Dr. M.J. Bazos, Patient Handout
The DASH Diet

Research has found that diet affects the development of high blood pressure, or hypertension (the medical term). Recently, two studies showed that following a particular eating plan—called the DASH diet—and reducing the amount of sodium consumed lowers blood pressure. While each step alone lowers blood pressure, the combination of the eating plan and a reduced sodium intake gives the biggest benefit and may help prevent the development of high blood pressure. This fact sheet, based on the DASH research findings, tells about high blood pressure, and how to follow the DASH diet and reduce the amount of sodium you consume. It offers tips on how to start and stay on the eating plan, as well as a week of menus and some recipes. The menus and recipes are given for two levels of daily sodium consumption —2,400 milligrams (the upper limit of
current recommendations by the Federal Government’s National High Blood Pressure Education Program, or NHBPEP, and the amount used to figure food labels’ Nutrition Facts Daily Value) and 1,500 milligrams. Those with high blood pressure may especially benefit from following the eating plan and reducing their sodium intake. But the combination is a hearthealthy recipe that all adults can follow.

WHAT IS HIGH BLOOD PRESSURE?
Blood pressure is the force of blood against artery walls. It is measured in millimeters of mercury (mm Hg) and recorded as two numbers—systolic pressure (as the heart beats) over diastolic pressure (as the heart relaxes between beats). Both numbers are important (see Box 1 on page 2). Blood pressure rises and falls during the day. But when it stays elevated over time, then it’s called high blood pressure. High blood pressure is dangerous because it makes the heart work too hard, and the force of its blood flow can harm arteries. High blood pressure often has no warning signs or symptoms. Once it occurs, it usually lasts a lifetime. If uncontrolled, it can lead to heart and kidney disease, and stroke. High blood pressure affects about 50 million—or 1 in 4—adult Americans. High blood pressure is especially common among African Americans, who tend to develop it at an earlier age and more often than whites. It also is common among older Americans—about 60 percent of those age 60 and older have high blood pressure. High blood pressure can be controlled if you take these steps: maintain a healthy weight; be physically active; follow a healthy eating plan, which includes foods lower in salt and sodium; if you drink alcoholic beverages, do so in moderation; and, if you have high blood pressure and are prescribed medication, take it as directed. All steps but the last also help to prevent high blood pressure.


FEATURING NEW FINDINGS ABOUT REDUCING SODIUMAND NEW LOWER SODIUM RECIPES AND MENUS
.
2
BOX 1

WHAT IS THE DASH DIET?
Blood pressure can be unhealthy even if it stays only slightly above the optimal evel of less than 120/80 mm Hg. The higher blood Systolic** Diastolic**
Optimal <120 mm Hg and <80 mm Hg
Normal <130 mm Hg and <85 mm Hg
High-Normal 130–139 mm Hg or 85–89 mm Hg
High
Stage 1 140–159 mm Hg or 90–99 mm Hg
Stage 2 160–179 mm Hg or 100–109 mm Hg
Stage 3 >180 mm Hg or >110 mm Hg
* Categories are for those age 18 and older and come from the NHBPEP. The categories are for those not on a high blood pressure medication and who have no short-term serious illness.
** If your systolic and diastolic pressures fall into different categories, your overall status is the higher category.
< means less than; > means greater than or equal to.
pressure rises above optimal, the greater the health risk. In the past, researchers tried to find clues about what in the diet affects blood pressure by testing various single nutrients, such as calcium and magnesium. These studies were done mostly with dietary supplements and their findings were not conclusive. Then, scientists supported by the National Heart, Lung, and Blood Institute (NHLBI) conducted two key studies. The first was called “DASH,” for Dietary Approaches to Stop Hypertension, and it tested nutrients as they occur together in food. Its findings showed that blood pressures were reduced with an eating plan that is low in saturated fat, cholesterol, and total fat, and that emphasizes fruits, vegetables, and lowfat dairy foods. This eating plan—known as the DASH diet—also includes whole grain products, fish, poultry, and nuts. It is reduced in red meat, sweets, and sugar-containing beverages. It is rich in magnesium, potassium, and calcium, as well as protein and fiber.

The DASH study involved 459 adults with systolic blood pressures of less than 160 mm Hg and diastolic pressures of 80–95 mm Hg. About
3
BOX 2
* Equals 1/2 -11/4 cup, depending on cereal type. Check the product’s nutrition label.
** Fat content changes serving counts for fats and oils: For example, 1 Tbsp of regular salad dressing equals
1 serving; 1 Tbsp of a lowfat dressing equals 1/2 serving; 1 Tbsp of a fat free dressing equals 0 servings.
F O L L O W I N G T H E D A S H D I E T
The DASH eating plan shown below is based on 2,000 calories a day. The number of daily servings in a food group may vary from those listed depending on your caloric needs. Use this chart to help you plan your menus or take it with you when you go to the store.

FOOD DAILY S E R V I N G EXAMPLES SIGNIFICANCE GROUP S E R V I N G S I Z E S A N D N O T E S O F E A C H F O O D
(except as noted) G R O U P T O T H E D A S H E A T I N G PLAN
Grains & grain 7–8 1 slice bread whole wheat bread, English major sources of products 1 oz dry cereal* muffin, pita bread, bagel, energy and fiber 1/2 cup cooked rice, cereals, grits, oatmeal, crackers, pasta, or cereal unsalted pretzels and popcorn Vegetables 4–5 1 cup raw leafy vegetable tomatoes, potatoes, carrots, green rich sources 1/2 cup cooked vegetable peas, squash, broccoli, turnip of potassium, 6 oz vegetable juice greens, collards, kale, spinach, magnesium, artichokes, green beans, lima and fiber beans, sweet potatoes Fruits 4–5 6 oz fruit juice apricots, bananas, dates, grapes, important sources 1 medium fruit oranges, orange juice, grapefruit, of potassium, 1/4 cup dried fruit grapefruit juice, mangoes, melons, magnesium, and
1/2 cup fresh, frozen, peaches, pineapples, prunes, fiber or canned fruit raisins, strawberries, tangerines Lowfat or 2–3 8 oz milk fat free (skim) or lowfat (1%) milk, major sources fat free dairy 1 cup yogurt fat free or lowfat buttermilk, fat free of calcium and foods 11/2 oz cheese or lowfat regular or frozen yogurt, protein lowfat and fat free cheese Meats, poultry, 2 or less 3 oz cooked meats, select only lean; trim away visible rich sources and fish poultry, or fish fats; broil, roast, or boil, instead of protein and of frying; remove skin from magnesium poultry Nuts, seeds, 4–5 per week 1/3 cup or 11/2 oz nuts almonds, filberts, mixed nuts, rich sources and dry beans 2 Tbsp or 1/2 oz seeds peanuts, walnuts, sunflower of energy,
1/2 cup cooked dry beans seeds, kidney beans, lentils, magnesium,
peas potassium,
protein, and fiber
Fats & oils** 2–3 1 tsp soft margarine soft margarine, lowfat DASH has 27 percent
1 Tbsp lowfat mayonnaise, light salad of calories as fat,
mayonnaise dressing, vegetable oil including that in or
2 Tbsp light salad dressing (such as olive, corn, canola, added to foods
1 tsp vegetable oil or safflower)
Sweets 5 per week 1 Tbsp sugar maple syrup, sugar, jelly, sweets should be
1 Tbsp jelly or jam jam, fruit-flavored gelatin, jelly low in fat
1/2 oz jelly beans beans, hard candy, fruit punch,
8 oz lemonade sorbet, ices
4
BOX 3
27 percent of the participants had hypertension. About 50 percent were women and 60 percent were African Americans. DASH compared three eating plans: A plan similar in nutrients to what many Americans consume; a plan similar to what Americans consume but higher in fruits and vegetables; and the DASH diet. All three plans used about 3,000 milligrams of sodium daily. None of the plans were vegetarian or used specialty foods. Results were dramatic: Both the fruits and vegetables plan and the DASH diet reduced blood pressure. But the DASH diet had the greatest effect, especially for those with high blood pressure. Further, the blood pressure reductions came fast— within 2 weeks of starting the plan. The second study was called “DASH-Sodium,” and it looked at the effect on blood pressure of a reduced dietary sodium intake as participants followed either the DASH diet or an eating plan typical of what many Americans consume. DASH-Sodium involved 412 participants. Their systolic blood pressures were 120–159 mm Hg and their diastolic blood pressures were 80–95 mm Hg. About 41 percent of them had high blood

