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LMU 74 – Revolutionizing Blood Pressure Management: The Dominance of Diet


LMU 74 – Revolutionizing Blood Pressure Management: The Dominance of Diet

Source: American Journal of Cardiology (November 12, 2017)

Lifestyle Medicine Update (December 2, 2017)


In the dynamic realm of healthcare, a groundbreaking study, unveiled on November 12, 2017, within the pages of the Journal of the American College of Cardiology, shines a spotlight on a revolutionary dietary approach to lower high blood pressure. This monumental research asserts that this new dietary strategy can outpace the blood pressure-lowering effects of certain high blood pressure medications. This revelation underscores the potent impact of dietary interventions, encouraging healthcare providers to place heightened emphasis on proven dietary and lifestyle strategies when addressing patients with high blood pressure.

A Paradigm Shift: Dietary Dominance in Blood Pressure Control

While the importance of high blood pressure medications is undeniable, the research elucidates a fundamental shift in perspective. The study articulates that healthcare practitioners should magnify their focus on validated dietary and lifestyle interventions during consultations with high blood pressure patients. These interventions, the study contends, harbor the potential to render medication a secondary consideration in managing blood pressure.

Unveiling the Study: Dietary Marvel vs. North American Norms

The study’s canvas stretches across more than 400 patients grappling with stage-1 high blood pressure (hypertension). A pivotal divide emerged, with half of the participants engaging in the DASH diet, and the remaining half adhering to the quintessential North American diet, characterized by high fat content and refined carbohydrates. Both cohorts were further subjected to low-sodium, medium-sodium, or high-sodium diets over four-week intervals.

  • Low sodium = 1500 mg per day of sodium
  • Medium-sodium = 2,300 mg per day of sodium – equivalent to 1 teaspoon
  • High sodium = 3,450 mg per day of sodium

A teaspoon of table salt contains roughly 2400 mg of sodium. Notably, a sodium intake of 2300 mg per day (medium sodium intake) aligns with the U.S. Food and Drug Administration’s (FDA) recommended maximum level of sodium intake. Maintaining levels below this threshold is believed to mitigate the risk of heart disease and stroke.

The Study’s Revelation: Dietary Ascendance

The study’s findings are nothing short of revelatory. Participants who embraced the DASH diet alongside a low-sodium regimen (1500 mg sodium per day or less) exhibited a significant reduction in systolic blood pressure. This effect was particularly pronounced among individuals with higher initial blood pressure levels. Astonishingly, one participant with an initial systolic blood pressure exceeding 150 experienced a dramatic 21-point drop in just four weeks. The majority of participants experienced reductions between 5-10 points, a feat that echoes the stringent criterion for high-blood-pressure drug approval, which mandates a minimum 5-point blood pressure reduction. In contrast, the most efficacious high blood pressure-lowering medications typically yield an average reduction of 10-15 points in systolic blood pressure.

Decoding the DASH Diet: A Blueprint for Success

At the heart of this dietary revolution lies the DASH diet – an acronym for Dietary Approaches to Stop Hypertension. This dietary regimen champions a symphony of fruits, vegetables, whole grains, non-fat or low-fat dairy products, and lean meats, each characterized by low saturated and trans-fat content.

Dietary Intervention’s Triumph: Equivalent to Prescription Drugs

One researcher emphasized the significance of the combined dietary intervention, underscoring its potential to rival, or even surpass, the effects of prescription drugs. The study’s insights illuminate the comparable efficacy of dietary interventions and antihypertensive medications in high blood pressure management. This assertion assumes paramount importance for individuals at heightened risk of high blood pressure, advocating dietary interventions as a first-line treatment approach.

Elevating Empowerment: The Role of Prudent Dietary Practices

The study resounds with a potent message – individuals grappling with high blood pressure wield considerable power through prudent dietary choices. Anchored in dietary mindfulness, sodium reduction, weight management if needed, augmented endurance exercise, targeted supplement interventions, and meditation or relaxation therapies together compose a robust arsenal. For patients with systolic blood pressure at or below 150 mmHg, these strategies emerge as the frontline of treatment, either individually or in tandem with drug therapy. The intricacies deepen when patients possess complicating factors such as diabetes or other health conditions necessitating mandatory blood pressure medications. Even within this context, the study reinforces the integration of the diet and lifestyle strategies as integral facets of comprehensive management, fostering high blood pressure reduction and overall health enhancement.


The study’s proclamation transcends the boundaries of high blood pressure management, serving as a clarion call for the ascendance of dietary interventions. In an era where the allure of medications often overshadows the potential of lifestyle modifications, this research underscores the paramount importance of dietary empowerment. The implications reverberate across medical landscapes, fostering a transformational shift towards harnessing the potential of dietary choices to herald health and vitality.

High Blood Pressure


  2. Stephen P. Juraschek, Edgar R. Miller, Connie M. Weaver, Lawrence J. Appel. Effects of Sodium Reduction and the DASH Diet in Relation to Baseline Blood Pressure. Journal of the American College of Cardiology, 2017;
  3. DASH Diet:

Eat Smart, Live Well, Look Great,

Dr. Meschino

Dr. James Meschino


Dr. James Meschino, DC, MS, ROHP, is an educator, author, and researcher having lectured to thousands of healthcare professionals across North America. He holds a Master’s Degree in Science with specialties in human nutrition and biology and is recognized as an expert in the field of nutrition, anti-aging, fitness, and wellness as well as the author of numerous books.

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