DASH Dietary Pattern: A Treatment for Non-communicable Diseases

Author(s): Sheenam Suri, Vikas Kumar*, Satish Kumar, Ankit Goyal, Beenu Tanwar, Jasleen Kaur, Jaspreet Kaur

Journal Name: Current Hypertension Reviews

Volume 16 , Issue 2 , 2020

Become EABM
Become Reviewer

Graphical Abstract:


Abstract:

Non-communicable diseases are the major inducer of mortality and morbidity in the Western world. In terms of nutrition, a diet high in fat (particularly saturated fat), salt and sugars have shown to be associated with innumerable incidence of diet- associated health diseases. Dietary modification is a central part of any treatment strategy. The Dietary Approach to Stop Hypertension (DASH) diet is one among such healthy dietary patterns, which emphasizes on the consumption of fruits, vegetables and low-fat dairy foods, including whole grains, poultry, fish, and small quantities of red meat, sweets and drinks containing sugar. This study provides certain practical evidence that prolonged adoption of DASH diet which can be a useful treatment for numerous non-communicable diseases with a sustained effect on the health that involves both accessibility and proximity to healthy eating choices. Long-term studies are required to assess whether these effects are maintained over time.

Keywords: DASH diet, non-communicable diseases, treatment, dietary modification, hypertension , health.

