Study Results
The DASH trial showed that dietary patterns can and do affect blood pressure in the high normal BP to moderately hypertensive adult population (systolic < 180 mm Hg & diastolic of 80 to 95 mm Hg). Respectively, the DASH or “combination” diet lowered blood pressures by an average of 5.5 and 3.0 mm Hg for systolic and diastolic, compared with the control diet. The minority portion of the study sample and the hypertensive portion both showed the largest reductions in blood pressure from the combination diet against the control diet. The hypertensive subjects experienced a drop of 11.4 mm Hg in their systolic and 5.5 mm Hg in their diastolic phases. The fruits-and-vegetables diet was also successful, although it produced more modest reductions compared with the control diet (2.8 mm Hg systolic and 1.1 mm Hg diastolic). In the subjects with and without hypertension, the combination diet effectively reduced blood pressure more than the fruits-and-vegetables diet or the control diet did. The data indicated that reductions in blood pressure occurred within two weeks of subjects’ starting their designated diets, and that the results were generalizable to the target sample of the U.S. population. Side effects were negligible, but the NEJM study reports that some subjects reported constipation as a problem. At the end of the intervention phase, 10.1, 5.4 & 4.0 percent of the subjects reported this problem for the control, fruits-and-vegetables and combination diets, respectively, showing that the fruits and vegetables and combination diets reduce constipation. Apart from only one subject (on the control diet) who was suffering from cholecystitis, other gastrointestinal symptoms had a low rate of incidence.
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