in research: a framework for food synergy. Am J Clin Nutr. 2003;78(3 Suppl):508s–13s.

    Article  CAS  PubMed  Google Scholar 

  51. Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, Bray GA, Vogt TM, Cutler JA, Windhauser MM, et al. A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med. 1997;336(16):1117–24.

    Article  CAS  PubMed  Google Scholar 

  52. Moore TJ, Vollmer WM, Appel LJ, Sacks FM, Svetkey LP, Vogt TM, Conlin PR, Simons-Morton DG, Carter-Edwards L, Harsha DW. Effect of dietary patterns on ambulatory blood pressure : results from the Dietary Approaches to Stop Hypertension (DASH) Trial. DASH Collaborative Research Group. Hypertension (Dallas, Tex : 1979). 1999;34(3):472–7.

    Article  CAS  Google Scholar 

  53. Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, Obarzanek E, Conlin PR, Miller ER 3rd, Simons-Morton DG, et al. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. DASH-Sodium Collaborative Research Group. N Engl J Med. 2001;344(1):3–10.

    Article  CAS  PubMed  Google Scholar 

  54. Lopes HF, Martin KL, Nashar K, Morrow JD, Goodfriend TL, Egan BM. DASH diet lowers blood pressure and lipid-induced oxidative stress in obesity. Hypertension (Dallas, Tex : 1979). 2003;41(3):422–30.

    Article  CAS  Google Scholar 

  55. Nowson CA, Worsley A, Margerison C, Jorna MK, Frame AG, Torres SJ, Godfrey SJ. Blood pressure response to dietary modifications in free-living individuals. J Nutr. 2004;134(9):2322–9.

    Article  CAS  PubMed  Google Scholar 

  56. Appel LJ, Sacks FM, Carey VJ, Obarzanek E, Swain JF, Miller ER 3rd, Conlin PR, Erlinger TP, Rosner BA, Laranjo NM, et al. Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids: results of the OmniHeart randomized trial. JAMA. 2005;294(19):2455–64.

    Article  CAS  PubMed  Google Scholar 

  57. Marquez-Celedonio FG, Texon-Fernandez O, Chavez-Negrete A, Hernandez-Lopez S, Marin-Rendon S, Berlin-Lascurain S. Clinical effect of lifestyle modification on cardiovascular risk in prehypertensives: PREHIPER I study. Rev Esp Cardiol. 2009;62(1):86–90.

    Article  PubMed  Google Scholar 

  58. Nowson CA, Wattanapenpaiboon N, Pachett A. Low-sodium Dietary Approaches to Stop Hypertension-type diet including lean red meat lowers blood pressure in postmenopausal women. Nutr Res (New York, NY). 2009;29(1):8–18.

    Article  CAS  Google Scholar 

  59. Al-Solaiman Y, Jesri A, Mountford WK, Lackland DT, Zhao Y, Egan BM. DASH lowers blood pressure in obese hypertensives beyond potassium, magnesium and fibre. J Hum Hypertens. 2010;24(4):237–46.

    Article  CAS  PubMed  Google Scholar 

  60. Malloy-McFall J, Barkley JE, Gordon KL, Burzminski N, Glickman EL. Effect of the DASH diet on pre- and stage 1 hypertensive individuals in a free-living environment. Nutr Metab Insights. 2010;3:15–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Harnden KE, Frayn KN, Hodson L. Dietary Approaches to Stop Hypertension (DASH) diet: applicability and acceptability to a UK population. J Hum Nutr Diet. 2010;23(1):3–10.

    Article  CAS  PubMed  Google Scholar 

  62. Blumenthal JA, Babyak MA, Hinderliter A, Watkins LL, Craighead L, Lin PH, Caccia C, Johnson J, Waugh R, Sherwood A. Effects of the DASH diet alone and in combination with exercise and weight loss on blood pressure and cardiovascular biomarkers in men and women with high blood pressure: the ENCORE study. Arch Intern Med. 2010;170(2):126–35.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Lin PH, Allen JD, Li YJ, Yu M, Lien LF, Svetkey LP. Blood pressure-lowering mechanisms of the DASH dietary pattern. J Nutr Metab. 2012;2012:472396.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  64. Whitt-Glover MC, Hunter JC, Foy CG, Quandt SA, Vitolins MZ, Leng I, Hornbuckle LM, Sanya KA, Bertoni AG. Translating the Dietary Approaches to Stop Hypertension (DASH) diet for use in underresourced, urban African American communities, 2010. Prev Chronic Dis. 2013;10:120088.

