DASH Diet: Built to Lower Blood Pressure
Designed by researchers to treat hypertension, and it works in as little as two weeks. It's also a solid general eating plan.
The short version
- DASH can lower blood pressure in about two weeks, sometimes as much as a medication.
- It's built around vegetables, fruit, whole grains, low-fat dairy, lean protein, beans and nuts, with less sodium.
- It's not a weight-loss diet by design, but it works for that if you follow the lower-calorie serving plan.
- In a sentence
- A servings-based plan rich in produce and low in sodium.
- How restrictive
- Counting needed?
- Servings, not calories
- Quality of evidence
- Strong
- Typical cost
- Moderate
- Main drawback
- Takes some planning, and low-sodium eating out is hard
See how this compares with every other diet →
What it is
DASH stands for Dietary Approaches to Stop Hypertension. Unlike most diets, it came out of clinical trials funded by the National Institutes of Health.
Here's the guide for about 2,000 calories a day:
| Food group | Servings |
|---|---|
| Vegetables | 4 to 5 a day |
| Fruit | 4 to 5 a day |
| Grains, mostly whole | 6 to 8 a day |
| Low-fat or fat-free dairy | 2 to 3 a day |
| Lean meat, poultry, fish | 6 oz or less a day |
| Nuts, seeds, beans | 4 to 5 a week |
| Fats and oils | 2 to 3 a day |
| Sweets | 5 or fewer a week |
| Sodium | 2,300 mg a day, with 1,500 mg a lower target |
For weight loss, use NHLBI's lower-calorie versions of the same plan.
What the evidence says
Blood pressure. In the original trial, DASH lowered blood pressure within two weeks, without changing weight or sodium. In people with high blood pressure, the drop averaged about 11 mmHg in systolic pressure (the top number). Adding a sodium reduction helped further.
Cholesterol. It tends to lower LDL ("bad") cholesterol too.
Weight. It isn't designed for this. With the calorie-adjusted serving plan, its high fiber and protein make for a filling deficit.
How to start
Change gradually, because jumping straight to this much fiber can cause gas and bloating:
- Add a vegetable to lunch and dinner.
- Have fruit for dessert or a snack.
- Swap to whole grains one meal at a time.
- Use herbs, citrus and vinegar in place of some salt.
- Check labels on bread, canned soup, sauces and deli meat, which often have the most sodium. See sodium.
A sample day
- Breakfast: Oatmeal with banana and low-fat milk
- Lunch: Turkey and avocado on whole-grain bread, carrot sticks, an apple
- Snack: Plain yogurt with berries
- Dinner: Roasted chicken, sweet potato, broccoli and a side salad
Pros and cons
Good: Strong evidence, family-friendly, nutritionally complete and backed by plenty of free materials from the NIH.
Harder: Takes some learning at first, restaurant meals tend to be high in sodium, and the servings can feel like a lot to keep track of.
Sources
This guide is general information, not medical advice. Please check with a clinician before making big changes, especially if you have a health condition, take medication, or are pregnant. Read the full disclaimer.
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