The dash diet and cardiometabolic health and chronic kidney disease: A narrative review of the evidence in east asian countries

Yazhen Song, Andrea J. Lobene, Yanfang Wang, Kathleen M. Hill Gallant

Research output: Contribution to journalReview articlepeer-review

Abstract

The rising incidence of cardiometabolic diseases and chronic kidney disease (CKD) is a leading public health problem in East Asia. Diet is an important modifiable risk factor; thus, adopting a healthy diet such as the Dietary Approaches to Stop Hypertension (DASH) diet may help combat these chronic diseases. The DASH diet was originally developed in a U.S. population, and East Asia is demographically and culturally different from the U.S. Therefore, it is important to examine the evidence regarding the DASH diet and chronic disease in this unique population. This narrative review summarizes the evidence on the DASH diet and cardiometabolic health and CKD in East Asia. Culturally-modified DASH diets have been developed in some East Asian countries. Studies suggest the DASH diet is effective at lowering blood pressure in this population, though the long-term benefits remain unclear. Evidence also suggests the DASH diet may reduce the risk of type 2 diabetes and metabolic syndrome. Further research indicates the DASH diet and its components may reduce CKD risk. However, recommending the DASH diet in those who already have CKD is controversial, as it conflicts with current CKD dietary guidelines, especially in advanced CKD. Notably, current intakes in the general population differ from the DASH dietary pattern, suggesting public health efforts would be needed to encourage adoption of the DASH diet.

Original languageEnglish (US)
Article number984
Pages (from-to)1-16
Number of pages16
JournalNutrients
Volume13
Issue number3
DOIs
StatePublished - Mar 18 2021

Bibliographical note

Funding Information:
Funding: This research was partially funded by a predoctoral fellowship from the Indiana Clinical and Translational Sciences Institute, which is funded by the National Center for Advancing Translational Sciences, Clinical and Translational Science Awards, grant # UL1TR002529 and grant # TL1TR002531 as well as the National Institute of Diabetes and Digestive and Kidney Diseases, grant #K01DK102864.

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Cardiometabolic health
  • Cardiovascular disease
  • China
  • Chronic kidney disease
  • DASH diet
  • East Asia
  • Japan
  • South Korea
  • Type 2 diabetes

PubMed: MeSH publication types

  • Journal Article
  • Review

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