Comprehensive nutrition plan improves cardiovascular risk factors in essential hypertension

David A. McCarron, Suzanne Oparil, Lawrence M. Resnick, Alan Chait, R. Brian Haynes, Penny Kris-Etherton, F. Xavier Pi-Sunyer, Judith S. Stern, Cynthia Morris, Sharon Clark, Daniel C. Hatton, Jill A. Metz, Margaret McMahon, Scott Holcomb, Geoffrey W. Snyder

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Increased arterial pressure is known to be influenced by a variety of nutrients. Compliance with dietary recommendations for risk reduction is often limited by the complexity of their implementation. In addition, how improvements in total diet, rather than single nutrients, influence concomitant cardiovascular risk factors has not been thoroughly explored. We assessed the effects of a nutritionally complete prepared meal program, the Campbell's Center for Nutrition and Wellness plan (CCNW), compared with dietary therapy in which participants received a structured nutritional assessment and prescription and selected their own foods, in 101 women and men with mild-to-moderate hypertension. Outcome measures included blood pressure (BP), lipids and lipoproteins, glucose, glycosylated hemoglobin (HbA(1c)), insulin, homocysteine, nutrient intake, compliance, and quality of life. Both dietary interventions significantly lowered BP (P <.0001), while simultaneously improving the overall cardiovascular risk profile. Significantly greater benefits were observed with the CCNW plan as compared with the participant selected diet in cholesterol and LDL levels (both P <.0001), LDL: HDL (P <.001), HbA(1c) (P <.05), homocysteine (P <.001), total nutrient intake (P <.0001), compliance (P <.0001), and quality of life (P <.001). This study demonstrates that improving the total diet to include the full array of recommended dietary guidelines, rather than focusing on single nutrients, has significant benefits for the cardiovascular risk profile of hypertensive persons beyond BP control. Compared with typical dietary therapy, the comprehensive CCNW meal plan has significantly greater effects on multiple cardiovascular risk factors while yielding greater compliance and improved quality of life.

Original languageEnglish (US)
Pages (from-to)31-40
Number of pages10
JournalAmerican Journal of Hypertension
Volume11
Issue number1
DOIs
StatePublished - Jan 1998

Fingerprint

Fitness Centers
Food
Compliance
Quality of Life
Homocysteine
Diet
Blood Pressure
Meals
Nutrition Policy
Nutrition Assessment
Glycosylated Hemoglobin A
Risk Reduction Behavior
LDL Cholesterol
Lipoproteins
Prescriptions
Essential Hypertension
Arterial Pressure
Outcome Assessment (Health Care)
Insulin
Hypertension

Keywords

  • Blood pressure
  • Cardiovascular risk
  • Diet therapy
  • Glycosylated hemoglobin (HbA(1c)
  • Hypertension
  • Lipids
  • Nutrition
  • Quality of life

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

McCarron, D. A., Oparil, S., Resnick, L. M., Chait, A., Haynes, R. B., Kris-Etherton, P., ... Snyder, G. W. (1998). Comprehensive nutrition plan improves cardiovascular risk factors in essential hypertension. American Journal of Hypertension, 11(1), 31-40. https://doi.org/10.1016/S0895-7061(97)00470-6

Comprehensive nutrition plan improves cardiovascular risk factors in essential hypertension. / McCarron, David A.; Oparil, Suzanne; Resnick, Lawrence M.; Chait, Alan; Haynes, R. Brian; Kris-Etherton, Penny; Pi-Sunyer, F. Xavier; Stern, Judith S.; Morris, Cynthia; Clark, Sharon; Hatton, Daniel C.; Metz, Jill A.; McMahon, Margaret; Holcomb, Scott; Snyder, Geoffrey W.

In: American Journal of Hypertension, Vol. 11, No. 1, 01.1998, p. 31-40.

