采用DASH方法的饮食习惯对血压的影响：一项系统评价和荟萃分析。

Blood pressure impact of dietary practices using the DASH method: a systematic review and meta-analysis.

作者信息

Isnaini Nur, Dewi Fatwa Sari Tetra, Madyaningrum Ema

机构信息

Departement of Medical Surgical Nursing, Universitas Muhammadiyah Purwokerto, Central Java, Indonesia.

Doctoral Program Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

出版信息

Clin Hypertens. 2025 Apr 1;31:e12. doi: 10.5646/ch.2025.31.e12. eCollection 2025.

DOI:10.5646/ch.2025.31.e12

PMID:40201316

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11975635/

Abstract

BACKGROUND

In order to ascertain the impact of the Dietary Approach to Stop Hypertension (DASH) diet on blood pressure (BP), a systematic review and meta-analysis of randomized controlled trials were carried out. DASH is advised for lowering BP.

METHODS

Scopus databases were searched from the beginning of 2024. A total of 579 articles from 2019 to 2023 from PubMed: 15, Scopus: 164 and Crossref: 400. There were 8 articles included in the meta-analysis.

RESULTS

Systolic BP (1.29 mmHg to 4.6 mmHg, 95% CI, -2.17, -0.41; < 0.005) and diastolic BP (0.76 mmHg to 1.1 mmHg, 95% CI, -1.39, -0.13; < 0.005) were found to be significantly reduced by the DASH diet, while total cholesterol concentrations (5.2 mmol/L; < 0.005), low-density lipoprotein (8.2 mmol/L; = 0.03), and high-density lipoprotein increased by 8.2% ( < 0.005) were lowered by 0.9 points.

CONCLUSIONS

When followed consistently, the DASH diet can reduce BP's systolic and diastolic readings.

TRIAL REGISTRATION

PROSPERO Identifier: CRD42023494005.

摘要

背景

为确定终止高血压膳食疗法（DASH饮食）对血压的影响，开展了一项随机对照试验的系统评价和荟萃分析。建议采用DASH饮食来降低血压。

方法

检索了Scopus数据库从2024年初开始的数据。从PubMed获取了2019年至2023年的579篇文章：15篇、Scopus：164篇和Crossref：400篇。荟萃分析纳入了8篇文章。

结果

发现DASH饮食可显著降低收缩压（1.29mmHg至4.6mmHg，95%CI，-2.17，-0.41；P<0.005）和舒张压（0.76mmHg至1.1mmHg，95%CI，-1.39，-0.13；P<0.005），而总胆固醇浓度降低0.9个百分点（5.2mmol/L；P<0.005），低密度脂蛋白降低8.2mmol/L（P = 0.03），高密度脂蛋白升高8.2%（P<0.005）。