DASH Eating Program

FACTS ABOUT
The DASH Diet

FEATUR
ING NE
W FIND
ABOUT
INGS
REDUC
IN
G SOD
AND N
IUM
EW LO
WER-S
ODIUM
RECIP
ES AN
D MEN
US.
Research has found that diet
Governments National High Blood
affects the development of high
Pressure Education Program, or NHBPEP,
blood pressure, or hypertension
and the amount used to figure food
(the medical term). Recently, two studies
labels Nutrition Facts Daily Value) and
showed that following a particular eating
1,500 milligrams.
plancalled the DASH dietand reducing

the amount of sodium consumed lowers
Those with high blood pressure may

especially benefit from following the
blood pressure.
eating plan and reducing their sodium

While each step alone lowers blood pres-
intake. But the combination is a heart-
sure, the combination of the eating plan
healthy recipe that all adults can follow.
and a reduced sodium intake gives the

development of high blood pressure.
WHAT IS HIGH BLOOD

PRESSURE?
This fact sheet, based on the DASH
Blood pressure is the force of blood
research findings, tells about high blood
against artery walls. It is measured in
pressure, and how to follow the DASH
millimeters of mercury (mm Hg) and
diet and reduce the amount of sodium
recorded as two numberssystolic pres-
you consume. It offers tips on how to
sure (as the heart beats) over diastolic
start and stay on the eating plan, as well
pressure (as the heart relaxes between
as a week of menus and some recipes.
beats). Both numbers are important
The menus and recipes are given for
(see Box 1 on page 2).
biggest benefit and may help prevent the
two levels of daily sodium consumption

2,400 milligrams (the upper limit of
Blood pressure rises and falls during the

day. But when it stays elevated over
current recommendations by the Federal
N A T I O N A L
N A T I O N A L
I N S T I T U T E S
H E A R T ,
L U N G ,
A N D
O F
B L O O D
H E A L T H
I N S T I T U T E
BOX 1
BLOOD PRESSURE CATEGORIES FOR ADULTS*

Systolic**
Diastolic**
pressure rises above optimal,

the greater the health risk.
Optimal
<120 mm Hg
and
<80 mm Hg
In the past, researchers tried to
Normal
<130 mm Hg
and
<85 mm Hg
find clues about what in the diet
130139 mm Hg
or
8589 mm Hg
affects blood pressure by testing
High-Normal
various single nutrients, such as
High
or
9099 mm Hg
calcium and magnesium. These
160179 mm Hg
or
100109 mm Hg
studies were done mostly with
>180 mm Hg
or
>110 mm Hg
Stage 1
140159 mm Hg
Stage 2
Stage 3
* Categories are for those age 18 and older and come from the NHBPEP.
The categories are for those not on a high blood pressure medication and
who have no short-term serious illness.
dietary supplements and their

findings were not conclusive.
Then, scientists supported by the
** If your systolic and diastolic pressures fall into different

categories, your overall status is the higher category.
National Heart, Lung, and Blood
< means less than; > means greater than or equal to.
Institute (NHLBI) conducted two

key studies. The first was called
DASH, for Dietary Approaches
time, then its called high blood
older have high blood pressure.
to Stop Hypertension, and it tested

nutrients as they occur together
pressure. High blood pressure is

High blood pressure can be
in food. Its findings showed that
controlled if you take these steps:
blood pressures were reduced with
maintain a healthy weight; be
an eating plan that is low in satu-
physically active; follow a healthy
rated fat, cholesterol, and total fat,
eating plan, which includes foods
and that emphasizes fruits, vegeta-
lower in salt and sodium; if you
bles, and lowfat dairy foods. This
drink alcoholic beverages, do so
eating planknown as the DASH
in moderation; and, if you have
dietalso includes whole grain
high blood pressure and are
products, fish, poultry, and nuts.
prescribed medication, take it as
It is reduced in red meat, sweets,
High blood pressure affects about
directed. All steps but the last
and sugar-containing beverages.
50 millionor 1 in 4adult
also help to prevent high blood
It is rich in magnesium, potassium,
Americans. High blood pressure is
pressure.
and calcium, as well as protein
dangerous because it makes the

heart work too hard, and the force
of its blood flow can harm arteries. High blood pressure often has
no warning signs or symptoms.
Once it occurs, it usually lasts a
lifetime. If uncontrolled, it can
lead to heart and kidney disease,
and stroke.
and fiber.
especially common among African

Americans, who tend to develop
W HAT I S
it at an earlier age and more often
Blood pressure can be unhealthy
than whites. It also is common
even if it stays only slightly above
among older Americansabout
the optimal level of less than
60 percent of those age 60 and
120/80 mm Hg. The higher blood
THE
DASH D IET ?
The DASH study involved 459
adults with systolic blood pressures
of less than 160 mm Hg and diastolic
pressures of 8095 mm Hg. About
BOX 2
FOLLOWING THE DASH DIET

The DASH eating plan shown below is based on 2,000 calories a day. The number of daily servings in a food group may
vary from those listed depending on your caloric needs. Use this chart to help you plan your menus or take it with you
when you go to the store.
FOOD
GROUP
DAILY
SERVINGS
SERVING
SIZES
EXAMPLES
AND NOTES
SIGNIFICANCE
OF EACH FOOD
GROUP TO THE
DASH EATING
PLAN
1 slice bread
1 oz dry cereal*
1
/2 cup cooked rice,
pasta, or cereal
whole wheat bread, English

muffin, pita bread, bagel,
cereals, grits, oatmeal, crackers,
unsalted pretzels and popcorn
major sources of
energy and fiber
1 cup raw leafy vegetable

/2 cup cooked vegetable
6 oz vegetable juice
tomatoes, potatoes, carrots, green

peas, squash, broccoli, turnip
greens, collards, kale, spinach,
artichokes, green beans, lima
beans, sweet potatoes
rich sources
of potassium,
magnesium,
and fiber
(except as noted)
Grains & grain

products
78
Vegetables
45
Fruits
45
6 oz fruit juice
1 medium fruit
1
/4 cup dried fruit
1
/2 cup fresh, frozen,
or canned fruit
apricots, bananas, dates, grapes,

oranges, orange juice, grapefruit,
grapefruit juice, mangoes, melons,
peaches, pineapples, prunes,
raisins, strawberries, tangerines
important sources
of potassium,
magnesium, and
fiber
Lowfat or
fat free dairy
foods
23
8 oz milk
1 cup yogurt
11/2 oz cheese
fat free (skim) or lowfat (1%) milk,

fat free or lowfat buttermilk, fat free
or lowfat regular or frozen yogurt,
lowfat and fat free cheese
major sources
of calcium and
protein
Meats, poultry,
and fish
2 or less
3 oz cooked meats,
poultry, or fish
select only lean; trim away visible

fats; broil, roast, or boil, instead
of frying; remove skin from
poultry
rich sources
of protein and
magnesium
Nuts, seeds,
and dry beans
45 per week
/3 cup or 11/2 oz nuts

