Hypertension

Hypertension

Welcome to the Evidence Analysis Library Hypertension Systematic Review and Guideline

The 2015 Hypertension (HTN) Systematic Review and Guideline is a culmination of three years' work by a six-member expert workgroup. Following the Academy's evidence analysis process, the workgroup began by reviewing the 2008 results. It's important to note that since not all of the 2008 recommendations were updated, the 2008 guideline remains an accessible resource.

For the 2015 Systematic Review, the workgroup concentrated its efforts on five topic areas relevant to dietitians' treatment of patients with HTN:
  • Medical Nutrition Therapy
  • Vitamins (vitamin D)
  • Minerals (potassium, calcium, magnesium, and sodium)
  • Diet Patterns
  • Alcohol
View the results of twelve-evidence analysis questions by using the links on the left. The Minerals topic includes a conversion table for quick reference.

The 2015 Guideline includes recommendations based on the systematic review in addition to recommendations on the DASH diet and physical activity based on the 2013 ACC/AHA (American College of Cardiology/American Heart Association Task Force).

When reviewing the major recommendations, the workgroup recommends that the user read the following guideline resources:
  • HTN Guideline Comparison Table - download to see changes between the newly published and previous guideline.
  • Guideline Introduction - use the links on the left to review the HTN guideline scope; statement of intent; guideline methods; specific search methods; risk and harms of implementing the guideline; information on implementation of the guideline; and references.
  • Expand the Supporting Evidence section for reference for each recommendation.
View the 2015 and 2008 Hypertension material by using the links on the left.
 
  • Project Team (2013-2015)
    The following individuals contributed their valuable time and expertise to this project:

    Workgroup Members
    • Diane DellaValle, PhD, RDN, Chair
    • Karen Corbin, PhD, RD (resigned 12/2014)
    • Denise Donaldson-Kaiser, MBA, MS, RD, CDN (resigned 1/2014)
    • Shannon Lennon-Edwards, PhD, RD
    • Brigid McVaugh, MS, RD/LD
    • Melissa Prest, MS, RD, LDN, CSR
    • Susan Rodder, MS, RD, LD (starting 2/2015)
    Project Managers
    • Tami Piemonte, MS, RDN/LDN (starting 11/2014)
    • Mujahed Khan*, MBA, RD (resigned 11/2014)
    Lead Analysts
    • Kathy Hoy, EdD, RD, LDN
    • Erica Gradwell, MS, RD (1/2015 - 2/2015)
    Evidence Analysts
    • Jennifer Aiyer, MS, RD
    • Lisa Davis, MS, RD
    • Alison Dvorak, MS, RDN, CDN
    • Roseline Jan, MS, RD
    • Renee Korczak, PhD, RD
    • Holly Larson, MS, RD
    • Nadia Marzella, MS, LDN
    • Nichole McGrath, LDN
    • Joan Pleuss, MS, CD
    • Helen Solomon, MBA, RD
    Guideline Reviewers
    • Sujata L. Archer, PhD, RD, LD
    • Carolyn Bradley-Guidry, MPAS, PA-C, BSN
    • Terrry Lynn Brown, MPH, MBA, RD, LD, CNSC
    • Brenda M. Davy, PhD, RD
    • Tatyana Yousef El-Kour, MS, RDN
    • A. Christine Hummell, MS, RD, LD, CNSD
    • Elvira Q. Johnson, MS, RD, CDE
    • Vijaya Juturu, PhD, FACN
    • Marilyn D. Schorin, PhD, RDN, LDN, CN, CNS, FAND
    • Bielca Soza, MS, RDN, LD
    • Rebecca J. Threlkeld, MS, RDN, LDN
    • Anna Q.Tourkakis, MPA/H, NDTR
    • Christine K. Weithman, MBA, RD, LDN
    Academy Staff
    • Paula Ziegler, PhD, RD
     * = Academy staff

    Financial Contributor
    • Academy of Nutrition and Dietetics

    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers.
    • Karen Corbin - received a grant from the American Heart Association, NIH
  • Project Team (2007-2008)
    The following individuals contributed their valuable time and expertise to this project:

    Workgroup Members
    • Theresa L. Dildy, MS,RD, LD, CNSD, Chair
    • Sujata L. Archer, PhD, RD, LD
    • Brenda M. Davy, PhD, RD
    • Debra A.Krummel, PhD, MS, RDBS, RD
    • Sharon G. Madalis, MS, RD, LDN, CDE
    • Janis F. Swain, MS, RD, LDN
    Project Manager/Lead Analyst
    • Erica K. Gradwell, MS, RD
    Evidence Analysts
    • Laura Byahm-Gray, PhD, RD, CNSD
    • Jamie M. Erskine, PhD, RD
    • Erica R. Dean, RD, LD
    • Sabrina Peterson, PhD, RD
    • Annalynn Skipper, PhD, RD, FADA
    Academy Staff
    • Deborah Cummins, PhD
    • Kari Kren, MPH, RD
    • Esther Myers, PhD, RD
    Financial Contributor
    • Evidence Analysis
      • Academy of Nutrition and Dietetics
      • Commission on Dietetic Registration
    • Guideline
      • Academy of Nutrition and Dietetics

    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers.
    • None of the workgroup members listed above disclosed potential conflicts.
  • Project Resources
    The following resources were developed from the 2007-2008 review:
    • Hypertension Guideline 2015 Presentation - this 39-slide MS Powerpoint presentation includes all the recommendations and ratings of the Hypertension2015 Evidence-based Nutrition Practice Guideline. Ideal for you to use for meetings, in-service presentations and classes (not designed for the consumer). Click to order.
       
    • You and Your Blood Pressure: Beating out Hypertension - Just what is hypertension and what causes it? It has been called a silent threat because you can have high blood pressure and not even know it. While the condition itself has no symptoms, the effect on your body can become life-threatening over time. This brochure will help you learn what you can do to prevent and treat high-blood pressure. Click to order.