A Dietary Intervention in Urban African Americans: Results of the "Five Plus Nuts and Beans" Randomized Trial.

American Journal of Preventive Medicine
Edgar R MillerHsin-Chieh Yeh

Abstract

Unhealthy diets, often low in potassium, likely contribute to racial disparities in blood pressure. We tested the effectiveness of providing weekly dietary advice, assistance with selection of higher potassium grocery items, and a $30 per week food allowance on blood pressure and other outcomes in African American adults with hypertension. We conducted an 8-week RCT with two parallel arms between May 2012 and November 2013. We randomized 123 African Americans with controlled hypertension from an urban primary care clinic in Baltimore, Maryland, and implemented the trial in partnership with a community supermarket and the Baltimore City Health Department. Mean (SD) age was 58.6 (9.5) years; 71% were female; blood pressure was 131.3 (14.7)/77.2 (10.5) mmHg; BMI was 34.5 (8.2); and 28% had diabetes. Participants randomized to the active intervention group (Dietary Approaches to Stop Hypertension [DASH]-Plus) received coach-directed dietary advice and assistance with weekly online ordering and purchasing of high-potassium foods ($30/week) delivered by a community supermarket to a neighborhood library. Participants in the control group received a printed DASH diet brochure along with a debit account of equivalent value to that of th...Continue Reading

References

May 2, 2000·American Journal of Preventive Medicine·G BlockC Jenson
Jan 4, 2001·The New England Journal of Medicine·F M SacksUNKNOWN DASH-Sodium Collaborative Research Group
Sep 14, 2004·Journal of Human Hypertension·W M VollmerUNKNOWN DASH Collaborative Research Group
Nov 5, 2008·Hypertension·Tariq ShafiRulan S Parekh
Mar 4, 2011·The American Journal of Clinical Nutrition·Ranee ChatterjeeFrederick L Brancati
Oct 4, 2011·Journal of the American Dietetic Association·Cynthia A Thomson, Jennifer Ravia
Apr 12, 2012·The American Journal of Clinical Nutrition·Stephen P JuraschekEdgar R Miller
Sep 4, 2013·JAMA Internal Medicine·Pablo MonsivaisAdam Drewnowski
Oct 11, 2013·Diabetes Care·Alison B EvertUNKNOWN American Diabetes Association
Mar 26, 2014·Neurology·Jose Gutierrez, Olajide A Williams
Oct 11, 2014·American Journal of Preventive Medicine·Nicole M WedickWenjun Li

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Citations

Oct 6, 2017·Current Cardiology Reports·Kimberly N DoughtyDavid L Katz
Oct 27, 2017·Journal of Racial and Ethnic Health Disparities·Riddhi DoshiGarth N Graham
Dec 13, 2017·Journal of Medical Internet Research·Molly M WarnerKatrina L Campbell
Nov 15, 2018·Public Health Reports·Lisa A CooperRachel L J Thornton
Mar 24, 2020·Journal of the American Heart Association·Penny M Kris-EthertonAndrew M Freeman
Dec 10, 2016·The American Journal of Clinical Nutrition·Jaimon T KellyKatrina L Campbell
Oct 30, 2018·Nutrition Today·Connie M WeaverJoanna K Hodges
Jan 16, 2019·JAMA Network Open·Edgar R Miller, Deidra C Crews
Feb 21, 2019·American Journal of Lifestyle Medicine·Julie Kennel
Jun 14, 2019·Current Hypertension Reports·Shannon K DoyleKristin L Rising
Jul 1, 2020·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Jaimon T KellyKatrina L Campbell
Nov 25, 2020·Journal of the Academy of Nutrition and Dietetics·Allison D YoderDeepa Handu

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