Skip to main content
    • Aa
    • Aa
  • Access
  • Cited by 14
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Asghari, Golaleh Yuzbashian, Emad Mirmiran, Parvin Hooshmand, Fatemeh Najafi, Reza and Azizi, Fereidoun 2016. Dietary Approaches to Stop Hypertension (DASH) Dietary Pattern Is Associated with Reduced Incidence of Metabolic Syndrome in Children and Adolescents. The Journal of Pediatrics, Vol. 174, p. 178.

    Moore, Lynn L. Singer, Martha R. Bradlee, M. Loring and Daniels, Stephen R. 2016. Adolescent dietary intakes predict cardiometabolic risk clustering. European Journal of Nutrition, Vol. 55, Issue. 2, p. 461.

    Stanhewicz, Anna E. Alba, Billie K. Kenney, W. Larry and Alexander, Lacy M. 2016. Dairy cheese consumption ameliorates single-meal sodium-induced cutaneous microvascular dysfunction by reducing ascorbate-sensitive oxidants in healthy older adults. British Journal of Nutrition, Vol. 116, Issue. 04, p. 658.

    Cadnapaphornchai, Melissa A. 2015. Autosomal dominant polycystic kidney disease in children. Current Opinion in Pediatrics, Vol. 27, Issue. 2, p. 193.

    Farajian, Paul Panagiotakos, Demosthenes B. Risvas, Grigoris Micha, Renata Tsioufis, Constantinos and Zampelas, Antonis 2015. Dietary and lifestyle patterns in relation to high blood pressure in children. Journal of Hypertension, Vol. 33, Issue. 6, p. 1174.

    Hojhabrimanesh, Abdollah Akhlaghi, Masoumeh Rahmani, Elham Amanat, Sasan Atefi, Masoumeh Najafi, Maryam Hashemzadeh, Maral Salehi, Saedeh and Faghih, Shiva 2015. A Western dietary pattern is associated with higher blood pressure in Iranian adolescents. European Journal of Nutrition,

    Krupp, Danika Shi, Lijie Egert, Sarah Wudy, Stefan A. and Remer, Thomas 2015. Prospective relevance of fruit and vegetable consumption and salt intake during adolescence for blood pressure in young adulthood. European Journal of Nutrition, Vol. 54, Issue. 8, p. 1269.

    Gopinath, B. Flood, V.M. Burlutsky, G. Louie, J.C.Y. Baur, L.A. and Mitchell, P. 2014. Dairy food consumption, blood pressure and retinal microcirculation in adolescents. Nutrition, Metabolism and Cardiovascular Diseases, Vol. 24, Issue. 11, p. 1221.

    Kaikkonen, Jari E. Mikkilä, Vera and Raitakari, Olli T. 2014. Role of Childhood Food Patterns on Adult Cardiovascular Disease Risk. Current Atherosclerosis Reports, Vol. 16, Issue. 10,

    Kehler, D. Scott Stammers, Andrew N. Susser, Shanel E. Hamm, Naomi C. Kimber, Dustin E. Hlynsky, Michael W. and Duhamel, Todd A. 2014. Cardiovascular complications of type 2 diabetes in youth1. Biochemistry and Cell Biology, p. 1.

    Barnes, T L Crandell, J L Bell, R A Mayer-Davis, E J Dabelea, D and Liese, A D 2013. Change in DASH diet score and cardiovascular risk factors in youth with type 1 and type 2 diabetes mellitus: The SEARCH for Diabetes in Youth Study. Nutrition & Diabetes, Vol. 3, Issue. 10, p. e91.

    Hanevold, Coral D. 2013. Sodium Intake and Blood Pressure in Children. Current Hypertension Reports, Vol. 15, Issue. 5, p. 417.

    Lande, Marc B. and Kupferman, Juan C. 2013. Treatment of Pediatric Hypertension: Lessons Learned from Recent Studies. Current Cardiovascular Risk Reports, Vol. 7, Issue. 5, p. 307.

