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Blood Pressure Lowering Foods

What Is High Blood Pressure?

High blood pressure, also referred to as hypertension, is a significant cause of cardiovascular disease and death. The American College of Cardiology and American Heart Association defines high blood pressure as systolic blood pressure (the first number in a blood pressure measurement) less than 140 and diastolic blood pressure (the second number in a blood pressure measurement) less than 90. Several modifiable risk factors for high blood pressure include an unhealthy diet, overweight and obesity, a lack of physical activity, alcohol consumption, and other factors.

Foods That Reduce Hypertension

Two diets have been well-studied for reducing blood pressure:

DASH (Dietary Approaches to Stop Hypertension) Diet is rich in fruits, vegetables, and whole grains. It also includes fat-free or low-fat dairy products, fish, poultry, beans, nuts, and vegetable oils. The diet has limitations on high levels of saturated fats, including fatty meats, higher-fat dairy products, certain oils, and simple. Several studies have demonstrated that this diet can reduce systolic and diastolic blood pressure. You can review eating plans for the DASH diet at https://www.nhlbi.nih.gov/education/dash-eating-plan  For our patients, we have meal planning for the DASH diet.

Mediterranean Diet - this well-researched diet is characterized by whole grain and brown rice products, fresh fruits, vegetables, nuts, low-fat dairy products, olive oil, moderate alcohol intake, especially red wine, moderate consumption of fish, poultry, eggs, potatoes, and sweets, and limited intake of red meat. You can review menu planning for the Mediterranean Diet at https://www.nutrition.va.gov/docs/UpdatedPatientEd/Mediterraneandiet.pdf  For our patients, we have extensive meal planning for the Mediterranean diet.

Limit Your Salt Intake

According to the American Heart Association (AHA), 90% of Americans consume excess sodium. The AHA recommends that most adults (especially those with high blood pressure) consume less than 1500 mg per day of sodium. Most food sources of sodium are processed, packaged, and from eating out at restaurants. To assess your sodium intake, it is essential to read labels on food packages and menu labeling at restaurants. You can also consider the use of salt substitutes when cooking at home that contain potassium chloride instead of sodium chloride, as they have been shown to lower blood pressure. However, check with your doctor first before using salt substitutes, especially if you have kidney disease, diabetes, or use medications that affect blood potassium levels.

Dr. Mark Stengler NMD, MS, is a bestselling author in private practice in Encinitas, California, at the Stengler Center for Integrative Medicine. His newsletter, Dr. Stengler’s Health Breakthroughs, is available at  www.markstengler.com and his product line at www.drstengler.com

References

Al-Makki, A., DiPette, D., Whelton, P. K., Murad, M. H., Mustafa, R. A., Acharya, S., & Beheiry, H. M. (2022). Hypertension Pharmacological Treatment in Adults: A World Health Organization Guideline Executive Summary. Hypertension, 79(1), 293. 

American Heart Association. (2021, September). Why should I limit sodium? - American Heart Association. ANSWERS by heart. https://www.heart.org/-/media/files/health-topics/answers-by-heart/why-should-i-limit-sodium.pdf?la=en   

Filippou, C. D., Tsioufis, C. P., Thomopoulos, C. G., Mihas, C. C., Dimitriadis, K. S., Sotiropoulou, L. I., Chrysochoou, C. A., Nihoyannopoulos, P. I., & Tousoulis, D. M. (2020). Dietary Approaches to Stop Hypertension (DASH) Diet and Blood Pressure Reduction in Adults with and without Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Advances in Nutrition, 11(5), 1150–1160. 

Finicelli, M., Di Salle, A., Galderisi, U., & Peluso, G. (2022). The Mediterranean Diet: An Update of the Clinical Trials. Nutrients, 14(14).  

Greer, R. C., Marklund, M., Anderson, C. A. M., Cobb, L. K., Dalcin, A. T., Henry, M., & Appel, L. J. (2020). Potassium-Enriched Salt Substitutes as a Means to Lower Blood Pressure: Benefits and Risks. Hypertension, 75(2), 266.

Kaneko, H., Yano, Y., Itoh, H., Morita, K., Kiriyama, H., Kamon, T., Fujiu, K., Michihata, N., Jo, T., Takeda, N., Morita, H., Node, K., Carey, R. M., Lima, J. A. C., Oparil, S., Yasunaga, H., & Komuro, I. (2021). Association of Blood Pressure Classification Using the 2017 American College of Cardiology/American Heart Association Blood Pressure Guideline With Risk of Heart Failure and Atrial Fibrillation. Circulation, 143(23), 2244–2253.