The DASH eating plan was not designed to promote weight loss. But it is rich in lower-calorie foods, such as fruits and vegetables. You can make it lower in calories by replacing higher-calorie foods with more fruits and vegetables— and that also will make it easier for you to reach your DASH goals. Here are some examples:
To increase fruits—
_ Eat a medium apple instead of four shortbread cookies. You’ll save 80 calories.
_ Eat 1/4 cup of dried apricots instead of a 2-ounce bag of pork rinds. You’ll save 230 calories.
To increase vegetables—
_ Have a hamburger that’s 3 ounces of meat instead of 6 ounces. Add ½ cup serving of carrots and 1/2 cup serving of spinach. You’ll save more than 200 calories.
_ Instead of 5 ounces of chicken, have a stir-fry with 2 ounces of chicken and 11/2 cups of raw vegetables. Use a small amount of vegetable oil. You’ll save 50 calories.
To increase lowfat or fat free dairy products—
_ Have a 1/2 cup serving of lowfat frozen yogurt instead of a 11/2-ounce milk chocolate bar. You'll save about 110 calories.
And don’t forget these calorie-saving tips—
_ Use lowfat or fat free condiments.
_ Use half as much vegetable oil, soft or liquid margarine, or salad dressing, or choose fat free versions.
_ Eat smaller portions—cut back gradually.
_ Choose lowfat or fat free dairy products to reduce total fat intake.
_ Check the food labels to compare fat content in packaged foods— items marked lowfat or fat free are not always lower in calories than their regular versions.
_ Limit foods with lots of added sugar, such as pies, flavored yogurts, candy bars, ice cream, sherbet, regular soft
drinks, and fruit drinks.
_ Eat fruits canned in their own juice.
_ Add fruit to plain yogurt.
_ Snack on fruit, vegetable sticks, unbuttered and unsalted popcorn, or bread sticks.
_ Drink water or club soda.
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BOX 4
BOX 5
D A S H E A T I N G P L A N N U M B E R O F S E R V I N G S
F O R O T H E R C A L O R I E L E V E L S
Food Group Servings/Day
1,600 calories/day 3,100 calories/day
Grains and grain products 6 12-13
Vegetables 3-4 6
Fruits 4 6
Lowfat or fat free dairy foods 2-3 3-4
Meats, poultry, and fish 1-2 2-3
Nuts, seeds, and dry beans 3/week 1
Fat and oils 2 4
Sweets 0 2
pressure. About 57 percent were women and about 57 percent were African Americans. Participants were randomly assigned to one of the two eating plans and then followed for a month at each of three sodium levels. The three sodium levels were: a higher intake of about 3,300 milligrams per day (the level consumed by many Americans); an intermediate intake of about 2,400 milligrams
per day; and a lower intake of about 1,500 milligrams per day. Results showed that reducing dietary sodium lowered blood pressure for both eating plans. At each sodium level, blood pressure was lower on the DASH diet than on the other
eating plan. The biggest blood pressure reductions were for the DASH diet at the sodium intake of 1,500 milligrams per day. Those with hypertension saw the biggest reductions, but those without it also had large decreases. Those on the 1,500-milligram sodium intake, as well as those on the DASH diet, had fewer headaches. Other than that and blood pressure levels, there were no significant effects caused by the two eating plans or different sodium levels.

W H E R E ’ S T H E S O D I U M ?
Only a small amount of sodium occurs naturally in foods. Most sodium is added during processing. The Table below gives examples of varying amounts of sodium that occur in foods before and after processing.
Food Groups Sodium (mg) Grains and grain products
Cooked cereal, rice, pasta , unsalted, 1/2 cup 0–5
Ready-to-eat-cereal, 1 cup 100–360
Bread, 1 slice 110–175
Vegetables
Fresh or frozen, cooked without salt, 1/2 cup 1–70
Canned or frozen with sauce, 1/2 cup 140–460
Tomato juice, canned 3/4 cup 820
Fruit
Fresh, frozen, canned, 1/2 cup 0–5
Lowfat or fat free dairy foods
Milk, 1 cup 120
Yogurt, 8 oz 160
Natural cheeses, 11/2 oz 110–450
Processed cheeses, 11/2oz 600
Nuts, seeds, and dry beans
Peanuts, salted, 1/3cup 120
Peanuts, unsalted, 1/3cup 0–5
Beans, cooked from dried 0–5
or frozen, without salt, 1/2 cup
Beans, canned, 1/2 cup 400
Meats, fish, and poultry
Fresh meat, fish, poultry, 3 oz 30–90
Tuna canned, water pack, no salt added, 3 oz 35–45
Tuna canned, water pack, 3 oz 250–350
Ham, lean, roasted, 3 oz 1,020
6
TIPS TO REDUCE SALT
AND SODIUM
BOX 7 BOX 6
_ Use reduced sodium or no-saltadded products. For example, choose low- or reduced-sodium, or no-salt-added versions of foods and condiments when available.
_ Buy fresh, plain frozen, or canned with “no-salt-added” vegetables.
_ Use fresh poultry, fish, and lean meat, rather than canned, smoked, or processed types.
_ Choose ready-to-eat breakfast cereals that are lower in sodium.
_ Limit cured foods (such as bacon and ham), foods packed in brine (such as pickles, pickled vegetables, olives, and sauerkraut), and condiments (such as MSG, mustard, horseradish, catsup, and barbecue sauce). Limit even lower sodium versions of soy sauce and teriyaki sauce—treat these condiments as you do table salt.
_ Be spicy instead of salty. In cooking and at the table, flavor foods with herbs, spices, lemon, lime, vinegar, or salt-free seasoning blends. Start by cutting salt in half.
_ Cook rice, pasta, and hot cereals without salt. Cut back on instant or flavored rice, pasta, and cereal mixes, which usually have added salt.
_ Choose “convenience” foods that are lower in sodium. Cut back on frozen dinners, mixed dishes such as pizza, packaged mixes, canned soups or broths, and salad dressings—these often have a lot of sodium.
_ Rinse canned foods, such as tuna, to remove some sodium.

