Hypertension Clinical Trial
Official title:
Efficacy and Safety of the Dietary Approaches to Stop Hypertension (DASH) Diet in Adults With Moderate Chronic Kidney Disease: Pilot Study
More than two-thirds of US adults with chronic kidney disease (CKD) have uncontrolled
hypertension. Both hypertension and CKD are major independent risk factors for
cardiovascular disease, which is the leading cause of death in the US. Fortunately, lowering
blood pressure to recommended treatment targets not only slows the progression of CKD, but
also improves cardiovascular outcomes. Controlling hypertension in this patient population,
however, can be quite challenging. A lifestyle modification that effectively reduces blood
pressure in both pre-hypertensive and hypertensive adults is the Dietary Approaches to Stop
Hypertension (DASH) diet.
The purpose of this pilot study is to (1) determine the extent to which the DASH diet lowers
blood pressure in hypertensive adults with moderate chronic kidney disease (CKD) (estimated
glomerular filtration rate [eGFR] 30-59 ml/min/1.73m2) and (2) establish that the DASH diet
can be safely consumed by this patient population.
During a 7-day run-in phase, participants will first consume a control diet similar in nutrient composition to the control diet of previous DASH studies. The control diet, which is a diet typical of most Americans, is reduced in servings of fruits, vegetables, low fat dairy products and relatively high in total and saturated fat. Immediately following the run-in phase, participants will receive the DASH diet during a 14-day intervention phase. Both diets will have the same sodium content and caloric intake will be adjusted for each participant to keep weight stable. All study meals and snacks will be provided. ;
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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