[1]
Prabhakaran D, Jeemon P, Roy A. Cardiovascular diseases in India: Current epidemiology and future directions. Circulation 2016; 133(16): 1605-20.
[http://dx.doi.org/10.1161/CIRCULATIONAHA.114.008729] [PMID: 27142605]
[2]
Haghighatdoost F, Sarrafzadegan N, Mohammadifard N, Asgary S, Boshtam M, Azadbakht L. Assessing body shape index as a risk predictor for cardiovascular diseases and metabolic syndrome among Iranian adults. Nutrition 2014; 30(6): 636-44.
[http://dx.doi.org/10.1016/j.nut.2013.10.021] [PMID: 24800666]
[3]
Lima LA, Nedel FB, Olinto MT, Baldisserotto J. Food habits of hypertensive and diabetics cared for in a Primary Health Care service in the South of Brazil. Rev Nutr 2015; 28(2): 197-206.
[http://dx.doi.org/10.1590/1415-52732015000200008]
[4]
Srilakshmi B. Nutrition Science 4thed. New Delhi: New Age International Publishers 2012.
[5]
Salehi-Abargouei A, Maghsoudi Z, Shirani F, Azadbakht L. Effects of Dietary Approaches to Stop Hypertension (DASH)-style diet on fatal or nonfatal cardiovascular diseases--incidence: A systematic review and meta-analysis on observational prospective studies. Nutrition 2013; 29(4): 611-8.
[http://dx.doi.org/10.1016/j.nut.2012.12.018] [PMID: 23466047]
[6]
Gupta R, Gupta S. Hypertension in India: Trends in prevalence, awareness, treatment and control. RUHS Journal of Health Sciences 2017; 2(1): 40-6.
[http://dx.doi.org/10.37821/ruhsjhs.2.1.2017.40-46]
[7]
Bueno DR, Marucci MD, Gouveia LA, Duarte YA, Lebrao ML. Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults. Rev Nutr 2017; 30(2): 209-18.
[http://dx.doi.org/10.1590/1678-98652017000200006]
[8]
Jiang J, Liu M, Troy LM, Bangalore S, Hayes RB, Parekh N. Concordance with DASH diet and blood pressure change: Results from the Framingham Offspring Study (1991-2008). J Hypertens 2015; 33(11): 2223-30.
[http://dx.doi.org/10.1097/HJH.0000000000000710] [PMID: 26259122]
[9]
Lin PH, Allen JD, Li YJ, Yu M, Lien LF, Svetkey LP. Blood pressure-lowering mechanisms of the DASH dietary pattern. J Nutr Metab 2012. 2012472396
[http://dx.doi.org/10.1155/2012/472396] [PMID: 22496969]
[10]
Machado JC, Cotta RM, Moreira TR, Silva LS. Adherence to non pharmacological treatment: analysis of the impact of three health educational and nutritional strategies in hypertensive patients. Rev Nutr 2016; 29(1): 11-22.
[http://dx.doi.org/10.1590/1678-98652016000100002]
[11]
Mackenbach JD, Burgoine T, Lakerveld J, et al. Accessibility and affordability of supermarkets: associations with the DASH diet. Am J Prev Med 2017; 53(1): 55-62.
[http://dx.doi.org/10.1016/j.amepre.2017.01.044] [PMID: 28336352]
[12]
Chiu S, Bergeron N, Williams PT, Bray GA, Sutherland B, Krauss RM. Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: A randomized controlled trial. Am J Clin Nutr 2016; 103(2): 341-7.
[http://dx.doi.org/10.3945/ajcn.115.123281] [PMID: 26718414]
[13]
Barnes TL, Crandell JL, Bell RA, Mayer-Davis EJ, Dabelea D, Liese AD. Change in DASH diet score and cardiovascular risk factors in youth with type 1 and type 2 diabetes mellitus: The SEARCH for Diabetes in Youth Study. Nutr Diabetes 2013; 3(10) e91
[http://dx.doi.org/10.1038/nutd.2013.32] [PMID: 24126768]
[14]
Blumenthal JA, Babyak MA, Hinderliter A, et al. Effects of the DASH diet alone and in combination with exercise and weight loss on blood pressure and cardiovascular biomarkers in men and women with high blood pressure: The ENCORE study. Arch Intern Med 2010; 170(2): 126-35.
[http://dx.doi.org/10.1001/archinternmed.2009.470] [PMID: 20101007]
[15]
Scisney-Matlock M, Glazewki L, McClerking C, Kachorek L. Development and evaluation of DASH diet tailored messages for hypertension treatment. Appl Nurs Res 2006; 19(2): 78-87.
[http://dx.doi.org/10.1016/j.apnr.2005.05.005] [PMID: 16728291]
[16]
Lin PH, Ginty F, Appel LJ, et al. The DASH diet and sodium reduction improve markers of bone turnover and calcium metabolism in adults. J Nutr 2003; 133(10): 3130-6.
[http://dx.doi.org/10.1093/jn/133.10.3130] [PMID: 14519796]
[17]
Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB. Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med 2008; 168(7): 713-20.