DASH-Sodium shows the importance of lowering sodium intake —whatever your eating plan. But for a true winning combination, follow the DASH diet and lower your intake of salt.

HOW DO I MAKE THE DASH?
The DASH diet used in the studies calls for a certain number of servings daily from various food groups. These are given in Box 2 in page 3 for 2,000 calories per day. The number of servings you require may vary, depending on your caloric need—Box 4 gives the servings for 1,600 and 3,100 calories. If you’re trying to lose weight, check Box 3 for tips on how to make the DASH eating plan lower in calories. You should be aware that the DASH diet has more daily servings of fruits, vegetables, and whole grain foods than you may be used to eating. This makes it high in fiber, which can cause bloating and diarrhea in some persons. To
avoid these problems, gradually increase your intake of fruit, vegetables, and whole grain foods. This fact sheet gives menus and recipes for both 2,400 and 1,500 milligrams of daily sodium intake. Twenty-four hundred milligrams of sodium equals about 6 grams, or 1 teaspoon, of table salt (sodium chloride); 1,500 milligrams of sodium equals about 4 grams, or 2/3 teaspoon, of table salt. These amounts include all salt consumed— that in food products, used in cooking, and added at the table. Only small amounts of sodium occur naturally in food. Processed foods account for most of the salt and sodium Americans consume. So, be sure to read food labels to choose products lower in sodium.

_ Ask how foods are prepared. Ask that they be prepared without added salt, MSG, or salt-containing ingredients. Most restaurants are willing to accommodate requests.
_ Know the terms that indicate high sodium content: pickled, cured, soy sauce, broth.
_ Move the salt shaker away.
_ Limit condiments, such as mustard, catsup, pickles, and sauces with salt-containing ingredients.
_ Choose fruit or vegetables, instead of salty snack foods.
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BOX 8
BOX 9

You may be surprised at many of the foods that have sodium. They include soy sauce, seasoned salts, monosodium glutamate (MSG), baking soda, and some antacids— the range is wide. Since it is rich in fruits and vegetables, which are naturally lower in sodium than many other foods, the DASH diet makes it easier
to consume less salt and sodium. Still, you may want to begin by adopting the DASH diet at the level of 2,400 milligrams of sodium per day and then further lower your sodium intake to 1,500 milligrams per day. Boxes 6, 7, and 8 offer tips on how to reduce the salt and sodium content in your diet, and how to use food labels to find lower sodium products. How can you get started on the DASH diet? It’s easy. The DASHdiet requires no special foods and has no hard-to-follow recipes. One way to begin is by seeing how DASH compares with your current food habits. Use the “What’s On Your Plate?” form on page 9. Fill it in for 1–2 days and see how it compares with the DASH plan. This will help you see what changes you need to make in your food choices.

L A B E L L A N G U A G E
Food labels can help you choose items lower in sodium and saturated and total fat. Look for the following labels on cans, boxes, bottles, bags, and other packaging:
Phrase What it means
Sodium
Sodium free or salt free Less than 5 mg per serving
Very low sodium 35 mg or less of sodium per serving
Low sodium 140 mg or less of sodium per serving
Low sodium meal 140 mg or less of sodium per 31/2 oz (100 g)
Reduced or less sodium At least 25 percent less sodium than the regular version
Light in sodium 50 percent less sodium than the regular version
Unsalted or no salt added No salt added to the product during processing
Fat
Fat free Less than 0.5 g per serving
Low-saturated fat 1 g or less per serving
Lowfat 3 g or less per serving
Reduced fat At least 25 percent less fat than the regular version
Light in fat Half the fat than the regular version
C O M P A R E F O O D L A B E L S
Read the Nutrition Facts on food labels to compare the amount of sodium in products. Look for the sodium content in milligrams and the % Daily Value. Aim for foods that are less than 5 percent of the Daily Value of sodium. Compare the food labels of these two versions of canned tomatoes:*
CANNED DICED TOMATOES, CANNED DICED TOMATOES
NO SALT ADDED
Nutrition Facts
Serving Size 1/2 cup
Servings Per Container approx. 31/2
Amount Per Serving
Calories 25 Calories from Fat 0
% Daily Value*
Total Fat 0 g 0%
Saturated Fat 0 g 0%
Cholesterol 0 mg 0%
Sodium 20 mg 1%
Total Carbohydrate 6 g 2%
Dietary Fiber 2 g 8%
Sugars 4 g
Protein 1 g
Vitamin A 10% • Vitamin C 15%
Calcium 2% • Iron 2%
*Percent Daily Values are based on a
2,000 calorie diet
Nutrition Facts
Serving Size 1/2 cup
Servings Per Container approx. 31/2
Amount Per Serving
Calories 25 Calories from Fat 0
% Daily Value*
Total Fat 0 g 0%
Saturated Fat 0 g 0%
Cholesterol 0 mg 0%
Sodium 200 mg 8%
Total Carbohydrate 6 g 2%
Dietary Fiber 2 g 8%
Sugars 4 g
Protein 1 g
Vitamin A 10% • Vitamin C 15%
Calcium 2% • Iron 2%
*Percent Daily Values are based on a
2,000 calorie diet
*The regular canned tomatoes have 10 times as much sodium as the unsalted canned tomatoes.
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BOX 10

Remember that some days the foods you eat may add up to more than the recommended servings from one food group and less from another. Similarly, you may have too much sodium on a particular day. But don’t worry. Just be sure that the average of several days or a week comes close to what’s recommended for the food groups and for your chosen daily sodium level. Next, read the “Getting Started” suggestions in the box on this page. Finally, use the menus that begin on page 10—or make up your own. One note: If you take medication to control high blood pressure, you should not stop using it. Follow the DASH diet and talk with your doctor about your drug treatment.

