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These studies suggest that low-sodium, high-potassium diets, plant-based diets, and healthy dietary patterns like DASH, Nordic, and Mediterranean diets effectively lower blood pressure.
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Research consistently shows that diets low in sodium and high in potassium can significantly lower blood pressure (BP). A study comparing different dietary interventions found that a low-sodium, high-potassium diet rich in fruits and vegetables (LNAHK) resulted in a greater reduction in both systolic and diastolic BP compared to a moderate-sodium, high-potassium, high-calcium DASH-type diet. Another study in South Africa demonstrated that modifying the cation content of commonly consumed foods led to a significant reduction in systolic BP by 6.2 mmHg and diastolic BP by 2.7 mmHg in hypertensive patients.
A trial conducted in Japan with low-sodium, high-potassium seasonings and processed foods showed a significant decrease in systolic BP by 2.1 mmHg, highlighting the feasibility and effectiveness of such dietary modifications in free-living settings. These findings suggest that low-sodium, high-potassium diets can be a practical and effective strategy for managing BP across different populations.
Plant-based diets (PBDs), including vegetarian and vegan diets, have been associated with lower BP. A meta-analysis of controlled clinical trials found that various PBDs, such as the DASH diet, Mediterranean diet, and lacto-ovo vegetarian diet, significantly reduced both systolic and diastolic BP. Another study confirmed that vegetarians, including those who consume dairy (lactovegetarians), have lower BP compared to non-vegetarians, suggesting that the beneficial effects are likely due to the high intake of plant-based nutrients rather than the exclusion of animal products.
The Mediterranean diet, rich in whole grains, vegetables, fruits, nuts, and olive oil, has been shown to reduce BP in both hypertensive and healthy individuals. Similarly, the DASH diet, which emphasizes fruits, vegetables, whole grains, and low-fat dairy, has been effective in lowering BP, particularly when combined with low sodium intake.
The impact of fructose-containing foods on BP varies depending on the food source and energy control. A systematic review found that while fruit and 100% fruit juice can lead to small reductions in BP, mixed sources containing sugar-sweetened beverages (SSBs) tend to increase BP. Removing SSBs from the diet can result in significant BP reductions.
Interestingly, a study on postmenopausal women found that a low-sodium DASH-type diet including lean red meat was effective in reducing BP. This suggests that lean red meat can be part of a BP-lowering diet when combined with other healthy dietary components.
Dietary modifications play a crucial role in managing blood pressure. Low-sodium, high-potassium diets, plant-based dietary patterns, and specific nutrient adjustments have all been shown to effectively lower BP. These findings underscore the importance of dietary interventions as a practical and effective strategy for BP management across diverse populations. Further research is needed to explore the long-term effects and cultural adaptability of these dietary patterns.
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