DASH dietary pattern
Dietary Approaches to Stop Hypertension. Strongest dietary RCT evidence for blood pressure reduction.
Why
DASH emphasises vegetables, fruits, whole grains, low-fat dairy, lean protein, and limited sodium, sweets, and saturated fat. The landmark NEJM trial (Sacks 2001, n=412) showed clinically meaningful BP reduction comparable to single-drug antihypertensive therapy in people with elevated BP. Combining DASH with sodium reduction is more effective than either alone.
Slot in your day
How to do it
How
Vegetables and fruits at every meal (~4-5 servings each per day). Whole grains over refined. Limit red meat, sweets, and sugar-sweetened drinks. Cap sodium at ~1,500-2,300 mg/day. Two weeks of consistent eating typically shows BP changes.
Ideal for
People with elevated or borderline blood pressure; cardiovascular prevention generally.
Markers this may influence
Evidence
Sacks 2001 NEJM DASH-Sodium RCT (n=412): DASH plus low sodium (~1,500 mg/day) lowered systolic BP by 11.5 mmHg in hypertensives and 7.1 mmHg in normotensives vs the high-sodium control diet, comparable in magnitude to single-drug antihypertensive therapy. Soltani 2020 meta-analysis (17 cohorts, n>1.2M) shows dose-response associations with all-cause and CVD mortality.