It’s easy to adopt the DASH eating plan. Here are some ways to get started:
Change gradually.
_ If you now eat one or two vegetables a day, add a serving at lunch and another at dinner.
_ If you don't eat fruit now or have only juice at breakfast, add a serving to your meals or have it as a snack.
_ Gradually increase your use of fat free and lowfat dairy products to three servings a day. For example, drink milk with lunch or dinner, instead of soda, sugar-sweetened tea, or alcohol. Choose lowfat (1 percent) or fat free (skim) dairy products to reduce your intake of saturated fat, total fat,
cholesterol, and calories.
_ Read food labels on margarines and salad dressings to choose those lowest in unsaturated fat. Some margarines are now trans-fat free.
Treat meat as one part of the whole meal, instead of the focus.
_ Limit meat to 6 ounces a day (2 servings)—all that’s needed. Three to four ounces is about the size of a deck of cards.
_ If you now eat large portions of meat, cut them back gradually—by a half or a third at each meal.
_ Include two or more vegetarian-style (meatless) meals each week.
_ Increase servings of vegetables, rice, pasta, and dry beans in meals. Try casseroles and pasta, and stir-fry dishes, which have less meat and more vegetables, grains, and dry beans.
Use fruits or other foods low in saturated fat, cholesterol, and calories
as desserts and snacks.
_ Fruits and other lowfat foods offer great taste and variety. Use fruits canned in their own juice. Fresh fruits require little or no preparation. Dried fruits are a good choice to carry with you or to have ready in the car.
_ Try these snacks ideas: unsalted pretzels or nuts mixed with raisins; graham crackers; lowfat and fat free yogurt and frozen yogurt; popcorn with no salt or butter added; and raw vegetables.
Try these other tips:
_ Choose whole grain foods to get added nutrients, such as minerals and fiber. For example, choose whole wheat bread or whole grain cereals.
_ If you have trouble digesting dairy products, try taking lactase enzyme pills or drops (available at drugstores and groceries) with the dairy foods. Or, buy lactose-free milk or milk with lactase enzyme added to it.
_ Use fresh, frozen, or no-salt-added canned vegetables.
BOX 11
W H A T ’ S O N Y O U R P L A T E ?
Use this form to track your food habits before you start on the DASH eating plan or to see how you’re doing after a few weeks. To record more than 1 day, just copy the form. Total each day’s food groups and compare what you ate with the DASH plan. To see how the form looks completed, check the menus that start on page 10.
Food Amount Number of servings by DASH food group
(serving size)
Breakfast
Example: whole wheat bread 2 slices 299 2
& soft margarine 2 tsp 102 2
Lunch
Dinner
Snacks
DAY’S TOTAL
Compare yours with the DASH plan 2,400 mg 7–8 4–5 4–5 2–3 2 4–5 2–3 5
or or less a week a week
1,500 mg
* Read food labels to compare the sodium content of foods. See page 7 to learn how to find sodium information on food labels.
Sodium (mg)
Grains
Vegetables
Fruits
Dairy foods
Meat, poultry,
& fish
Nuts, seeds,
& dry beans
Fats and oils
Sweets
9
A W E E K W I T H T H E D A S H D I E T
Here is a week of menus from the DASH eating plan. The menus allow you to have a daily sodium level of either ,400 mg or, by making the noted changes, 1,500 mg. You'll also find that the menus sometimes call for you to use lower sodium, or reduced fat or fat free, versions of products. The menus are based on 2,000 calories a day—serving sizes should be increased or decreased for other calorie levels. To ease the calculations, some of the serving sizes have been rounded off. Also, some items may be in too small a quantity to have a listed food group serving. Recipes for starred items are given on the later pages. Some of these recipes give changes that can be used to lower their sodium level. Use the changes if you want to follow the DASH diet at 1,500 milligrams of sodium per day.

DAY 1
Number of DASH Food Group Servings
2,400 mg Sodium Menu Substitutions to Reduce
Sodium to 1,500 mg
Breakfast
2/3 cup bran cereal 161 2/3 cup shedded wheat cereal 3 1
1 slice whole wheat bread 149 1
1 medium banana 1 1
1 cup fruit yogurt, fat free, no 53 1
sugar added
1 cup fat free milk 126 1
2 tsp jelly 5 2/3
Lunch
3/4 cup chicken salad* 201 remove salt from recipe 127 1 1
2 slices whole wheat bread 299 2
1 Tbsp Dijon mustard 372 1 Tbsp regular mustard 196
salad:
1/2 cup fresh cucumber slices 8 1
1/2 cup tomato wedges 1 1
2 Tbsp ranch dressing, fat free 306 2 Tbsp yogurt salad dressing* 84
1/2 cup fruit cocktail, juice pack 5 1
Dinner
3 oz beef, eye of round 52 1
2 Tbsp beef gravy, lowfat 163 2 Tbsp beef gravy, lowfat, 5
unsalted
1 cup green beans, cooked 12 2
from frozen
1 small baked potato: 7 1
2 Tbsp sour cream, fat free 28
2 Tbsp grated cheddar 86 2 Tbsp cheddar cheese, natural, 1 1/4
cheese, natural, reduced fat reduced fat, low sodium
1 Tbsp chopped scallions 1
1 small whole wheat roll 148 1
1 tsp soft margarine 51 1 tsp soft margarine, unsalted 1 1
1 small apple 0 1
1 cup fat free milk 126 1
Snack
1/3 cup almonds, unsalted 5 1
1/4 cup raisins 2 1
1 cup orange juice 2 11/3
Totals 5 5 51/3 31/4 2 1 2 2/3
Sodium (mg)
Grains
Vegetables
Fruits
Dairy foods
Meat, poultry,
& fish
Nuts, seeds,
& dry beans
Fats & oils
Sweets
Sodium (mg)
Sodium Level Sodium Level
Nutrients Per Day 2,400 mg 1,500 mg Nutrients Per Day 2,400 mg 1,500 mg
Calories 2,024 1,998 Sodium 2,363 mg 1,320 mg
Total fat 51 g 50 g Calcium 1,257 mg 1,338 mg
Percent calories from fat 23 % 23 % Magnesium 572 mg 589 mg
Saturated fat 9 g 9 g Potassium 4,780 mg 4,745 mg
Percent calories from saturated fat 4 % 4 % Fiber 34 g 34 g
Cholesterol 164 mg 164 mg
*recipe on page 17
Abbreviations: oz=ounce, tsp=teaspoon, Tbsp=tablespoon, g=gram, mg=milligram
10
11