    Article  PubMed  Google Scholar 

  65. Lima ST, da Silva Nalin de Souza B, Franca AK, Salgado Filho N, Sichieri R. Dietary approach to hypertension based on low glycaemic index and principles of DASH (Dietary Approaches to Stop Hypertension): a randomised trial in a primary care service. Br J Nutr. 2013;110(8):1472–9.

    Article  CAS  PubMed  Google Scholar 

  66. Wong MC, Wang HH, Kwan MW, Fong BC, Chan WM, Zhang DX, Li ST, Yan BP, Coats AJ, Griffiths SM. Dietary counselling has no effect on cardiovascular risk factors among Chinese Grade 1 hypertensive patients: a randomized controlled trial. Eur Heart J. 2015;36(38):2598–607.

    Article  CAS  PubMed  Google Scholar 

  67. Jenkins DJ, Jones PJ, Frohlich J, Lamarche B, Ireland C, Nishi SK, Srichaikul K, Galange P, Pellini C, Faulkner D, et al. The effect of a dietary portfolio compared to a DASH-type diet on blood pressure. Nutr Metab Cardiovasc Dis: NMCD. 2015;25(12):1132–9.

    Article  CAS  PubMed  Google Scholar 

  68. Sayer RD, Wright AJ, Chen N, Campbell WW. Dietary Approaches to Stop Hypertension diet retains effectiveness to reduce blood pressure when lean pork is substituted for chicken and fish as the predominant source of protein. Am J Clin Nutr. 2015;102(2):302–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Chiu S, Bergeron N, Williams PT, Bray GA, Sutherland B, Krauss RM. Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: a randomized controlled trial. Am J Clin Nutr. 2016;103(2):341–7.

    Article  CAS  PubMed  Google Scholar 

  70. Kawamura A, Kajiya K, Kishi H, Inagaki J, Mitarai M, Oda H, Umemoto S, Kobayashi S. Effects of the DASH-JUMP dietary intervention in Japanese participants with high-normal blood pressure and stage 1 hypertension: an open-label single-arm trial. Hypertens Res. 2016;39(11):777–85.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  71. Naseem S, Ghazanfar H, Assad S, Ghazanfar A. Role of sodium-restricted dietary approaches to control blood pressure in Pakistani hypertensive population. JPMA J Pak Med Assoc. 2016;66(7):837–42.

    PubMed  Google Scholar 

  72. Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi T, Azizi F. Beneficial effects of a Dietary Approaches to Stop Hypertension eating plan on features of the metabolic syndrome. Diabetes Care. 2005;28(12):2823–31.

    Article  CAS  PubMed  Google Scholar 

  73. Kucharska A, Gajewska D, Kiedrowski M, Sinska B, Juszczyk G, Czerw A, Augustynowicz A, Bobinski K, Deptala A, Niegowska J. The impact of individualized nutritional therapy according to DASH diet on blood pressure, body mass and selected biochemical parameters in overweight/obese patients with primary arterial hypertension: a prospective randomized study. Kardiol Pol. 2017;76(1):158–65.

    Google Scholar 

  74. Wang HH, Wong MC, Mok RY, Kwan MW, Chan WM, Fan CK, Lee CL, Griffiths SM. Factors associated with grade 1 hypertension: implications for hypertension care based on the Dietary Approaches to Stop Hypertension (DASH) in primary care settings. BMC Fam Pract. 2015;16:26.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Harrington JM, Fitzgerald AP, Kearney PM, McCarthy VJ, Madden J, Browne G, Dolan E, Perry IJ. DASH diet score and distribution of blood pressure in middle-aged men and women. Am J Hypertens. 2013;26(11):1311–20.

    Article  PubMed  Google Scholar 

  76. Schulze MB, Hoffmann K, Kroke A, Boeing H. Risk of hypertension among women in the EPIC-Potsdam Study: comparison of relative risk estimates for exploratory and hypothesis-oriented dietary patterns. Am J Epidemiol. 2003;158(4):365–73.

