Expert groups’ recommendations, preventive commercial food rations with proven efficacy and nutrients prescribed for patients with essential hypertension and obesity at high cardiovascular risk

D.K. Miloslavsky, S.N. Koval, I.A. Snegurska, T.G. Starchenko, V.V. Bozhko


This review considers the issues and prospects of the preventive nutrition in the essential hypertension on the background of alimentary obesity, the role and place of certain nutrients in diets recommended for patients with hypertension and obesity at high cardiovascular risk, with ischemic heart disease, dyslipidemia, disturbances of carbohydrate and purine metabolism. The American and Ukrainian guidelines on the diet and lifestyle modification, the results of multicenter researches on hypertension and obesity were commented, as well as the European diets with proven efficacy (DASH diet, Mediterranean diet, TLC, MIND, D. Ornish diet, polymeal, OmniHeart diet, the Mayo Clinic diet, Paleolithic diet, Weight Watchers diet, LCHF diet, South Beach diet, MEDFICTS dietary fat screener), features of their use in hypertension, obesity, diabetes mellitus type 2, atherosclerosis, short recommendations on increased physical activity in these patients.


preventive nutritional rations; recommended nut­rients; essential hypertension; obesity; high cardiovascular risk


Nakaz MOZ Ukrayiny vid 29.10.2013 roku # 931 «Pro udoskonalennya orhanizatsiyi likuval'noho kharchuvannya ta roboty diyetolohichnoyi systemy v Ukrayini». Available from:

Nakaz MOZ Ukrayiny vid 14.01.2013 # 16 «Metodychni rekomendatsiyi dlya likariv zahal'noyi praktyky – simeynoyi medytsyny z pryvodu konsul'tuvannya patsiyentiv shchodo osnovnykh zasad zdorovoho kharchuvannya». Available from:

Nakaz MOZ Ukrayiny vid 24.05.2012 roku # 384 «Arterial'na hipertenziya». Onovlena ta adaptovana klinichna nastanova, zasnovana na dokazakh, 2012. Available from:

Rekomendatsiyi Ukrayins'koyi asotsiatsiyi diyetolohiv khvorym z pidvyshchennyam AT. Available from:

[No authors listed]. Ornish, Pritikin get Medicare okay for cardiac rehab. Harv. Heart. Lett. 2010.;21(4):7.

Aaron KJ, Sanders PW. Role of dietary salt and potassium intake in cardiovascular health and disease: a review of the evidence. Mayo Clin. Proc. 2013; 88(9):987-995.

Ando K, Kawarazaki H, Miura K, et al. [Scientific statement] Report of the Salt Reduction Committee of the Japanese Society of Hypertension (1) Role of salt in hypertension and cardiovascular diseases Hypertens. Res. 2013;36(12):1009-1019.

Atallah R, Filion KB, Wakil SM, et al. Long-Term Effects of 4 Popular Diets on Weight Loss and Cardiovascular Risk Factors: A Systematic Review of Randomized Controlled Trials. Circ. Cardiovasc. Qual. Outcomes. 2014. Available from:

Azadbakht L, Fard NR, Karimi M, et al. Effects of the Dietary Approaches to Stop Hypertension (DASH) eating plan oncardiovascular risks among type 2 diabetic patients: a randomized crossoverclinical trial. Diabetes Care. 2011;34(1):55-57.

Bavikati VV, Sperling LS, Salmon RD, et al. Effect of comprehensive therapeutic lifestyle changes on prehypertension. Am. J. Cardiol. 2008;102(12):1677-80. doi: 10.1016/j.amjcard.2008.08.034.

Caminhotto Rde O, Fonseca FL, Castro NC, et al. Atkins diet program rapidly decreases atherogenic index of plasma in trained adapted overweight men. Arch. Endocrinol. Metab. 2015;59(6):568-71. doi: 10.1590/2359-3997000000106.

Chiu S, Bergeron N, Williams PT, et al. Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: a randomized controlled trial. Am. J. Clin. Nutr. 2016;103(2):341-7. doi: 10.3945/ajcn.115.123281.