DAY 2
Number of DASH Food Group Servings
2,400 mg Sodium Menu Substitutions to Reduce
Sodium to 1,500 mg
Breakfast
1/2 cup instant oatmeal, 104 1/2 cup regular oatmeal, 1 1
flavored with 1 tsp cinnamon
1 mini whole wheat bagel 84 1
1 medium banana 1 1
1 cup fat free milk 126 1
1 Tbsp cream cheese, fat free 75
Lunch
chicken breast sandwich:
2 slices (3 oz) chicken breast, 65 1
skinless
2 slices whole wheat bread 299 2
1 slice (3/4 oz) American 328 1 slice (3/4 oz) Swiss 54 1/2
cheese, reduced fat cheese, natural
1 large leaf romaine lettuce 1 1/4
2 slices tomato 4 1/2
1 Tbsp mayonnaise, lowfat 90 1
1 medium peach 0 1
1 cup apple juice 7 11/3
Dinner
3/4 cup vegetarian spaghetti sauce* 459 Substitute no-salt-added 260 11/2
tomato paste (6 oz)*
1 cup spaghetti 1 2
3 Tbsp Parmesan cheese 349 1/2
spinach salad:
1 cup fresh spinach leaves 24 1
1/4 cup fresh carrots, grated 10 1/2
1/4 cup fresh mushrooms, sliced 1 1/2
2 Tbsp vinaigrette dressing* 0 3/4
1/2 cup corn, cooked from frozen 4 1
1/2 cup canned pears, juice pack 4 1
Snack
1/3 cup almonds 5 1
1/4 cup dried apricots 3 1
1 cup fruit yogurt, fat free, 107 1
no sugar added
Totals 6 51/4 51/3 3 1 1 13/4 0
Sodium (mg)
Grains
Vegetables
Fruits
Dairy foods
Meat, poultry,
& fish
Nuts, seeds,
& dry beans
Fats and oils
Sweets
Sodium (mg)
*recipe on page 17
Sodium Level Sodium Level
Nutrients Per Day 2,400 mg 1,500 mg Nutrients Per Day 2,400 mg 1,500 mg
Calories 1,977 1,967 Sodium 2,152 mg 1,577 mg
Total fat 60 g 59 g Calcium 1,351 mg 1,494 mg
Percent calories from fat 27 % 27 % Magnesium 502 mg 509 mg
Saturated fat 12 g 13 g Potassium 4,513 mg 4,440 mg
Percent calories from saturated fat 6 % 6 % Fiber 32 g 34 g
Cholesterol 107 mg 112 mg
12
DAY 3
Number of DASH Food Group Servings
2,400 mg Sodium Menu Substitutions to Reduce
Sodium to 1,500 mg
Breakfast
3/4 cup wheat flakes cereal 199 2 cups puffed wheat cereal 1 1
1 slice whole wheat bread 149 1
1 medium banana 1 1
1 cup fat free milk 126 1
1 cup orange juice 5 11/3
1 tsp soft margarine 51 1 tsp soft margarine, unsalted 1 1
Lunch
beef barbeque sandwich:
2 oz beef, eye of round 35 2/3
1 Tbsp barbeque sauce 156
2 slices (11/2 oz) cheddar 260 2 slices (11/2 oz) Swiss 109 1
cheese, reduced fat cheese, natural
1 sesame roll 319 1
1 large leaf romaine lettuce 1 1/4
2 slices tomato 22 1/2
1 cup new potato salad* 12 2
1 medium orange 0 1
Dinner
3 oz cod: 89 1
1 tsp lemon juice 1
1/2 cup brown rice, long grain 5 1
1/2 cup spinach, cooked 88 1
from frozen
1 small corn bread muffin 363 1 small white dinner roll 146 1
1 tsp soft margarine 51 1 tsp soft margarine, 1 1
unsalted
Snack
1 cup fruit yogurt, fat free, 107 1
no added sugar
1/4 cup dried fruit 6 1
2 large graham cracker 156 1
rectangles
1 Tbsp peanut butter, 101 1 Tbsp peanut butter, 3 1/2
reduced fat unsalted
Totals 6 33/4 41/3 3 12/3
1/2 2 0
Sodium (mg)
Grains
Vegetables
Fruits
Dairy foods
Meat, poultry,
& fish
Nuts, seeds,
& dry beans
Fats and oils
Sweets
Sodium Level Sodium Level
Nutrients Per Day 2,400 mg 1,500 mg Nutrients Per Day 2,400 mg 1,500 mg
Calories 1,984 1,958 Sodium 2,303 mg 1,519 mg
Total fat 44 g 46 g Calcium 1,490 mg 1,502 mg
Percent calories from fat 20 % 21 % Magnesium 495 mg 526 mg
Saturated fat 12 g 13 g Potassium 4,752 mg 4,759 mg
Percent calories from saturated fat 5 % 6 % Fiber 29 g 30 g
Cholesterol 146 mg 137 mg
Sodium (mg)
*recipe on page 18
13
DAY 4
Number of DASH Food Group Servings
2,400 mg Sodium Menu Substitutions to Reduce
Sodium to 1,500 mg
Breakfast
3/4 cup cornflakes 223 1/2 cup corn grits, with 1 1
1 tsp nonfat margarine, unsalted 1
1/2 cup fruit yogurt, fat free, 53 1/2
no added sugar
1 medium apple 0 1
1 cup grape juice 8 11/3
1 cup fat free milk 126 1
Lunch
ham and cheese sandwich:
2 oz smoked ham, lowfat, 469 2 oz roast beef, low fat 35 2/3
low sodium
1 slice (3/4 oz) cheddar 130 1/2
cheese, natural, reduced fat
2 slices whole wheat bread 299 2
1 large leaf romaine lettuce 1 1/4
2 slices tomato 22 1/2
1 Tbsp mayonnaise, lowfat 90 1
1 cup carrot sticks 43 2
Dinner
chicken and Spanish rice* 367 substitute no-salt-added 226 1 1
tomato sauce (4 oz)*
1/2 cup green peas, cooked 70 1
from frozen
1 cup cantaloupe 14 2
1 small whole wheat roll 148 1
1 cup fat free milk 126 1
1 tsp soft margarine 51 1 tsp soft margarine, unsalted 1 1
Snack
1/3 cup almonds, unsalted 5 1
1/2 cup fruit cocktail 5 1
1 cup apple juice 7 11/3
Totals 5 33/4 62/3 3 12/3 1 2 0
Sodium (mg)
Grains
Vegetables
Fruits
Dairy foods
Meat, poultry,
& fish
Nuts, seeds,
& dry beans
Fats and oils
Sweets
Sodium Level Sodium Level
Nutrients Per Day 2,400 mg 1,500 mg Nutrients Per Day 2,400 mg 1,500 mg
Calories 2,011 2,050 Sodium 2,259 mg 1,441 mg
Total fat 51 g 52 g Calcium 1,200 mg 1,203 mg
Percent calories from fat 23 % 23 % Magnesium 491 mg 502 mg
Saturated fat 9 g 9 g Potassium 5,152 mg 4,914 mg
Percent calories from saturated fat 4 % 4 % Fiber 32 g 32 g
Cholesterol 122 mg 142 mg
Sodium (mg)
*recipe on page 18
14
Sodium Level Sodium Level
Nutrients Per Day 2,400 mg 1,500 mg Nutrients Per Day 2,400 mg 1,500 mg
Calories 1,947 1,941 Sodium 2,495 mg 1,493 mg
Total fat 38 g 40 g Calcium 1,293 mg 1,360 mg
Percent calories from fat 17 % 19 % Magnesium 429 mg 475 mg
Saturated fat 9 g 10 g Potassium 4,609 mg 4,826 mg
Percent calories from saturated fat 4 % 5 % Fiber 27 g 30 g
Cholesterol 153 mg 153 mg
Sodium (mg)
Grains
Vegetables
Fruits
Dairy foods
Meat, poultry,
& fish
Nuts, seeds,
& dry beans
Fats and oils
Sweets