Research output: Contribution to journalArticle

McCarron, DA, Oparil, S, Resnick, LM, Chait, A, Haynes, RB, Kris-Etherton, P, Pi-Sunyer, FX, Stern, JS, Morris, C, Clark, S, Hatton, DC, Metz, JA, McMahon, M, Holcomb, S & Snyder, GW 1998, 'Comprehensive nutrition plan improves cardiovascular risk factors in essential hypertension', American Journal of Hypertension, vol. 11, no. 1, pp. 31-40. https://doi.org/10.1016/S0895-7061(97)00470-6
McCarron, David A. ; Oparil, Suzanne ; Resnick, Lawrence M. ; Chait, Alan ; Haynes, R. Brian ; Kris-Etherton, Penny ; Pi-Sunyer, F. Xavier ; Stern, Judith S. ; Morris, Cynthia ; Clark, Sharon ; Hatton, Daniel C. ; Metz, Jill A. ; McMahon, Margaret ; Holcomb, Scott ; Snyder, Geoffrey W. / Comprehensive nutrition plan improves cardiovascular risk factors in essential hypertension. In: American Journal of Hypertension. 1998 ; Vol. 11, No. 1. pp. 31-40.
@article{e3e8c0e504744287bf0c66c2f1a583b8,
title = "Comprehensive nutrition plan improves cardiovascular risk factors in essential hypertension",
abstract = "Increased arterial pressure is known to be influenced by a variety of nutrients. Compliance with dietary recommendations for risk reduction is often limited by the complexity of their implementation. In addition, how improvements in total diet, rather than single nutrients, influence concomitant cardiovascular risk factors has not been thoroughly explored. We assessed the effects of a nutritionally complete prepared meal program, the Campbell's Center for Nutrition and Wellness plan (CCNW), compared with dietary therapy in which participants received a structured nutritional assessment and prescription and selected their own foods, in 101 women and men with mild-to-moderate hypertension. Outcome measures included blood pressure (BP), lipids and lipoproteins, glucose, glycosylated hemoglobin (HbA(1c)), insulin, homocysteine, nutrient intake, compliance, and quality of life. Both dietary interventions significantly lowered BP (P <.0001), while simultaneously improving the overall cardiovascular risk profile. Significantly greater benefits were observed with the CCNW plan as compared with the participant selected diet in cholesterol and LDL levels (both P <.0001), LDL: HDL (P <.001), HbA(1c) (P <.05), homocysteine (P <.001), total nutrient intake (P <.0001), compliance (P <.0001), and quality of life (P <.001). This study demonstrates that improving the total diet to include the full array of recommended dietary guidelines, rather than focusing on single nutrients, has significant benefits for the cardiovascular risk profile of hypertensive persons beyond BP control. Compared with typical dietary therapy, the comprehensive CCNW meal plan has significantly greater effects on multiple cardiovascular risk factors while yielding greater compliance and improved quality of life.",
keywords = "Blood pressure, Cardiovascular risk, Diet therapy, Glycosylated hemoglobin (HbA(1c), Hypertension, Lipids, Nutrition, Quality of life",
author = "McCarron, {David A.} and Suzanne Oparil and Resnick, {Lawrence M.} and Alan Chait and Haynes, {R. Brian} and Penny Kris-Etherton and Pi-Sunyer, {F. Xavier} and Stern, {Judith S.} and Cynthia Morris and Sharon Clark and Hatton, {Daniel C.} and Metz, {Jill A.} and Margaret McMahon and Scott Holcomb and Snyder, {Geoffrey W.}",
year = "1998",
month = "1",
doi = "10.1016/S0895-7061(97)00470-6",
language = "English (US)",
volume = "11",
pages = "31--40",
journal = "American Journal of Hypertension",
issn = "0895-7061",
publisher = "Oxford University Press",
number = "1",

}

TY - JOUR

T1 - Comprehensive nutrition plan improves cardiovascular risk factors in essential hypertension

AU - McCarron, David A.

AU - Oparil, Suzanne

AU - Resnick, Lawrence M.

AU - Chait, Alan

AU - Haynes, R. Brian

AU - Kris-Etherton, Penny

AU - Pi-Sunyer, F. Xavier

AU - Stern, Judith S.

