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There are many different diets that appear regularly, gathering numerous fans and followers around themselves. But despite this diversity, just a few of them have actually proven effective, including safety and possible side effects. And if the diet is not only required to reduce weight, but also prevent serious chronic diseases, then the choice becomes very small. Only a few eating patterns have consistent scientific support for promoting general cardiovascular wellbeing. Today we explore how the DASH-inspired approach may complement heart-healthy living and support normal blood pressure trends when paired with personalized guidance.

Approaches to Stop Hypertension (DASH) diet originated in the 1990s. The diet was created after researchers noticed that high blood pressure was much less common in people who followed a plant-based diet, such as vegans and vegetarians. To verify this observation, in 1992, the National Institute of Health (NIH) started funding several research projects to see if specific dietary interventions were useful in treating hypertension. So, people included in the study were advised to follow certain dietary suggestions and not to include any other lifestyle modifications. Research observes correlations between the DASH-style pattern and modest improvements in blood-pressure metrics, but outcomes vary widely across individuals; use these findings for inspiration in broad wellness conversations with your care team. Some clinicians note the diet can complement healthy habits; always follow your healthcare provider’s advice on any treatments.

Besides, U.S. News and World Report, evaluating the most popular diets annually, defines the DASH diet as the most effective among healthy diets.

In 2020, DASH diet took first place in the nomination of the Best Diets for Healthy Eating.

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DASH Diet is ranked:

What is DASH diet?

The DASH diet focuses on fruits, vegetables, whole grains, and lean meats. It also advocates the reduction of sodium in the diet to about 1500 mg/day. And also it emphasizes on consumption of minimally processed and fresh food.

The DASH eating plan requires no special foods. So that a typical serving guide is as follows:

Vegetables: about 5 servings per day
Fruits: about 5 servings per day
Carbohydrates: about 7 servings per day
Low-fat dairy products: about 2 servings per day
Lean meat products: about 2 or fewer servings per day
Nuts and seeds: 2 to 3 times per week.

DASH Diet is balanced and can be followed long term, which is a key reason nutrition experts rank it as US News’ Best Overall Diet.

Getting Started on DASH Healthy Diet

Even small lifestyle changes made gradually can lead to significant health benefits.  

  1. Gradually begin making changes to your diet. For example, try adding one serving of vegetables to each meal.
  2. Introduce two or more meat-free meals each week.
  3. Use fresh fruit as a dessert and almonds or pecans instead of a bag of chips.
  4. When baking, use half the amount of butter or margarine that you would usually use.

For those inspired by the DASH framework, many sources recommend lowering sodium toward 1,500 mg/day as a wellness challenge; pairing gradual reductions with routine check-ins helps people see how these tweaks fit with their overall lifestyle. For most other adults, the limit is 2,300 mg. Here are some tips on how to reduce your salt intake:

  1. Don’t add salt when cooking rice, pasta, and hot cereals.
  2. Flavor your foods with salt-free seasoning blends, fresh or dried herbs, and spices, or fresh lemon or lime juice.
  3. Rinse canned foods or foods soaked in brine before using them.
  4. Use less table salt

For more guidance, the National Heart, Lung, and Blood Institute publishes free guides on the plan, including one (PDF here) that’s 20 pages and one (PDF here) that’s six. They’ll help you determine how many calories you should eat for your age and activity level, tell you where those calories should come from and remind you to consume less salt.

Learn more about DASH dietary guidelines

Carbohydrates and Fats

Carbohydrates are the main source of energy in the body. So, healthy carbohydrates included under DASH include:

  • Green leafy vegetables: kale, broccoli, spinach, collards, mustards
  • Whole grains: cracked wheat, millets, oats
  • Low glycemic index fruits
  • Legumes and beans
  • Good fats

Fats are used for energy after they are broken into fatty acids. You have probably heard about good and bad fats. Good fats prevent inflammation and promote overall health. These fats, when consumed in moderation, have shown an increase in good cholesterol (HDL) and lowering of small dense LDL particles. You can find some of the sources of good fats below:

Bad fats such as margarine, vegetable shortenings, partially hydrogenated vegetable oils, cause an increase in small LDL particles, which is destructive to your blood vessels. Therefore, their consumption must be excluded.

Proteins

Proteins are natural organic substances consisting of amino acids and playing a fundamental role in the life of our bodies. DASH recommends more servings of plant proteins such as legumes, soy products, nuts, and seeds. As for animal protein, it should be mainly composed of lean meats, low-fat dairy products, eggs, and fish.

Processed and canned meat is not recommended because it causes hypertension and also contains carcinogens.

In conclusion, we want to add that the DASH diet also includes foods rich in potassium, calcium, and magnesium. This is due to the fact that they prevent vascular wall pathology. Some of the potassium-rich foods included in the diet are bananas, oranges, and spinach. Dairy products and green leafy vegetables bring enough calcium to the body. And magnesium comes with the consumption of whole grains, leafy vegetables, nuts, and seeds.

DASH Diet Effects on Other Diseases

Several studies suggest DASH-inspired choices can support balanced metabolism and complement general weight-management goals; discuss with your clinician how these principles align with your personal lifestyle ambitions. Some people living with heart conditions choose this eating pattern in consultation with their doctors.

Some studies suggest plant-forward eating patterns are linked with general digestive health; personal risk varies and screening guidance still applies. Research associates balanced eating with overall longevity trends, but individual health depends on many factors.

To sum up, DASH can be a very useful tool to support healthy blood pressure as part of a balanced lifestyle. When compared to some other dietery patterns, it has an added advantage of having clear guidelines on the serving sizes and food groups. These clear serving guidelines provide structure that people can discuss with their healthcare professionals when planning healthy meals1.

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Healthy Dash Diet Meal Plan

Many DASH-friendly recipes are easy to find, they are regularly published, and new ones are added constantly. For example, the NHLBI offers more than 180 heart-healthy recipes in its online database. You can also find useful the Mayo Clinic long lists of DASH-friendly recipes and review 26 simple tips on how to eat healthy.

Your daily sample menu may look like, for instance:

Breakfast

  • 3/4 cup bran flakes cereal
  • One cup low-fat milk or 1 cup fruit yogurt, fat-free, no sugar added
  • a medium raisin bagel
  • 1 Tbsp peanut butter
  • a cup of orange juice

Lunch

  • ham and cheese sandwich:
    • 2 oz ham, low-fat, low sodium
    • 1 slice (3/4 oz) natural cheddar cheese with reduced fat
    • 2 slices whole wheat bread
    • 1 large leaf romaine lettuce
    • 2 slices tomato
    • 1 Tbsp mayonnaise, low-fat
  • 1 cup carrot sticks

Snacks

  • 1/4 cup dried apricots
  • 1/3 cup mixed, unsalted nuts
  • One cup fat-free milk

Dinner

  • 3 ounces grilled salmon
  • 1/2 cup brown rice
  • 1 cup steamed broccoli
  • Spinach salad with 1 cup raw spinach, 2 cherry tomatoes, 2 cucumber slices
  • 1 tablespoon low-sodium, homemade vinaigrette salad dressing
  • One cup grape juice

It is based on a 2,000-calorie diet with 1,500 mg of sodium.

FURTHER READING

Source: ©️2019 Healsens B.V. All right reserved

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Source: ©️2019 Healsens B.V. All right reserve

  1. Kerley CP. Dietary patterns and components to prevent and treat heart failure. Nutr Res Rev. 2019 Jun;32(1):1-27.

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