Meta Analisis: Efektivitas Diet DASH terhadap Penurunan Tekanan Darah pada Penderita Hipertensi

Authors

  • Lindsay Ozora Sanyaezra Simanjuntak Universitas Airlangga

DOI:

https://doi.org/10.55606/jurrikes.v5i2.9488

Keywords:

Blood Pressure, DASH Diet, Hypertension, Meta-Analysis, Nutritional Intervention

Abstract

Background: Hypertension is a global health issue that significantly contributes to morbidity and mortality. The DASH diet (Dietary Approaches to Stop Hypertension) has been recommended as a dietary approach to lower blood pressure, but findings across studies remain varied. Therefore, a meta-analysis was conducted to synthesize the existing evidence on the effectiveness of the DASH diet for blood pressure reduction in hypertensive patients. Objective: To systematically and quantitatively assess the effect of the DASH diet on lowering blood pressure in individuals with hypertension. Methods: This meta-analysis employed a random-effects model using Standardized Mean Difference (SMD) as the effect size. Data were extracted from six studies that met the inclusion criteria. OpenMEE software was used to calculate the pooled effect estimate and inter-study heterogeneity. Results: The findings showed that the DASH diet significantly reduced blood pressure, with an SMD of -1.219 (95% CI: -1.918 to -0.519; p < 0.001). Substantial heterogeneity was found across the included studies (I² = 88.24%; p < 0.001), indicating variations in population characteristics and study methodologies. Conclusion: The DASH diet is effective in lowering blood pressure in hypertensive patients and can be considered a key component of non-pharmacological intervention strategies. Despite the presence of heterogeneity, the consistent direction of effect supports its broader implementation with individual adaptations.

Downloads

Download data is not yet available.

References

Appel, L. J., Moore, T. J., Obarzanek, E., Vollmer, W. M., Svetkey, L. P., Sacks, F. M., Bray, G. A., Vogt, T. M., Cutler, J. A., Windhauser, M. M., Lin, P. H., & Karanja, N. (1997). A clinical trial of the effects of dietary patterns on blood pressure. New England Journal of Medicine, 336(16), 1117–1124.

Astuti, A. P., Damayanti, D., & Ngadiarti, I. (2021). Penerapan anjuran Diet DASH dibandingkan diet rendah garam berdasarkan konseling gizi terhadap penurunan tekanan darah pada pasien hipertensi di Puskesmas Larangan Utara. Gizi Indonesia, 44(1), 109–120.

Chiavaroli, L., Viguiliouk, E., Nishi, S. K., Blanco Mejia, S., Rahelić, D., Kahleová, H., Salas-Salvadó, J., Kendall, C. W. C., & Sievenpiper, J. L. (2019). DASH dietary pattern and cardiometabolic outcomes: An umbrella review of systematic reviews and meta-analyses. Nutrients, 11(2), 338.

Dewi, F. U., & Sugiyanto, S. (2017). Pengaruh pemberian Diet DASH terhadap perubahan tekanan darah pada penderita hipertensi di Puskesmas Pahandut Palangka Raya. Jurnal Forum Kesehatan, 7(2), 90–97.

Filippou, C. D., Tsioufis, C. P., Thomopoulos, C. G., Mihas, C. C., Dimitriadis, K. S., Sotiropoulou, L. I., Chrysochoou, C. A., Nihoyannopoulos, P., & Tousoulis, D. M. (2020). Dietary Approaches to Stop Hypertension (DASH) diet and blood pressure reduction in adults with and without hypertension: A systematic review and meta-analysis of randomized controlled trials. Advances in Nutrition, 11(5), 1150–1160.

Guo, R., Li, N., Yang, R., Liao, X. Y., Zhang, Y., Zhu, B. F., Zhao, Q., Chen, L., Zhang, Y. G., & Lei, Y. (2021). Effects of the modified DASH diet on adults with elevated blood pressure or hypertension: A systematic review and meta-analysis. Frontiers in Nutrition, 8, 725020.

