Planting the Seed for Blood Pressure Control: The Role of Plant-Based Nutrition in the Management of Hypertension

Curr Cardiol Rep. 2024 Mar;26(3):121-134. doi: 10.1007/s11886-023-02008-z. Epub 2024 Mar 25.

Abstract

Purpose of review: Hypertension results in significant morbidity, mortality, and healthcare expenditures. Fortunately, it is largely preventable and treatable by implementing dietary interventions, though these remain underutilized. Here, we aim to explore the role of healthy dietary patterns in hypertension management and describe approaches for busy clinicians to address nutrition effectively and efficiently with patients.

Recent findings: DASH, Mediterranean, vegetarian, and vegan diets that include minimally processed, plant-based foods as core elements have consistently shown positive effects on hypertension. Recommendations that distill the most healthful components of these diets can significantly impact patient outcomes. Clinicians can harness evidence-based dietary assessment and counseling tools to implement and support behavioral changes, even during brief office visits. Healthful plant-based dietary patterns can often effectively prevent and treat hypertension. Clinicians may help improve patient outcomes by discussing evidence-based nutrition with their patients. Future work to promote infrastructural change that supports incorporating evidence-based nutrition into medical education, clinical care, and society at large can support these efforts.

Keywords: Cardiovascular disease prevention; Dietary behavior change; Dietary guidelines; Hypertension treatment; Lifestyle medicine; Whole-food, plant-based diet.

Publication types

  • Review

MeSH terms

  • Blood Pressure
  • Diet
  • Diet, Plant-Based*
  • Humans
  • Hypertension* / prevention & control