{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:06:39Z","timestamp":1790809599292,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Hypertension control among Chinese older adults remains suboptimal, and the real\u2010world effectiveness of individualized Dietary Approaches to Stop Hypertension (DASH)\u2010based nutritional support delivered through community nursing is unclear. This study evaluated its association with 6\u2010month blood pressure trajectories.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This retrospective cohort study used electronic health records to compare nurse\u2010delivered individualized DASH\u2010based nutritional support with standard care. Propensity score matching (1:1) was performed. The primary outcome was the 6\u2010month systolic blood pressure (SBP) trajectory, analyzed using linear mixed\u2010effects models with a Group\u2009\u00d7\u2009Time interaction. Secondary outcomes included diastolic blood pressure (DBP), blood pressure control (<\u2009140\/90\u2009mmHg), body mass index (BMI), and hypotension.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among 366 eligible patients, 210 were matched (105 per group), with all postmatching standardized mean differences <\u20090.10. SBP trajectories differed significantly between groups (\n p<\/jats:italic>\n interaction<\/jats:sub>\n \u2009<\u20090.001). At 6\u2009months, the between\u2010group differences were \u22124.3\u2009mmHg for SBP (95% CI, \u22126.6 to \u22122.0;\n p<\/jats:italic>\n \u2009<\u20090.001) and \u22122.7\u2009mmHg for DBP (\n p<\/jats:italic>\n \u2009<\u20090.001). Blood pressure control was higher in the intervention group (61.9% vs. 40.0%;\n p<\/jats:italic>\n \u2009=\u20090.003). The SBP difference was larger among patients with severe hypertension (\u22127.5 vs. \u22123.1\u2009mmHg;\n p<\/jats:italic>\n interaction<\/jats:sub>\n \u2009=\u20090.012). In the higher\u2010contact subgroup (\u2265\u20093 documented nutritional contacts), the SBP difference was \u22125.6\u2009mmHg. BMI decreased by 1.2\u2009kg\/m\n 2<\/jats:sup>\n (\n p<\/jats:italic>\n \u2009<\u20090.001). Hypotension was uncommon and comparable between groups (3.8% vs. 2.9%;\n p<\/jats:italic>\n \u2009=\u20091.000).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Individualized community\u2010based DASH nutritional support was associated with more favorable blood pressure trajectories and higher control rates without an observed increase in hypotension. Larger differences were observed among patients with severe baseline hypertension and those with greater documented intervention contact.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ggi.70849","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:50:10Z","timestamp":1790808610000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Real\u2010World Effectiveness of Individualized\n DASH<\/scp>\n \u2010Based Nutritional Support on Blood Pressure Trajectories in Elderly Hypertensive Patients: A Retrospective Cohort Study"],"prefix":"10.1111","volume":"26","author":[{"given":"Qianqian","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Geriatric Rehabilitation Beijing Rehabilitation Hospital, Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Geriatric Rehabilitation Beijing Rehabilitation Hospital, Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meilan","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Geriatric Rehabilitation Beijing Rehabilitation Hospital, Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0940-3290","authenticated-orcid":false,"given":"Yanli","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Geriatric Rehabilitation Beijing Rehabilitation Hospital, Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0797-5285","authenticated-orcid":false,"given":"Jing","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Geriatric Rehabilitation Beijing Rehabilitation Hospital, Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1320295"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000003946"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41440\u2010024\u201002037\u20103"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.5646\/ch.2025.31.e12"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2024.10.022"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201020828\u20107"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.30604\/jika.v8i3.2093"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu15163611"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/advances\/nmaa041"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.11909\/j.issn.1671\u20105411.2019.03.014"},{"issue":"3","key":"e_1_2_13_12_1","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1093\/geront\/9.3_Part_1.179","article-title":"Assessment of Older People: Self\u2010Maintaining and Instrumental Activities of Daily Living","volume":"9","author":"Lawton M. P.","year":"1969","journal-title":"Gerontologist"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.014240"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010150\u20109\u2010200905050\u201000006"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc24\u2010S002"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.119.006115"},{"key":"e_1_2_13_17_1","volume-title":"Guideline for Suitable Body Mass Index Range and Weight Management of Chinese Elderly (T\/CNSS 021\u20132023)","author":"Chinese Nutrition Society","year":"2023"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00280883"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021\u20109681(87)90171\u20108"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2021.05.030"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2020.248"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/nxac086"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.2174\/0115734021423628260212091911"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200101043440101"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.20960\/nh.04622"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_793_23"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igaf122.2891"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2021.647847"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1155\/ijhy\/6175223"}],"container-title":["Geriatrics & Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70849","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ggi.70849","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70849","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:50:14Z","timestamp":1790808614000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.70849"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":28,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/ggi.70849"],"URL":"https:\/\/doi.org\/10.1111\/ggi.70849","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"assertion":[{"value":"2026-06-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70849"}}