    Article  PubMed  Google Scholar 

  77. Bai G, Zhang J, Zhao C, Wang Y, Qi Y, Zhang B. Adherence to a healthy lifestyle and a DASH-style diet and risk of hypertension in Chinese individuals. Hypertens Res. 2017;40(2):196–202.

    Article  PubMed  Google Scholar 

  78. Saneei P, Salehi-Abargouei A, Esmaillzadeh A, Azadbakht L. Influence of Dietary Approaches to Stop Hypertension (DASH) diet on blood pressure: a systematic review and meta-analysis on randomized controlled trials. Nutr Metab Cardiovasc Dis: NMCD. 2014;24(12):1253–61.

    Article  CAS  PubMed  Google Scholar 

  79. Siervo M, Lara J, Chowdhury S, Ashor A, Oggioni C, Mathers JC. Effects of the Dietary Approach to Stop Hypertension (DASH) diet on cardiovascular risk factors: a systematic review and meta-analysis. Br J Nutr. 2015;113(1):1–15.

    Article  CAS  PubMed  Google Scholar 

  80. Bach-Faig A, Berry EM, Lairon D, Reguant J, Trichopoulou A, Dernini S, Medina FX, Battino M, Belahsen R, Miranda G, et al. Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr. 2011;14(12a):2274–84.

    Article  PubMed  Google Scholar 

  81. Salas-Salvado J, Garcia-Arellano A, Estruch R, Marquez-Sandoval F, Corella D, Fiol M, Gomez-Gracia E, Vinoles E, Aros F, Herrera C, et al. Components of the Mediterranean-type food pattern and serum inflammatory markers among patients at high risk for cardiovascular disease. Eur J Clin Nutr. 2008;62(5):651–9.

    Article  CAS  PubMed  Google Scholar 

  82. Strazzullo P, Ferro-Luzzi A, Siani A, Scaccini C, Sette S, Catasta G, Mancini M. Changing the Mediterranean diet: effects on blood pressure. J Hypertens. 1986;4(4):407–12.

    Article  CAS  PubMed  Google Scholar 

  83. Esposito K, Marfella R, Ciotola M, Di Palo C, Giugliano F, Giugliano G, D’Armiento M, D'Andrea F, Giugliano D. Effect of a mediterranean-style diet on endothelial dysfunction and markers of vascular inflammation in the metabolic syndrome: a randomized trial. JAMA. 2004;292(12):1440–6.

    Article  CAS  PubMed  Google Scholar 

  84. Ros E, Nunez I, Perez-Heras A, Serra M, Gilabert R, Casals E, Deulofeu R. A walnut diet improves endothelial function in hypercholesterolemic subjects: a randomized crossover trial. Circulation. 2004;109(13):1609–14.

    Article  CAS  PubMed  Google Scholar 

  85. Vincent-Baudry S, Defoort C, Gerber M, Bernard MC, Verger P, Helal O, Portugal H, Planells R, Grolier P, Amiot-Carlin MJ, et al. The Medi-RIVAGE study: reduction of cardiovascular disease risk factors after a 3-mo intervention with a Mediterranean-type diet or a low-fat diet. Am J Clin Nutr. 2005;82(5):964–71.

    Article  CAS  PubMed  Google Scholar 

  86. Estruch R, Martinez-Gonzalez MA, Corella D, Salas-Salvado J, Ruiz-Gutierrez V, Covas MI, Fiol M, Gomez-Gracia E, Lopez-Sabater MC, Vinyoles E, et al. Effects of a Mediterranean-style diet on cardiovascular risk factors: a randomized trial. Ann Intern Med. 2006;145(1):1–11.

    Article  PubMed  Google Scholar 

  87. Rallidis LS, Lekakis J, Kolomvotsou A, Zampelas A, Vamvakou G, Efstathiou S, Dimitriadis G, Raptis SA, Kremastinos DT. Close adherence to a Mediterranean diet improves endothelial function in subjects with abdominal obesity. Am J Clin Nutr. 2009;90(2):263–8.