[http://dx.doi.org/10.1001/archinte.168.7.713] [PMID: 18413553]
[18]
Larsson SC, Wallin A, Wolk A. Dietary approaches to stop hypertension diet and incidence of stroke: Results from 2 prospective cohorts. Stroke 2016; 47(4): 986-90.
[http://dx.doi.org/10.1161/STROKEAHA.116.012675] [PMID: 26869384]
[19]
Soltani S, Shirani F, Chitsazi MJ, Salehi-Abargouei A. The effect of dietary approaches to stop hypertension (DASH) diet on weight and body composition in adults: A systematic review and meta-analysis of randomized controlled clinical trials. Obes Rev 2016; 17(5): 442-54.
[http://dx.doi.org/10.1111/obr.12391] [PMID: 26990451]
[20]
Sacks FM, Svetkey LP, Vollmer WM, et al. DASH-Sodium Collaborative Research Group. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. N Engl J Med 2001; 344(1): 3-10.
[http://dx.doi.org/10.1056/NEJM200101043440101] [PMID: 11136953]
[21]
Rai SK, Fung TT, Lu N, Keller SF, Curhan GC, Choi HK. The Dietary Approaches to Stop Hypertension (DASH) diet, Western diet, and risk of gout in men: prospective cohort study. BMJ 2017; 357: j1794.
[http://dx.doi.org/10.1136/bmj.j1794] [PMID: 28487277]
[22]
Mitchell PJ, Cooper C, Dawson-Hughes B, Gordon CM, Rizzoli R. Life-course approach to nutrition. Osteoporos Int 2015; 26(12): 2723-42.
[http://dx.doi.org/10.1007/s00198-015-3288-6] [PMID: 26412214]
[23]
Doyle L, Cashman KD. The DASH diet may have beneficial effects on bone health. Nutr Rev 2004; 62(5): 215-20.
[http://dx.doi.org/10.1301/nr.2004.may.215-220] [PMID: 15212322]
[24]
Abboud S, Haile DJ. A novel mammalian iron-regulated protein involved in intracellular iron metabolism. J Biol Chem 2000; 275(26): 19906-12.
[http://dx.doi.org/10.1074/jbc.M000713200] [PMID: 10747949]
[25]
Prynne CJ, Mishra GD, O’Connell MA, et al. Fruit and vegetable intakes and bone mineral status: A cross sectional study in 5 age and sex cohorts. Am J Clin Nutr 2006; 83(6): 1420-8.
[http://dx.doi.org/10.1093/ajcn/83.6.1420] [PMID: 16789345]
[26]
Tucker KL, Hannan MT, Chen H, Cupples LA, Wilson PW, Kiel DP. Potassium, magnesium, and fruit and vegetable intakes are associated with greater bone mineral density in elderly men and women. Am J Clin Nutr 1999; 69(4): 727-36.
[http://dx.doi.org/10.1093/ajcn/69.4.727] [PMID: 10197575]
[27]
Zhu K, Devine A, Prince RL. The effects of high potassium consumption on bone mineral density in a prospective cohort study of elderly postmenopausal women. Osteoporos Int 2009; 20(2): 335-40.
[http://dx.doi.org/10.1007/s00198-008-0666-3] [PMID: 18575949]
[28]
Chobanian AV, Bakris GL, Black HR, et al. Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. IzzoJr JL, Jones DW, Materson BJ, Oparil S, Wright Jr JT, Roccella EJ. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 2003; 42(6): 1206-52.
[http://dx.doi.org/10.1161/01.HYP.0000107251.49515.c2] [PMID: 14656957]
[29]
Folsom AR, Parker ED, Harnack LJ. Degree of concordance with DASH diet guidelines and incidence of hypertension and fatal cardiovascular disease. Am J Hypertens 2007; 20(3): 225-32.
[http://dx.doi.org/10.1016/j.amjhyper.2006.09.003] [PMID: 17324731]
[30]
Appel LJ, Moore TJ, Obarzanek E, et al. DASH Collaborative Research Group. A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med 1997; 336(16): 1117-24.
[http://dx.doi.org/10.1056/NEJM199704173361601] [PMID: 9099655]
[31]
Obarzanek E, Sacks FM, Vollmer WM, et al. DASH Research Group. Effects on blood lipids of a blood pressure-lowering diet: the Dietary Approaches to Stop Hypertension (DASH) Trial. Am J Clin Nutr 2001; 74(1): 80-9.
[http://dx.doi.org/10.1093/ajcn/74.1.80] [PMID: 11451721]
[32]
Chess DJ, Stanley WC. Role of diet and fuel overabundance in the development and progression of heart failure. Cardiovasc Res 2008; 79(2): 269-78.
[http://dx.doi.org/10.1093/cvr/cvn074] [PMID: 18343896]
[33]
Levitan EB, Wolk A, Mittleman MA. Consistency with the DASH diet and incidence of heart failure. Arch Intern Med 2009; 169(9): 851-7.
[http://dx.doi.org/10.1001/archinternmed.2009.56] [PMID: 19433696]
[34]
Konhilas JP, Leinwand LA. The effects of biological sex and diet on the development of heart failure. Circulation 2007; 116(23): 2747-59.
