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Diet, blood pressure and hypertension

  • Kjeld Hermansen (a1)
  • DOI:
  • Published online: 01 March 2007

Prevention of hypertension, and control of blood pressure in patients with hypertension, are necessary for the reduction of cardiovascular morbidity and mortality. Lifestyle modifications are one of the most important tools for effective lowering of blood pressure. Most randomized controlled studies have shown that even a modest weight loss of 3–9 % is associated with a significant reduction in systolic and diastolic blood pressure of roughly 3 mm Hg in overweight people. Limitation of sodium chloride in food has historically been considered the critical change for reducing blood pressure. Changes in sodium intake do affect blood pressure in older persons and in patients with hypertension and diabetes, whereas its role in population blood pressure has proven controversial. Recent meta-analyses indicate that adequate intake of minerals, e.g. potassium and probably calcium, rather than restriction of sodium, should be the focus of dietary recommendations. Although epidemiological data point to a direct relation between the intake of saturated fat, starch and alcohol, as well as an inverse relationship to the intake of omega-3 fatty acids and protein, our knowledge about macronutrients and blood pressure is scanty. It may well prove more productive to look at food instead of placing emphasis on single nutrients. Thus the Dietary Approaches to Stop Hypertension (DASH) demonstrates that a diet rich in fruits, vegetables, low-fat dairy products, fibre and minerals (calcium, potassium and magnesium) produces a potent antihypertensive effect. Such a diet is not very restrictive and should not produce compliance problems. Further high-quality research on the influence of macronutrients and food will yield data for updated recommendations, enabling better prevention and control of the blood pressure problem.

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*Corresponding author: K. Hermansen, fax +45 89 49 7659, email
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MH Alderman , S Madhavan , H Cohen , JE Sealey & JH Laragh (1995) Low urinary sodium is associated with greater risk of myocardial infarction among treated hypertensive men. Hypertension 25, 11441152.

PS Allender , JA Cutler , D Follmann , FP Cappuccio , J Pryer & P Elliott (1996) Dietary calcium and blood pressure: a meta-analysis of randomized clinical trials. Annals of Internal Medicine 124, 825831.

JW Anderson (1983) Plant fiber and blood pressure. Annals of Internal Medicine 98, 842846.

Anon. (1997), –. Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Archives of Internal Medicine 157, 24132446.

JL Appel , TJ Moore , E Obarzanek , WM Vollmer , LP Svetkey , FM Sacks , GA Bray , TM Vogt , JA Cutler , MM Windhauser , P-H Lin & N Karanja (1997) A clinical trial of the effects of dietary patterns on the blood pressure. New England Journal of Medicine 336, 11171124.

H Bucher , RJ Cook , GH Guyatt , JD Lang , DJ Cokk , R Hatala & DL Hunt (1996) Effects of dietary calcium supplementation on blood pressure: a meta-analysis of randomized controlled trials. Journal of the American Medical Association 275, 10161022.

VL Burt , JA Cutler , M Higgins , MJ Horan , D Labarthe , P Whelton , C Brown & EJ Rocella (1996) Trends in the prevalence, awareness, treatment, and control of hypertension in the adult US population. Data from the health examination surveys, 1960 to 1991. Hypertension 26, 6069.

FP Cappuccio & GA MacGregor (1991) Does potassium supplementation lower blood pressure? A meta-analysis of published trials. Journal of Hypertension 9, 465473.

NA Graudal , AM Galløe & P Garred (1998) Effects of sodium restriction on blood pressure, renin, aldosterone, catecholamines, cholesterols, and triglyceride. a meta-analysis. Journal of the American Medical Association 279, 13831391.

FJ Haddy & HW Overbeck (1976) The role of humoral agents in volume expanded hypertension. Life Sciences 19, 935947.

Intersalt Cooperative Research Group (1988), –. Intersalt: an International Study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. British Medical Journal 297, 319328.

KD Israel , OE Michaelis , S Reiser & M Keeney (1983) Serum uric acid, inorganic phosphorus, and glutamic–oxalacetic transaminase and blood pressure in carbohydrate-sensitive adults consuming three different levels of sucrose. Annals of Nutrition and Metabolism 27, 425435.

HG Langford (1983) Dietary potassium and hypertension: epidemiological data. Annals of Internal Medicine 98, 770772.

MR Law (1997) Epidemiologic evidence on salt and blood pressure. American Journal of Hypertension 10, 42S-45S.

BM Margetts , LJ Beilin , BK Armstrong & R Vandongen (1985) A randomized control trial of vegetarian diet in the treatment of mild hypertension. Clinical and Eperimental Pharmacology and Physiology 12, 263266.

MG Marmot , P Elliott , MJ Shipley , AR Dyer , H Ueshima , DG Beevers , R Stamler , H Kesteloot , G Rose & J Stamler (1994) Alcohol and blood pressure: the INTERSALT study. British Medical Journal 308, 12631267.

DA McCarron (1998) Diet and blood pressure — the paradigm shift. Science 281, 933934.

PJ Midgley , AG Matthew , CMT Greenwood & AG Logan (1996) Effects of reduced dietary sodium on blood pressure. A meta-analysis of randomized controlled trials. Journal of the American Medical Association 275, 15901597.

MC Morris (1994) Dietary fats and blood pressure. Journal of Cardiovascular Risk 1, 2130.

MC Morris , FM Sacks & B Rossner (1993) Does fish oil lower blood pressure? A meta-analysis of controlled trials. Circulation 88, 523533.

