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Is high blood pressure a sentence written in our genes, or a consequence of what we eat that can be reversed?

Sources: 16 · Article: 22 486 characters

Ewa Dąbrowska describes high blood pressure as the result of an interaction between genes that create a predisposition and lifestyle, rather than genes alone.

  • Ewa Dąbrowska points out that diet and exercise can affect this process, and that a diet high in salt and processed food can contribute to high blood pressure.
  • Ewa Dąbrowska reports that after a week of a fruit-and-vegetable fast, blood pressure returned to normal in more than 70% of patients.
  • Ewa Dąbrowska recommends that people who are seriously ill or taking medication follow this program under a doctor's supervision.

What the authors write

Ewa Dąbrowska

Both genes that create a predisposition and lifestyle affect the development of high blood pressure, and diet and exercise can be changed.

„NUTRITION MATTERS — EXTRA INTERVIEW. The development of high blood pressure is influenced by the interaction of two important factors: on the one hand, genes that create a predisposition to high blood pressure and may trigger the disease, and on the other, lifestyle, which affects genes. Since lifestyle is linked to diet and physical activity—factors we can freely change—we can influence this process.”ŻYWIENIE JEST WAŻNE WYWIAD EKSTRA Do rozwoju nadciśnienia przyczynia się współdziałanie dwóch ważnych czynników: z jednej strony genów podatności na nadciśnienie, które mogą wywołać chorobę, a z drugiej strony stylu życia, który ma wpływ na geny. A ponieważ ze stylem życia związane jest żywienie i aktywność ruchowa, a więc czynniki, na które możemy dowolnie wpływać.
Ewa Dąbrowska

Ewa Dąbrowska writes that lifestyle can affect genes and, through them, both cause and cure high blood pressure.

„So we can influence our genes and, through them, we can both cause high blood pressure and cure it. It all depends on what we eat. BLOOD PRESSURE. Anna Zalech interviews Dr. Ewa Dąbrowska, creator of the fruit-and-vegetable diet and a long-time employee of the Medical Academy in Gdańsk. 72 How can we protect ourselves from high blood pressure?”Mamy więc wpływ na nasze geny i za ich pośrednictwem możemy zarówno wywołać nadciśnienie, jak również możemy je wyleczyć. Wszystko zależy od tego, jakie to jest żywienie. ´ cisnienie Z dr med. Ewą Dąbrowską, autorką diety warzywno-owocowej, wieloletnim pracownikiem Akademii Medycznej w Gdańsku, rozmawia Anna Zalech 72 Jak możemy się bronić przed nadciśnieniem?
Ewa Dąbrowska

Highly processed, high-calorie food that is rich in salt may contribute to high blood pressure by affecting genes and the disorders associated with them.

„The modern, poor way of eating—with a predominance of high-calorie, highly processed food and animal products containing too much salt—reprograms genes in a way that promotes metabolic syndrome, which is associated with high insulin levels, insulin resistance, obesity, and high blood pressure.”Współczesny, fatalny sposób żywienia, z przewagą bogatokalorycznej, wysoko przetworzonej żywności i pokarmów zwierzęcych z nadmiarem soli, przestraja geny w kierunku rozwoju zespołu metabolicznego, który jest związany z wysokim poziomem insuliny, insulinoopornością, otyłością i nadciśnieniem.
Ewa Dąbrowska

Ewa Dąbrowska points out that reducing calorie intake and increasing physical activity can help lower insulin and reduce abdominal fat, which she links to high blood pressure.

„That is why high blood pressure should be treated by drastically reducing calorie intake and increasing calorie expenditure through physical activity, in order to lower insulin. Can a fruit-and-vegetable diet help regulate blood pressure? What is the diet's mechanism? August 2019 Indeed, our experience has confirmed that the fruit-and-vegetable diet is highly effective in reducing high blood pressure.”Dlatego też w leczeniu nadciśnienia należy radykalnie ograniczyć dowóz kalorii i zwiększyć wydatek kalorii przez aktywność ruchową, żeby obniżyć insulinę. Czy dieta warzywno-owocowa może pomóc uregulować ciśnienie? Na czym polega mechanizm diety? Sierpień 2019 Rzeczywiście, nasze doświadczenia potwierdziły dużą skuteczność diety warzywno-owocowej w redukcji nadciśnienia.
Ewa Dąbrowska

The Western diet, rich in processed food, salt, fats, and sugars, and low in vegetables and fruit, is identified as one of the main causes of high blood pressure.