[http://dx.doi.org/10.1161/CIRCULATIONAHA.106.672006] [PMID: 18056540]
[35]
Blumenthal JA, Babyak MA, Sherwood A, et al. Effects of the dietary approaches to stop hypertension diet alone and in combination with exercise and caloric restriction on insulin sensitivity and lipids. Hypertension 2010; 55(5): 1199-205.
[http://dx.doi.org/10.1161/HYPERTENSIONAHA.109.149153] [PMID: 20212264]
[36]
Hu N, Yu JT, Tan L, Wang YL, Sun L, Tan L. Nutrition and the risk of Alzheimer’s disease. Biomed Res Int 2013; 2013 524820
[http://dx.doi.org/10.1155/2013/524820]
[37]
Clark TA, Lee HP, Rolston RK, et al. Oxidative stress and its implications for future treatments and management of Alzheimer disease. Int J Biomed Sci 2010; 6(3): 225-7.
[PMID: 21765811]
[38]
Smith PJ, Blumenthal JA, Babyak MA, et al. Effects of the dietary approaches to stop hypertension diet, exercise, and caloric restriction on neurocognition in overweight adults with high blood pressure. Hypertension 2010; 55(6): 1331-8.
[http://dx.doi.org/10.1161/HYPERTENSIONAHA.109.146795] [PMID: 20305128]
[39]
Rebholz CM, Crews DC, Grams ME, et al. DASH (Dietary Approaches to Stop Hypertension) diet and risk of subsequent kidney disease. Am J Kidney Dis 2016; 68(6): 853-61.
[http://dx.doi.org/10.1053/j.ajkd.2016.05.019] [PMID: 27519166]
[40]
Koomans HA, Roos JC. DorhoutMees EJ, et al Sodium balance in renal failure.A comparison of patients with normal subjects under extremes of sodium intake. Hypertension 1985; 7(5): 714-21.
[41]
Verhave JC, Hillege HL, Burgerhof JG, et al. PREVEND Study Group. Sodium intake affects urinary albumin excretion especially in overweight subjects. J Intern Med 2004; 256(4): 324-30.
[http://dx.doi.org/10.1111/j.1365-2796.2004.01390.x] [PMID: 15367175]
[42]
Krikken JA, Lely AT, Bakker SJ, Navis G. The effect of a shift in sodium intake on renal hemodynamics is determined by body mass index in healthy young men. Kidney Int 2007; 71(3): 260-5.
[http://dx.doi.org/10.1038/sj.ki.5002011] [PMID: 17091123]
[43]
Elliott P, Walker LL, Little MP, et al. Change in salt intake affects blood pressure of chimpanzees: Implications for human populations. Circulation 2007; 116(14): 1563-8.
[http://dx.doi.org/10.1161/CIRCULATIONAHA.106.675579] [PMID: 17785625]
[44]
Taylor EN, Stampfer MJ, Mount DB, Curhan GC. DASH-style diet and 24-hour urine composition. Clin J Am Soc Nephrol 2010; 5(12): 2315-22.
[http://dx.doi.org/10.2215/CJN.04420510] [PMID: 20847091]
[45]
Lin J, Fung TT, Hu FB, Curhan GC. Association of dietary patterns with albuminuria and kidney function decline in older white women: A subgroup analysis from the Nurses’ Health Study. Am J Kidney Dis 2011; 57(2): 245-54.
[http://dx.doi.org/10.1053/j.ajkd.2010.09.027] [PMID: 21251540]
[46]
Taylor EN, Fung TT, Curhan GC. DASH-style diet associates with reduced risk for kidney stones. J Am Soc Nephrol 2009; 20(10): 2253-9.
[http://dx.doi.org/10.1681/ASN.2009030276] [PMID: 19679672]
[47]
Caballero B. The global epidemic of obesity: An overview. Epidemiol Rev 2007; 29(1): 1-5.
[http://dx.doi.org/10.1093/epirev/mxm012] [PMID: 17569676]
[48]
Wagner KH, Brath H. A global view on the development of non communicable diseases. Prev Med 2012; 54(Suppl.): S38-41.
[http://dx.doi.org/10.1016/j.ypmed.2011.11.012] [PMID: 22178469]
[49]
Kelly T, Yang W, Chen CS, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. Int J Obes 2008; 32(9): 1431-7.
[http://dx.doi.org/10.1038/ijo.2008.102] [PMID: 18607383]
[50]
Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi T, Azizi F. Beneficial effects of a Dietary Approaches to Stop Hypertension eating plan on features of the metabolic syndrome. Diabetes Care 2005; 28(12): 2823-31.
[http://dx.doi.org/10.2337/diacare.28.12.2823] [PMID: 16306540]
[51]
Lindström J, Peltonen M, Eriksson JG, et al. High-fibre, low-fat diet predicts long-term weight loss and decreased type 2 diabetes risk: the Finnish Diabetes Prevention Study. Diabetologia 2006; 49(5): 912-20.
[http://dx.doi.org/10.1007/s00125-006-0198-3] [PMID: 16541277]
[52]
