Description of the DASH Eating Plan- DASH Eating Plan 1. DASH is a flexible and balanced eating plan that helps create a heart-healthy eating style for life. 2. The DASH eating plan requires no special foods and instead provides daily and weekly nutritional goals. 3. This plan recommends: Eating vegetables, fruits, and whole grains 4. Including fat-free or low-fat dairy products, fish, poultry, beans, nuts, and vegetable oils 5. Limiting foods that are high in saturated fat, such as fatty meats, full-fat dairy products, and tropical oils such as coconut, palm kernel, and palm oils 6. Limiting sugar-sweetened beverages and sweets. Based on these recommendations, the following table shows examples of daily and weekly servings that meet DASH eating plan targets for a 2,000-calorie-a-day diet. Daily and Weekly DASH Eating Plan Goals for a 2,000-Calorie-a-Day Diet Food Group Daily Servings Grains 6–8 Meats, poultry, and fish 6 or less Vegetables 4–5 Fruit 4–5 Low-fat or fat-free dairy products 2–3 Fats and oils 2–3 Sodium 2,300 mg* Weekly Servings Nuts, seeds, dry beans, and peas 4–5 Sweets 5 or less *1,500 milligrams (mg) sodium lowers blood pressure even further than 2,300 mg sodium daily. 7. When following the DASH eating plan, it is important to choose foods that are: Low in saturated and trans fats Rich in potassium, calcium, magnesium, fiber, and protein Lower in sodium Health Benefits of the DASH Eating Plan- DASH Eating Plan Four NHLBI-funded studies tested the health benefits of the DASH diet by comparing the DASH diet with the typical American diet or by comparing different variations of the DASH diet. Another NHLBI-funded study, the PREMIER clinical trial, measured the health benefits of following the DASH diet and increasing physical activity. The results of these studies showed that the DASH diet lowers blood pressure and LDL cholesterol in the blood and shaped the NHLBI’s DASH eating plan recommendations, which includes following a DASH diet with reduced sodium intake. Following the DASH Eating Plan- DASH Eating Plan The DASH eating plan is easy to follow using common foods available in your grocery store. 8. The plan includes daily servings from different food groups. The number of servings you should have depends on your daily calorie (energy) needs. 9. To figure out your calorie needs, you need to consider your age and physical activity level. If you want to maintain your current weight, you should eat only as many calories as you burn by being physically active. This is called energy balance. (For more information about energy balance, go to the Health Topics Overweight and Obesity article.) 10.If you need to lose weight, you should eat fewer calories than you burn or increase your activity level to burn more calories than you eat. Consider your physical activity level. Are you sedentary, moderately active, or active? Sedentary means that you do only light physical activity as part of your typical daily routine. Moderately active means that you do physical activity equal to walking about 1.5 to 3 miles a day at 3 to 4 miles per hour, plus light physical activity. Active means that you do physical activity equal to walking more than 3 miles per day at 3 to 4 miles per hour, plus light physical activity. Use the chart below to estimate your daily calorie needs. Daily Calorie Needs for Women Age (years) Calories Needed for Sedentary Activity Level Calories Needed for Moderately Active Activity Level Calories Needed for Active Activity Level 19–30 2,000 2,000–2,200 2,400 31–50 1,800 2,000 2,200 51+ 1,600 1,800 2,000–2,200 Daily Calorie Needs for Men Age (years) Calories Needed for Sedentary Activity Level Calories Needed for Moderately Active Activity Level Calories Needed for Active Activity Level 19–30 2,400 2,600–2,800 3,000 31–50 2,200 2,400–2,600 2,800–3,000 51+ 2,000 2,200–2,400 2,400–2,800 After figuring out your daily calorie needs, go to the table below and find the closest calorie level to