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These studies suggest that nutrient-dense, portion-controlled foods, low-sodium and high-potassium diets, and specific dietary patterns like the DASH diet can help lower blood pressure, while the effects of high-protein meals and meal timing are less clear.
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Research indicates that high-carbohydrate (HC) meals may have a more immediate effect on lowering blood pressure (BP) compared to high-protein (HP) meals in individuals with elevated BP. A study involving 52 overweight adults found that on the first day of the intervention, the mean arterial pressure (MAP) decreased more significantly after HC meals than HP meals. However, this difference was not observed after four weeks of dietary supplementation, as the BP reduction in the HP group became more pronounced over time.
A dietary intervention involving nutrient-dense, portion-controlled foods showed promising results in reducing BP among hypertensive patients. Over an eight-week period, participants experienced a significant decrease in both systolic and diastolic BP, alongside reductions in body weight and waist circumference. This suggests that nutrient-dense meals, which are low in added sugars and saturated fats, can effectively lower BP and improve overall health metrics.
The timing of nutrient intake, particularly sodium and potassium, plays a crucial role in BP management. A study analyzing dietary data from a food-log app found that the sodium-to-potassium ratio at lunch and the intake of energy, lipids, cholesterol, and saturated fats at dinner were positively associated with higher BP. Conversely, higher protein intake at breakfast and fiber intake at lunch were linked to lower BP. These findings highlight the importance of not only the type of nutrients consumed but also the timing of their intake in managing hypertension.
For elderly patients with postprandial hypotension (PPH), reducing the carbohydrate content in meals can significantly mitigate BP drops. A study involving geriatric patients demonstrated that low-carbohydrate meals resulted in smaller decreases in systolic BP and shorter durations of PPH compared to normal- and high-carbohydrate meals. This suggests that limiting carbohydrate intake in meals can be an effective non-pharmacological strategy for managing PPH in elderly individuals.
Incorporating low-sodium, high-potassium foods into the diet can also be beneficial for BP management. A randomized controlled trial with Japanese men showed that consuming meals with these characteristics led to a significant reduction in the urinary sodium-to-potassium ratio and a modest decrease in systolic BP. This approach may be a feasible and effective strategy for lowering BP in free-living settings.
Functional foods and nutraceuticals are gaining attention as potential alternatives or complements to traditional antihypertensive medications. These foods, which include specific nutrients and bioactive compounds, can help manage BP and reduce the risk of cardiovascular diseases. The integration of such foods into the diet, along with lifestyle modifications, offers a promising approach to hypertension management.
Dietary interventions play a critical role in managing high blood pressure. High-carbohydrate meals may offer immediate BP reductions, while nutrient-dense, portion-controlled foods can provide long-term benefits. The timing of nutrient intake, particularly sodium and potassium, is also crucial. For elderly patients, reducing carbohydrate content in meals can help manage postprandial hypotension. Additionally, low-sodium, high-potassium foods and functional foods present viable options for BP management. These findings underscore the importance of tailored dietary strategies in the effective management of hypertension.
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