Three arms; (a) advice only, (b) comprehensive lifestyle intervention, and (c) comprehensive lifestyle intervention plus DASH diet. Established guidelines from JNC V (weight loss, limited sodium and alcohol intake, and increased physical activity
diverse participants from 4 clinical centers across the US communities among free living US adults. Healthy men and women age ≥25 years with high-normal BP (SBP = 130–139, DBP = 85–89) or stage 1 HTN (SBP = 140–159, DBP = 90–99) but not taking BP medication
The prevalence of HTN decreased from a baseline of 38% to 17% in the established group () and to 12% in the established plus DASH group () compared with a decrease to 26% in the advice-only group. Less reduction in AA as compare to other groups
Neighborhood health care center for study enrollment
1-2 hr weekly intervention × 8 wks. program included BP and weight monitoring brief nutrition education, meal service, recipe demonstrations, and taste-testing
AA hypertensives list was obtained from medical records and recruited from AA communities. Dinners were based on DASH diet plan
BP was significantly lowered () among participants who missed no more than 2 of 8 sessions
Bavikati VV [88] Effect of comprehensive therapeutic lifestyle changes on pre-HTN.
Community-based program of therapeutic lifestyle changes (TLC) for 6-months
TLC included exercise training, nutrition, weight management, stress management, and smoking cessation interventions
ethnically diverse (AA , Caucasians ) men () and women () with pre-HTN
SBP of 120 to 139 mm Hg (), decreased by 7 ±12 mm Hg (). DBP of 80 to 89 mm Hg (), decreased by 6 ±3 mm Hg (). No racial differences in BP reduction; women had greater BP reductions than men ()
12 months Internet-based nutrition education program
DASH for Health program to provide weekly articles about healthy nutrition via the Internet. Dietary advice was based on the DASH diet
corporation employees and their families. Outcome measures were weight and BP reduction and lifestyle modification
In 26% who were remained in the study in the study, weight change at 12 months was −4.2 lbs, SBP fell 6.8 mm Hg at 12 months, DBP 2.1 mm Hg. On self-entered food surveys, () at 12 months were eating significantly more fruits, more vegetables, and fewer grain products
Bertoni et al. (Un-published)
Randomized: 3 months
Intervention: 8 group and 2 individual sessions and emphasize the adoption of DASH diet pattern at breakfast, lunch, dinner, snacks, both at home and when dining out Control: standard DASH and high blood pressure informational handouts
Adoption of DASH eating pattern by African American adults with hypertension and prehypertension living in lower-income minority community