yours. This table estimates the number of servings from each food group that you should have. Serving quantities are per day, unless otherwise noted. DASH Eating Plan—Number of Food Servings by Calorie Level Food Group 1,200 Cal. 1,400 Cal. 1,600 Cal. Grainsa 4–5 5–6 6 Vegetabl es 3–4 3–4 Fruits 3–4 Fat-free or low-fat dairy productsb Lean meats, poultry, and fish 1,800 Cal. 2,000 Cal. 2,600 Cal. 3,100 Cal. 6 6–8 10–11 12–13 3–4 4–5 4–5 5–6 6 4 4 4–5 4–5 5–6 6 2–3 2–3 2–3 2–3 2–3 3 3–4 3 or less 3–4 or less 3–4 or less 6 or less 6 or less 6 or less 6–9 Nuts, seeds, and legumes 3 per week 3 per week 3–4 per week 4 per week 4–5 per week 1 1 Fats and oilsc 1 1 2 2–3 2–3 3 4 Sweets and added sugars 3 or less per week 3 or less per week 3 or less per week 5 or less per week 5 or less per week ≤2 ≤2 Maximu m sodium limitd 2,300 mg/da y 2,300 mg/da y 2,300 mg/da y 2,300 mg/da y 2,300 mg/da y 2,300 mg/da y 2,300 mg/da y 11.a Whole grains are recommended for most grain servings as a good source of fiber and nutrients. Serving sizes vary between ½ cup and 1¼ cups, depending on cereal type. Check the product's Nutrition Facts label. 12.For lactose intolerance, try either lactase enzyme pills with dairy products or lactose-free or lactose-reduced milk. 13.Fat content changes the serving amount for fats and oils. For example, 1 Tbsp regular salad dressing = one serving; 1 Tbsp low-fat dressing = one-half serving; 1 Tbsp fat-free dressing = zero servings. 14.The DASH eating plan has a sodium limit of either 2,300 mg or 1,500 mg per day. DASH Eating Plan—Serving Sizes, Examples, and Significance Food Group Serving Sizes Grainsa 1 slice bread 1 oz cerealb dry ½ cup cooked rice, pasta, or cerealb Vegetables 1 cup raw leafy vegetable ½ cup cut-up raw or cooked vegetable Examples and Notes Significance of Each Food Group to the DASH Eating Plan Whole-wheat bread and rolls, whole-wheat pasta, English muffin, pita bread, bagel, cereals, grits, oatmeal, brown rice, unsalted pretzels and popcorn Major sources of energy and fiber Broccoli, carrots, collards, green beans, green peas, kale, lima beans, potatoes, spinach, squash, sweet potatoes, tomatoes Rich sources of potassium, magnesium, and fiber Apples, apricots, bananas, dates, grapes, oranges, grapefruit, grapefruit juice, mangoes, melons, peaches, pineapples, raisins, strawberries, tangerines Important sources of potassium, magnesium, and fiber ½ cup vegetable juice Fruits 1 medium fruit ¼ cup dried fruit ½ cup fresh, frozen, or canned fruit ½ cup juice Fat-free or low-fat dairy productsc fruit 1 cup milk or yogurt 1½ oz cheese Lean meats, poultry, and fish 1 oz cooked meats, poultry, or fish Fat-free milk or buttermilk; fat-free, low-fat, or reducedfat cheese; fat-free/low-fat regular or frozen yogurt Major sources of calcium and protein Select only lean; trim away visible fats; broil, roast, or poach; remove skin from poultry Rich sources of protein and magnesium Almonds, filberts, mixed nuts, peanuts, walnuts, sunflower seeds, peanut butter, kidney beans, lentils, split peas Rich sources of energy, magnesium, protein, and fiber 1 egg Nuts, seeds, and legumes ⅓ cup or 1½ oz nuts 2 Tbsp peanut butter 2 Tbsp or ½ oz seeds ½ cup cooked legumes (dried beans, peas) Fats and oilsd 1 tsp soft margarine 1 tsp vegetable oil Soft margarine, vegetable oil (canola, corn, olive, safflower), low-fat mayonnaise, light salad dressing The DASH study had 27% of calories as fat, including fat in or added to foods Fruit-flavored gelatin, fruit punch, hard candy, jelly, maple syrup, sorbet and ices, sugar Sweets should be low in fat 1 Tbsp mayonnaise 2 Tbsp salad dressing Sweets and added sugars 1 Tbsp sugar 1 Tbsp jelly or jam ½ cup sorbet, gelatin dessert 1 cup lemonade Getting Started with the DASH Eating Plan- DASH Eating Plan Get started PDF: 15. HEALTHY EATING, PROVEN RESULTS It’s easy to adopt the DASH eating plan. Even small changes made gradually lead to significant benefits. Follow these steps to begin a healthy lifestyle for a lifetime. 