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Comprehensive lifestyle modification and blood pressure control: a review of the PREMIER trial.

Publication ,  Journal Article
McGuire, HL; Svetkey, LP; Harsha, DW; Elmer, PJ; Appel, LJ; Ard, JD
Published in: J Clin Hypertens (Greenwich)
July 2004

The PREMIER trial assessed the aggregate effect on blood pressure (BP) of nationally recommended lifestyle modifications in free-living adults with high-normal (stage 1) hypertension. Participants (N=810) were randomized to the advice-only group; the established group (consisting of weight loss, increased physical activity, and reduced sodium and alcohol intake); or the established plus Dietary Approaches to Stop Hypertension (DASH) diet group (consisting of the established interventions in addition to the DASH dietary pattern). The primary outcome was change in systolic BP at 6 months. Net of advice only, mean systolic BP declined by 3.7 mm Hg for members of the established group (p<0.001) and 4.3 mm Hg for the established plus DASH group (p<0.001). The prevalence of hypertension decreased from a baseline of 38% to 17% in the established group (p=0.01) and to 12% in the established plus DASH group (p<0.001) compared with a decrease to 26% in the advice-only group. The PREMIER trial demonstrated that persons with above-optimal BP and stage 1 hypertension can make multiple lifestyle changes leading to better control of BP.

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Published In

J Clin Hypertens (Greenwich)

DOI

ISSN

1524-6175

Publication Date

July 2004

Volume

6

Issue

7

Start / End Page

383 / 390

Location

United States

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Risk Reduction Behavior
  • Middle Aged
  • Male
  • Hypertension
  • Humans
  • Female
  • Exercise
  • Diet, Sodium-Restricted
 

Citation

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McGuire, H. L., Svetkey, L. P., Harsha, D. W., Elmer, P. J., Appel, L. J., & Ard, J. D. (2004). Comprehensive lifestyle modification and blood pressure control: a review of the PREMIER trial. J Clin Hypertens (Greenwich), 6(7), 383–390. https://doi.org/10.1111/j.1524-6175.2004.03147.x
McGuire, Heather L., Laura P. Svetkey, David W. Harsha, Patricia J. Elmer, Lawrence J. Appel, and Jamy D. Ard. “Comprehensive lifestyle modification and blood pressure control: a review of the PREMIER trial.J Clin Hypertens (Greenwich) 6, no. 7 (July 2004): 383–90. https://doi.org/10.1111/j.1524-6175.2004.03147.x.
McGuire HL, Svetkey LP, Harsha DW, Elmer PJ, Appel LJ, Ard JD. Comprehensive lifestyle modification and blood pressure control: a review of the PREMIER trial. J Clin Hypertens (Greenwich). 2004 Jul;6(7):383–90.
McGuire, Heather L., et al. “Comprehensive lifestyle modification and blood pressure control: a review of the PREMIER trial.J Clin Hypertens (Greenwich), vol. 6, no. 7, July 2004, pp. 383–90. Pubmed, doi:10.1111/j.1524-6175.2004.03147.x.
McGuire HL, Svetkey LP, Harsha DW, Elmer PJ, Appel LJ, Ard JD. Comprehensive lifestyle modification and blood pressure control: a review of the PREMIER trial. J Clin Hypertens (Greenwich). 2004 Jul;6(7):383–390.

Published In

J Clin Hypertens (Greenwich)

DOI

ISSN

1524-6175

Publication Date

July 2004

Volume

6

Issue

7

Start / End Page

383 / 390

Location

United States

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Risk Reduction Behavior
  • Middle Aged
  • Male
  • Hypertension
  • Humans
  • Female
  • Exercise
  • Diet, Sodium-Restricted