S Nielsen , K Hermansen , OW Rasmussen , C Thomsen & CE Mogensen (1995) Urinary albumin excretion rate and 24-h ambulatory blood pressure in NIDDM with microalbuminuria: effects of a monounsaturated-enriched diet. Diabetologia 38, 10691075.

P Pauletto , M Puato , MG Caroli , A Casiglia , AE Munhambo , G Cazzolato , BG Bittolo , MT Angeli , C Galli & AC Pessina (1996) Blood pressure and atherogenic lipoprotein profiles of fish-diet and vegetarian villagers in Tanzania: the Lugalawa study. Lancet 348, 784788.

JM Peacock , AR Folsom , DK Arnett , JH Eckfeldt & M Szklo (1999) Relationship of serum and dietary magnesium to incident hypertension: the Atherosclerosis Risk in Communities (ARIC) Study. Annals of Epidemiology 9, 159165.

SL Prescott , DA Jenner , B Beilin , BM Margetts & R Vandongen (1987) Controlled study of the effects of dietary protein on blood pressure in normotensive humans. Clinical and Experimental Pharmacology and Physiology 14, 159162.

OW Rasmussen , C Thomsen , KW Hansen , M Vesterlund , E Winther & K Hermansen (1993) Effects on blood pressure, glucose, and lipid levels of a high-monounsaturated fat diet compared with a high-carbohydrate diet in NIDDM subjects. Diabetes Care 16, 15651571.

V Ruitz-Gutierrez , FJ Muriana , A Guerrero , AM Cert & J Villar (1996) Plasma lipids, erythrocyte membrane lipids and blood pressure of hypertensive women after ingestion of dietary oleic acid from two different sources. Journal of Hypertension 14, 14831490.

FM Sacks , E Obarzanek , MM Windhauser , LP Svetkey , WM Vollmer , M McCullough , N Karanja , P-H Lin , P Steele , MA Proschan , MA Evans , LJ Appel , GA Bray , TM Vogt & TJ Moore (1995) Rationale and design of the Dietary Approaches to Stop Hypertension Trial (DASH). A multicenter controlled-feeding study of dietary patterns to lower blood pressure. Annals of Epidemiology 5, 108118.

R Stamler , J Stamler , WF Riedlinger , G Algera & RH Roberts (1978) Weight and blood pressure. Findings in hypertension screening of 1 million Americans. Journal of the American Medical Association 240, 16071610.

J Stamler , A Caggiula , GA Grandits , M Kjelsberg & JA Cutler (1996) Relationship to blood pressure of combinations of dietary macronutrients. Findings of the Multiple Risk Factor Intervention Trial (MRFIT). Circulation 94, 24172423.

J Stamler , P Elliott , H Kesteloot , R Nichols , G Claeys , AR Dyer & R Stamler (1996) Inverse relation of dietary protein markers with blood pressure. Findings for 10 020 men and women in the INTERSALT study. INTERSALT Cooperative Research Group: INTERnational study of SALT and blood pressure. Circulation 94, 16291634.

VJ Stevens , SA Corrigan , E Obarzanek , E Bernauer , NR Cook , P Herbert , M Mattfeldt-Beman , A Oberman , C Sugars & AT Dalcin (1993) Weight loss intervention in phase 1 of the Trials of Hypertension Prevention. The TOPH Collaborative Research Group. Archives of Internal Medicine 153, 849858.

H Storm , C Thomsen , E Pedersen , O Rasmussen , C Christiansen & K Hermansen (1997) Comparison of a carbohydrate-rich diet and diets rich in stearic or palmitic acid in NIDDM patients. Effects on lipids, glycemic control, and diurnal blood pressure. Diabetes Care 20, 18071813.

LP Svetkey , D Simone-Morton , WM Vollmer , JL Appel , PR Conlin , DH Ryan , J Ard & BM Kennedy (1999) Effects of dietary patterns on blood pressure. Subgroup analysis of the Dietary Approaches to Stop Hypertension (DASH) randomized clinical trial. Archives of Internal Medicine 159, 285293.

G Taubes (1998) The (Political) Science of Salt. Science 281, 898907.

C Thomsen , OW Rasmussen , KW Hansen , M Vesterlund & K Hermansen (1995) Comparison of the effects on the diurnal blood pressure, glucose, and lipid levels of a diet rich in monounsaturated fatty acids with a diet rich in polyunsaturated fatty acids in type 2 diabetic subjects. Diabetic Medicine 12, 600606.

Trials of Hypertension Prevention Collaborative Research Group (1997) Effects of weight loss and sodium reduction intervention on blood pressure and hypertension incidence in overweight people with high–normal blood pressure. Archives of Internal Medicine 157, 657667.

PK Whelton , J Buring , NO Borhani , JD Cohen , N Cook , JA Cutler , JE Kiley , LH Kuller , S Satterfield & FM Sacks (1995) The effect of potassium supplementation in persons with a high–normal blood pressure. Results from Phase I of the Trials of Hypertension Prevention (TOHP). Trials of Hypertension Prevention (TOHP) Collaborative Research Group. Annals of Epidemiology 5, 8595.

PK Whelton , Jl Appel , MA Espeland , WB Applegate , WH Ettinger , JB Kostis , S Kumanyika , CR Lacy , KC Johnson , S Folmar & JA Cutler (1998) Sodium reduction and weight loss in the treatment of hypertension in older persons: a randomized controlled trial of nonpharmacological interventions in the elderly (TONE). Journal of the American Medical Association 279, 839846.

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