Lifestyle recommendations reduced blood pressure in patients with above-optimal blood pressure: COMMENTARY

Prochazka, Allan V.
November 2003
ACP Journal Club;Nov/Dec2003, Vol. 139 Issue 3, p71
Academic Journal
The study by researcher L.J. Appel and colleagues shows that lifestyle interventions can have clinically important effects on blood pressure (BP) and progression to overt hypertension. The DASH diet expanded these concepts to increase the potassium consumption with fruits and vegetables and increase calcium intake with low-fat dairy products. A key issue has been whether addition of the DASH diet to standard recommendations would result in improved BP. The behavioral lifestyle intervention was intensive, and this translated into weight reduction and reduction in urinary sodium excretion. Clinicians can recommend these lifestyle changes but should be realistic and expect that only a select group of self-motivated patients may adopt them.


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