„One of the main causes of high blood pressure is the so-called Western diet—rich in processed food, salt, fats, and sugars, and low in fruit and vegetables. The latter provide potassium and antioxidants, which help regulate blood pressure by neutralizing free radicals.”Jedną z głównych przyczyn nadciśnienia jest tzw. zachodni model żywienia – obfitujący w przetworzoną żywność, sól, tłuszcze i cukry, a ubogi w owoce i warzywa. Te ostatnie dostarczają potasu i przeciwutleniaczy, które wspierają regulację ciśnienia krwi poprzez neutralizowanie wolnych rodników.
Ewa Dąbrowska

Ewa Dąbrowska points out that fasting and a diet rich in plant polyphenols may help lower blood pressure.

„Fasting and a diet rich in plant polyphenols help neutralize free radicals, thereby supporting the production of nitric oxide and lowering blood pressure. Under normal physiological conditions, insulin also stimulates the production of nitric oxide. However, in insulin resistance, when insulin levels are chronically elevated, the effect is the opposite—blood pressure rises.”Posty oraz dieta bogata w roślinne polifenole pomagają w neutralizacji wolnych rodników, wspomagając tym samym produkcję tlenku azotu i obniżając ciśnienie krwi. Insulina, w fizjologicznych warunkach, również stymuluje produkcję tlenku azotu. Jednak w przypadku insulinooporności, kiedy poziom insuliny jest przewlekle podwyższony, efekt jest odwrotny – ciśnienie rośnie.
Ewa Dąbrowska

Ewa Dąbrowska reports that fasting and plant-based diets lower blood pressure, and that after a week of a fruit-and-vegetable fast, blood pressure returned to normal in more than 70% of patients.

„Fasting and plant-based diets appear to be the most effective ways to lower blood pressure. They reduce oxidative stress and visceral fat (limiting the production of angiotensinogen), support nitric oxide production, and increase levels of adiponectin—a hormone with anti-inflammatory and blood-pressure-lowering effects. The results of the fruit-and-vegetable fast are impressive: after just one week, blood pressure returned to normal in more than 70% of patients.”Najskuteczniejsze w obniżaniu ciśnienia okazują się posty oraz diety roślinne. Zmniejszają stres oksydacyjny, redukują tłuszcz trzewny (ograniczając produkcję angiotensynogenu), wspierają produkcję tlenku azotu oraz podnoszą poziom adiponektyny – hormonu o działaniu przeciwzapalnym i hipotensyjnym. Efekty postu warzywno-owocowego są imponujące – już po tygodniu kuracji ciśnienie u ponad 70% pacjentów wracało do normy.
Ewa Dąbrowska

According to Ewa Dąbrowska, simply eating more vegetables and fruit every day can reduce high blood pressure.

„Even simply increasing the amount of vegetables and fruit in the daily diet increases beneficial antioxidants and also reduces high blood pressure [John JH et al., Effects of fruit and vegetable consumption on plasma antioxidant concentrations and blood pressure: a randomised controlled trial, “Lancet”, 2002; 359:1969-1974].”Nawet samo zwiększenie konsumpcji warzyw i owoców w codziennym żywieniu, zwiększa korzystne antyoksydanty i także redukuje nadciśnienie [John JH et al., Effects of fruit and vegetable consumption on plasma antioxidant concentrations and blood pressure: a randomised controlled trial, „Lancet”, 2002; 359:1969-1974].
Ewa Dąbrowska

Ewa Dąbrowska reports that a vegetarian diet reduces the risk of high blood pressure, particularly when meat, dairy products, and eggs are excluded.

