The DASH (Dietary Approach to Stop Hypertension) approach still seems to be the best lifestyle change that can reduce heart disease risk In young and middle-aged adults with stage 1 hypertension.
Lifestyle changes, such as limiting heavy alcohol consumption and exercising regularly, could prevent thousands of deaths, according to new research presented in San Diego at the American Heart Association’s Hypertension Scientific Sessions 2022 (between September 7 and 10). Could save more. More than a billion dollars in health care costs over the next 10 years. The analysis found that adopting the DASH diet may have the greatest benefits, preventing an estimated 15,000 heart disease events in men and 11,000 in women.
what are the stages of high blood pressure
According to the 2017 Joint American Heart Association and American College of Cardiology high blood pressure guideline, stage 1 hypertension is defined as a systolic (top number) level of 130–139 mm Hg or a diastolic (bottom number) measurement of 80. Is. 89 mm Hg. Stage 2 hypertension is defined as systolic measures of 140 mm Hg or more or diastolic measures of 90 mm Hg or more.
Why Dash is Effective
The DASH eating plan is specifically designed to help manage blood pressure. The diet emphasizes eating more fruits, vegetables, lean meat sources, nuts, seeds and grains, and limiting consumption of red meat, sodium, sugars and sugar-sweetened beverages.
The research team found that 8.8 million adults between the ages of 35 and 64 in the US have stage 1 high blood pressure and can improve it with lifestyle changes, such as physical activity, sustained weight loss, reducing alcohol consumption, and adopting the DASH diet. could.
In the absence of other health conditions, such as type 2 diabetes or kidney disease, and an estimated > (10%) 10-year cardio-vascular disease risk, people with stage 1 hypertension were considered to have a low risk of heart attack or stroke. goes. For people with stage 2 or higher high blood pressure. Therefore, they are advised to first deal with it by making lifestyle changes and not with immediate medication.
“The nearly nine million young and middle-aged adults with untreated stage 1 hypertension represent a significant, imminent burden to health care systems. Our results provide strong evidence that large-scale, healthy Behavior modification can prevent future heart disease, associated complications and additional health care costs,” said the Center D. Sims, Ph.D., MPH, postdoctoral fellow at the University of California, San Francisco and co-lead researcher of this study.
Responding to the study, Dr Sanjay Kumar, Director, Cardiology, Fortis Escorts Hospital, Faridabad, says, “The two most studied diet plans with proven cardio-metabolic benefits are the Mediterranean and the DASH diet. These dietary patterns have a better long-term effect than selective dietary changes such as a low-fat diet. The newer low-carbohydrate ketogenic and paleo diets increasingly have short-term effects on weight and glycemic control, but in the long run, the DASH and Mediterranean diets are more effective.
What doctors say about preventing stage 1 high blood pressure
“We know that the DASH diet is extremely important, especially in controlling high blood pressure – especially in Stage 1. Why was Stage 1 created? So, prior to the latest guidelines in 2017, this stage – where BP 132 is between /139 and 180/189 – was considered pre-hypertension or early hypertension. We do not refer to this stage as hypertension because then a much larger population would be classified as hypertensive. However eventually people realize that it (their blood pressure) is a problem that they need to address. We, doctors, use the term hypertension so that patients become more alert and seek treatment, which at this stage only There is lifestyle modification and there is no medicine,” says Dr Nagendra Singh Chauhan, director, Interventional Cardiology, Heart Institute, Medanta Hospital, Gurugram.
“Lifestyle modifications include exercise and diet – the DASH diet is extremely important here. It is considered among the top eight best diets to keep high blood pressure and heart diseases under control. It is a very simple diet and suggests That we stick to vegetables, proteins, dairy, lean meats, nuts, fruits and avoid sweets, sugar, sugary drinks, carbohydrates, easily digestible carbohydrates, fatty meats and saturated fats. It is a common fact – No diet with sweets and saturated fat is good and now we are giving equal importance to both the components. Additionally, you need to exercise. It is again known but it needs to be understood that in addition to the DASH diet, This will help in managing the symptoms of hypertension especially in stages 1 and 2. While it is also important for stage 3 patients, it may prove to be most effective when adopted in stage 1,” Dr. Chauhan says.
Indians need a holistic program
The big question is whether Indians can afford the DASH diet. “A DASH diet recommends about eight servings of fruit and salad in addition to low-fat dietary products. In a family of four, this means an intake of 2 to 3 kg of fruit a day. This is mainly due to economic reasons in the country. Therefore, in a country like ours, we should modify the dietary pattern and adopt other lifestyle changes such as physical activities, meditation and yoga,” says Dr. Kumar.
Dr. Chauhan echoes this view. “We need a structured program involving public and private stakeholders to control hypertension in India, a condition that is most common in India with people between the ages of 35 and 40 reporting it We should inculcate the habit of eating healthy diet from childhood so that later they do not have the problem of high blood pressure.