Dorner TE, Genser D, Krejs G, et al. [Hypertension and nutrition. Position paper of the Austrian Nutrition Society]. Herz. 2013;38(2):153-162.

Eckel RH, Jakcic JM, Ard JD, at al. 2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk. JACC. 2013;67(25):2960-84.

Eilat-Adar S, Sinai T, Yosefy C, Henkin Y. Nutritional recommendations for cardiovascular disease prevention. Nutrients. 2013;5(9):3646-3683.

Esposito K, Chiodini P, Maiorino M.I, et al. Which diet for prevention of type 2 diabetes? A meta-analysis of prospective studies . Endocrine. 2014;47(1):P.107-116.

Frank AP, Clegg DJ. JAMA PATIENT PAGE. Dietary Guidelines for Americans--Eat Less Sugar. JAMA. 2016;315(11):1196. doi: 10.1001/jama.2016.0968

Gadgil MD, Appel LJ, Yeung E, et al. The effects of carbohydrate, unsaturated fat, and protein intake on measures of insulin sensitivity: results from the OmniHeart trial. Diabetes Care. 2013;36(5):1132-1137.

Heilmeyer P, von Bibra H. [Diastolic heart failure treated by diet]. Dtsch. Med. Wochenschr. 2016;141(2):121-4. doi: 10.1055/s-0041-109122.

Hinderliter AL, Babyak MA, Sherwood A, Blumenthal JA. The DASH diet and insulin sensitivity. Curr. Hypertens. Rep. 2011;13(1):67-73.

Hoffman R. Can the paleolithic diet meet the nutritional needs of older people? . Maturitas. 2016 Sep 13. pii: S0378-5122(16)30222-5. doi: 10.1016/j.maturitas.2016.09.005.

Hosseinpour-Niazi S, Mirmiran P, Hedayati M, Azizi F. Substitution of red meat with legumes in the therapeutic lifestyle change diet based on dietary advice improves cardiometabolic risk factors in overweight type 2 diabetes patients: a cross-over randomized clinical trial. Eur. J. Clin. Nutr. 2015;69(5):592-7. doi: 10.1038/ejcn.2014.228.

Hummel SL, Seymour EM, Brook RD, et al. Low-sodium dietary approaches to stop hypertension diet reduces blood pressure, arterial stiffness, and oxidative stress in hypertensive heart failure with preserved ejection fraction. Hypertension. 2012; 60(5):1200-1206.

Levitan EB, Lewis CE, Tinker LF, et al. Mediterranean and DASH diet scores and mortality in women with heart failure: The Women's Health Initiative. Circ. Heart Fail. 2013;6(6):1116-1123.

Lima ST, da Silva Nalin de Souza B, França AK, Salgado Filho N, Sichieri R. Dietary approach to hypertension based on low glycaemic index and principles of DASH (Dietary Approaches to Stop Hypertension): a randomised trial in a primary care service. Br. J. Nutr. 2013;110(8):1472-1479.

Madigan CD, Daley AJ, Lewis AL, et al. Which weight-loss programmes are as effective as Weight Watchers(R)?: non-inferiority analysis. Br. J. Gen. Pract. 2014;64(620):e128-36. doi: 10.3399/bjgp14X677491

Massimo F. Piepoli, Arno W. 2016 European Guidelines on cardiovascular disease prevention in clinical practice. DOI: 2315-2381 First published online: 23 May 2016

Marcason W. What Are the Components to the MIND Diet? J. Acad. Nutr. Diet. 2015;115(10):1744. doi: 10.1016/j.jand.2015.08.002.

Martinez-Gonzalez MA, Martin-Calvo N. Mediterranean diet and life expectancy; beyond olive oil, fruits, and vegetables. Curr. Opin. Clin. Nutr. Metab. Care. 2016;19(6):401-407.

Medina-Remón A, Vallverdú-Queralt A, Arranz S, et al. Gazpacho consumption is associated with lower blood pressure and reduced hypertension in a high cardiovascular risk cohort. Cross-sectional study of the PREDIMED trial. Nutr. Metab. Cardiovasc. Dis. 2013;23(10):944-952.