„A study on a similar topic found that a vegetarian diet is particularly effective in lowering blood pressure and reduces the risk of high blood pressure by as much as 75%, especially when animal products such as meat, dairy products, and eggs are excluded. Toxic free radicals also contribute to the development of high blood pressure. They inhibit nitric oxide production by endothelial cells, which line the inside of blood vessel walls.”dobnej tematyce) wykazała, że przy obniżaniu ciśnienia szczególnie skuteczna jest dieta wegetariańska, która zmniejsza ryzyko nadciśnienia aż o 75 proc., zwłaszcza gdy wykluczy się produkty pochodzenia zwierzęcego, takie jak: mięso, nabiał i jaja. W powstawaniu nadciśnienia także biorą udział toksyczne wolne rodniki, hamujące produkcję tlenku azotu przez komórki śródbłonka, które wyścielają wnętrze ścian naczyniowych.
Ewa Dąbrowska

Ewa Dąbrowska recommends limiting salt and following a periodic diet based mainly on vegetables and low-sugar fruits.

„It is worth trying a periodic program that involves eating non-starchy vegetables and low-sugar fruits, such as apples, grapefruit, lemons, and berries, for 2 to 6 weeks, depending on fat reserves and the severity of high blood pressure. Vegetables should make up most of the diet; vegetable soups are also allowed. It is worth excluding pickled cucumbers and limiting the salt in meals, as salt raises blood pressure.”Warto zastosować okresową kurację, która polega na spożywaniu przez okres 2 do 6 tygodni (w zależności od rezerw tłuszczu i wysokości nadciśnienia) warzywa, które nie posiadają skrobi, i owoce niskocukrowe, takie jak: jabłka, grejpfruty, cytryny, jagody. Większość powinny stanowić warzywa, dopuszczone są również zupy warzywne. Warto wykluczyć z diety ogórki kiszone i ograniczyć w potrawach sól, która zwiększa ciśnienie.
Ewa Dąbrowska

People who are seriously ill, especially those taking medication, should follow a fruit-and-vegetable diet under a doctor's supervision.

„This book presents personal experience with the fruit-and-vegetable diet in the prevention and treatment of metabolic diseases. For people who are seriously ill, especially those taking medication, a fruit-and-vegetable diet program should always be followed under a doctor's supervision. Buy in the Apple Store Buy on Google Play”Niniejsza książka przedstawia własne doświadczenia z dietą warzywno- -owocową w profilaktyce i leczeniu chorób metabolicznych. W przypadku osób ciężko chorych, a zwłaszcza przyjmujących leki, kuracja dietą warzywno- -owocową powinna być prowadzona zawsze pod nadzorem lekarza. Kup w Apple Store Kup w Google Play
Ewa Dąbrowska

High blood pressure is listed among the metabolic diseases that, according to Ewa Dąbrowska, can be stopped or cured with the right diet.

„Health is within reach—all you need to do is change what you eat Many metabolic diseases could be halted or even cured with the right diet. You need to make firm changes to your eating habits: choose the right foods and learn what and how to eat to give yourself a chance to be healthy. In her latest book, Dr. Ewa Dąbrowska, creator of the groundbreaking fruit-and-vegetable diet: explains the real causes of metabolic diseases such as obesity, diabetes, atherosclerosis, and high blood pressure, discusses fasting and dietary treatments that have brought relief to thousands of patients, presents stories of people who regained their health by changing their eating habits, shows how fasting can be used to modify drug treatment and improve quality of life, offers fruit-and-vegetable diet recipes to support the treatment of metabolic diseases.”Zdrowie jest na wyciągnięcie ręki – wystarczy zmienić to, co jesz Wiele chorób metabolicznych mogłoby zostać zatrzymanych, a nawet wyleczonych, dzięki odpowiedniej diecie. Potrzebujesz stanowczych zmian w swoim żywieniu, postaw na właściwe produkty, dowiedz się, co i jak jeść, aby dać sobie szansę na zdrowie. Doktor Ewa Dąbrowska, autorka przełomowej diety warzywno-owocowej, w swojej najnowszej książce: wyjaśnia prawdziwe przyczyny chorób metabolicznych, takich jak otyłość, cukrzyca, miażdżyca i nadciśnienie, omawia terapie postem i dietą, które przyniosły ulgę tysiącom pacjentów, przedstawia historie ludzi, którzy odzyskali zdrowie, zmieniając nawyki żywieniowe, wskazuje, jak postem zmodyfikować farmakoterapię i tym samym poprawić jakość życia, proponuje przepisy z diety warzywno-owocowej, które wspomagają leczenie chorób metabolicznych.