Kharisna, D., Dewi, W. N., & Lestari, W. (2012). Efektifitas konsumsi jus mentimun terhadap penurunan tekanan darah pada pasien hipertensi. Jurnal Ners Indonesia, 2(2), 124–131.

Luthfiana, S. N., Arwani, A., & Widiyanto, B. (2019). The effect of Dietary Approach to Stop Hypertension (DASH) counseling on reducing blood pressure. Jendela Nursing Journal, 3(2), 98–103.

Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223–237.

Ozemek, C., Laddu, D. R., Arena, R., & Lavie, C. J. (2018). The role of diet for prevention and management of hypertension. Current Opinion in Cardiology, 33(4), 388–393.

Pratistita, P. T. P., & Marbun, M. B. (2022). The role of Dietary Approaches to Stop Hypertension (DASH diet) on blood pressure in patients with hypertension. Journal of Hypertension, 40, e261–e262.

Sacks, F. M., Svetkey, L. P., Vollmer, W. M., Appel, L. J., Bray, G. A., Harsha, D., Obarzanek, E., Conlin, P. R., Miller, E. R., Simons-Morton, D. G., Karanja, N., & Lin, P. H. (2001). Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. New England Journal of Medicine, 344(1), 3–10.

Siervo, M., Lara, J., Chowdhury, S., Ashor, A., Oggioni, C., & Mathers, J. C. (2015). Effects of the Dietary Approach to Stop Hypertension (DASH) diet on cardiovascular risk factors: A systematic review and meta-analysis. British Journal of Nutrition, 113(1), 1–15.

Susanti, S. (2024). Perbedaan efektivitas diet rendah garam dan Diet DASH terhadap penurunan tekanan darah pasien hipertensi. Nutri-Sains: Jurnal Gizi, Pangan dan Aplikasinya, 8(2), 95–104.

Uliatiningsih, R., & Fayasari, A. (2019). Pengaruh edukasi Diet DASH terhadap kepatuhan diet dan tekanan darah pada penderita hipertensi di Rumkital Marinir Cilandak. Jurnal Gizi dan Pangan Soedirman, 3(2), 120–132.

Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Dennison Himmelfarb, C., DePalma, S. M., Gidding, S., Jamerson, K. A., Jones, D. W., MacLaughlin, E. J., Muntner, P., Ovbiagele, B., Smith, S. C., Spencer, C. C., Stafford, R. S., Taler, S. J., Thomas, R. J., Williams, K. A., Williamson, J. D., & Wright, J. T. (2018). 2017 ACC/AHA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. Hypertension, 71(6), e13–e115.

World Health Organization. (2023). Hypertension. Geneva: World Health Organization.

Xia, T., Zhao, F., & Nianogo, R. A. (2022). Interventions in hypertension: Systematic review and meta-analysis of natural and quasi-experiments. Clinical Hypertension, 28, 13.

Khan, S. A., Hafeez, A., Sikander, S., Khan, A. W., & Yasmin, R. (2019). A systematic review on Dietary Approaches to Stop Hypertension (DASH) to control raised blood pressure among hypertensive patients. Pakistan Journal of Public Health, 9(4), 187–192.

Appel, L. J. (2017). The effects of comprehensive lifestyle modification on blood pressure control. Journal of Clinical Hypertension, 19(5), 456–458.

Muntner, P., Hardy, S. T., Fine, L. J., Jaeger, B. C., Wozniak, G., Levitan, E. B., & Colantonio, L. D. (2020). Trends in blood pressure control among US adults with hypertension. Circulation, 142(9), 827–836.

Downloads

Published

2026-07-02 — Updated on 2026-07-03

How to Cite

Lindsay Ozora Sanyaezra Simanjuntak. (2026). Meta Analisis: Efektivitas Diet DASH terhadap Penurunan Tekanan Darah pada Penderita Hipertensi. JURNAL RISET RUMPUN ILMU KESEHATAN, 5(2), 457–468. https://doi.org/10.55606/jurrikes.v5i2.9488