Effect of lifestyle modifications on blood pressure by race, sex, hypertension status, and age

Journal of Human Hypertension
L P SvetkeyV J Stevens

Abstract

Recommendations for control of high blood pressure (BP) emphasize lifestyle modification, including weight loss, reduced sodium intake, increased physical activity, and limited alcohol consumption. The Dietary Approaches to Stop Hypertension (DASH) dietary pattern also lowers BP. The PREMIER randomized trial tested multicomponent lifestyle interventions on BP in demographic and clinical subgroups. Participants with above-optimal BP through stage 1 hypertension were randomized to an Advice Only group or one of two behavioural interventions that implement established recommendations (Est) or established recommendations plus DASH diet (Est plus DASH). The primary outcome was change in systolic BP at 6 months. The study population was 810 individuals with an average age of 50 years, 62% women, 34% African American (AA), 95% overweight/obese, and 38% hypertensive. Participants in all the three groups made lifestyle changes. Mean net reductions in systolic (S) BP in the Est intervention were 1.2 mmHg in AA women, 6.0 in AA men, 4.5 in non-AA women, and 4.2 in non-AA men. The mean effects of the Est Plus DASH intervention were 2.1, 4.6, 4.2, and 5.7 mmHg in the four race-sex subgroups, respectively. BP changes were consistently greate...Continue Reading

References

Mar 1, 1977·British Journal of Preventive & Social Medicine·G RoseD D Reid
Jul 1, 1991·Hypertension·M H Weinberger, N S Fineberg
Jun 1, 1991·The American Journal of Clinical Nutrition·S K KumanyikaS K Kumanyaka
Aug 18, 1999·Journal of the American Dietetic Association·C S PlaistedL P Svetkey
Jan 4, 2001·The New England Journal of Medicine·F M SacksUNKNOWN DASH-Sodium Collaborative Research Group
Feb 24, 2001·Annals of Internal Medicine·V J StevensUNKNOWN Trials for the Hypertension Prevention Research Group
Dec 19, 2001·Annals of Internal Medicine·W M VollmerUNKNOWN DASH-Sodium Trial Collaborative Research Group
Oct 17, 2002·JAMA : the Journal of the American Medical Association·Paul K WheltonUNKNOWN National High Blood Pressure Education Program Coordinating Committee
May 16, 2003·JAMA : the Journal of the American Medical Association·Aram V ChobanianUNKNOWN National High Blood Pressure Education Program Coordinating Committee

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Citations

Mar 14, 2012·Archives of Internal Medicine·Gary G BennettUNKNOWN Be Fit, Be Well Study Investigators
Aug 28, 2010·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Deborah Rohm YoungPhillip J Brantley
Sep 26, 2009·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Zhensui LuGuo-Ping Shi
Oct 19, 2007·Medical Care Research and Review : MCRR·Andrew M DavisElbert S Huang
Sep 28, 2010·The International Journal of Behavioral Nutrition and Physical Activity·Rebecca A KrukowskiDelia Smith West
Jun 15, 2011·The International Journal of Behavioral Nutrition and Physical Activity·Jamie M ZoellnerKathleen Yadrick
May 13, 2014·Bioscience Trends·Xingchun ZhuDingzhi Fang
Jul 13, 2011·Journal of Aging Research·Dorothy B HausmanLeonard W Poon
Aug 10, 2007·Current Hypertension Reports·Joseph L Izzo
Feb 18, 2011·Journal of Community Health·Nancy Cotugna, Sara Wolpert
Nov 1, 2005·Current Atherosclerosis Reports·Helen K Delichatsios, Francine K Welty
Jan 25, 2012·Heart Failure Reviews·Bodh I Jugdutt
Oct 22, 2015·Clinical Obesity·G J JeromeP J Brantley
Dec 1, 2010·Kidney International. Supplement·Paolo CravediGiuseppe Remuzzi
Aug 30, 2011·Journal of the American Dietetic Association·Margaret R SavocaDebra C Wallace
Jul 21, 2011·Journal of the American Society of Hypertension : JASH·Mark J WrobelJoseph L Izzo
Feb 3, 2016·Journal of Physical Therapy Science·Ill-Gwang KimDong Jun Sung
Jun 3, 2009·Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing·Diana K Eastridge
Nov 10, 2009·Journal of the American Geriatrics Society·Jun-Jie YeYu-Fei Zhou
Oct 11, 2008·Dermatologic Therapy·Lillian F Lien, John R Guyton
Feb 2, 2008·Obesity·Jamy D ArdLaura P Svetkey
Nov 15, 2011·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·M L FitzgibbonL K Sharp
Mar 19, 2016·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Sepideh SoltaniAmin Salehi-Abargouei
Sep 10, 2014·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·A KongM L Fitzgibbon
Sep 10, 2014·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·S K KumanyikaD Haire-Joshu
Sep 10, 2014·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·B C WingoJ Ard
Sep 10, 2014·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·R L NewtonG G Bennett
Apr 6, 2012·Archives of Physical Medicine and Rehabilitation·Danielle R BouchardJean-Patrice Baillargeon

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