DAY 5
Number of DASH Food Group Servings
2,400 mg Sodium Menu Substitutions to Reduce Sodium to 1,500 mg
Breakfast
3/4 cup frosted shredded wheat 3 1
2 slices whole wheat bread 299 2
1 medium banana 1 1
1 cup fat free milk 126 1
1 cup orange juice 5 11/3
1 tsp soft margarine 51 1 tsp soft margarine, unsalted 1 1
2 tsp jelly, no added sugar 0
Lunch
salad plate:
1/2 cup tuna salad* 158 1
1 large leaf romaine lettuce 1 1/4
6 wheat crackers, fat free 107 6 wheat crackers, fat free, 18 1
unsalted
1/2 cup cottage cheese, 2% 459 1/2 cup cottage cheese, 2%, unsalted 23 1/4
1 cup canned pineapple, 2 2
juice pack
4 small celery sticks 59 1/2
2 Tbsp ranch dressing, 306 2 Tbsp yogurt dressing, fat free* 84
fat free
Dinner
3 oz turkey meatloaf** 62 1
1 Tbsp catsup 178 2 tsp catsup 119
1 small baked potato: 7 1 1
1 tsp soft margarine 51 1 tsp soft margarine, unsalted 1
1 Tbsp sour cream, lowfat 15
1 scallion stalk, chopped 2
1 cup collard greens, cooked 15 2
from frozen
1 medium peach 0 1
1 cup fat free milk 126 1
Snack
1 Tbsp peanut butter, 101 1 Tbsp peanut butter, 3 1/2
reduced fat reduced fat, unsalted
1/2 medium bagel 152 1
(3-inch diameter)
1/2 cup fruit yogurt, fat free, 53 1/2
no added sugar
Totals 5 33/4 51/3 23/4 2 1/2 2 0
Sodium (mg)
*recipe on page 17
**recipe on page 18
15 *recipe on page 19
DAY 6
Number of DASH Food Group Servings
2,400 mg Sodium Menu Substitutions to Reduce
Sodium 1,500 mg
Breakfast
1 lowfat granola bar 71 1/2
1 medium banana 1 1
1 cup fruit yogurt, fat free, 107 1
no sugar added
1 cup orange juice 2 11/3
1 cup fat free milk 126 1
Lunch
turkey breast sandwich:
3 oz turkey breast 48 1
2 slices whole wheat bread 299 2
2 slices (11/2 oz) natural 260 2 slices (11/2 oz) cheddar 3 1
cheddar cheese, cheese, natural, reduced
reduced fat fat, low sodium
1 large leaf romaine lettuce 1 1/4
2 slices tomato 22 1/2
2 tsp mayonnaise, lowfat 60 2/3
1 Tbsp Dijon mustard 372 1 tsp regular mustard 60
1 cup broccoli steamed 44 2
from frozen
1 medium orange 0 1
Dinner
3 oz spicy baked fish* 93 1
1 cup scallion rice* 3 2
1/2 cup spinach, cooked 88 1
from frozen
1 cup carrots, cooked from 96 2
frozen
1 small whole wheat roll 148 1
1 tsp soft margarine 51 1 tsp soft margarine, 1 1
unsalted
1 cup fat free milk 126 1
Snack
2 large rectangle graham 156 3 rice cakes (3 inches in 7 1
crackers diameter), unsalted
1 cup fat free milk 126 1
1/4 cup dried apricots 3 1
Totals 61/2 53/4 41/3 5 2 0 12/3 0
Sodium (mg)
Grains
Vegetables
Fruits
Dairy foods
Meat, poultry,
& fish
Nuts, seeds,
& dry beans
Fats and oils
Sweets
Sodium Level Sodium Level
Nutrients Per Day 2,400 mg 1,500 mg Nutrients Per Day 2,400 mg 1,500 mg
Calories 1,944 1,927 Sodium 2,331 mg 1,568 mg
Total fat 31 g 28 g Calcium 1,858 mg 1,851 mg
Percent calories from fat 14 % 13 % Magnesium 549 mg 572 mg
Saturated fat 8 g 7 g Potassium 5,555 mg 5,575 mg
Percent calories from saturated fat 4 % 3 % Fiber 34 g 35 g
Cholesterol 180 mg 180 mg
Sodium (mg)
16
DAY 7
Number of DASH Food Group Servings
2,400 mg Sodium Menu Substitutions to Reduce
Sodium to 1,500 mg
Breakfast
1 cup whole grain oat rings 212 1/2 cup regular oatmeal 1 1
cereal with 1 tsp cinnamon
1 medium banana 1 1
1 cup fruit yogurt, fat free, 107 1
no sugar added
1 cup fat free milk 126 1
Lunch
tuna salad sandwich:
1/2 cup tuna, drained, rinsed 57 1
1 Tbsp mayonnaise, lowfat 90 1
1 large leaf romaine lettuce 1 1/4
2 slices tomato 22 1/2
2 slices whole wheat bread 299 2
1 medium apple 0 1
1 cup fat free milk 126 1
Dinner
1/6 recipe zucchini lasagna* 380 substitute unsalted 196 3 1 1
cottage cheese in recipe*
salad:
1/2 cup fresh spinach leaves 12 1/2
1/2 cup tomatoes wedges 8 1
2 Tbsp croutons, seasoned 62 2 Tbsp croutons, plain 26 1/4
2 Tbsp vinaigrette dressing, 312 2 Tbsp vinaigrette dressing** 0 3/4
reduced fat
1 small whole wheat roll 148 1
1 cup grape juice 7 11/3
1 tsp soft margarine 51 1 tsp soft margarine, unsalted 1 1
Snack
1/3 cup almonds, unsalted 5 1
2 slices (11/2 oz) cheddar 260 1
cheese, natural, reduced fat
6 whole wheat crackers 166 3 large rye wafer crackers, 1 1
unsalted
Totals 81/4 31/4 31/3 5 1 1 23/4 0
Sodium (mg)
Grains
Vegetables
Fruits
Dairy foods
Meat, poultry,
& fish
Nuts, seeds,
& dry beans
Fats and oils
Sweets
Sodium Level Sodium Level
Nutrients Per Day 2,400 mg 1,500 mg Nutrients Per Day 2,400 mg 1,500 mg
Calories 1,980 1,966 Sodium 2,471 mg 1,498 mg
Total fat 60 g 56 g Calcium 1,587 mg 1,589 mg
Percent calories from fat 27 % 26 % Magnesium 527 mg 527 mg
Saturated fat 12 g 12 g Potassium 4,556 mg 4,588 mg
Percent calories from saturated fat 6 % 5 % Fiber 31 g 31 g
Cholesterol 72 mg 76 mg
*recipe on page 19
**recipe on page 17
Sodium (mg)
17
Vegetarian Spaghetti Sauce (Day 2)
2 Tbsp olive oil
2 small onions, chopped
3 cloves garlic, chopped
11/4 cup zucchini, sliced
1 Tbsp oregano, dried
1 Tbsp basil, dried
1 8 oz can tomato sauce
1 6 oz can tomato paste
2 medium tomatoes, chopped
1 cup water
1. In a medium skillet, heat oil. Sauté onions, garlic, and
zucchini in oil for 5 minutes on medium heat.
2. Add remaining ingredients and simmer covered for
45 minutes. Serve over spaghetti.
Makes 6 servings.
Per Serving:
Calories 102
Total fat 5 g
Saturated fat 1 g
Cholesterol 0 mg
Fiber 5 g
Serving size: 3/4 cup