2 Tbsp or 1/2 oz seeds
1
/2 cup cooked dry beans
almonds, filberts, mixed nuts,

peanuts, walnuts, sunflower
seeds, kidney beans, lentils,
peas
rich sources
of energy,
magnesium,
potassium,
protein, and fiber
Fats & oils**
23
1 tsp soft margarine

1 Tbsp lowfat
mayonnaise
2 Tbsp light salad dressing
1 tsp vegetable oil
soft margarine, lowfat

mayonnaise, light salad
dressing, vegetable oil
(such as olive, corn, canola,
or safflower)
DASH has 27 percent

of calories as fat,
including that in or
added to foods
Sweets
5 per week
1 Tbsp sugar
1 Tbsp jelly or jam
1
/2 oz jelly beans
8 oz lemonade
maple syrup, sugar, jelly,

jam, fruit-flavored gelatin, jelly
beans, hard candy, fruit punch,
sorbet, ices
sweets should be
low in fat
* Equals /2 -1 /4 cup, depending on cereal type. Check the products nutrition label.
** Fat content changes serving counts for fats and oils: For example, 1 Tbsp of regular salad dressing equals
1
1 serving; 1 Tbsp of a lowfat dressing equals /2 serving; 1 Tbsp of a fat free dressing equals 0 servings.
BOX 3
HOW TO LOWER CALORIES ON THE DASH EATING PLAN
27 percent of the participants had

hypertension. About 50 percent
The DASH eating plan was not designed to promote weight loss. But it is rich
were women and 60 percent were
in lower-calorie foods, such as fruits and vegetables. You can make it lower
African Americans.
in calories by replacing higher-calorie foods with more fruits and vegetables

and that also will make it easier for you to reach your DASH goals. Here are
DASH compared three eating
some examples:
plans: A plan similar in nutrients
To increase fruits
to what many Americans consume;
Eat a medium apple instead of four shortbread cookies. Youll save
a plan similar to what Americans
80 calories.
consume but higher in fruits and
Eat 1/4 cup of dried apricots instead of a 2-ounce bag of pork rinds.
vegetables; and the DASH diet.
Youll save 230 calories.
All three plans used about 3,000

milligrams of sodium daily. None
To increase vegetables
Have a hamburger thats 3 ounces of meat instead of 6 ounces. Add
/2
cup serving of carrots and /2 cup serving of spinach. Youll save more
of the plans were vegetarian or

used specialty foods.
than 200 calories.

Instead of 5 ounces of chicken, have a stir-fry with 2 ounces of chicken
1
and 1 /2 cups of raw vegetables. Use a small amount of vegetable oil.

Youll save 50 calories.
fruits and vegetables plan and the

DASH diet reduced blood pressure.
But the DASH diet had the greatest
To increase lowfat or fat free dairy products

Have a /2 cup serving of lowfat frozen yogurt instead of a 1 /2-ounce
1
Results were dramatic: Both the
milk chocolate bar. You'll save about 110 calories.
And dont forget these calorie-saving tips

Use lowfat or fat free condiments.
effect, especially for those with high

blood pressure. Further, the blood
pressure reductions came fast
within 2 weeks of starting the plan.
Use half as much vegetable oil, soft or liquid margarine, or salad
dressing, or choose fat free versions.

Eat smaller portionscut back gradually.
DASH-Sodium, and it looked
Choose lowfat or fat free dairy products to reduce total fat intake.
at the effect on blood pressure of
Check the food labels to compare fat content in packaged foods
a reduced dietary sodium intake
items marked lowfat or fat free are not always lower in calories than
their regular versions.
Limit foods with lots of added sugar, such as pies, flavored
yogurts, candy bars, ice cream, sherbet, regular soft

drinks, and fruit drinks.
as participants followed either

the DASH diet or an eating plan
typical of what many Americans
consume. DASH-Sodium involved
Eat fruits canned in their own juice.
412 participants. Their systolic
Add fruit to plain yogurt.
blood pressures were 120159 mm
Snack on fruit, vegetable sticks, unbuttered and
Hg and their diastolic blood pres-
unsalted popcorn, or bread sticks.

Drink water or club soda.
The second study was called
sures were 8095 mm Hg. About

41 percent of them had high blood
BOX 4
pressure. About 57 percent were

women and about 57 percent were
DASH EATING PLAN NUMBER OF SERVINGS

FOR OTHER CALORIE LEVELS
African Americans.
Food Group
Participants were randomly

assigned to one of the two eating
plans and then followed for a month
at each of three sodium levels. The
three sodium levels were: a higher
Grains and grain products

Vegetables
Fruits
Lowfat or fat free dairy foods
Meats, poultry, and fish
Nuts, seeds, and dry beans
Fat and oils
Sweets
Servings/Day
1,600 calories/day
3,100 calories/day
6
12-13
3-4
6
4
6
2-3
3-4
1-2
2-3
3/week
1
2
4
0
2
intake of about 3,300 milligrams

per day (the level consumed by
many Americans); an intermediate
BOX 5
WHERES THE SODIUM?
intake of about 2,400 milligrams

per day; and a lower intake of
about 1,500 milligrams per day.
Results showed that reducing dietary
sodium lowered blood pressure for
both eating plans. At each sodium
level, blood pressure was lower on
the DASH diet than on the other
eating plan. The biggest blood
pressure reductions were for the
DASH diet at the sodium intake of
Only a small amount of sodium occurs naturally in foods. Most sodium is

added during processing. The Table below gives examples of varying
amounts of sodium that occur in foods before and after processing.
Food Groups
Sodium (mg)
Grains and grain products

Cooked cereal, rice, pasta, unsalted, 1/2 cup
Ready-to-eat-cereal, 1 cup
Bread, 1 slice
05
100360
110175
Vegetables
Fresh or frozen, cooked without salt, 1/2 cup
Canned or frozen with sauce, 1/2 cup
Tomato juice, canned 3/4 cup
170
140460
820
Fruit
Fresh, frozen, canned, 1/2 cup
05
1,500 milligrams per day. Those

with hypertension saw the biggest
reductions, but those without it
also had large decreases.
Those on the 1,500-milligram
sodium intake, as well as those
on the DASH diet, had fewer
headaches. Other than that and
blood pressure levels, there were
no significant effects caused by
the two eating plans or different
Lowfat or fat free dairy foods

Milk, 1 cup
Yogurt, 8 oz
Natural cheeses, 11/2 oz
Processed cheeses, 11/2 oz
Nuts, seeds, and dry beans
Peanuts, salted, 1/3 cup
Peanuts, unsalted, 1/3 cup
Beans, cooked from dried
or frozen, without salt, 1/2 cup
Beans, canned, 1/2 cup
Meats, fish, and poultry
Fresh meat, fish, poultry, 3 oz
Tuna canned, water pack, no salt added, 3 oz
Tuna canned, water pack, 3 oz
Ham, lean, roasted, 3 oz
120
160
110450
600
120
05
05
400
3090
3545
250350
1,020
sodium levels.
BOX 6
TIPS TO REDUCE SALT
BOX 7
REDUCING SODIUM WHEN EATING OUT
AND SODIUM
Use reduced sodium or no-salt-
accommodate requests.
choose low- or reduced-sodium,

or no-salt-added versions of
available.
Move the salt shaker away.
Buy fresh, plain frozen, or canned
Limit condiments, such as mustard, catsup, pickles, and sauces with

salt-containing ingredients.
with no-salt-added vegetables.
Know the terms that indicate high sodium content: pickled, cured, soy
sauce, broth.
foods and condiments when
Ask how foods are prepared. Ask that they be prepared without added
salt, MSG, or salt-containing ingredients. Most restaurants are willing to
added products. For example,
Use fresh poultry, fish, and lean

meat, rather than canned, smoked,
Choose fruit or vegetables, instead of salty

snack foods.
or processed types.
Choose ready-to-eat breakfast

cereals that are lower in sodium.
DASH-Sodium shows the impor-
foods than you may be used to
tance of lowering sodium intake
eating. This makes it high in fiber,
(such as pickles, pickled veg-
whatever your eating plan. But
which can cause bloating and
etables, olives, and sauerkraut),
for a true winning combination,
diarrhea in some persons. To
and condiments (such as MSG,
follow the DASH diet and lower
avoid these problems, gradually
your intake of salt.
increase your intake of fruit, veg-
Limit cured foods (such as bacon

and ham), foods packed in brine
mustard, horseradish, catsup,

and barbecue sauce). Limit even
etables, and whole grain foods.
lower sodium versions of soy

sauce and teriyaki saucetreat
these condiments as you do
HOW DO I MAKE
T H E DASH?
table salt.
Be spicy instead of salty. In
The DASH diet used in the studies
cooking and at the table, flavor
calls for a certain number of
foods with herbs, spices, lemon,

lime, vinegar, or salt-free
seasoning blends. Start by
groups. These are given in Box 2
cutting salt in half.
on page 3 for 2,000 calories per
Cook rice, pasta, and hot
day. The number of servings you
cereals without salt. Cut back on

instant or flavored rice, pasta,
servings daily from various food
require may vary, depending on
and cereal mixes, which usually
your caloric needBox 4 gives
have added salt.
the servings for 1,600 and 3,100
Choose convenience foods that

are lower in sodium. Cut back on
calories. If youre trying to lose
frozen dinners, mixed dishes
weight, check Box 3 for tips on
such as pizza, packaged mixes,
how to make the DASH eating
canned soups or broths, and
plan lower in calories.
milligrams of daily sodium intake.

Twenty-four hundred milligrams
of sodium equals about 6 grams,
or 1 teaspoon, of table salt
(sodium chloride); 1,500 milligrams
of sodium equals about 4 grams,
or 2/3 teaspoon, of table salt. These
amounts include all salt consumed
that in food products, used in cooking, and added at the table. Only
small amounts of sodium occur
naturally in food. Processed foods
have a lot of sodium.
You should be aware that the DASH
sodium Americans consume. So,
Rinse canned foods, such as
diet has more daily servings of
be sure to read food labels to
fruits, vegetables, and whole grain
choose products lower in sodium.
tuna, to remove some sodium.
recipes for both 2,400 and 1,500
account for most of the salt and
salad dressingsthese often
This fact sheet gives menus and
BOX 8
You may be surprised at many of

the foods that have sodium. They
COMPARE FOOD LABELS

Read the Nutrition Facts on food labels to compare the amount of sodium
include soy sauce, seasoned salts,
in products. Look for the sodium content in milligrams and the % Daily
monosodium glutamate (MSG),
Value. Aim for foods that are less than 5 percent of the Daily Value of
baking soda, and some antacids

the range is wide.
sodium.
Compare the food labels of these two versions of canned tomatoes:*
Since it is rich in fruits and veg-
CANNED DICED TOMATOES,

NO SALT ADDED
Nutrition Facts
Nutrition Facts
etables, which are naturally lower
Serving Size 1/2 cup

Servings Per Container approx. 31/2
Serving Size 1/2 cup

Servings Per Container approx. 31/2
in sodium than many other foods,

the DASH diet makes it easier
to consume less salt and sodium.
Still, you may want to begin by
adopting the DASH diet at the
level of 2,400 milligrams of sodium per day and then further lower
Amount Per Serving

Calories 25 Calories from Fat
CANNED DICED TOMATOES
Amount Per Serving

Calories 25 Calories from Fat
Total Fat 0 g
Saturated Fat 0 g
Cholesterol 0 mg
Sodium 20 mg
Total Carbohydrate 6 g
Dietary Fiber 2 g
Sugars 4 g
Protein 1 g
0%
0%
0%
1%
2%
8%
% Daily Value*
% Daily Value*
Total Fat 0 g
Saturated Fat 0 g
Cholesterol 0 mg
Sodium 200 mg
Total Carbohydrate 6 g
Dietary Fiber 2 g
Sugars 4 g
Protein 1 g
0%
0%
0%
8%
2%
8%
your sodium intake to 1,500 mil-
Vitamin A 10% Vitamin C 15%

Calcium 2% Iron 2%
Vitamin A 10% Vitamin C 15%

Calcium 2% Iron 2%
ligrams per day.
*Percent Daily Values are based on a

2,000 calorie diet
*Percent Daily Values are based on a

2,000 calorie diet
Boxes 6, 7, and 8 offer tips on
*The regular canned tomatoes have 10 times as much sodium as the unsalted canned tomatoes.
how to reduce the salt and sodium

content in your diet, and how
to use food labels to find lower
sodium products.
How can you get started on the
DASH diet? Its easy. The DASH
diet requires no special foods and
has no hard-to-follow recipes.
One way to begin is by seeing
how DASH compares with your
BOX 9
LABEL LANGUAGE
Food labels can help you choose items lower in sodium and saturated and
total fat. Look for the following labels on cans, boxes, bottles, bags, and
other packaging:
Phrase
Sodium
Sodium free or salt free
Very low sodium
Low sodium
Low sodium meal
Reduced or less sodium
current food habits. Use the
Light in sodium
Whats On Your Plate? form
Unsalted or no salt added
What it means
Less than 5 mg per serving
35 mg or less of sodium per serving
140 mg or less of sodium per serving
140 mg or less of sodium per 31/2 oz (100 g)
At least 25 percent less sodium than the
regular version
50 percent less sodium than the regular
version
No salt added to the product during
processing
on page 9. Fill it in for 12 days

and see how it compares with
the DASH plan. This will help
you see what changes you need
to make in your food choices.
Fat
Fat free
Low-saturated fat
Lowfat
Reduced fat
Light in fat
Less than 0.5 g per serving

1 g or less per serving
3 g or less per serving
At least 25 percent less fat than the
regular version
Half the fat than the regular version
BOX 10
GETTING STARTED
Remember that some days the

foods you eat may add up to more
Its easy to adopt the DASH eating plan. Here are some ways to get started:
than the recommended servings

from one food group and less
Change gradually.
If you now eat one or two vegetables a day, add a serving at lunch and
another at dinner.
have too much sodium on a partic-
If you don't eat fruit now or have only juice at breakfast, add a serving to
ular day. But dont worry. Just
your meals or have it as a snack.
be sure that the average of several
Gradually increase your use of fat free and lowfat dairy products to three
servings a day. For example, drink milk with lunch or dinner, instead of
whats recommended for the food
free (skim) dairy products to reduce your intake of saturated fat, total fat,
groups and for your chosen daily
Read food labels on margarines and salad dressings to choose those

lowest in unsaturated fat. Some margarines are now trans-fat free.
Treat meat as one part of the whole meal, instead of the focus.
days or a week comes close to
soda, sugar-sweetened tea, or alcohol. Choose lowfat (1 percent) or fat

cholesterol, and calories.
from another. Similarly, you may
sodium level.
Next, read the Getting Started
suggestions in the box on this page.
Limit meat to 6 ounces a day (2 servings)all thats needed. Three to

four ounces is about the size of a deck of cards.
Finally, use the menus that begin
If you now eat large portions of meat, cut them back graduallyby a half
on page 10or make up your own.
or a third at each meal.
Include two or more vegetarian-style (meatless) meals each week.
Increase servings of vegetables, rice, pasta, and dry beans in meals. Try
One note: If you take medication
casseroles and pasta, and stir-fry dishes, which have less meat and more
to control high blood pressure,
vegetables, grains, and dry beans.
you should not stop using it.

Follow the DASH diet and talk
Use fruits or other foods low in saturated fat, cholesterol, and calories
as desserts and snacks.
Fruits and other lowfat foods offer great taste and variety. Use fruits canned
in their own juice. Fresh fruits require little or no preparation. Dried fruits
are a good choice to carry with you or to have ready in the car.
Try these snacks ideas: unsalted pretzels or nuts mixed with raisins;
graham crackers; lowfat and fat free yogurt and frozen yogurt;
popcorn with no salt or butter added; and raw vegetables.
Try these other tips:
Choose whole grain foods to get added nutrients, such as minerals and
fiber. For example, choose whole wheat bread or whole grain cereals.
If you have trouble digesting dairy products, try taking lactase enzyme
pills or drops (available at drugstores and groceries) with the dairy foods.
Or, buy lactose-free milk or milk with lactase enzyme added to it.
Use fresh, frozen, or no-salt-added canned vegetables.
with your doctor about your drug

treatment.
BOX 11
WHATS ON YOUR PLATE?

Use this form to track your food habits before you start on the DASH eating plan or to see how youre doing after a few weeks. To record
more than 1 day, just copy the form. Total each days food groups and compare what you ate with the DASH plan. To see how the form
looks completed, check the menus that start on page 10.
Sweets
Fats and oils
Nuts, seeds,
& dry beans
Meat, poultry,
& fish
Dairy foods
Grains
Fruits
Number of servings by DASH food group
Vegetables
Amount
(serving size)
Sodium (mg)
Food
Breakfast
Example: whole wheat bread
& soft margarine
2 slices
2 tsp
299
102
2
2
Lunch
Dinner
Snacks
DAYS TOTAL
Compare yours with the DASH plan
2,400 mg
or
1,500 mg
78
45
45
23
2
or less
45
a week
23
5
a week
* Read food labels to compare the sodium content of foods. See page 7 to learn how to find sodium information on food labels.
A WEEK WITH THE DASH DIET

Here is a week of menus from the DASH eating plan. The menus allow you to have a daily sodium level of either 2,400 mg or, by making the noted
changes, 1,500 mg. You'll also find that the menus sometimes call for you to use lower sodium, or reduced fat or fat free, versions of products.
The menus are based on 2,000 calories a dayserving sizes should be increased or decreased for other calorie levels. To ease the calculations,
some of the serving sizes have been rounded off. Also, some items may be in too small a quantity to have a listed food group serving.
Recipes for starred items are given on the later pages. Some of these recipes give changes that can be used to lower their sodium level. Use the
changes if you want to follow the DASH diet at 1,500 milligrams of sodium per day.
DAY 1
Abbreviations: oz=ounce, tsp=teaspoon, Tbsp=tablespoon, g=gram, mg=milligram
Breakfast
2
/3 cup bran cereal
1 slice whole wheat bread
1 medium banana
1 cup fruit yogurt, fat free, no
sugar added
1 cup fat free milk
2 tsp jelly
Lunch
3
/4 cup chicken salad*
2 slices whole wheat bread
1 Tbsp Dijon mustard
salad:
1
/2 cup fresh cucumber slices
1
/2 cup tomato wedges
2 Tbsp ranch dressing, fat free
1
/2 cup fruit cocktail, juice pack
Dinner
3 oz beef, eye of round
2 Tbsp beef gravy, lowfat
1 cup green beans, cooked
from frozen
1 small baked potato:
2 Tbsp sour cream, fat free
2 Tbsp grated cheddar
cheese, natural, reduced fat
1 Tbsp chopped scallions
1 small whole wheat roll
1 small apple
1 cup fat free milk
161
149
1
53
/3 cup shedded wheat cereal
201
299
372
8
1
306
5
52
163
Sweets
Fats & oils
Nuts, seeds,
& dry beans
1
1
/3
remove salt from recipe
127
2
1 Tbsp regular mustard
196
1
1
2 Tbsp yogurt salad dressing*
84
1
1
2 Tbsp beef gravy, lowfat,

unsalted
5
2
7
28
86
1
2 Tbsp cheddar cheese, natural,
reduced fat, low sodium
1 tsp soft margarine, unsalted
/4
1
1
1
1
5
2
2
1
1
11/3
Totals
Nutrients Per Day
Calories
Total fat
Percent calories from fat
Saturated fat
Percent calories from saturated fat
Cholesterol
Meat, poultry,
& fish
12
1
148
51
0
126
Dairy foods
Fruits
Vegetables
1
1
126
5
Snack
1
/3 cup almonds, unsalted
1
/4 cup raisins
1 cup orange juice
10
Grains
Substitutions to Reduce
Sodium to 1,500 mg
Sodium (mg)
Sodium (mg)
Number of DASH Food Group Servings

2,400 mg Sodium Menu
5
Sodium Level
2,400 mg
1,500 mg
2,024
1,998
51 g
50 g
23 %
23 %
9g
9g
4%
4%
164 mg
164 mg
Nutrients Per Day

Sodium
Calcium
Magnesium
Potassium
Fiber
51/3
31/4
/3
Sodium Level
2,400 mg
1,500 mg
2,363 mg
1,320 mg
1,257 mg
1,338 mg
572 mg
589 mg
4,780 mg
4,745 mg
34 g
34 g
*recipe on page 17
DAY 2
Breakfast
1
/2 cup instant oatmeal,
flavored
1 mini whole wheat bagel
1 medium banana
1 cup fat free milk
1 Tbsp cream cheese, fat free
Lunch
chicken breast sandwich:
2 slices (3 oz) chicken breast,
skinless
1 slice (3/4 oz) American
cheese, reduced fat
1 large leaf romaine lettuce
2 slices tomato
1 Tbsp mayonnaise, lowfat
1 medium peach
1 cup apple juice
104
Snack
/3 cup almonds
1
/4 cup dried apricots
1 cup fruit yogurt, fat free,
no sugar added
1
/2 cup regular oatmeal,

with 1 tsp cinnamon
Sweets
1
2
1 slice (3/4 oz) Swiss
cheese, natural
54
/2
1
4
90
0
7
/4
/2
1
1
1
1
11/3
Substitute no-salt-added
tomato paste (6 oz)*
1
349
260
11/2
2
/2
24
10
1
0
4
4
1
/2
/2
1
1
/4
1
1
5
3
107
Nutrients Per Day

Calories
Total fat
Saturated fat
Cholesterol
Fats and oils
65
299
328
Nuts, seeds,
& dry beans
Meat, poultry,
& fish
Dairy foods
Fruits
Vegetables
Grains
1
1
1
1
1
Totals
*recipe on page 17
84
1
126
75
Dinner
3
/4 cup vegetarian spaghetti sauce* 459
1 cup spaghetti
3 Tbsp Parmesan cheese
spinach salad:
1 cup fresh spinach leaves
1
/4 cup fresh carrots, grated
1
/4 cup fresh mushrooms, sliced
2 Tbsp vinaigrette dressing*
1
/2 cup corn, cooked from frozen
1
/2 cup canned pears, juice pack
Sodium to 1,500 mg
Sodium (mg)
Sodium (mg)

6
Sodium Level
2,400 mg
1,500 mg
1,977
1,967
60 g
59 g
27 %
27 %
12 g
13 g
6%
6%
107 mg
112 mg
51/4
Nutrients Per Day

Sodium
Calcium
Magnesium
Potassium
Fiber
51/3
13/4
Sodium Level
2,400 mg
1,500 mg
2,152 mg
1,577 mg
1,351 mg
1,494 mg
502 mg
509 mg
4,513 mg
4,440 mg
32 g
34 g
11
DAY 3
Breakfast
3
/4 cup wheat flakes cereal
1 slice whole wheat bread
1 medium banana
1 cup fat free milk
1 cup orange juice
Lunch
beef barbeque sandwich:
2 oz beef, eye of round
1 Tbsp barbeque sauce
2 slices (11/2 oz) cheddar
cheese, reduced fat
1 sesame roll
2 slices tomato
1 cup new potato salad*
1 medium orange
Dinner
3 oz cod:
1 tsp lemon juice
1
/2 cup brown rice, long grain
1
/2 cup spinach, cooked
from frozen
1 small corn bread muffin
Snack
no added sugar
1
/4 cup dried fruit
2 large graham cracker
rectangles
1 Tbsp peanut butter,
reduced fat
199
149
1
126
5
51
35
156
260
2 cups puffed wheat cereal
Sweets
Fats and oils
Nuts, seeds,
& dry beans
/3
2 slices (11/2 oz) Swiss

cheese, natural
109
1
1
/4
/2
1
1
2
1
1
1
1
1 small white dinner roll
1 tsp soft margarine,
unsalted
146
1
1
1
107
6
156
Nutrients Per Day

Calories
Total fat
Saturated fat
Cholesterol
Meat, poultry,
& fish
89
1
5
88
101
Dairy foods
Fruits
Vegetables
1
11/3
319
1
22
12
0
363
51
1
1
1
1
1
unsalted
Totals
12
Grains
Sodium to 1,500 mg
Sodium (mg)
Sodium (mg)

/2
6
Sodium Level
2,400 mg
1,500 mg
1,984
1,958
44 g
46 g
20 %
21 %
12 g
13 g
5%
6%
146 mg
137 mg
3 3/4
Nutrients Per Day

Sodium
Calcium
Magnesium
Potassium
Fiber
41/3
12/3
/2
Sodium Level
2,400 mg
1,500 mg
2,303 mg
1,519 mg
1,490 mg
1,502 mg
495 mg
526 mg
4,752 mg
4,759 mg
29 g
30 g
*recipe on page 18
DAY 4
Breakfast
3
/4 cup cornflakes
/2 cup fruit yogurt, fat free,
no added sugar
1 medium apple
1 cup grape juice
1 cup fat free milk
1
223
Dinner
chicken and Spanish rice*
367
469
Sweets
Fats and oils
1
11/3
1
2 oz roast beef, low fat
35
/3
/2
2
/4
/2
1
1
1
2
substitute no-salt-added
tomato sauce (4 oz)*
226
1
1
2
1
1
5
5
7
1
1
11/3
Totals
Nutrients Per Day
Calories
Total fat
Saturated fat
Cholesterol
Nuts, seeds,
& dry beans
/2
70
14
148
126
51
Meat, poultry,
& fish
Dairy foods
Fruits
Vegetables
Grains
1
130
Snack
1
1
/2 cup fruit cocktail
1 cup apple juice
*recipe on page 18
1
1
0
8
126
299
1
22
90
43
/2 cup green peas, cooked

from frozen
1 cup cantaloupe
1 cup fat free milk
/2 cup corn grits, with

1 tsp nonfat margarine, unsalted
1
53
Lunch
ham and cheese sandwich:
2 oz smoked ham, lowfat,
low sodium
1 slice (3/4 oz) cheddar
2 slices tomato
1 cup carrot sticks
Sodium to 1,500 mg
Sodium (mg)
Sodium (mg)

5
Sodium Level
2,400 mg
1,500 mg
2,011
2,050
51 g
52 g
23 %
23 %
9g
9g
4%
4%
122 mg
142 mg
33/4
Nutrients Per Day

Sodium
Calcium
Magnesium
Potassium
Fiber
62/3
12/3
Sodium Level
2,400 mg
1,500 mg
2,259 mg
1,441 mg
1,200 mg
1,203 mg
491 mg
502 mg
5,152 mg
4,914 mg
32 g
32 g
13
DAY 5
Breakfast
3
/4 cup frosted shredded wheat
1 medium banana
1 cup fat free milk
1 cup orange juice
2 tsp jelly, no added sugar
3
299
1
126
5
51
0
Lunch
salad plate:
1
/2 cup tuna salad*
6 wheat crackers, fat free
158
1
107
/2 cup cottage cheese, 2%

1 cup canned pineapple,
juice pack
4 small celery sticks
2 Tbsp ranch dressing,
fat free
1
Dinner
3 oz turkey meatloaf**
1 Tbsp catsup
1 small baked potato:
1 Tbsp sour cream, lowfat
1 scallion stalk, chopped
1 cup collard greens, cooked
from frozen
1 medium peach
1 cup fat free milk
Snack
reduced fat
1
/2 medium bagel
(3-inch diameter)
1
/2 cup fruit yogurt, fat free,
no added sugar
459
2
59
306
62
178
7
51
15
2
15
Sweets
Fats and oils
Nuts, seeds,
& dry beans
1
11/3
1
/4
6 wheat crackers, fat free,

unsalted
1
/2 cup cottage cheese, 2%, unsalted
18
23
/4
2
/2
2 Tbsp yogurt dressing, fat free*
84
1
2 tsp catsup
119
1
2
1
1

reduced fat, unsalted
152
/2
53
Nutrients Per Day

Calories
Total fat
Saturated fat
Cholesterol
Meat, poultry,
& fish
0
126
101
Dairy foods
Fruits
Vegetables
1
2
/2
Totals
14
Grains
Sodium to 1,500 mg
Sodium (mg)
Sodium (mg)

5
Sodium Level
2,400 mg
1,500 mg
1,947
1,941
38 g
40 g
17 %
19 %
9g
10 g
4%
5%
153 mg
153 mg
33/4
Nutrients Per Day

Sodium
Calcium
Magnesium
Potassium
Fiber
51/3
23/4
/2
Sodium Level
2,400 mg
1,500 mg
2,495 mg
1,493 mg
1,293 mg
1,360 mg
429 mg
475 mg
4,609 mg
4,826 mg
27 g
30 g
*recipe on page 17
**recipe on page 18
DAY 6
Breakfast
1 lowfat granola bar
1 medium banana
no sugar added
1 cup orange juice
1 cup fat free milk
Lunch
turkey breast sandwich:
3 oz turkey breast
2 slices (11/2 oz) natural
cheddar cheese,
reduced fat
2 slices tomato
2 tsp mayonnaise, lowfat
1 Tbsp Dijon mustard
1 cup broccoli steamed
from frozen
1 medium orange
48
299
260
1
22
60
372
44
126
Sweets
Fats and oils
11/3
1
1
2
cheese, natural, reduced
fat, low sodium
/4
/2
1
1
/3
1 tsp regular mustard
60
2
1
1
2
1
96
2
1
1 tsp soft margarine,
unsalted
1
1
3 rice cakes (3 inches in

diameter), unsalted
126
3
1
61/2
Totals
Nutrients Per Day
Calories
Total fat
Saturated fat
Cholesterol
Nuts, seeds,
& dry beans
93
3
88
156
Meat, poultry,
& fish
1 cup fat free milk
Dairy foods
Fruits
Vegetables
/2
2
126
148
51
*recipe on page 19
Grains
71
1
107
Dinner
3 oz spicy baked fish*
1 cup scallion rice*
1
/2 cup spinach, cooked
from frozen
1 cup carrots, cooked from
frozen
Snack
2 large rectangle graham
crackers
1 cup fat free milk
1
/4 cup dried apricots
Sodium 1,500 mg
Sodium (mg)
Sodium (mg)

Sodium Level
2,400 mg
1,500 mg
1,944
1,927
31 g
28 g
14 %
13 %
8g
7g
4 %
3%
180 mg
180 mg
53/4
Nutrients Per Day

Sodium
Calcium
Magnesium
Potassium
Fiber
41/3
12/3
Sodium Level
2,400 mg
1,500 mg
2,331 mg
1,568 mg
1,858 mg
1,851 mg
549 mg
572 mg
5,555 mg
5,575 mg
34 g
35 g
15
DAY 7
Breakfast
1 cup whole grain oat rings
cereal
1 medium banana
no sugar added
1 cup fat free milk
212
Dinner
1
/6 recipe zucchini lasagna*
380
12
8
62
312
148
7
51
Nutrients Per Day

Calories
Total fat
Saturated fat
Cholesterol
Sweets
Fats and oils
Nuts, seeds,
& dry beans
1
1
1
1
/4
1
/2
1
2
1
1
substitute unsalted
cottage cheese in recipe*
196
/2
1
2 Tbsp croutons, plain
2 Tbsp vinaigrette dressing**
26
0
/4
/4
1
11/3
5
260
166
Meat, poultry,
& fish
Dairy foods
Fruits
Vegetables
Grains
1
1
1
3 large rye wafer crackers,
unsalted
81/4
Totals
16
126
57
90
1
22
299
0
126
Snack
1
6 whole wheat crackers
/2 cup regular oatmeal

with 1 tsp cinnamon
1
107
Lunch
tuna salad sandwich:
1
/2 cup tuna, drained, rinsed
2 slices tomato
1 medium apple
1 cup fat free milk
salad:
1
/2 cup fresh spinach leaves
1
/2 cup tomatoes wedges
2 Tbsp croutons, seasoned
2 Tbsp vinaigrette dressing,
reduced fat
1 cup grape juice
Sodium to 1,500 mg
Sodium (mg)
Sodium (mg)

Sodium Level
2,400 mg
1,500 mg
1,980
1,966
60 g
56 g
27 %
26 %
12 g
12 g
6%
5%
72 mg
76 mg
31/4
Nutrients Per Day

Sodium
Calcium
Magnesium
Potassium
Fiber
31/3
2 3/4
Sodium Level
2,400 mg
1,500 mg
2,471 mg
1,498 mg
1,587 mg
1,589 mg
527 mg
527 mg
4,556 mg
4,588 mg
31 g
31 g
*recipe on page 19
**recipe on page 17
RECIPES FOR HEART HEALTH
Here are some recipes to help you cook up a week of tasty heart healthy meals. If youre following the DASH eating plan at 1,500
milligrams of sodium per day or just want to reduce your sodium intake, use the suggested recipe changes.
Chicken Salad (Day 1)
31/4
/4
/2
1
/8
cup
cup
Tbsp
tsp
tsp
Tbsp
Makes 5 servings.
chicken, cooked, cubed, skinless

celery, chopped
lemon juice
onion powder
salt
mayonnaise, lowfat
Serving size: 3/4 cup
Per Serving:
Calories
Total fat
Saturated fat
Cholesterol
Fiber
1. Bake chicken, cut into cubes, and refrigerate.

2. In a large bowl, combine all ingredients with
chilled chicken and mix well.
183
7
2
78
0
g
g
mg
g
Sodium
Calcium
Magnesium
Potassium
201
17
25
240
mg
mg
mg
mg
To reduce sodium:
Remove added salt. New sodium total = 127 mg.
Yogurt Salad Dressing (Days 1 and 5)

8
/4
2
2
2
oz
cup
Tbsp
Tbsp
Tbsp
plain yogurt, fat free

mayonnaise, fat free
chives, dried
dill, dried
lemon juice
Serving size: 2 Tbsp
Makes 8 servings.
Per Serving:
Calories
Total fat
Saturated fat
Cholesterol
Fiber
Mix all ingredients in bowl and refrigerate.
23
0
0
1
0
g
g
mg
g
Sodium
Calcium
Magnesium
Potassium
84
72
10
104
mg
mg
mg
mg
Vegetarian Spaghetti Sauce (Day 2)

2
2
3
11/4
1
1
1
1
2
1
Tbsp
small
cloves
cup
Tbsp
Tbsp
8 oz can
6 oz can
medium
cup
olive oil
onions, chopped
garlic, chopped
zucchini, sliced
oregano, dried
basil, dried
tomato sauce
tomato paste
tomatoes, chopped
water
Makes 6 servings.
Per Serving:
Calories
Total fat
Saturated fat
Cholesterol
Fiber
102
5
1
0
5
g
g
mg
g
Sodium
Calcium
Magnesium
Potassium
459
42
37
623
mg
mg
mg
mg
To reduce sodium:
Use a 6 oz can of no-salt-added tomato paste.
New sodium total = 260 mg.
1. In a medium skillet, heat oil. Saut onions, garlic, and

zucchini in oil for 5 minutes on medium heat.
2. Add remaining ingredients and simmer covered for
45 minutes. Serve over spaghetti.
Vinaigrette Salad Dressing (Day 2)

1
/2
/4
/4
bulb
cup
Tbsp
tsp
Tbsp
tsp
garlic, separated and peeled

water
red wine vinegar
honey
virgin olive oil
black pepper
Makes 4 servings.
Serving size: 2 Tbsp
Per Serving:
Calories
Total fat
Saturated fat
Cholesterol
Fiber
33
3
1
0
0
g
g
mg
g
Sodium
Calcium
Magnesium
Potassium
0
2
1
9
mg
mg
mg
mg
1. Place the garlic cloves into a small saucepan and pour

enough water (about 1/2 cup) to cover them.
2. Bring water to a boil, then reduce heat and simmer
until garlic is tender, about 15 minutes.
3. Reduce the liquid to 2 Tbsp and increase the heat for
3 minutes.
4. Pour the contents into a small sieve over a bowl and,
with a wooden spoon, mash the garlic through the sieve.
5. Whisk the vinegar into the garlic mixture; mix in the oil
and seasoning.
17
New Potato Salad (Day 3)

16
2
/4
/4
small
Tbsp
cup
tsp
tsp
new potatoes (5 cups)

olive oil
green onions, chopped
black pepper
dill weed, dried
1. Thoroughly clean the potatoes with a vegetable

brush and water.
2. Boil potatoes for 20 minutes or until tender.
3. Drain and cool potatoes for 20 minutes.
4. Cut potatoes into fourths and mix with olive oil,
onions, and spices.
5. Refrigerate and serve.
Makes 5 servings.
Serving size: 1 cup
Per Serving:
Calories
Total fat
Saturated fat
Cholesterol
Fiber
187
6
1
0
3
g
g
mg
g
Sodium
Calcium
Magnesium
Potassium
12
21
36
547
mg
mg
mg
mg
Chicken and Spanish Rice (Day 4)

1
/4
2
1
1
/2
11/4
1
5
31/2
cup
cup
tsp
8 oz can
tsp
tsp
tsp
cup
cup
onions, chopped
green peppers
vegetable oil
tomato sauce
parsley, chopped
black pepper
garlic, minced
cooked rice (in unsalted water)
chicken breast, cooked (skin and
bone removed), diced
1. In a large skillet, saut onions and green peppers in

oil for 5 minutes on medium heat.
2. Add tomato sauce and spices. Heat through.
3. Add cooked rice and chicken, and heat through.
Serving size: 11/2 cups
Makes 5 servings.
Per Serving:
Calories
Total fat
Saturated fat
Cholesterol
Fiber
406
6
2
75
2
g
g
mg
g
Sodium
Calcium
Magnesium
Potassium
367
45
57
527
mg
mg
mg
mg
To reduce sodium:
Use one 4 oz can of no-salt-added tomato sauce and one 4 oz
can of regular tomato sauce. New sodium total = 226 mg.
Tuna Salad (Day 5)

2
/2
1
/3
61/2
1
6 oz can
cup
cup
Tbsp
tuna, water pack

raw celery, chopped
green onions, chopped
mayonnaise, reduced fat
1. Rinse and drain tuna for 5 minutes.

Break apart with a fork.
2. Add celery, onion, and may
onnaise, and mix well.
Makes 5 servings.
Per Serving:
Calories
Total fat
Saturated fat
Cholesterol
Fiber
146
7
0
25
1
g
g
mg
g
Sodium
Calcium
Magnesium
Potassium
158
15
19
201
mg
mg
mg
mg
Turkey Meatloaf (Day 5)

1
/2
1
1
/4
pound
cup
large
Tbsp
cup
ground turkey, lean

oats, regular, dry
egg, whole
onion, dehydrated
catsup
1. Combine all ingredients and mix well.

2. Bake in a loaf pan at 350 F for 25 minutes
or to internal temperature of 165 F.
3. Cut into five slices and serve.
18
Serving size: 1 slice (3 oz)
Makes 5 servings.
Per Serving:
Calories
Total fat
Saturated fat
Cholesterol
Fiber
196
7
2
103
1
g
g
mg
g
Sodium
Calcium
Magnesium
Potassium
217
33
35
292
mg
mg
mg
mg
Spicy Baked Fish (Day 6)

1
1
1
pound
Tbsp
tsp
cod (or other fish) fillet

olive oil
spicy seasoning, salt free
Serving size: 1 piece (3 oz)
Makes 4 servings.
Per Serving:
1. Preheat oven to 350 F. Spray a casserole dish with

cooking oil spray.
2. Wash and dry fish. Place in dish. Mix oil and seasoning,
and drizzle over fish.
3. Bake uncovered for 15 minutes or until fish flakes with
fork. Cut into 4 pieces. Serve with rice.
Calories
Total fat
Saturated fat
Cholesterol
Fiber
133
1
0
77
0
g
g
mg
g
Sodium
Calcium
Magnesium
Potassium
119
20
67
394
mg
mg
mg
mg
Scallion Rice (Day 6)

41/2
11/2
/4
cups
tsp
cup
Serving size: 1 cup
Makes 5 servings.
cooked rice (in unsalted water)

bouillon granules, unsalted
scallions (green onions), chopped
Per Serving:
Calories
Total fat
Saturated fat
Cholesterol
Fiber
1. Cook rice according to directions on the package.

2. Combine the cooked rice, scallions, and bouillon
granules, and mix well.
3. Measure 1 cup portions and serve.
185
1
0
0
1
g
g
mg
g
Sodium
Calcium
Magnesium
Potassium
3
24
20
80
mg
mg
mg
mg
Zucchini Lasagna (Day 7)
/2
pound
/4
cup
cup
cup
cup
cup
tsp
tsp
cup
clove
tsp
11/2
/4
1 /2
21/2
2
2
1
/4
/8
cooked lasagna noodles

(in unsalted water)
mozzarella cheese, part-skim, grated
cottage cheese, fat free
Parmesan cheese, grated
zucchini, raw, sliced
tomato sauce, no salt added
basil, dried
oregano, dried
onion, chopped
garlic
black pepper
Serving size: 1 piece
Makes 6 servings.
Per Serving:
Calories
Total fat
Saturated fat
Cholesterol
Fiber
276
5
2
11
5
g
g
mg
g
Sodium
Calcium
Magnesium
Potassium
380
216
55
561
mg
mg
mg
mg
1. Preheat oven to 350 F. Lightly spray a 9 x 13 inch

baking dish with vegetable oil spray.
2. In a small bowl, combine 1/8 cup mozzarella and 1 Tbsp
Parmesan cheese. Set aside.
3. In a medium bowl, combine remaining mozzarella and
Parmesan cheese with all of the cottage cheese. Mix well
and set aside.
4. Combine tomato sauce with remaining ingredients.
Spread a thin layer of tomato sauce in the bottom of the
baking dish. Add a third of the noodles in a single layer.
Spread half of the cottage cheese mixture on top. Add a
layer of zucchini. Repeat layering. Add a thin coating of
sauce. Top with noodles, sauce, and reserved cheese
mixture. Cover with aluminum foil.
5. Bake 30 to 40 minutes. Cool for 10 to 15 minutes.
Cut into 6 portions.
To reduce sodium:
Use unsalted cottage cheese. New sodium total = 196 mg.
19
WANT TO
LEARN MORE?
BOX 12
MAKING
THE
DASH
TO
GOOD
HEALTH
The DASH plan is a new way of eatingfor a lifetime. If you slip from the
eating plan for a few days, dont let it keep you from reaching your health
goals. Get back on track. Heres how:
Ask yourself why you got off the track.

Was it at a party? Were you feeling stress at home or work? Find out what
triggered your sidetrackand start again with the DASH plan.
Dont worry about a slip.

Everyone slipsespecially when learning something new. Remember that
changing your lifestyle is a long-term process.
See if you tried to do too much at once.

Often, those starting a new lifestyle try to change too much at once.
Instead, change one or two things at a time. Slowly but surely is the best
way to succeed.
Break the process down into small steps.

This not only keeps you from trying to do too much at once, but also keeps
the changes simpler. Break complex goals into smaller, simpler steps,
each of which is attainable.
Write it down.
Use the Table on page 9 to keep track of what you eat. This can help you
find the problem. Besides noting what you eat, also record: where you are,
what you're doing, and how you feel. Keep track for several days. You may
find, for instance, that you eat high fat foods while watching television. If
so, you could start keeping a substitute snack on hand to eat instead of
the high fat foods. This record also helps you be sure youre getting
enough of each food group.
Celebrate success.
Treat yourself to a nonfood treat for your accomplishments.
For more information about the

DASH studies and eating plan,
visit the special Web site at
http://dash.bwh.harvard.edu.
Bulk copies of this DASH diet
fact sheet are available at a
minimal cost from the NHLBI
Health Information Center,
P.O. Box 30105, Bethesda, MD
20824-0105.
For more about hypertension,
visit the NHLBIs online guide to
lowering high blood pressure. It
can be found through the NHLBI
Web site at http://www.nhlbi.
nih.govlook for special Web
pages. It and the NHLBI Web
site also have the publication,
Facts About Lowering Blood
Pressure. Or, order it from
the NHLBI Health Information
Centerask for NIH Publication
No. 00-3281.
The NHLBI Web site has
information on other heartrelated topics too. Or, to obtain
information on other topics,
write to the NHLBI Health
Information Center.
To hear recorded messages
about high blood pressure
prevention and treatment, call
toll-free 1-800-575-WELL(9355).
The information line also has
messages on high blood
cholesterol. The messages
are available in English and
Spanish.
WHO HELPED
WITH DASH?
The DASH study was sponsored
by the NHLBI and conducted at
four medical centers. There
was also a central coordinating
center at Kaiser Permanente
Center for Health Research in
Portland, OR.
The four medical centers were:
Brigham and Womens Hospital,
Boston, MA; Duke University
Medical Center, Durham, NC;
Johns Hopkins University,
Baltimore, MD; Pennington
Biomedical Research Center,
Louisiana State University,
Baton Rouge, LA.
U.S. DEPARTMENT OF HEALTH

AND HUMAN SERVICES
Public Health Service
National Institutes of Health
National Heart, Lung, and Blood Institute
NIH Publication No. 01-4082
Menus and recipes were analyzed using the Minnesota Nutrition Data System softwareFood Data
Base version 4.02_30; Nutrient Data Base version 4.02_30developed by the Nutrition Coordinating
Center, University of Minnesota, Minneapolis, MN.
Originally Printed 1998

Reprinted February 1999
Revised May 2001

DASH Eating Program

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DASH Eating Program

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FACTS ABOUT

The DASH Diet

Research has found that diet

Governments National High Blood

affects the development of high

Pressure Education Program, or NHBPEP,

blood pressure, or hypertension

and the amount used to figure food

(the medical term). Recently, two studies

labels Nutrition Facts Daily Value) and

showed that following a particular eating

plancalled the DASH dietand reducing

Those with high blood pressure may

eating plan and reducing their sodium

intake. But the combination is a heart-

sure, the combination of the eating plan

healthy recipe that all adults can follow.

and a reduced sodium intake gives the

WHAT IS HIGH BLOOD

This fact sheet, based on the DASH

Blood pressure is the force of blood

research findings, tells about high blood

against artery walls. It is measured in

pressure, and how to follow the DASH

millimeters of mercury (mm Hg) and

diet and reduce the amount of sodium

recorded as two numberssystolic pres-

you consume. It offers tips on how to

sure (as the heart beats) over diastolic

start and stay on the eating plan, as well

pressure (as the heart relaxes between

as a week of menus and some recipes.

beats). Both numbers are important

The menus and recipes are given for

(see Box 1 on page 2).

biggest benefit and may help prevent the

two levels of daily sodium consumption

Blood pressure rises and falls during the

current recommendations by the Federal

BLOOD PRESSURE CATEGORIES FOR ADULTS*

pressure rises above optimal,

In the past, researchers tried to

find clues about what in the diet

affects blood pressure by testing

various single nutrients, such as

calcium and magnesium. These

studies were done mostly with

dietary supplements and their

** If your systolic and diastolic pressures fall into different

National Heart, Lung, and Blood

Institute (NHLBI) conducted two

time, then its called high blood

older have high blood pressure.

to Stop Hypertension, and it tested

pressure. High blood pressure is

in food. Its findings showed that

controlled if you take these steps:

blood pressures were reduced with

maintain a healthy weight; be

an eating plan that is low in satu-

physically active; follow a healthy

rated fat, cholesterol, and total fat,

eating plan, which includes foods

and that emphasizes fruits, vegeta-