Randomized Controlled Pilot Trial of DASH Feeding in Older Low Socioeconomic Adults Without Heart Failure (DASHF)
Heart Failure, Heart Failure With Preserved Ejection Fraction

About this trial
This is an interventional prevention trial for Heart Failure focused on measuring DASH Diet, Low socioeconomic status, HFPEF
Eligibility Criteria
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
Sites / Locations
- Wake Forest University Health Sciences
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
DASH diet group
Attention Control Group
Participants randomized to receive the DASH diet will be prescribed an isocaloric DASH diet using meals (lunch, dinner, snacks) prepared by a Clinical Research Metabolic Kitchen under the direction of a registered dietician. Participants will prepare their own breakfast from a menu. The subjects will be instructed to drink no more than three caffeinated beverages and no more than two alcoholic beverages per day.
Participants randomized to attention control will continue their usual diet, but they will be instructed to limit their sodium intake to 2300 mg/day. They will be requested and voluntarily agree to not make additional diet or exercise changes during the 12-week study.