Sodium 459 mg
Calcium 42 mg
Magnesium 37 mg
Potassium 623 mg
To reduce sodium:
Use a 6 oz can of no-salt-added tomato paste.
New sodium total = 260 mg.
Vinaigrette Salad Dressing (Day 2)
1 bulb garlic, separated and peeled
1/2 cup water
1 Tbsp red wine vinegar
1/4 tsp honey
1 Tbsp virgin olive oil
1/4 tsp black pepper
1. Place the garlic cloves into a small saucepan and pour enough water (about 1/2 cup) to cover them.
2. Bring water to a boil, then reduce heat and simmer until garlic is tender, about 15 minutes.
3. Reduce the liquid to 2 Tbsp and increase the heat for 3 minutes.
4. Pour the contents into a small sieve over a bowl and, with a wooden spoon, mash the garlic through the sieve.
5. Whisk the vinegar into the garlic mixture; mix in the oil and seasoning.
Makes 4 servings.
Per Serving:
Calories 33
Total fat 3 g
Saturated fat 1 g
Cholesterol 0 mg
Fiber 0 g
Serving size: 2 Tbsp
Sodium 0 mg
Calcium 2 mg
Magnesium 1 mg
Potassium 9 mg
R E C I P E S F O R H E A R T H E A L T H
Here are some recipes to help you cook up a week of tasty heart healthy meals. If you’re following the DASH eating plan at 1,500 milligrams of sodium per day or just want to reduce your sodium intake, use the suggested recipe changes.
To reduce sodium:
Remove added salt. New sodium total = 127 mg.
Chicken Salad (Day 1)
31/4 cup chicken, cooked, cubed, skinless
1/4 cup celery, chopped
1 Tbsp lemon juice
1/2 tsp onion powder
1/8 tsp salt
3 Tbsp mayonnaise, lowfat
1. Bake chicken, cut into cubes, and refrigerate.
2. In a large bowl, combine all ingredients with chilled chicken and mix well.
Makes 5 servings.
Per Serving:
Calories 183
Total fat 7 g
Saturated fat 2 g
Cholesterol 78 mg
Fiber 0 g
Serving size: 3/4 cup
Sodium 201 mg
Calcium 17 mg
Magnesium 25 mg
Potassium 240 mg
Yogurt Salad Dressing (Days 1 and 5)
8 oz plain yogurt, fat free
1/4 cup mayonnaise, fat free
2 Tbsp chives, dried
2 Tbsp dill, dried
2 Tbsp lemon juice
Mix all ingredients in bowl and refrigerate.
Makes 8 servings.
Per Serving:
Calories 23
Total fat 0 g
Saturated fat 0 g
Cholesterol 1 mg
Fiber 0 g
Serving size: 2 Tbsp
Sodium 84 mg
Calcium 72 mg
Magnesium 10 mg
Potassium 104 mg
18
New Potato Salad (Day 3)
16 small new potatoes (5 cups)
2 Tbsp olive oil
1/4 cup green onions, chopped
1/4 tsp black pepper
1 tsp dill weed, dried
1. Thoroughly clean the potatoes with a vegetable brush and water.
2. Boil potatoes for 20 minutes or until tender.
3. Drain and cool potatoes for 20 minutes.
4. Cut potatoes into fourths and mix with olive oil, onions, and spices.
5. Refrigerate and serve.
Makes 5 servings.
Per Serving:
Calories 187
Total fat 6 g
Saturated fat 1 g
Cholesterol 0 mg
Fiber 3 g
Serving size: 1 cup
Sodium 12 mg
Calcium 21 mg
Magnesium 36 mg
Potassium 547 mg
Chicken and Spanish Rice (Day 4)
1 cup onions, chopped
1/4 cup green peppers
2 tsp vegetable oil
1 8 oz can tomato sauce
1 tsp parsley, chopped
1/2 tsp black pepper
11/4 tsp garlic, minced
5 cup cooked rice (in unsalted water)
31/2 cup chicken breast, cooked (skin and
bone removed), diced
1. In a large skillet, sauté onions and green peppers in
oil for 5 minutes on medium heat.
2. Add tomato sauce and spices. Heat through.
3. Add cooked rice and chicken, and heat through.
Makes 5 servings.
Per Serving:
Calories 406
Total fat 6 g
Saturated fat 2 g
Cholesterol 75 mg
Fiber 2 g
Serving size: 11/2 cups
Sodium 367 mg
Calcium 45 mg
Magnesium 57 mg
Potassium 527 mg
To reduce sodium:
Use one 4 oz can of no-salt-added tomato sauce and one 4 oz
can of regular tomato sauce. New sodium total = 226 mg.
Tuna Salad (Day 5)
2 6 oz can tuna, water pack
1/2 cup raw celery, chopped
1/3 cup green onions, chopped
61/2 Tbsp mayonnaise, reduced fat
1. Rinse and drain tuna for 5 minutes.
Break apart with a fork.
2. Add celery, onion, and may
onnaise, and mix well.
Makes 5 servings.
Per Serving:
Calories 146
Total fat 7 g
Saturated fat 0 g
Cholesterol 25 mg
Fiber 1 g
Serving size: 1/2 cup
Sodium 158 mg
Calcium 15 mg
Magnesium 19 mg
Potassium 201 mg
Makes 5 servings.
Per Serving:
Calories 196
Total fat 7 g
Saturated fat 2 g
Cholesterol 103 mg
Fiber 1 g
Serving size: 1 slice (3 oz)
Sodium 217 mg
Calcium 33 mg
Magnesium 35 mg
Potassium 292 mg
Turkey Meatloaf (Day 5)
1 pound ground turkey, lean
1/2 cup oats, regular, dry
1 large egg, whole
1 Tbsp onion, dehydrated
1/4 cup catsup
1. Combine all ingredients and mix well.
2. Bake in a loaf pan at 350° F for 25 minutes or to internal temperature of 165° F.
3. Cut into five slices and serve.
19
Makes 5 servings.
Per Serving:
Calories 185
Total fat 1 g
Saturated fat 0 g
Cholesterol 0 mg
Fiber 1 g
Serving size: 1 cup
Sodium 3 mg
Calcium 24 mg
Magnesium 20 mg
Potassium 80 mg
Scallion Rice (Day 6)
41/2 cups cooked rice (in unsalted water)
11/2 tsp bouillon granules, unsalted
1/4 cup scallions (green onions), chopped
1. Cook rice according to directions on the package.
2. Combine the cooked rice, scallions, and bouillon
granules, and mix well.
3. Measure 1 cup portions and serve.
Spicy Baked Fish (Day 6)
1 pound cod (or other fish) fillet
1 Tbsp olive oil
1 tsp spicy seasoning, salt free
1. Preheat oven to 350° F. Spray a casserole dish with cooking oil spray.
2. Wash and dry fish. Place in dish. Mix oil and seasoning, and drizzle over fish.
