PMID: 7546496Jul 1, 1995Paper

Effect of dietary counselling on blood pressure and arterial plasma catecholamines in primary hypertension

American Journal of Hypertension
S L BeckmannI Hjermann

Abstract

There is still a need of support for nonpharmacologic treatment of uncomplicated, mild-to-moderate essential hypertension. We investigated whether a low sodium-based diet implemented by a nutritionist could lower blood pressure and affect sympathetic activity. Middle-aged, otherwise healthy men with never-treated essential hypertension (n = 95) were randomized to an intervention group, a blood pressure control group, and a time control group. The intervention group was advised to use less sodium chloride in their diet, and if necessary, less saturated fat and decrease body weight. They attended regular clinic visits as did the blood pressure control group. After 1 year, the intervention group had achieved on average 72 mmol/24 h lower urinary sodium excretion (P < .001) and a decrease in body weight of 2.7 +/- 0.5 kg (P < .001). Both supine and standing mean blood pressure were on average 8 to 10 mm Hg lower after intervention compared with the two control groups (P < .001). Arterial plasma epinephrine, measured in all 40-year-old subjects (n = 30), decreased in parallel in all three groups (P < .05), indicating some habituation to the invasive procedure and clinic visits. However, the decrease in norepinephrine was significant...Continue Reading

Citations

Aug 15, 2000·Journal of Epidemiology and Community Health·R M SelmerD S Thelle
May 9, 2000·The American Journal of Clinical Nutrition·N M Kaplan
Apr 30, 2003·Circulation·Feng J He, Graham A MacGregor
Sep 8, 2007·Journal of Human Hypertension·F J He, G A Macgregor
Nov 9, 2018·Journal of the Renin-angiotensin-aldosterone System : JRAAS·Monique TanGraham A MacGregor
Aug 23, 2020·The Cochrane Database of Systematic Reviews·Lee HooperAsmaa S Abdelhamid
Aug 24, 2001·Journal of Hypertension·S E KjeldsenJ Erikssen
Jun 13, 2015·The Cochrane Database of Systematic Reviews·Lee HooperGeorge Davey Smith
Jul 28, 1999·Clinical and Experimental Hypertension : CHE·L Landsberg
May 18, 2012·The Cochrane Database of Systematic Reviews·Lee HooperGeorge Davey Smith
Nov 30, 2011·Current Opinion in Lipidology·Dinko Susic, Edward D Frohlich
Oct 25, 2013·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Katsuyuki AndoYuhei Kawano
Aug 8, 2015·The Cochrane Database of Systematic Reviews·Lee HooperC Murray Skeaff
Feb 13, 2016·The Journal of Clinical Hypertension·Roland DärrGraeme Eisenhofer
Jun 2, 2020·The Cochrane Database of Systematic Reviews·Lee HooperC Murray Skeaff
May 20, 2020·The Cochrane Database of Systematic Reviews·Lee HooperAsmaa S Abdelhamid
May 2, 2013·The Cochrane Database of Systematic Reviews·Feng J HeGraham A Macgregor
Aug 15, 2003·The Cochrane Database of Systematic Reviews·R L ThompsonS Ebrahim

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