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American Journal of Clinical Nutrition, Vol 48, 806-810, Copyright © 1988 by The American Society for Clinical Nutrition, Inc

REVIEW ARTICLES

Vegetarian diet and blood pressure levels: incidental or causal association?

LJ Beilin, IL Rouse, BK Armstrong, BM Margetts and R Vandongen
University Department of Medicine, University of Western Australia Medical School, Royal Perth Hospital.

Evidence that nutrients other than the major cations may influence blood pressure levels stems from studies of acculturated vegetarians and from randomized controlled dietary trials. Earlier studies of vegetarians focused on religious groups and on vegans, making it difficult to know whether their lower blood pressures were due to diet per se or to other aspects of lifestyle. Seventh-day Adventist vegetarians showed significantly less hypertension and lower blood pressures compared with Mormon omnivores, effects which were independent of differences in obesity and not due to altered sodium intake. Subsequently, controlled dietary intervention studies in healthy normotensive omnivores provided more direct evidence for a blood pressure-lowering effect of a lactoovovegetarian diet with reversible changes of 5-6 mm Hg systolic and 2-3 mm Hg diastolic occurring over 6-wk periods. Similar dietary effects in mild hypertensive subjects provides impetus for identifying the responsible nutrients.


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Copyright © 1988 by The American Society for Nutrition