    Yuan, Wen Lun Kakinami, Lisa Gray-Donald, Katherine Czernichow, Sébastien Lambert, Marie and Paradis, Gilles 2013. Influence of Dairy Product Consumption on Children's Blood Pressure: Results from the QUALITY Cohort. Journal of the Academy of Nutrition and Dietetics, Vol. 113, Issue. 7, p. 936.


Dietary Approaches to Stop Hypertension (DASH) eating pattern and risk of elevated blood pressure in adolescent girls

  • Lynn L. Moore (a1), M. Loring Bradlee (a1), Martha R. Singer (a1), M. Mustafa Qureshi (a1), Justin R. Buendia (a2) and Stephen R. Daniels (a3)
  • DOI:
  • Published online: 16 January 2012

Dietary determinants of adolescent blood pressure (BP) are poorly understood. The goal of the present study was to assess the effects of an eating pattern similar to that from the Dietary Approaches to Stop Hypertension (DASH) study on adolescent BP. Data from 2185 girls followed-up over 10 years (until the girls were 18–20 years of age) in the National Heart Lung and Blood Institute's Growth and Health Study were used in this analysis. Diet was assessed during eight examination cycles using 3 d dietary records; girls were classified according to their consumption of foods associated with a DASH-style eating pattern. Analysis of covariance modelling, multiple logistic regression and longitudinal mixed models were used to control for potential confounding by age, race, socio-economic status, height, physical activity, television viewing time and other dietary factors. Girls who consumed ≥ 2 daily servings of dairy and ≥ 3 servings of fruits and vegetables (FV) had a 36 % lower risk (95 % CI: 0·43, 0·97) of elevated BP (EBP) in late adolescence. In longitudinal modelling, two dietary factors were associated with a lower systolic BP throughout adolescence: higher ( ≥ 2 daily servings) dairy intakes (P < 0·0001) and a DASH-style pattern (P = 0·0002). Only the DASH-style pattern led to consistently lower diastolic BP levels (P = 0·0484). Adjustment for BMI did not appreciably modify the results. In this study, adolescent girls whose diets were rich in dairy products and FV during the early- and mid-adolescent years were less likely to have EBP levels in later adolescence.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the or variations. ‘’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Dietary Approaches to Stop Hypertension (DASH) eating pattern and risk of elevated blood pressure in adolescent girls
      Your Kindle email address
      Available formats
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Dietary Approaches to Stop Hypertension (DASH) eating pattern and risk of elevated blood pressure in adolescent girls
      Available formats
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Dietary Approaches to Stop Hypertension (DASH) eating pattern and risk of elevated blood pressure in adolescent girls
      Available formats
Corresponding author
*Corresponding author: Dr L. L. Moore, fax +1 617 638 8076, email
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1LJ Appel , TJ Moore , E Obarzanek , et al. (1997) A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med 336, 11171124.

2FM Sacks , LP Svetkey , WM Vollmer , et al. (2001) 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 344, 310.

4JL Troyer , EF Racine , GW Ngugi , et al. (2010) The effect of home-delivered Dietary Approach to Stop Hypertension (DASH) meals on the diets of older adults with cardiovascular disease. Am J Clin Nutr 91, 12041212.

6X Chen & Y Wang (2008) Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation 117, 31713180.

7SS Sun , GD Grave , RM Siervogel , et al. (2007) Systolic blood pressure in childhood predicts hypertension and metabolic syndrome later in life. Pediatrics 119, 237246.

8LL Moore , MR Singer , ML Bradlee , et al. (2005) Intake of fruits, vegetables, and dairy products in early childhood and subsequent blood pressure change. Epidemiology 16, 411.

9SC Couch , BE Saelens , L Levin , et al. (2008) The efficacy of a clinic-based behavioral nutrition intervention emphasizing a DASH-type diet for adolescents with elevated blood pressure. J Pediatr 152, 494501.

10AL Gunther , AD Liese , RA Bell , et al. (2009) Association between the dietary approaches to hypertension diet and hypertension in youth with diabetes mellitus. Hypertension 53, 612.

