If you have high blood pressure, your doctor may have recommended the DASH diet. Find out about this diet and how to make it work for you!

 

Researchers believe that it is the combination of nutrients from this eating pattern that helps to lower blood pressure . Specifically, magnesium, potassium, and calcium, as well as protein and fiber may act together to achieve this goal.

In addition to helping you manage your blood pressure, the DASH eating plan is a healthful one that will help anyone reduce their risk of chronic disease and maintain a healthful weight. A registered dietitian can help design a DASH meal plan that will work for you. Check out the one-day sample menu at the end of this page for an idea of what is in a DASH meal plan!

How Many Servings Do You Need?

Depending on your calorie needs, these are the number of servings of each food group you should strive for each day:

Grains and Grain Products

Grains are rich in carbohydrates, which provide quick energy for exercise. If you choose whole grains, you'll also get a good dose of fiber and several vitamins and minerals. (Be aware though that many bread products are quite high in sodium. It may be better to make your own salt-free bread or buy baked goods with minimum added salt or baking powder.)

One serving equals:

• 1 slice of bread
• 1 ounce of dry cereal (½ to 1 ¼ cup; check the Nutrition Facts label on the cereal box)
• ½ cup of cooked rice, pasta, or cereal

Good choices include:

• Whole wheat bread
• English muffin
• Pita bread
• Brown rice
• Whole grain cereals
• Grits
• Oatmeal
• Low-fat, whole grain crackers and bread sticks
• Air-popped popcorn

Vegetables

Vegetables are low in calories and have almost no fat. They are also excellent sources of fiber, phytochemicals, vitamins, and minerals, such as potassium and magnesium.

One serving equals:

• 1 cup of raw leafy vegetables
• ½ cup of cooked vegetables
• 6 ounces of vegetable juice

Good choices include:

• Tomatoes
• Carrots
• Squash
• Broccoli
• Turnips
• Greens, like collards, kale, and spinach
• Artichokes
• Beans, including green beans and lima beans
• Sweet potatoes
• Potatoes

Fruits

Not only are they low in fat and calories, but fruits are good sources of potassium, magnesium, and fiber.

One serving equals:

• 6 ounces of fruit juice
• 1 medium piece of fruit
• ¼ cup of dried fruit
• ½ cup of fresh (cut up), frozen, or canned fruit

Good choices include:

• Apricots
• Bananas
• Dates
• Grapes
• Citrus, such as oranges and orange juice, and grapefruit and grapefruit juice
• Mangoes
• Melons
• Peaches
• Pineapples
• Prunes
• Raisins
• Strawberries
• Tangerines

Low-fat or Fat-free Dairy Foods

Dairy foods are excellent sources of calcium and protein.

One serving equals:

• 8 ounces of milk
• 1 cup of yogurt
• 1 ½ ounces of cheese

Good choices include:

• Fat-free (skim) or low-fat (1%) milk
• Fat-free or low-fat buttermilk
• Fat-free or low-fat regular or frozen yogurt
• Fat-free or low-fat cheese (Remember, though that most cheeses–including cottage cheese–can be quite high in salt.)

Meats, Poultry, and Fish

Meats, poultry, and fish are packed with protein and magnesium. Be sure to buy lean cuts of meat and poultry.

One serving equals three ounces of cooked meats, poultry, or fish. Three ounces is about the size of a deck of cards or the palm of a woman's hand.

Tips for eating the healthiest meats:

• Select lean meats
• Trim away visible fat
• Use lowfat cooking methods, such as broiling, roasting, or boiling
• Remove skin from poultry before eating

Nuts, Seeds, and Dry Beans

These foods are great sources of magnesium, potassium, protein, and fiber.

One serving equals:

• 1/3 cup or 1 ½ ounces of nuts
• 2 tablespoons or ½ ounce of seeds
• ½ cup of cooked dry beans

Good choices include (in most cases you’ll want to choose unsalted varieties):

• Nuts: almonds, filberts, mixed nuts, peanuts, and walnuts
• Sunflower seeds
• Dry beans: kidney beans, black beans, lentils, peas

Fats and Oils

Fats and oils should be used sparingly. When choosing fats, select those lowest in saturated fat, such as oils.

One serving equals:

• 1 teaspoon of soft margarine
• 1 tablespoon of lowfat mayonnaise
• 2 tablespoons of light salad dressing
• 1 teaspoon of vegetable oil

Better choices include:

• Soft margarine (the softer the margarine, the less trans fatty acids it has; trans fats are as dangerous to your heart as saturated fats found in butter)
• Low-fat mayonnaise
• Light salad dressing
• Vegetable oils: olive, corn, canola, safflower

Sweets

Sweets rarely provide any nutrients. Select those that are low in fat and limit your overall intake of them.

