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27 January 2025

DASH Diet's Benefits On Blood Pressure Linked To Genetics

New research reveals how genetic variations impact the effectiveness of the DASH diet for hypertension and obesity prevention.

The rising prevalence of obesity and hypertension is alarming, particularly as these conditions significantly increase the risk of cardiovascular diseases. A recent study conducted on Iranian adults has shed light on how adherence to the Dietary Approaches to Stop Hypertension (DASH) diet can influence these health issues, contingent upon specific genetic polymorphisms associated with adiponectin levels.

The study, part of the Yazd Health Study (YaHS), involved 387 participants aged 20 to 70 years, residing in Yazd, Iran. The researchers aimed to examine the interactions between the DASH dietary pattern and two single nucleotide polymorphisms (SNPs)—rs1501299 and rs6450176—found within the ADIPOQ and ARL15 genes. Previous research has indicated these genes play roles in controlling plasma adiponectin levels, which have protective effects against conditions associated with metabolic syndrome.

Hypertension and obesity remain significant risk factors for various diseases, including cardiovascular, renal, and cerebral conditions. Previous studies have shown how unhealthy dietary patterns and genetic predispositions are linked to increased cardiovascular risk. Many individuals facing these risks may benefit from dietary changes, and the DASH diet, recognized for its emphasis on fruits, vegetables, whole grains, and low-fat dairy, could be central to these interventions.

The researchers conducted their analysis by assessing the adherence of participants to the DASH diet through food frequency questionnaires and evaluated their genetic makeup using the restriction fragment length polymorphism (RFLP) technique. Their findings revealed notable interactions between dietary adherence and SNPs. Participants with the TT genotype of the rs1501299 SNP experienced significantly lower diastolic blood pressure and systolic blood pressure when adhering to the DASH diet, compared to those with the G allele.

On the other hand, individuals with the AA genotype of the rs6450176 SNP showed lower systolic blood pressure and waist-to-height ratio only when adhering to the DASH diet, whereas G allele carriers demonstrated increased central obesity measurements with high DASH adherence. This indicates the DASH diet results can differ markedly based on genetic backgrounds.

The outcomes of this research highlight the necessity of integrating genetic information when developing dietary recommendations. Given the variations reported, it seems clinicians should be cautious about the different health consequences of the DASH diet on different individuals. Tailoring dietary interventions according to genetic predisposition may pave the way for more effective management of hypertensive and obese patients.

Overall, the study not only contributes valuable insights to the field of nutritional genomics but also poses significant questions about how dietary patterns can be optimized based on genetic factors. Further research is necessary to explore other diet-gene interactions and validate the study findings across diverse populations.