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ASH position paper: Dietary approaches to lower blood pressure
The Journal of Clinical Hypertension, 06/25/09

Appel LJ et al. – An ASH position paper on dietary approaches to lower blood pressure (BP) focuses on dietary risk factors; race- and age-related risks; effects on nonhypertensive and hypertensive pts; and current challenges of clinical and public health interventions.

• ASH position paper on dietary approaches to lower BP

• Well-established dietary risk factors for elevated BP: excess salt intake, low potassium intake, excess weight, high alcohol consumption, and suboptimal dietary pattern
• African Americans especially sensitive to BP effects of excess salt intake, insufficient potassium intake, and suboptimal diet
• Direct, progressive relationship of BP with cardiovascular-renal diseases throughout usual range of BP, and world epidemic of BP-related disease warrants efforts to reduce BP in nonhypertensive and hypertensive pts
• Lower BP and hypertension delay/prevention for nonhypertensive pts with dietary changes
• Dietary changes serve as initial treatment before drug therapy for uncomplicated stage I hypertension
• Lifestyle modifications can further lower BP in hypertensive pts already on drug therapy
• Current challenge: effective clinical and public health interventions for sustained dietary changes among pts and the general population

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