3. Bake uncovered for 15 minutes or until fish flakes with fork. Cut into 4 pieces. Serve with rice.
Makes 4 servings.
Per Serving:
Calories 133
Total fat 1 g
Saturated fat 0 g
Cholesterol 77 mg
Fiber 0 g
Serving size: 1 piece (3 oz)
Sodium 119 mg
Calcium 20 mg
Magnesium 67 mg
Potassium 394 mg
Makes 6 servings.
Per Serving:
Calories 276
Total fat 5 g
Saturated fat 2 g
Cholesterol 11 mg
Fiber 5 g
Serving size: 1 piece
Sodium 380 mg
Calcium 216 mg
Magnesium 55 mg
Potassium 561 mg
Zucchini Lasagna (Day 7)
1/2 pound cooked lasagna noodles
(in unsalted water)
3/4 cup mozzarella cheese, part-skim, grated
11/2 cup cottage cheese, fat free
1/4 cup Parmesan cheese, grated
11/2 cup zucchini, raw, sliced
21/2 cup tomato sauce, no salt added
2 tsp basil, dried
2 tsp oregano, dried
1/4 cup onion, chopped
1 clove garlic
1/8 tsp black pepper
1. Preheat oven to 350° F. Lightly spray a 9 x 13 inch baking dish with vegetable oil spray.
2. In a small bowl, combine 1/8 cup mozzarella and 1 Tbsp Parmesan cheese. Set aside.
3. In a medium bowl, combine remaining mozzarella and Parmesan cheese with all of the cottage cheese. Mix well and set aside.
4. Combine tomato sauce with remaining ingredients. Spread a thin layer of tomato sauce in the bottom of the baking dish. Add a third of the noodles in a single layer. Spread half of the cottage cheese mixture on top. Add a layer of zucchini. Repeat layering. Add a thin coating of sauce. Top with noodles, sauce, and reserved cheese mixture. Cover with aluminum foil.
5. Bake 30 to 40 minutes. Cool for 10 to 15 minutes. Cut into 6 portions.
To reduce sodium:
Use unsalted cottage cheese. New sodium total = 196 mg.
The DASH plan is a new way of eating—for a lifetime. If you slip from the eating plan for a few days, don’t let it keep you from reaching your health goals. Get back on track. Here’s how:
U.S. DEPARTMENT OF HEALTH
AND HUMAN SERVICES
Public Health Service
National Institutes of Health
National Heart, Lung, and Blood Institute
NIH Publication No. 01-4082
Originally Printed 1998
Reprinted February 1999
Revised May 2001
Menus and recipes were analyzed using the Minnesota Nutrition Data System software—Food Data
Base version 4.02_30; Nutrient Data Base version 4.02_30—developed by the Nutrition Coordinating
Center, University of Minnesota, Minneapolis, MN.
W A N T T O
L E A R N M O R E ?
For more information about the
DASH studies and eating plan,
visit the special Web site at
http://dash.bwh.harvard.edu.
Bulk copies of this DASH diet
fact sheet are available at a
minimal cost from the NHLBI
Health Information Center,
P.O. Box 30105, Bethesda, MD
20824-0105.
For more about hypertension,
visit the NHLBI’s online guide to
lowering high blood pressure. It
can be found through the NHLBI
Web site at http://www.nhlbi.
nih.gov—look for special Web
pages. It and the NHLBI Web
site also have the publication,
“Facts About Lowering Blood
Pressure.” Or, order it from
the NHLBI Health Information
Center—ask for NIH Publication
No. 00-3281.
The NHLBI Web site has
information on other heartrelated
topics too. Or, to obtain
information on other topics,
write to the NHLBI Health
Information Center.
To hear recorded messages
about high blood pressure
prevention and treatment, call
toll-free 1-800-575-WELL(9355).
The information line also has
messages on high blood
cholesterol. The messages
are available in English and
Spanish.
W H O H E L P E D
W I T H D A S H ?
The DASH study was sponsored
by the NHLBI and conducted at
four medical centers. There
was also a central coordinating
center at Kaiser Permanente
Center for Health Research in
Portland, OR.
The four medical centers were:
Brigham and Women’s Hospital,
Boston, MA; Duke University
Medical Center, Durham, NC;
Johns Hopkins University,
Baltimore, MD; Pennington
Biomedical Research Center,
Louisiana State University,
Baton Rouge, LA.
BOX 12
M A K I N G T H E D A S H T O G O O D H E A L T H
_ Ask yourself why you got off the track.
Was it at a party? Were you feeling stress at home or work? Find out what triggered your sidetrack—and start again with the DASH plan.
_ Don’t worry about a slip.
Everyone slips—especially when learning something new. Remember that changing your lifestyle is a long-term process.
_ See if you tried to do too much at once.
Often, those starting a new lifestyle try to change too much at once. Instead, change one or two things at a time. Slowly but surely is the best way to succeed.
_ Break the process down into small steps.
This not only keeps you from trying to do too much at once, but also keeps the changes simpler. Break complex goals into smaller, simpler steps, each of which is attainable.
_ Write it down.
Use the Table on page 9 to keep track of what you eat. This can help you find the problem. Besides noting what you eat, also record: where you are, what you're doing, and how you feel. Keep track for several days. You may find, for instance, that you eat high fat foods while watching television. If so, you could start keeping a substitute snack on hand to eat instead of the high fat foods. This record also helps you be sure you’re getting enough of each food group.
_ Celebrate success.
Treat yourself to a nonfood treat for your accomplishments.