What are your thoughts about the DASH Diet for improved heart health?

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Dr. Bikman answers a question about the DASH diet, a dietary approach intended to lower blood pressure and thus reduce the risk of heart disease. He points out that while the diet is commonly praised for being low in fat and salt, it also significantly reduces refined sugars and starches, which could be contributing to its benefits. Ben highlights a study comparing the traditional DASH diet with a high-fat version, noting that the latter not only matched the standard diet in reducing blood pressure but also led to better lipid profile improvements, particularly lowering triglycerides and VLDL, which are more predictive of heart attack risk than LDL levels.

Study Referenced:

https://pubmed.ncbi.nlm.nih.gov/26718...

The study explored a modified version of the DASH diet that incorporated higher-fat, lower-carbohydrate options with full-fat dairy products. In this randomized controlled crossover trial, 36 hypertensive subjects followed three different diets for three weeks each: a control diet, the standard DASH diet, and a higher-fat, lower-carbohydrate version of the DASH diet, which included full-fat dairy products. The modified diet aimed to increase saturated fat from 8% to 14% of total energy intake, primarily by substituting non-fat and low-fat dairy products with full-fat options like milk, cheese, and yogurt. Additionally, sugars were reduced, mostly by decreasing the consumption of fruit juices.

The results of the study indicated that both the standard DASH diet and the High Fat-DASH diet comparably reduced systolic and diastolic blood pressures. Additionally, the High Fat-DASH diet showed favorable effects on some blood lipid markers, such as reduced plasma triglycerides and increased LDL particle size, compared to the standard DASH diet. These findings suggest that incorporating full-fat dairy into a DASH diet could maintain its blood pressure-lowering effects while also improving certain lipid profiles​.

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