Miller ER III, Erlinger TP, Young DR, et al. Results of the Diet, Exercise, and Weight Loss Intervention Trial (DEW-IT). Hypertension 2002; 40(5): 612-8.
[http://dx.doi.org/10.1161/01.HYP.0000037217.96002.8E] [PMID: 12411452]
[53]
International Diabetes Federation; IDF diabetes atlas. (8th edn). http://diabetesatlas.org/resources/2017-atlas.html[2019, Jul 30. 2019]. 2019.
[54]
Hu FB. Globalization of diabetes: The role of diet, lifestyle, and genes. Diabetes Care 2011; 34(6): 1249-57.
[http://dx.doi.org/10.2337/dc11-0442] [PMID: 21617109]
[55]
Azadbakht L, Surkan PJ, Esmaillzadeh A, Willett WC. The Dietary Approaches to Stop Hypertension eating plan affects C-reactive protein, coagulation abnormalities, and hepatic function tests among type 2 diabetic patients. J Nutr 2011; 141(6): 1083-8.
[http://dx.doi.org/10.3945/jn.110.136739] [PMID: 21525259]
[56]
Vollmer WM, Sacks FM, Ard J, et al. DASH-Sodium Trial Collaborative Research Group. Effects of diet and sodium intake on blood pressure: Subgroup analysis of the DASH-sodium trial. Ann Intern Med 2001; 135(12): 1019-28.
[http://dx.doi.org/10.7326/0003-4819-135-12-200112180-00005] [PMID: 11747380]
[57]
Azadbakht L, Fard NR, Karimi M, et al. Effects of the Dietary Approaches to Stop Hypertension (DASH) eating plan on cardiovascular risks among type 2 diabetic patients: A randomized crossover clinical trial. Diabetes Care 2011; 34(1): 55-7.
[http://dx.doi.org/10.2337/dc10-0676] [PMID: 20843978]
[58]
Kuo CF, Grainge MJ, Zhang W, Doherty M. Global epidemiology of gout: Prevalence, incidence and risk factors. Nat Rev Rheumatol 2015; 11(11): 649-62.
[http://dx.doi.org/10.1038/nrrheum.2015.91] [PMID: 26150127]
[59]
Zhu Y, Pandya BJ, Choi HK. Comorbidities of gout and hyperuricemia in the US general population: NHANES 2007-2008. Am J Med 2012; 125(7): 679-687.e1.
[http://dx.doi.org/10.1016/j.amjmed.2011.09.033] [PMID: 22626509]
[60]
Tang O, Miller ER III, Gelber AC, Choi HK, Appel LJ, Juraschek SP. DASH diet and change in serum uric acid over time. Clin Rheumatol 2017; 36(6): 1413-7.
[http://dx.doi.org/10.1007/s10067-017-3613-x] [PMID: 28361235]
[61]
Mellen PB, Gao SK, Vitolins MZ, Goff DC Jr. Deteriorating dietary habits among adults with hypertension: DASH dietary accordance, NHANES 1988-1994 and 1999-2004. Arch Intern Med 2008; 168(3): 308-14.
[http://dx.doi.org/10.1001/archinternmed.2007.119] [PMID: 18268173]
[62]
Putnam J, Allshouse J, Kantor LSUS. per capita food supply trends: more calories, refined carbohydrates, and fats. Food Review 2002; 25(3): 2-15.
[63]
Horowitz CR, Tuzzio L, Rojas M, Monteith SA, Sisk JE. How do urban African Americans and Latinos view the influence of diet on hypertension? J Health Care Poor Underserved 2004; 15(4): 631-44.
[http://dx.doi.org/10.1353/hpu.2004.0061] [PMID: 15531820]
[64]
Baker EA, Schootman M, Barnidge E, Kelly C. The role of race and poverty in access to foods that enable individuals to adhere to dietary guidelines. Prev Chronic Dis 2006; 3(3): A76.
[PMID: 16776877]
[65]
Bertoni AG, Foy CG, Hunter JC, Quandt SA, Vitolins MZ, Whitt Glover MC. A multilevel assessment of barriers to adoption of Dietary Approaches to Stop Hypertension (DASH) among African Americans of low socioeconomic status. J Health Care Poor Underserved 2011; 22(4): 1205-20.
[http://dx.doi.org/10.1353/hpu.2011.0142] [PMID: 22080704]
[66]
Franco M, Diez Roux AV, Glass TA, Caballero B, Brancati FL. Neighborhood characteristics and availability of healthy foods in Baltimore. Am J Prev Med 2008; 35(6): 561-7.
[http://dx.doi.org/10.1016/j.amepre.2008.07.003] [PMID: 18842389]
[67]
Moore LV, Diez Roux AV. Associations of neighborhood characteristics with the location and type of food stores. Am J Public Health 2006; 96(2): 325-31.
[http://dx.doi.org/10.2105/AJPH.2004.058040] [PMID: 16380567]
[68]
DeVault ML. Feeding the family: The social organization of caring as gendered work. University of Chicago Press 1994.


open access plus

Rights & PermissionsPrintExport Cite as

Article Details

VOLUME: 16
ISSUE: 2
Year: 2020
Published on: 03 September, 2020
Page: [108 - 114]
Pages: 7
DOI: 10.2174/1573402115666191007144608

Article Metrics

PDF: 33
HTML: 1