Document Detail


Low sodium diet after DASH: has the situation changed? Dietary Approaches to Stop Hypertension.
MedLine Citation:
PMID:  12117462     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Dietary Approaches to Stop Hypertension (DASH) trial adds to the large body of evidence indicating a direct association of dietary sodium with blood pressure, and showing that rigorous reduction of dietary sodium can reduce blood pressure over a 30-day period by statistically significant amounts. DASH, however, neither addressed nor answered whether a reduction of dietary sodium reduces morbidity and mortality. Data linking baseline sodium to mortality and morbidity outcomes are sparse, with only six known studies. Of these, two showed no association, two showed an inverse association, and two showed a direct association only in obese subsets. No studies have examined outcomes after sodium reduction, and no studies have linked sodium to outcomes or even a blood pressure benefit among treated hypertensives. Universal recommendations for sodium reduction or dietary sodium goals should await evidence that such interventions are both safe and effective as measured by morbidity and mortality outcomes.
Authors:
Hillel W Cohen; Michael H Alderman
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current hypertension reports     Volume:  4     ISSN:  1522-6417     ISO Abbreviation:  Curr. Hypertens. Rep.     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-07-15     Completed Date:  2002-11-13     Revised Date:  2006-07-12    
Medline Journal Info:
Nlm Unique ID:  100888982     Medline TA:  Curr Hypertens Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  329-32     Citation Subset:  IM    
Affiliation:
Albert Einstein College of Medicine, Department of Epidemiology & Social Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA. hicohen@aecom.yu.edu
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure / physiology
Diet, Sodium-Restricted*
Female
Humans
Hypertension / diet therapy,  prevention & control*
Male
Morbidity
Sodium, Dietary / pharmacology
Chemical
Reg. No./Substance:
0/Sodium, Dietary

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