Robust statistically significant effects were found for improved diet , aerobic exercise , alcohol and sodium restriction , and fish oil supplements : mean reductions in systolic blood pressure of 5.0 mmHg [ 95 % confidence interval ( CI ) : 3.1 - 7.0 ] , 4.6 mmHg ( 95 % CI : 2.0 - 7.1 ) , 3.8 mmHg ( 95 % CI : 1.4 - 6.1 ) , 3.6 mmHg ( 95 % CI : 2.5 - 4.6 ) and 2.3 mmHg ( 95 % CI : 0.2 - 4.3 ) , respectively , with corresponding reductions in diastolic blood pressure .
Relaxation significantly reduced blood pressure only when compared with non-intervention controls .
We found no robust evidence of any important effect on blood pressure of potassium , magnesium or calcium supplements .
Available evidence does not support relaxation therapies , calcium , magnesium or potassium supplements to reduce blood pressure
PURPOSE To quantify effectiveness of lifestyle interventions for hypertension .
Effects of guava intake on serum total and high-density lipoprotein cholesterol levels and on systemic blood pressure.
There is evidence that inclusion of high fiber foods such as oats , fruits and vegetables in the diet can decrease fat intake and modulate blood lipids . To test this hypothesis , 61 group A and 59 group B patients with essential hypertension were administered guava fruit preferably before meals in a foods-to-eat approach rather than foods-to-restrict , in a r and omized and single-blind fashion for 12 weeks . At entry into the study , mean age , male sex , mean body mass index , percentages of risk factors and mean levels of blood lipids were comparable between groups A and B. Adherence to guava consumption was assessed by question naires and weighing of guava intake by 24-hour recall after 12 weeks of follow-up . Nutrient intakes including saturated and total fat were significantly decreased ; carbohydrates , total and soluble fiber and vitamins and mineral intakes were significantly higher in group A than in group B at 12 weeks . There was a significant net decrease in serum total cholesterol ( 9.9 % ) , triglycerides ( 7.7 % ) and blood pressures ( 9.0/8.0 mm Hg ) with a significant net increase in high-density lipoprotein cholesterol ( 8.0 % ) after 12 weeks of guava fruit substitution in group A than in group B. By adding moderate amounts of guava fruit in the usual diet , changes in dietary fatty acids and carbohydrates may occur , providing significant amounts of soluble dietary fiber and antioxidant vitamins and minerals without any adverse effects . There is a greater decrease in lipoprotein metabolism and blood pressures
Robust statistically significant effects were found for improved diet , aerobic exercise , alcohol and sodium restriction , and fish oil supplements : mean reductions in systolic blood pressure of 5.0 mmHg [ 95 % confidence interval ( CI ) : 3.1 - 7.0 ] , 4.6 mmHg ( 95 % CI : 2.0 - 7.1 ) , 3.8 mmHg ( 95 % CI : 1.4 - 6.1 ) , 3.6 mmHg ( 95 % CI : 2.5 - 4.6 ) and 2.3 mmHg ( 95 % CI : 0.2 - 4.3 ) , respectively , with corresponding reductions in diastolic blood pressure .
Relaxation significantly reduced blood pressure only when compared with non-intervention controls .
We found no robust evidence of any important effect on blood pressure of potassium , magnesium or calcium supplements .
Available evidence does not support relaxation therapies , calcium , magnesium or potassium supplements to reduce blood pressure
PURPOSE To quantify effectiveness of lifestyle interventions for hypertension .