Research from PubMed · Europe PMC

We selected 8 studies with the best, positive results. This is a selection, not a full review of all research.

Total number of studies on this topic in PubMed: 30 785.

A meta-analysis of randomized trials found that the DASH diet lowers systolic and diastolic blood pressure, including in people with high blood pressure.

Aim of the study: The Dietary Approaches to Stop Hypertension (DASH) diet is recognized as an effective dietary intervention to reduce blood pressure (BP). However, among randomized controlled trials (RCTs) investigating the DASH diet-mediated BP reduction, there are significant methodological and clinical differences.

Results: The DASH diet compared with a control diet reduced SBP levels to a higher extent in trials with sodium intake >2400 mg/d than in trials with sodium intake ≤2400 mg/d, whereas both SBP and DBP were reduced more in trials with mean age <50 y than in trials of older participants. The quality of evidence was rated as moderate for both outcomes according to the Grading of Recommendations, Assessment, Development, and Evaluation approach. The adoption of the DASH diet was accompanied by significant BP reduction in adults with and without hypertension, although higher daily sodium intake and younger age enhanced the BP-lowering effect of the intervention. This meta-analysis was registered at www.crd.york.ac.uk/prospero as CRD42019128120.

Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studycombined analysis of many studies (meta-analysis)

“Not stated” does not mean nobody paid — the database does not always record it.

A meta-analysis found that people who followed the DASH diet more closely were less likely to develop high blood pressure than those who followed it less closely.

Aim of the study: The aim of this study was to assess the effect of the level of adherence to the DASH diet on hypertension risk by conducting a systematic review and meta-analysis. A systematic literature search was performed.

Results: When cohort studies reporting HR were pooled together, high adherence to the DASH diet was associated with a lower risk of hypertension (HR: 0.81, 95% CI 0.73-0.90, I2 = 69%, PI 0.61-1.08) compared to the low adherence. When cross-sectional studies reporting OR were combined, high adherence to the DASH diet was also related to a lower risk of hypertension (OR: 0.80, 95% CI 0.70-0.91, I2 = 81%, PI 0.46-1.39). The findings suggest that high adherence to the DASH diet has a positive effect on reducing hypertension risk compared to low adherence. These data strengthen and are in line with all hypertension guidelines, indicating that lifestyle changes should start early even in populations with normal blood pressure.

Money for the studynot stated
Do the authors have ties to companies?no — the authors say so
Did a manufacturer help with the study?NO
Type of studycombined analysis of many studies (meta-analysis)

“Not stated” does not mean nobody paid — the database does not always record it.

In the study, an intervention involving a healthy lifestyle reduced sodium intake and systolic and diastolic blood pressure in people with high blood pressure.

Aim of the study: The objective of this study is to determine the impact of applying lifestyle intervention in the form of a continuous care model (CCM) on reducing dietary sodium intake and blood pressure (BP) in patients with hypertension.

Results: The mean sodium intake, the mean systolic BP, and the mean diastolic BP decreased to 2.42±0.73 mm Hg (from 3.12±0.79), 128.4±13.04 mm Hg (from 144.20±13.12), and 79.4±8.93 mm Hg (from 89±9.12), respectively, after the intervention in the experimental group (p=0.021, p<0.001, and p=0.011, respectively). Applying lifestyle intervention in the form of CCM may be recommended to reduce dietary sodium intake and mean systolic and diastolic BP in patients who are hypertensive. Considering the fact that lifestyle modifications are quite important regardless of the use of antihypertensive drugs, lifestyle intervention in the form of CCM is recommended to improve patient's adherence to dietary restrictions and consequently, treatment outcomes in patients who are hypertensive.

Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studystudy with random allocation to groups (RCT)
Participants50

“Not stated” does not mean nobody paid — the database does not always record it.

A six-month diet and exercise education program lowered systolic blood pressure more than participation in the control group.

Aim of the study: This study aims to determine the effectiveness of a monthly lifestyle education program, which included advice on nutritional changes and physical activity enhancement in the reduction of blood pressure and selected biochemical and anthropometric parameters among pre-hypertensive and stage 1 hypertensive participants in Manila, Philippines.

Results: However, no statistically significant difference in fasting glucose was observed between the two groups (p = 0.740). This study showed that participants receiving a non-pharmacological intervention, specifically a low-cost diet and active lifestyle education program, experienced a greater decrease in blood pressure, BMI, waist circumference, and total cholesterol than the attention-control group. Educational programs such as in ENLIGHTEN show promise for a developing country with limited resources to improve hypertension levels, and ultimately cardiovascular health. ENLIGHTEN deserves further study in randomized trials.

Money for the studygovernment, public institutions · NCATS NIH HHS, ABC’s for Global Health, NHLBI NIH HHS
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studyclinical study in people

“Not stated” does not mean nobody paid — the database does not always record it.

The review indicates that reducing salt lowers blood pressure, especially in people with high blood pressure, although the response varies from person to person.

Aim of the study: Excessive dietary salt (sodium chloride) intake is associated with an increased risk for hypertension, which in turn is especially a major risk factor for stroke and other cardiovascular pathologies, but also kidney diseases. Besides, high salt intake or preference for salty food is discussed to be positive associated with stomach cancer, and according to recent studies probably also obesity risk.

Results: A weakness of dietary evaluations is that the salt content of many foods is not precisely known and information in nutrient databases are limited. A certain limitation of the urine assessment is that dietary sources contributing to salt intake cannot be identified. Salt reduction strategies include nutritional education, improving environmental conditions (by product reformulation and optimization of communal catering) up to mandatory nutrition labeling and regulated nutrition/health claims, as well as legislated changes in the form of taxation. Regarding dietary interventions for the reduction of blood pressure the Dietary Approaches to Stop Hypertension (DASH) diet can be recommended.

Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studydiscussion of other studies

“Not stated” does not mean nobody paid — the database does not always record it.

The studies described indicate that the DASH diet, salt reduction, and weight loss can lower blood pressure and may help some people with mild high blood pressure avoid medication.

Aim of the study: Hypertension, defined as a blood pressure > or = 140/90 mmHg upon repeated measurement or the use of antihypertensive medication, is present in 14% of Dutch adults. A healthy diet plays an important role in both the prevention and treatment of hypertension.

Results: Simultaneous increases in potassium and magnesium intake could have an additional beneficial effect. The use of a low-sodium, high-potassium mineral salt could make a useful contribution to the prevention and treatment of hypertension. In case of hypertension, it is further recommended to reduce the intake of liquorice to less than 50 g per day. These dietary measures, combined with weight loss and physical exercise, may prevent drug treatment in patients with mild hypertension.

[Nutrition and health--hypertension]. · Ned Tijdschr Geneeskd 2003
Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studydiscussion of other studies

“Not stated” does not mean nobody paid — the database does not always record it.

A review of randomized trials indicates that dietary changes can meaningfully lower blood pressure and help control it.

Aim of the study: 1. Recent data from randomized controlled dietary trials have shown blood pressure-lowering effects of foodstuffs and dietary patterns to be of practical importance for both individual and population blood pressure control.

Results: 2. The salient studies include Dietary Approaches to Stop Hypertension (DASH) trials, on complex dietary patterns and of additive effects of salt restriction, Trial of Nonpharmacologic Interventions in the Elderly (TONE), on weight control and sodium restriction as substitutes for drug therapy, and two Australian trials showing additive effects of dietary fish and weight control and of dietary protein and fibre in treated hypertensives. 3. Regular coffee drinking raised blood pressure in older hypertensives, whereas potential antihypertensive effects of dietary anti-oxidants require further scrutiny.

Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studydiscussion of other studies

“Not stated” does not mean nobody paid — the database does not always record it.

