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Is the Glass Half Full or Half Empty?

Thomas G. Pickering, MD, DPhil

JAMA. 2003;289:2131-2132.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The idea that lifestyle modifications can ameliorate mild hypertension has been popular for many years and was given a huge boost by the publications of results obtained with the Dietary Approaches to Stop Hypertension (DASH) diet.^1-2 At last, there was convincing evidence that a nondrug form of treatment could reduce blood pressure (averaging decreases of 11.4/5.5 mm Hg in hypertensive patients and 5.5/3.0 mm Hg in those with borderline blood pressure) as much as some drugs.¹ A second study (DASH Sodium) combined the DASH diet with sodium restriction and reported a blood pressure reduction of 5.9/2.9 mm Hg with the DASH diet in patients with borderline hypertension and 8.9/4.5 mm Hg with a combination of the DASH diet and sodium restriction.² In a subsequent study, the Diet, Exercise, and Weight Loss-Intervention Trial (DEW-IT),³ overweight hypertensive individuals who had been treated with drugs reported a net . . . [Full Text of this Article]

Author Affiliation: Integrative and Behavioral Cardiovascular Health Program, Marie-Josee and Henry R. Kravis Cardiac Health Center, Mount Sinai Medical Center, New York, NY.

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