One serving equals:

• 1 tablespoon of sugar
• 1 tablespoon of jelly or jam
• ½ ounce of jelly beans
• 8 ounces of lemonade or fruit punch

Better choices include:

• Maple syrup
• Jellies and jams
• Fruit-flavored gelatin
• Candy: jelly beans and hard candy
• Fruit punch
• Sorbet

Reducing Your Sodium Intake

It may take a little time for your taste buds to adjust to eating less sodium. Here are some tips to help you reduce your intake:

• Choose low- or reduced-sodium versions of foods and condiments when available
• Buy fruits and vegetables fresh, frozen plain, or canned in water, with no salt added
• Use fresh meats, poultry, and fish rather than canned, smoked, or processed versions
• Check the Nutrition Facts label on breakfast cereals and snacks, choose those lowest in sodium
• Limit cured foods, such as bacon and ham
• Limit foods packed in brine, such as pickles, pickled vegetables, olives, and sauerkraut
• Limit condiments, such as MSG, mustard, horseradish, ketchup, and barbecue sauce
• Add half the amount of salt than you normally would to your foods; gradually decrease this amount
• Instead of seasoning with salt, use other sources of flavor—herbs, spices, lemon, lime, vinegar, or salt-free seasoning blends
• Don't add salt when you're cooking rice, pasta, and hot cereal; and cut back on instant mixes of these foods, they are usually high in salt
• Rinse canned foods, such as tuna, to remove some sodium
• Cut back on convenience foods, such as frozen dinners, packaged mixes, and canned soups or broths

Putting It All Together

This sample menu for one day provides 1,944 calories and 31 grams of total fat (14% of total calories from fat).

Breakfast

1 lowfat granola bar (½ grain)
1 medium banana (1 fruit)
1 cup of fruit yogurt, fat-free, no sugar added (1 dairy)
1 cup of orange juice (1 ½ fruit)
1 cup of fat-free milk (1 dairy)

Lunch

Turkey breast sandwich:
3 ounces of turkey breast (1 meat)
2 slices of whole wheat bread (2 grains)
2 slices (1 ½ ounces) of natural cheddar cheese, reduced fat (1 dairy)
1 large leaf of romaine lettuce (¼ vegetable)
2 slices of tomato (½ vegetable)
2 teaspoons of mayonnaise, lowfat (2/3 fat)
1 tablespoon of dijon mustard

1 cup of broccoli, steamed from frozen (2 vegetables)
1 medium orange (1 fruit)

Dinner

3 ounces of spicy baked fish (1 fish) -- see recipe below
1 cup of scallion rice (2 grains) -- see recipe below
½ cup of spinach, cooked from frozen (1 vegetable)
1 cup of carrots, cooked from frozen (2 vegetables)
1 small whole wheat roll (1 grain)
1 teaspoon of soft margarine (1 fat)
1 cup of fat-free (skim) milk (1 dairy)

Snack

2 large rectangle graham crackers (1 grain)
1 cup of fat-free (skim) milk (1 dairy)
¼ cup of dried apricots (1 fruit)

Spicy Baked Fish
(makes 4 servings, serving size is 3 ounces)

1 pound of cod (or other fish) fillet
1 tablespoon of olive oil
1 teaspoon of spicy seasoning, salt-free

1. Preheat oven to 350 degrees F. Spray a casserole dish with cooking oil spray.
2. Wash and pat dry fish. Place in dish. Mix oil and seasoning in separate bowl and drizzle over fish.
3. Bake uncovered for 15 minutes or until fish flakes with a fork.
4. Cut into 4 pieces and serve with rice.

Scallion Rice
(makes 5 servings; serving size is 1 cup)

4 ½ cups of cooked rice (in unsalted water)
1 ½ teaspoons of bouillon granules, unsalted
¼ cup of scallions (green onions) chopped

1. Cook rice according to directions on the package.
2. Combine the cooked rice, scallions, and bouillon granules, and mix well.
3. Measure 1 cup portions and serve.

RESOURCES:

The DASH DietNational Heart, Lung, and Blood Institute
http://www.nhlbi.nih.gov

American Dietetic Association
http://www.eatright.org/

CANADIAN RESOURCES:

Canada's Food Guide
http://www.hc-sc.gc.ca/fn-an/food-guide-aliment/index_e.html

Dietitians of Canada
http://www.dietitians.ca/

References:

National Heart, Lung, and Blood Institute, National Institutes of Health website. Available at: http://www.nhlbi.nih.gov.

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