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Lifestyle recommendations reduced blood pressure in patients with above optimal blood pressure

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Q In patients with above optimal blood pressure (BP), what is the relative effectiveness of 2 behavioural interventions (established lifestyle recommendations [ELR] and ELR plus the Dietary Approaches to Stop Hypertension [DASH] diet) compared with advice only?


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

blinded (data collectors).

Embedded ImageFollow up period:

6 months.

Embedded ImageSetting:

4 clinical centres in Maryland, Louisiana, North Carolina, and Oregon, USA.

Embedded ImagePatients:

810 generally healthy adults who were ⩾25 years of age (mean age 50 y, 62% women), had above optimal BP (mean systolic BP 120–159 mm Hg and diastolic BP 80–95 mm Hg across 3 screening visits), were not taking …

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  • A modified version of this abstract appears in ACP Journal Club and Evidence-Based Medicine.

  • For correspondence: Dr L J Appel, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, USA.

  • Source of funding: National Institutes of Health.