Dodge Elizabeth, Kelly Patricia J, Aboul-Enein Basil H
Applied Nutrition Graduate Program, College of Professional Studies, University of New England, 716 Stevens Ave, Portland 04103, Maine, USA.
College of Nursing, Thomas Jefferson University, 901 Walnut Street, Philadelphia, Pennsylvania, USA.
Int J Hypertens. 2025 Aug 30;2025:6175223. doi: 10.1155/ijhy/6175223. eCollection 2025.
The Dietary Approaches to Stop Hypertension (DASH) diet is an internationally recognized anti-hypertensive dietary model. This systematic scoping review examines the effectiveness of digital-based interventions utilizing the DASH dietary pattern. A search was conducted using 14 databases to include relevant studies from 1997 to January 2025 using PRISMA guidelines for scoping reviews. The review included 24 studies with almost 7000 participants, including randomized controlled trials and cohort studies conducted in several countries. Interventions using the DASH dietary pattern positively affected blood pressure (BP), nutrition behavior, and weight. Some studies also reported secondary outcomes such as reduced healthcare cost savings. Technology-based DASH diet interventions yielded favorable health outcomes, particularly in reducing BP and dietary salt intake, as well as improved diet quality. This systematic scoping review supports the potential of digital-based interventions utilizing the DASH dietary pattern to improve nutrition and health outcomes, particularly those related to hypertension management. The findings emphasize the importance of using evidence-based approaches, which are grounded in theoretical frameworks and models to develop effective interventions, and thoughtful program design to maximize group effectiveness. Other factors that influenced the effectiveness of the intervention included the type of technology used, as well as participant comfort with using technology. Further research and development are needed to optimize these interventions for widespread impact and long-term sustainability.
终止高血压膳食疗法（DASH）饮食是一种国际公认的抗高血压饮食模式。本系统综述探讨了采用DASH饮食模式的数字化干预措施的有效性。使用14个数据库进行检索，以纳入1997年至2025年1月的相关研究，检索遵循PRISMA系统综述指南。该综述纳入了24项研究，涉及近7000名参与者，包括在多个国家进行的随机对照试验和队列研究。采用DASH饮食模式的干预措施对血压（BP）、营养行为和体重产生了积极影响。一些研究还报告了次要结果，如节省医疗保健成本。基于技术的DASH饮食干预产生了良好的健康结果，特别是在降低血压和膳食盐摄入量以及改善饮食质量方面。本系统综述支持采用DASH饮食模式的数字化干预措施在改善营养和健康结果方面的潜力，特别是那些与高血压管理相关的结果。研究结果强调了使用基于证据的方法的重要性，这些方法基于理论框架和模型来开发有效的干预措施，以及精心的项目设计以最大化群体效果。影响干预效果的其他因素包括所使用的技术类型，以及参与者使用技术的舒适度。需要进一步的研究和开发，以优化这些干预措施，实现广泛影响和长期可持续性。
