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10/22/20091
The DASH Eating Plan:The DASH Eating Plan:Moving BeyondMoving BeyondHypertensionHypertension
Natalie Webb, MS, RD, LDNatalie Webb, MS, RD, LDnawebb@erols.comnawebb@erols.com301301--704704--17561756
DASH Diet 101
22
DASH Eating Plan
•Emphasizes nutrient-rich low-fat dairy products, fruits andvegetables•Consistent with the 2005 Dietary Guidelines•Provides nutrients of concern: calcium,potassium, fiber and magnesium, as wellas vitamins A, C and E.•Positive approach -focused on
what to include 
, not
what to avoid 
33
U.S. Department of Health and Human Services. Your Guide to Lowering YourBlood Pressure with DASH. 2nd Edition, April 2006
DASH Eating PlanDASH Eating Plan
based on a 2,000 calorie diet based on a 2,000 calorie diet 
U.S. Department of Health and Human Services. Your Guide to Lowering Your BloodPressure with DASH. 2nd Edition, April 2006
Food GroupFood GroupDaily ServingsDaily Servings
GrainsGrains66--88  Vegetables Vegetables44--55 FruitsFruits44--55 LowLow--fat or fatfat or fat--free dairy products 2free dairy products 2--33 Meats, poultry, fishMeats, poultry, fish6 or less6 or lessNuts, seeds, dry beansNuts, seeds, dry beansand peasand peas44--5/week 5/week  Fats and oilsFats and oils22--33 SweetsSweets5 or less/week 5 or less/week 
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10/22/20092
How Are Americans Doing?How Are Americans Doing?
What We Eat in America, NHANES 2001-2002, 2005-2006: Usual Nutrient Intakes from FoodCompared to Dietary Reference Intakes;http://www.ars.usda.gov/foodsurvey
Fruits/Vegetables:Fruits/Vegetables:
DASH recommendationDASH recommendation
88--1010
dailydailyservingsservings American average American average
3.043.04
daily servingsdaily servings
Milk Group FoodsMilk Group Foods
DASH recommendationDASH recommendation
3.003.00
daily servingsdaily servings American average American average
1.71.7
daily servingsdaily servings
Calcium IntakeCalcium Intake
DASH trialDASH trial
1250mg1250mg
dailydaily American average American average
970mg970mg
dailydaily
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DietitianDietitian DASHesDASHesto Good Healthto Good Health
Medical Family TreeMedical Family Tree
JamesWebbPater nalGr andf ather Str okeDiedRober tWebbSr .Father Cancer DiedRober tWebbJr Br other Diabetes
MichelleWebbNieceHypertensionDied
Clif WebbBr other Cancer DiedSueWebbPageSister GoodHealthNatalieWebbSelf GoodHealthJuneHar gr oveWebbMother DiabetesHyper tensionAnneWebbKayAuntStr okeDiedWilliamWebbUncleDiabetes&KidneyDiseaseDiedRosaJonesWebbPater nalGr andmother Str okeDied
PUTTING DASH INTOPUTTING DASH INTOPRACTICEPRACTICE
 
10/22/20093
DC Fire and EMSDC Fire and EMS
CardiacCardiacrelated* fatalities arerelated* fatalities aretypically the #1 cause of death intypically the #1 cause of death inthe line of dutythe line of duty
*Source: National Fire Protection Association Statistics
2006 Fitness Testing2006 Fitness TestingBody Mass IndexBody Mass Index
24252627282930313220-29 30-39 40-49 50-59 All
MaleFemale
< 25Normal Weight25-30
Overweight
>30
Obese
 
2006 Fitness Testing2006 Fitness TestingSystolic Blood PressureSystolic Blood Pressure
11011512012513013514020-29 30-39 40-49 50-59 All
MaleFemale
 
563 participants: 499 males, 64 females
2006 Fitness Testing2006 Fitness TestingDiastolic Blood PressureDiastolic Blood Pressure
6570758085909520-29 30-39 40-49 50-59 All
MaleFemale
 
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