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Thomas J. Moore, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Mellen et al¹ reported evidence that the diets of American adults with hypertension have become less healthy, comparing National Health and Nutrition Examination Survey (NHANES) data from 1988 to 1994 vs 1999 to 2004. There is ample evidence from other sources to support their conclusions about overall diet quality. However, their attempt to convert dietary recall data from NHANES into DASH (Dietary Approaches to Stop Hypertension) diet equivalents is open to question. The DASH diet is based on providing a specified number of servings per day of each of 8 different food groups.² It is likely that its blood pressure–lowering effect is related to the diet's food group diversity. Attempts to match the DASH diet's blood pressure–lowering effect using individual nutrients have been unsuccessful.³

To relate NHANES data to the DASH diet, Mellen et al¹ converted NHANES food recall data into micronutrients and macronutrients and then . . . [Full Text of this Article]

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Deteriorating Dietary Habits Among Adults With Hypertension: DASH Dietary Accordance, NHANES 1988-1994 and 1999-2004
Philip B. Mellen, Sue K. Gao, Mara Z. Vitolins, and David C. Goff, Jr
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