16. Assess where you are now. The DASH eating plan requires no special foods and has no hard-to-follow recipes. One way to begin is by using the free, interactive to find out how many calories you need per day to maintain or reach your goal weight. Then fill in the What’s on Your Plate? worksheet for a few days and see how your current food habits compare with the DASH plan. This will help you see what changes you need to make. 17. Discuss medication with your doctor. If you take medication to control high blood pressure or cholesterol, you should not stop using it. Follow the DASH eating plan and talk with your doctor about your medication treatment as part of an overall plan for wellness. 18. Make DASH a part of your healthy life. The DASH eating plan along with other lifestyle changes can help you control your blood pressure and lower blood cholesterol. Important lifestyle recommendations include: achieve and maintain a healthy weight, get regular physical activity, and, if you drink alcohol, do so in moderation (up to one drink per day for women and up to two drinks per day for men). 19. DASH is for everyone in the family. Start with the meal plans in A Week With the DASH Eating Plan if you want to follow the menus similar to those used in the DASH trial— then make up your own using your favorite foods. In fact, your entire family can eat meals using the DASH eating plan because it can be adapted to meet varied nutritional needs, food preferences, and dietary requirements. 20. Don’t worry. Remember that on some days the foods you eat may add up to more than the recommended servings from one food group and less from another. Or, you may have too much sodium on a particular day. Just try your best to keep the average of several days close to the DASH eating plan and the sodium level recommended for you. Making the Move to DASH PDF: 21. Change gradually. If you now eat one or two servings of vegetables a day, add a serving at lunch and another at dinner. 22. If you don’t eat fruit now or have juice only at breakfast, add a serving of fruit to your meals or have it as a snack. 23. Gradually increase your use of milk, yogurt, and cheese to three servings a day. For example, drink milk with lunch or dinner, instead of soda, sugar-sweetened tea, or alcohol. 24. Choose fat-free or low-fat (1 percent) milk, yogurt, and reduced-fat cheese to reduce your intake of saturated fat, cholesterol, and calories and to increase your calcium. 25. Read the Nutrition Facts label on frozen and prepared meals, pizza, and desserts to choose those lowest in saturated fat and trans fat. 26. Vary your proteins. Choose lean cuts of meat and remove skin from poultry. 27. Check the labels on ground meats and poultry and select those with lower saturated fat. 28. Serve fish instead of meat or poultry once or twice each week. 29. Include two or more vegetarian (meatless) meals each week. 30. Aim to fill ½ your plate with vegetables and fruits, ¼ with whole grains, and ¼ with fish, lean meat, poultry, or beans. 31. Add extra vegetables to casseroles, pasta, and stir-fry dishes. 32. Select nutritious, tasty snacks. Fruits offer great taste and variety. Use fruits canned in their own juice or packed in water. Fresh fruits are fast and easy and dried fruits are a good choice to carry with you or to have in the car. 33. Try these snack ideas: unsalted rice cakes; nuts mixed with raisins; graham crackers; fatfree and lowfat yogurt; popcorn with no salt or butter added; raw vegetables. 34. Make healthy substitutions. Choose whole grain foods for most grain servings to get more nutrients, such as minerals and fiber. For example, choose whole wheat bread or whole grain cereals. 35. If you have trouble digesting milk and milk products, try taking lactase enzyme pills with the milk products. Or, buy lactose-free milk. 36. If you are allergic to nuts, use beans or seeds (such as sunflower, flax, or sesame seeds).