AU - Morris, Cynthia

AU - Clark, Sharon

AU - Hatton, Daniel C.

AU - Metz, Jill A.

AU - McMahon, Margaret

AU - Holcomb, Scott

AU - Snyder, Geoffrey W.

PY - 1998/1

Y1 - 1998/1

N2 - Increased arterial pressure is known to be influenced by a variety of nutrients. Compliance with dietary recommendations for risk reduction is often limited by the complexity of their implementation. In addition, how improvements in total diet, rather than single nutrients, influence concomitant cardiovascular risk factors has not been thoroughly explored. We assessed the effects of a nutritionally complete prepared meal program, the Campbell's Center for Nutrition and Wellness plan (CCNW), compared with dietary therapy in which participants received a structured nutritional assessment and prescription and selected their own foods, in 101 women and men with mild-to-moderate hypertension. Outcome measures included blood pressure (BP), lipids and lipoproteins, glucose, glycosylated hemoglobin (HbA(1c)), insulin, homocysteine, nutrient intake, compliance, and quality of life. Both dietary interventions significantly lowered BP (P <.0001), while simultaneously improving the overall cardiovascular risk profile. Significantly greater benefits were observed with the CCNW plan as compared with the participant selected diet in cholesterol and LDL levels (both P <.0001), LDL: HDL (P <.001), HbA(1c) (P <.05), homocysteine (P <.001), total nutrient intake (P <.0001), compliance (P <.0001), and quality of life (P <.001). This study demonstrates that improving the total diet to include the full array of recommended dietary guidelines, rather than focusing on single nutrients, has significant benefits for the cardiovascular risk profile of hypertensive persons beyond BP control. Compared with typical dietary therapy, the comprehensive CCNW meal plan has significantly greater effects on multiple cardiovascular risk factors while yielding greater compliance and improved quality of life.

AB - Increased arterial pressure is known to be influenced by a variety of nutrients. Compliance with dietary recommendations for risk reduction is often limited by the complexity of their implementation. In addition, how improvements in total diet, rather than single nutrients, influence concomitant cardiovascular risk factors has not been thoroughly explored. We assessed the effects of a nutritionally complete prepared meal program, the Campbell's Center for Nutrition and Wellness plan (CCNW), compared with dietary therapy in which participants received a structured nutritional assessment and prescription and selected their own foods, in 101 women and men with mild-to-moderate hypertension. Outcome measures included blood pressure (BP), lipids and lipoproteins, glucose, glycosylated hemoglobin (HbA(1c)), insulin, homocysteine, nutrient intake, compliance, and quality of life. Both dietary interventions significantly lowered BP (P <.0001), while simultaneously improving the overall cardiovascular risk profile. Significantly greater benefits were observed with the CCNW plan as compared with the participant selected diet in cholesterol and LDL levels (both P <.0001), LDL: HDL (P <.001), HbA(1c) (P <.05), homocysteine (P <.001), total nutrient intake (P <.0001), compliance (P <.0001), and quality of life (P <.001). This study demonstrates that improving the total diet to include the full array of recommended dietary guidelines, rather than focusing on single nutrients, has significant benefits for the cardiovascular risk profile of hypertensive persons beyond BP control. Compared with typical dietary therapy, the comprehensive CCNW meal plan has significantly greater effects on multiple cardiovascular risk factors while yielding greater compliance and improved quality of life.

KW - Blood pressure

KW - Cardiovascular risk

KW - Diet therapy

KW - Glycosylated hemoglobin (HbA(1c)

KW - Hypertension

KW - Lipids

KW - Nutrition

KW - Quality of life

UR - http://www.scopus.com/inward/record.url?scp=0031953060&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031953060&partnerID=8YFLogxK

U2 - 10.1016/S0895-7061(97)00470-6

DO - 10.1016/S0895-7061(97)00470-6

M3 - Article

C2 - 9504447

AN - SCOPUS:0031953060

VL - 11

SP - 31

EP - 40

JO - American Journal of Hypertension

JF - American Journal of Hypertension

SN - 0895-7061

IS - 1

ER -