Randomized Controlled Pilot Trial of DASH Feeding in Older Low Socioeconomic Adults Without Heart Failure

Randomized Controlled Pilot Trial of Dietary Approached to Stop Hypertension (DASH) Feeding in Older Low Socioeconomic Adults Without Heart Failure

This is a study of the DASH diet (Dietary Approaches to Stop Hypertension) in the exploration of effective strategies for Heart failure (HF) with preserved ejection fraction (HFPEF) prevention.

This is a feasibility pilot, randomized clinical trial (RCT), DASH diet feeding trial in 40 older adults. It will also elicit trends in left ventricular remodeling and pathophysiology. This trial investigates the feasibility of performing a DASH diet RCT intervention in HFPEF prevention in older adults of low socioeconomic status (LSES).

Inclusion Criteria:

• Participants will have an education level of less than college as a surrogate marker of LSES.

Exclusion Criteria:

• Participants should not have a diagnosis of heart failure or loop diuretics on their medication list in the EHR or symptoms of dyspnea, edema (assessed via questionnaire)
• poorly controlled diabetes mellitus ( HBA 1c >9%)
• or uncontrolled hypertension ( SBP>180, DBP>110)
• cardiovascular event (MI, stroke, HF, angina, atrial fibrillation) within the previous six months
• chronic diseases that might interfere with participation (dementia, schizophrenia, dialysis or transplant recipient patients)
• body-mass index (the weight in kilograms divided by the square of the height in meters) of more than 35