DiseasesIs high blood pressure a sentence written in our genes, or a consequence of what we eat that can be reversed?
- Ewa Dąbrowska — Post reguluje ciśnienie
- Ewa Dąbrowska — Dieta warzywno owocowa
- Ewa Dąbrowska — Schorzenia i świadectwa
- Ewa Dąbrowska — Dieta dr Ewy Dąbrowskiej®: Fenomen samouzdrawiającego się organizmu. Jak odwrócić cukrzycę, miażdżycę, nadciśnienie i otyłość.
- Ewa Dąbrowska — Dieta dr Ewy Dąbrowskiej® Fenomen samouzdrawiającego się organizmu. Jak odwrócić cukrzycę, miażdżycę, nadciśnienie i otyłość - drukowana
- Dietary Approaches to Stop Hypertension (DASH) Diet and Blood Pressure Reduction in Adults with and without Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. · Adv Nutr 2020
- Adherence to the DASH Diet and Risk of Hypertension: A Systematic Review and Meta-Analysis. · Nutrients 2023
- Impact of lifestyle interventions on reducing dietary sodium intake and blood pressure in patients with hypertension: A randomized controlled trial. · Turk Kardiyol Dern Ars 2021
- The EffectiveNess of LIfestyle with Diet and Physical Activity Education ProGram Among Prehypertensives and Stage 1 HyperTENsives in an Urban Community Setting (ENLIGHTEN) Study. · J Community Health 2020
- Impact of Salt Intake on the Pathogenesis and Treatment of Hypertension. · Adv Exp Med Biol 2017
- [Nutrition and health--hypertension]. · Ned Tijdschr Geneeskd 2003
- Recent developments concerning diet and hypertension. · Clin Exp Pharmacol Physiol 2001
- The role of diet in the genesis and treatment of hypertension. · Med Clin North Am 1993
- Orthomolecular Medicine News Service — Mitochondria: The Core of Exercise, Longevity, Heart Health, and Cancer Prevention
- Orthomolecular Medicine News Service — What Really Causes Kidney Stones (And Why Vitamin C Does Not)
- Orthomolecular Medicine News Service — Doctors Say Vitamins are Safe and Effective
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
Both genes that create a predisposition and lifestyle affect the development of high blood pressure, and diet and exercise can be changed.
Ewa Dąbrowska writes that lifestyle can affect genes and, through them, both cause and cure high blood pressure.
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.
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.
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.
Ewa Dąbrowska points out that fasting and a diet rich in plant polyphenols may help lower blood pressure.
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.
According to Ewa Dąbrowska, simply eating more vegetables and fruit every day can reduce high blood pressure.
Ewa Dąbrowska reports that a vegetarian diet reduces the risk of high blood pressure, particularly when meat, dairy products, and eggs are excluded.
Ewa Dąbrowska recommends limiting salt and following a periodic diet based mainly on vegetables and low-sugar fruits.
People who are seriously ill, especially those taking medication, should follow a fruit-and-vegetable diet under a doctor's supervision.
High blood pressure is listed among the metabolic diseases that, according to Ewa Dąbrowska, can be stopped or cured with the right diet.
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.
“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.
“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.
“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.
“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.
“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.
“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.
“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.
“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.
Pisaczek does not judge who is right. It shows what was written and where to read it. Every sentence above has its source.