Effectiveness of the DASH Diet at Reducing High Blood Pressure

Not Applicable

Completed

• Conditions: Cardiovascular Diseases; Heart Diseases; Hypertension
• Interventions: Behavioral: Dietary Approaches to Stop Hypertension (DASH); Behavioral: Control Diet

• Registration Number: NCT00123006
• Lead Sponsor: Brigham and Women's Hospital

Brief Summary

The purpose of this study is to test the effects of the DASH diet in patients with isolated systolic hypertension.

Detailed Description

BACKGROUND:

The study expands upon the findings of the Dietary Approaches to Stop Hypertension (DASH) study, which showed that a dietary pattern emphasizing fruits, vegetables, and low fat dairy products and overall reduced in total and saturated fat significantly lowers blood pressure (BP). The DASH diet is particularly effective in African Americans and in individuals with systolic hypertension. However, it is not known if the DASH diet affects the pathophysiology of the hypertensive process. Preliminary data support the possibility that the DASH diet interrupts the renin-angiotensin system. This raises the intriguing possibility that the DASH diet will favorably impact on cardiovascular and renal hemodynamics in patients with isolated systolic hypertension. Therefore, the central hypothesis of this study is that the DASH diet affects central aortic stiffness, diastolic relaxation, and renal and vascular reactivity to angiotensin II (Ang II) by lowering tissue renin-angiotensin system activity.

DESIGN NARRATIVE:

A randomized, crossover design will be used to compare the DASH diet to a control diet as defined in the original DASH protocol (NEJM 1997; 336:1117). Fifty-five community-dwelling individuals age 20 and older with systolic blood pressure (SBP) 140-179 mmHg and diastolic blood pressure (DBP) less than 90 mmHg will enter a 1-week run-in period eating both the control and DASH diets for 3-4 days each. Following this, participants will begin two 4-week intervention feeding periods receiving either the DASH diet or the control diet in random order. Clinical measurements will be taken at the conclusion of each 4-week feeding period.

Outcome measures: Specific measurements will include peripheral and renal vascular response to Ang II infusions, renal blood flow measured by para-aminohippurate (PAH) clearance, conduit vessel hemodynamics, and tissue Doppler imaging (TDI). At the end of each intervention feeding period, the clinical measurements will be made before and after acute administration of captopril, an angiotensin converting enzyme (ACE) inhibitor.

The study will test whether the DASH diet (1) lowers central aortic stiffness as measured by vascular impedance and carotid-femoral pulse wave velocity; (2) improves diastolic relaxation as measured by early diastolic myocardial velocities across the mitral valve (Ea); (3) vasodilates renal blood flow and enhances vascular responses to Ang II; and (4) affects central aortic stiffness, diastolic relaxation, renal blood flow, and renal and vascular reactivity to Ang II by altering target tissue responsiveness to Ang II similar to ACE inhibition.

Study Timeline

• Study First Submitted: 2005-07-20
• Study First Submitted QC: 2005-07-20
• Study First Posted: 2005-07-22
• Study Start: 2006-01
• Primary Completion: 2009-06
• Study Completion: 2014-10
• Status Verified: 2016-01
• Last Update Submitted: 2016-01-12
• Last Update Posted: 2016-01-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Isolated systolic hypertension: systolic blood pressure (SBP) in the range of 140-179 mm Hg and diastolic blood pressure (DBP) less than 90 mm Hg
• Body mass index (BMI) less than 40
• Current use of fewer than two blood pressure medications (which will be withdrawn prior to study)

Exclusion Criteria

• Major concomitant diseases that may include but are not limited to active pulmonary disease within the past 6 months
• History of cardiovascular disorders such as angina, heart attack, heart failure, or stent placement
• Active gastrointestinal disease, including prior gastrointestinal surgery
• Renal disease with serum creatinine greater than 1.5 mg/dl (men) or 1.4 mg/dl (women)
• Insulin-dependent diabetes mellitus
• Current pregnancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
1	Dietary Approaches to Stop Hypertension (DASH)	Dietary Approaches to Stop Hypertension (DASH)
2	Control Diet	Control diet

Primary Outcome Measures

Name	Time	Method
Changes in central aortic stiffness, diastolic relaxation, renal blood flow,and vascular response to Ang II	Measured at 4 weeks