12The National Heart Lung and Blood Institute Group and Health Study Research Group (1992) Obesity and cardiovascular disease risk factors in black and white girls: the NHLBI Growth and Health Study. Am J Public Health 82, 16131620.

15National High Blood Pressure Education Program Working Group (2004) The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 114, 555576.

16SY Kimm , NW Glynn , AM Kriska , et al. (2000) Longitudinal changes in physical activity in a biracial cohort during adolescence. Med Sci Sports Exerc 32, 14451454.

17MB Schulze , K Hoffmann , A Kroke , et al. (2003) 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 158, 365373.

18K Miura , P Greenland , J Stamler , et al. (2004) Relation of vegetable, fruit, and meat intake to 7-year blood pressure change in middle-aged men: the Chicago Western Electric Study. Am J Epidemiol 159, 572580.

19JH John , S Ziebland , P Yudkin , et al. (2002) Effects of fruit and vegetable consumption on plasma antioxidant concentrations and blood pressure: a randomised controlled trial. Lancet 359, 19691974.

20IW Gallen , RM Rosa , DY Esparaz , et al. (1998) On the mechanism of the effects of potassium restriction on blood pressure and renal sodium retention. Am J Kidney Dis 31, 1927.

21MC Houston & KJ Harper (2008) Potassium, magnesium, and calcium: their role in both the cause and treatment of hypertension. J Clin Hypertens (Greenwich) 10, 311.

22HF Lopes , KL Martin , K Nashar , et al. (2003) DASH diet lowers blood pressure and lipid-induced oxidative stress in obesity. Hypertension 41, 422430.

23MM Most (2004) Estimated phytochemical content of the Dietary Approaches to Stop Hypertension (DASH) diet is higher than in the Control Study Diet. J Am Diet Assoc 104, 17251727.

25J Stamler , IJ Brown , ML Daviglus , et al. (2009) Glutamic acid, the main dietary amino acid, and blood pressure: the INTERMAP Study (International Collaborative Study of Macronutrients, Micronutrients and Blood Pressure). Circulation 120, 221228.

26FM Sacks & H Campos (2010) Dietary therapy in hypertension. N Engl J Med 362, 21022112.

27MH Wennersberg , A Smedman , AM Turpeinen , et al. (2009) Dairy products and metabolic effects in overweight men and women: results from a 6-mo intervention study. Am J Clin Nutr 90, 960968.

28KL Margolis , RM Ray , L Van Horn , et al. (2008) Effect of calcium and vitamin D supplementation on blood pressure: the Women's Health Initiative Randomized Trial. Hypertension 52, 847855.

29MA Pereira , DR Jacobs Jr, L Van Horn , et al. (2002) Dairy consumption, obesity, and the insulin resistance syndrome in young adults: The CARDIA Study. JAMA 287, 20812089.

30L Wang , JE Manson , JE Buring , et al. (2008) Dietary intake of dairy products, calcium, and vitamin D and the risk of hypertension in middle-aged and older women. Hypertension 51, 10731079.

33PM Kris-Etherton , JA Grieger , KF Hilpert , et al. (2009) Milk products, dietary patterns and blood pressure management. J Am Coll Nutr 28, Suppl. 1, 103S119S.

34JY Xu , LQ Qin , PY Wang , et al. (2008) Effect of milk tripeptides on blood pressure: a meta-analysis of randomized controlled trials. Nutrition 24, 933940.

35E Ros , LC Tapsell & J Sabate (2010) Nuts and berries for heart health. Curr Atheroscler Rep 12, 397406.

36P Casas-Agustench , P Lopez-Uriarte , E Ros , et al. (2011) Nuts, hypertension and endothelial function. Nutr Metab Cardiovasc Dis 21, Suppl. 1, S21S33.

37SD Poppitt , D Swann , AE Black , et al. (1998) Assessment of selective under-reporting of food intake by both obese and non-obese women in a metabolic facility. Int J Obes Relat Metab Disord 22, 303311.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *