Penelope Ponthieu

NUTR 4112- Therapeutic Diet

21 February 2017

DASH Handout
Penelope Ponthieu
University of Memphis
 Penelope Ponthieu
NUTR 4112- Therapeutic Diet
21 February 2017
DASH Diet
High blood pressure is blood pressure higher than 140/90 mmHg. Prehypertension
(almost high blood pressure) falls between 120/80 and 139/89 mmHg. You can take control with
the DASH (Dietary Approaches to Stop Hypertension) diet. This diet has a person eat: twice the
average daily serving of fruits, vegetables, and dairy products. They will also consume 1/3 less
beef, pork, and ham, less fats and oils, and sweets and snacks1.Sodium is a mineral known
to raise blood pressure levels. Magnesium, calcium, and potassium will help lower it instead. The
DASH diet works to adjust these minerals to bring blood pressure down. Other methods include
increasing physical activity and limiting alcohol and foods high in saturated fat, cholesterol, and
trans fats. Go to https://www.choosemyplate.gov/myplate-daily-checklist-input/ to develop a
plan suited to your needs.
Foods to Choose Foods to Lose
Nonfat dairy products High fat dairy products
Fatty fish (salmon, tuna), Egg whites Fatty red meats, egg yolks
Canola, olive oil, fat free dressing, soft margarine Trans and saturated fats (margarine, fried foods, fatty
meats)
Colorful vegetables (tomatoes, kale, sweet Goods canned with sodium, pickles
potatoes, spinach, apricot squash, bell pepper,
carrots)
Hummus High salt sauces- ketchup, mustard, bbq,
Worcestershire, salsa
Bananas, apricots, strawberries Salted dried fruits, canned fruits
Almonds (Unsalted) Salted snacks
Whole grain breads White bread

Nutrients Per Day2 2300mg (regular diet) 1500mg (DASH diet)

Calories 2027 2078
Total fat 64g 68g
Calories from fat 28% 30%
Saturated fat 13g 16g
Calories from saturated fat 6% 7%
Cholesterol 114mg 129mg
Sodium 2035mg 1560mg
Calcium 1370mg 1334mg
Magnesium 535mg 542mg
Potassium 4715mg 4712mg
Fiber 34g 34g
*Based on a 2000kcal/day diet.
*FOG Score: 5.8
 Penelope Ponthieu
NUTR 4112- Therapeutic Diet
21 February 2017

Three Day Usual Intake Diary

Penelope Ponthieu
University of Memphis

Three Day Usual Intake Diary

 Penelope Ponthieu
NUTR 4112- Therapeutic Diet
21 February 2017
Breakfast Lunch Dinner Snack Nutrient Analysis4
Regula 1C Total 1C whole 3 chicken 1 medium Total kcal 2096
r Day 1 wheat cereal grain pasta fingers peeled Total fat 95g
1C skim 1/2C 1small fry carrot Cholesterol 165g
milk spaghetti 1 medium Saturated Fat 27g
4 sauce apple Total carbs 240g
clementines 3oz beef Protein 88g
12oz coffee kielbasa Dietary fiber 26g
3T sugar sausage Sodium 3940mg
free creamer Magnesium 231mg
Calcium 2036mg
Potassium 3089mg
Regula 8oz coffee 1.5C corn 1.5C chili None Total kcal 993
r Day 2 1oz sugar chowder with meat Total fat 44g
free creamer soup and beans Cholesterol 129g
2 turkey Saturated Fat 20g
sausage links Total carbs 111g
2 blueberry Protein 41g
pancakes Dietary fiber 9g
1T butter Sodium 1818mg
1oz agave Magnesium 39mg
syrup Calcium 198mg
Potassium 730mg
Regula 8oz coffee 1 apple 3C None Total kcal 1456
r Day 3 1oz sugar Low-fat southwest Total fat 44g
free creamer yogurt salad Cholesterol 146g
1 sourdough 0.25C 0.25C Saturated Fat 18g
bagel granola southwest Total carbs 215g
2T cream with dressing Protein 64g
cheese raisins Dietary fiber 24g
1.5C 1C chili Sodium 2196mg
chocolate with meat Magnesium 143mg
milk and beans Calcium 781mg
4 Potassium 2274mg
clementines
 Penelope Ponthieu
NUTR 4112- Therapeutic Diet
21 February 2017

Three Day DASH Intake Diary

Penelope Ponthieu
University of Memphis

Three Day DASH Intake Diary

Breakfast Lunch Dinner Snack Nutrient Analysis4
 Penelope Ponthieu
NUTR 4112- Therapeutic Diet
21 February 2017
DASH 8oz coffee 2slices 3oz turkey 0.5C Total kcal 1844
Day 1 1oz sugar whole burger unsalted Total fat 87g
free creamer grain bread 1C spinach almonds Cholesterol 153g
1C Total 3oz tuna 0.5C tomato Saturated Fat 18g
cereal salad made 2 slices Total carbs 229g
1.5C skim with 0.25C whole grain Protein 101g
milk Greek bread Dietary fiber 47g
1 banana yogurt 1 banana Sodium 1600mg
1slice 0.5C sugar Magnesium 611mg
Colby snap peas Calcium 2448mg
cheese Potassium 2708mg
1C bell
pepper
0.5C
tomato
1C spinach
1 apple
DASH 8oz coffee 3oz tuna 1 medium 0.5C Total kcal 1969
Day 2 1oz sugar salad with sweet potato unsalted Total fat 74g
free creamer plain with 1T almonds Cholesterol 146mg
1C Total Greek unsalted 0.5 dried Saturated Fat 17g
cereal yogurt, 3 butter, 2T apricots Total carbs 246g
1C skim slices sour cream Protein 100g
milk tomato, 1C 4 Dietary fiber 43g
1 banana baby clementines Sodium 1350mg
spinach, 3oz grilled Magnesium 542mg
1C bell salmon Calcium 2332mg
pepper, 1 0.5C snap Potassium 4643mg
medium peas
carrot
DASH 8oz coffee Black bean Baked sweet 0.5C Total kcal 1783
Day 3 1oz sugar burger on 2 potato with unsalted Total fat 63g
free creamer slices 2T nonfat almonds Cholesterol 44g
1C nonfat whole sour cream, 1 banana Saturated Fat 15g
plain yogurt grain bread 1T unsalted Total carbs 259g
mixed with with 3 butter, 0.5C Protein 73g
0.75 cup slices white beans, Dietary fiber 46g
total cereal, tomato, 1 1C cooked Sodium 1039mg
1/2C dried cup spinach Magnesium 590mg
apricot, and spinach Calcium 1768mg
1 banana Potassium 4636mg
 Penelope Ponthieu
NUTR 4112- Therapeutic Diet
21 February 2017

Average Nutrient Totals

Penelope Ponthieu
University of Memphis

Average Nutrient Totals

Regular Actual Intake DASH diet Actual DASH

DRI3 Average DRI2 Average
Calories 2200kcal 1515 2078 1865
 Penelope Ponthieu
NUTR 4112- Therapeutic Diet
21 February 2017
Total fat 65g 61 68g 74.6g
Calories from 28% 35% 30% 44%
fat
Saturated fat 13g 21 16g 16g
Calories from 6% 12% 7% 7%
saturated fat
Cholesterol 300mg 149g 129mg 114g
Sodium 2300mg 2651mg 1560mg 1329mg
Calcium 1000mg 1005mg 1334mg 2182mg
Magnesium 310mg 137.6mg 542mg 581mg
Potassium 4700mg 2031mg 4712mg 3995mg
Fiber 28g 19.6 34g 45g
 Penelope Ponthieu
NUTR 4112- Therapeutic Diet
21 February 2017

Intake Discussion
Penelope Ponthieu
University of Memphis
 Penelope Ponthieu
NUTR 4112- Therapeutic Diet
21 February 2017
Americans with normal blood pressure (BP) should consume about 2300mg of

sodium/day, whereas individuals with high BP, or hypertension, only need about 1500mg/day.

Studies show that the lower the sodium intake, the lower the BP. Calcium, magnesium, and

potassium have all been shown to help lower BP. For example, foods that contain high levels of

calcium, such as dairy products, have been shown to lower the risk of hypertension by 13%. For

a BP lowering effect, the calcium must come from food rather than supplements, which have

shown no effects. Magnesium plays a major role in smooth muscle contraction. Increasing intake

up to 370mg/day results in BP lowering of SBP of 4-5mmHg and DPD of 2-3mmHg. Potassium

intake of up to 4700mg has also shown a lowering effect of SBP of 2-6 mmHg and DPD of 2-4

mmHg. While the specific mechanism of potassiums role in high BP is unknown, it is theorized

that its impact originates in altering membrane potential for smooth muscle contraction. Finally,

if a person leads a sedentary lifestyle, they are 30%-50% more likely to develop hypertension as

compared to an active individual1.

When looking at my regular and DASH diet intakes, I note a few major changes. First, I

was able to increase my caloric intake by over 300 kcal, but still fell short of my 2200 kcal goal.

Its very difficult to eat enough calories because lately I havent had much of an appetite. I had to

force myself to eat as much as I did while I was following the DASH diet. My fat intake is much

too high as well. My calories from fat was too high for both intake diarys, but I was able to

lower my saturated fat intake on the DASH diet. My sodium intake was high in my regular diet;

however, I did well reducing it for the therapeutic diet. My magnesium consumption was low

initially, then I managed to bring it up to par with DASH regulations. I did well keeping adequate

calcium levels in each food diary. I struggled most with potassium ingestion. While I ate quite a

bit of spinach, tomatoes, carrots, bananas, oranges, and almonds, I still struggled to raise my
 Penelope Ponthieu
NUTR 4112- Therapeutic Diet
21 February 2017
potassium intake. Im glad we were instructed to calculate averages for each diet. It clearly laid

out my eating flaws. Ive learned I need to work harder to eat fruits and veggies. I cant keep

justifying fried foods and snacks. I do much better when I meal prep and have food readily

available throughout the week. Bringing food from home prevents me from going to various

places on campus and being tempted by whats available.

The biggest barrier I faced was food cravings. Chips and salsa is my favorite snack,

which is loaded with sodium. While I did not approach this directly with my three-day DASH

diet, I have decided that I need to start making my own chips and salsa to cut back on sodium

and saturated fat. It was really hard eating all those bananas. My budget limited me on having a

variety of foods. Luckily I had some of the products already in stock (black bean burger, turkey

meat, tuna). I had to change my mentality about eating. By that I mean I couldnt eat the snack I

wanted (chips and salsa), instead I had to push foods high in potassium. This assignment made

me realize that cutting out sodium and increasing magnesium, calcium, and potassium is not an

easy task. The easiest part of the DASH diet instructions was to maintain an active lifestyle. I

have mandatory physical training four mornings a week, so I already filled the activity

requirements. The American lifestyle is severely flawed, so asking a patient to change the way

theyve eaten their whole lives or to start exercising presents a challenge. Luckily, the DASH

diet should be introduced slowly, so the patient would have some time to adjust as they went

along. To add, I learned that writing on a 6th grade reading level is actually quite a challenge. I

understand handouts need to be tailored for people of all backgrounds, but I hadnt realized that

it would take such effort to simplify my writing.

 Penelope Ponthieu
NUTR 4112- Therapeutic Diet
21 February 2017
References

1. Kathleen Mahan L. Krause's Food & the Nutrition Care Process. St. Louis, MI: Elsevier;
2016.

2. National Heart, Lung, and Blood Institute. Your Guide to Lowering your Blood Pressure
with DASH. August 2015.
https://www.nhlbi.nih.gov/files/docs/public/heart/dash_brief.pdf. Accessed February 12,
2017.

3. USDA. MyPlate Daily Checklist. Center for Nutrition Policy and Promotion. January
2016. https://choosemyplate-
prod.azureedge.net/sites/default/files/myplate/checklists/MyPlateDailyChecklist_2200cal
s_Age14plus.pdf. Accessed Feb 2, 2017.

4. The Food Processor. Nutrition and Fitness Software. Esha RESEARCH. 2016.
https://citrix.memphis.edu/Citrix/UOMWeb/