    Article  CAS  PubMed  Google Scholar 

  88. Athyros VG, Kakafika AI, Papageorgiou AA, Tziomalos K, Peletidou A, Vosikis C, Karagiannis A, Mikhailidis DP. Effect of a plant stanol ester-containing spread, placebo spread, or Mediterranean diet on estimated cardiovascular risk and lipid, inflammatory and haemostatic factors. Nutr Metab Cardiovasc Dis: NMCD. 2011;21(3):213–21.

    Article  CAS  PubMed  Google Scholar 

  89. Jones JL, Fernandez ML, McIntosh MS, Najm W, Calle MC, Kalynych C, Vukich C, Barona J, Ackermann D, Kim JE, et al. A Mediterranean-style low-glycemic-load diet improves variables of metabolic syndrome in women, and addition of a phytochemical-rich medical food enhances benefits on lipoprotein metabolism. J Clin Lipidol. 2011;5(3):188–96.

    Article  PubMed  Google Scholar 

  90. Damasceno NR, Perez-Heras A, Serra M, Cofan M, Sala-Vila A, Salas-Salvado J, Ros E. Crossover study of diets enriched with virgin olive oil, walnuts or almonds. Effects on lipids and other cardiovascular risk markers. Nutr Metab Cardiovasc Dis: NMCD. 2011;21(Suppl 1):S14–20.

    Article  CAS  PubMed  Google Scholar 

  91. Katsarou AL, Vryonis MM, Protogerou AD, Alexopoulos EC, Achimastos A, Papadogiannis D, Chrousos GP, Darviri C. Stress management and dietary counseling in hypertensive patients: a pilot study of additional effect. Prim Health Care Res Dev. 2014;15(1):38–45.

    Article  PubMed  Google Scholar 

  92. Domenech M, Roman P, Lapetra J, Garcia de la Corte FJ, Sala-Vila A, de la Torre R, Corella D, Salas-Salvado J, Ruiz-Gutierrez V, Lamuela-Raventos RM, et al. Mediterranean diet reduces 24-hour ambulatory blood pressure, blood glucose, and lipids: one-year randomized, clinical trial. Hypertension (Dallas, Tex : 1979). 2014;64(1):69–76.

    Article  PubMed  CAS  Google Scholar 

  93. Davis CR, Hodgson JM, Woodman R, Bryan J, Wilson C, Murphy KJ. A Mediterranean diet lowers blood pressure and improves endothelial function: results from the MedLey randomized intervention trial. Am J Clin Nutr. 2017;105(6):1305–13.

    CAS  PubMed  Google Scholar 

  94. Toledo E, Hu FB, Estruch R, Buil-Cosiales P, Corella D, Salas-Salvado J, Covas MI, Aros F, Gomez-Gracia E, Fiol M, et al. Effect of the Mediterranean diet on blood pressure in the PREDIMED trial: results from a randomized controlled trial. BMC Med. 2013;11:207.

    Article  PubMed  PubMed Central  Google Scholar 

  95. Estruch R. PREDIMED Study Investigators: primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013;368(14):1279–90.

    Article  CAS  PubMed  Google Scholar 

  96. Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013;368(14):1279–90.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Clinical Dietician-Nutritionist. First Cardiology Clinic, Hippokration Hospital, University of Athens, Athens, Greece

    K. Dimitriadis, C. Filippou & C. Tsioufis

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  1. K. Dimitriadis
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  2. C. Filippou
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  3. C. Tsioufis
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Editors and Affiliations

  1. Georgetown University and VA Medical Center, Washington, DC, USA

    Vasilios Papademetriou

  2. Fourth Internal Medicine Department, Evangelismos State General Hospital, Athens, Greece

    Emmanuel A. Andreadis

  3. Fourth Internal Medicine Department, Evangelismos State General Hospital, Athens, Greece

    Charalampia Geladari

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Dimitriadis, K., Filippou, C., Tsioufis, C. (2019). The Role of Dietary Modifications in Controlling Blood Pressure. In: Papademetriou, V., Andreadis, E., Geladari, C. (eds) Management of Hypertension. Springer, Cham. https://doi.org/10.1007/978-3-319-92946-0_5

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  • DOI: https://doi.org/10.1007/978-3-319-92946-0_5

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