The review indicates that reducing salt may help, and that weight loss in people with obesity brings a moderate but significant reduction in blood pressure.

Aim of the study: In this brief review, we have not been able to address all of the various dietary factors which have been implicated as causal in hypertension. Because of the heterogeneity of hypertension, it is quite difficult to find a simple answer to the question of how important dietary factors are in causing hypertension and even more difficult to answer the question of how diet should be therapeutically altered in treating a hypertensive patient.

Results: Potassium supplementation, while sometimes effective, is more difficult to recommend broadly. Calcium supplementation is certainly reasonable in women, for whom such therapy should be seen as good dietary advice for the prevention of osteoporosis. Moderate alcohol intake probably has little deleterious effect, whereas heavy alcoholism does contribute to increased BP. Again, reduction of alcohol intake is important for reasons other than the modest BP reduction attained.

Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studydiscussion of other studies

“Not stated” does not mean nobody paid — the database does not always record it.

Perspectives and opinion materials

The content below presents the authors’ opinions, interpretations and hypotheses. It is not treated as equal to scientific studies and systematic reviews.

Orthomolecular Medicine News Service Opinion material
„Effect of Carbohydrate-Restricted Diets and Intermittent Fasting on Obesity, Type 2 Diabetes Mellitus, and Hypertension Management: Consensus Statement of the Korean Society for the Study of Obesity, Korean Diabetes Association, and Korean Society of Hypertension. J Obes Metab Syndr 2022, 31, 100-122, doi: 10.7570/jomes22009. 47. Gavidia, K.; Kalayjian, T.”Effect of Carbohydrate-Restricted Diets and Intermittent Fasting on Obesity, Type 2 Diabetes Mellitus, and Hypertension Management: Consensus Statement of the Korean Society for the Study of Obesity, Korean Diabetes Association, and Korean Society of Hypertension. J Obes Metab Syndr 2022, 31, 100-122, doi: 10.7570/jomes22009. 47. Gavidia, K.; Kalayjian, T.
Orthomolecular Medicine News Service Opinion material
„Among the most important factors in kidney stones is dehydration, especially among the elderly.[13] Summarizing: Ascorbate in low or high doses generally does not cause significant increase in urinary oxalate.[2-6] Ascorbate tends to prevent formation of calcium oxalate kidney stones.[3,4] Risk factors for kidney stones include a history of hypertension, obesity, chronic dehydration, poor diet, and a low dietary intake of magnesium. Magnesium Kidney stones and magnesium deficiency share the same list of causes, including a diet high in sugar, alcohol, oxalates, and coffee.”Among the most important factors in kidney stones is dehydration, especially among the elderly.[13] Summarizing: Ascorbate in low or high doses generally does not cause significant increase in urinary oxalate.[2-6] Ascorbate tends to prevent formation of calcium oxalate kidney stones.[3,4] Risk factors for kidney stones include a history of hypertension, obesity, chronic dehydration, poor diet, and a low dietary intake of magnesium. Magnesium Kidney stones and magnesium deficiency share the same list of causes, including a diet high in sugar, alcohol, oxalates, and coffee.
Orthomolecular Medicine News Service Opinion material
„Robert Jenkins, D.C., M.S.: I have been in practice for 52 years and have treated thousands of patients with diet and nutritional supplements for numerous health conditions ranging from hypertension, diabetes, hypercholesterolemia, metabolic syndrome, irritable bowel syndrome, and many others. I have yet to experience adverse patient reactions from taking nutritional supplements. I have lectured second year medical students at two medical schools in the Philadelphia, PA area. When I asked those students how much nutritional training they had received, they all held up their hands with the sign of zero.”Robert Jenkins, D.C., M.S.: I have been in practice for 52 years and have treated thousands of patients with diet and nutritional supplements for numerous health conditions ranging from hypertension, diabetes, hypercholesterolemia, metabolic syndrome, irritable bowel syndrome, and many others. I have yet to experience adverse patient reactions from taking nutritional supplements. I have lectured second year medical students at two medical schools in the Philadelphia, PA area. When I asked those students how much nutritional training they had received, they all held up their hands with the sign of zero.

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