Mochari H, Gao Q, Mosca L. Validation of the MEDFICTS dietary assessment questionnaire in a diverse population. J. Am. Diet Assoc. 2008;108(5):817-22. doi: 10.1016/j.jada.2008.02.021.

Molitor J, Brown IJ, Chan Q. et al.; INTERMAP Research Group. Blood pressure differences associated with Optimal Macronutrient Intake Trial for Heart Health (OMNIHEART)-like diet compared with a typical American Diet. Hypertension. 2014;64(6):1198-1204.

Moore-Schiltz L. Dietary intake of calcium and magnesium and the metabolic syndrome in the National Health and Nutrition Examination (NHANES) 2001-2010 data. Br. J. Nutr. 2015;114(6):924-935.

Ooi EM, Lichtenstein AH, Millar JS, et al. Effects of Therapeutic Lifestyle Change diets high and low in dietary fish-derived FAs on lipoprotein metabolism in middle-aged and elderly subjects. J. Lipid. Res. 2012;53(9):1958-67. doi: 10.1194/jlr.P024315.

Park YM, Steck SE, Fung TT, et al. Mediterranean diet, Dietary Approaches to Stop Hypertension (DASH) style diet, and metabolic health in U.S. adults. Clin. Nutr. 2016. Sep 8. pii: S0261-5614(16)30217-5. doi: 10.1016/j.clnu.2016.08.018.

Root MM, Dawson HR. DASH-like diets high in protein or monounsaturated fats improve metabolic syndrome and calculated vascular risk. Int. J. Vitam. Nutr. Res. 201383(4):224-231.

Roussell MA, Hill AM, Gaugler TL, et al. Effects of a DASH-like diet containing lean beef on vascular health. J. Hum. Hypertens. 2014;28(10):600-605.

Salehi-Abargouei A, Maghsoudi Z, Shirani F, Azadbakht L. Effects of Dietary Approaches to Stop Hypertension (DASH)-style diet on fatal or nonfatal cardiovascular diseases--incidence: a systematic review and meta-analysis on observational prospective studies. Nutrition. 2013;29(4):11-618.

Schwingshackl L, Hoffmann G. Diet quality as assessed by the Healthy Eating Index, the Alternate Healthy Eating Index, the Dietary Approaches to Stop Hypertension score, and health outcomes: a systematic review and meta-analysis of cohort studies. J. Acad. Nutr. Diet. 2015;115(5):780-800.

Shirani F, Salehi-Abargouei A, Azadbakht L. Effects of Dietary Approaches to Stop Hypertension (DASH) diet on some risk for developing type 2 diabetes: a systematic review and meta-analysis on controlled clinical trials. Nutrition. 2013;29(7-8):939-947.

Valente EA, Sheehy ME, Avila JJ, et al. The effect of the addition of resistance training to a dietary education intervention on apolipoproteins and diet quality in overweight and obese older adults. Clin. Interv. Aging. 2011;6:235-241.

Wenhold FA, MacIntyre UE, Rheeder P. Reliability and validity of a modified MEDFICTS dietary fat screener in South African schoolchildren are determined by use and outcome measures. J. Acad. Nutr. Diet. 2014;114(6):870-80. doi: 10.1016/j.jand.2014.01.005.

Wexler R, Pleister A, Raman SV, Borchers JR. Therapeutic lifestyle changes for cardiovascular disease. Phys. Sportsmed. 2012;40(1):109-115.

WGO Global Guideline Obesity, © World Gastroenterology Organization, 2009. Available from:

Whayne TF Jr., Maulik N. Nutrition and the healthy heart with an exercise boost. Can. J. Physiol. Pharmacol. 2012; 90(8):967-976.

Willcox DC, Scapagnini G, Willcox BJ. Healthy aging diets other than the Mediterranean: a focus on the Okinawandiet. Mech. Ageing Dev. 2014;136-137:148-162.

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