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What is the best milk to drink if you have high blood pressure?

4 min read

The DASH diet, used to manage blood pressure, recommends low-fat dairy products. Choosing the best milk to drink if you have high blood pressure is a key part of this heart-healthy diet.

Quick Summary

Low-fat or skim milk is recommended for high blood pressure due to its minerals. Unsweetened plant-based milks like soy, almond, and oat milk are also suitable.

Key Points

  • Low-Fat Dairy Recommended: Low-fat and skim cow's milk are excellent choices due to high blood pressure-regulating minerals like calcium, potassium, and magnesium.

  • Consider Plant-Based Alternatives: Fortified, unsweetened plant-based milks like soy, almond, and oat milk are good options, especially for lactose intolerance or allergies.

  • Soy Milk Lowers Blood Pressure: Studies indicate that soy milk can reduce both systolic and diastolic blood pressure, and is recognized as a nutritionally comparable alternative to cow's milk when fortified.

  • Almond and Oat Milk Offer Benefits: Unsweetened almond milk is low in saturated fat and a source of magnesium, while oat milk contains heart-healthy beta-glucans.

  • Avoid High-Fat and Sugary Milks: Full-fat dairy and milk products with added sugars can negatively impact blood pressure and weight, so opt for lower-fat and unsweetened versions.

  • Check Labels for Fortification: When choosing plant-based milks, ensure they are fortified with calcium and vitamin D to match the nutritional profile of dairy milk.

  • Look for Low Sodium Options: Excessive sodium intake contributes to high blood pressure, so always check the nutrition label for sodium content, especially in processed milks.

In This Article

Managing high blood pressure, or hypertension, is crucial for cardiovascular health. Diet plays a significant role in this, and milk choice is important. Whole milk contains saturated fat, which can contribute to heart disease, but studies support low-fat dairy and certain fortified plant-based milks as heart-healthy options. These alternatives offer essential nutrients that help regulate blood pressure and can fit into a balanced diet like the DASH eating plan.

Low-Fat and Skim Dairy: A Heart-Healthy Choice

Dairy milk, especially low-fat and skim varieties, is an excellent source of essential minerals for blood pressure regulation. These include:

  • Calcium: Vital for strong bones, calcium also helps control blood pressure.
  • Potassium: Helps kidneys remove excess sodium, which softens pressure on blood vessels.
  • Magnesium: Acts as a muscle relaxant, helping blood vessels relax, reducing blood pressure.

The DASH diet explicitly includes low-fat dairy products. The key is choosing low-fat options to get benefits without saturated fat found in whole milk. A 2021 review in Advances in Nutrition linked low-fat dairy to a lower high blood pressure risk.

Fortified Plant-Based Milks: Dairy-Free Alternatives

For those who are lactose intolerant, have a milk allergy, or prefer plant-based diets, alternatives offer similar heart-healthy benefits, provided they are fortified and unsweetened.

Soy Milk

Soy milk is a nutritionally suitable alternative, shown to be beneficial for blood pressure. Research suggests switching from cow's milk to soy milk can lower systolic and diastolic blood pressure. Soy milk offers high-quality protein and is often fortified with comparable amounts of calcium and vitamin D to cow's milk. Always opt for an unsweetened variety to avoid added sugars.

Almond Milk

Unsweetened almond milk is low in saturated fat and calories, making it a great choice for weight management, linked to blood pressure. Almonds are a good source of magnesium and vitamin E, supporting cardiovascular health. Select a fortified, unsweetened version to get calcium, vitamin D, and heart-healthy nutrients without added sugar or high sodium.

Oat Milk

Oat milk contains beta-glucans, a soluble fiber known for lowering cholesterol and which may also affect blood pressure. A 2022 review found oat consumption effective in reducing systolic blood pressure, especially in individuals with pre-existing hypertension. Choose unsweetened and fortified options for the most health benefits.

The Nutritional Breakdown: Cow's Milk vs. Plant-Based Alternatives

To make an informed decision, it's helpful to compare the nutritional profiles. The table provides a general comparison; always check the product label for values.

Feature Low-Fat Dairy Milk (e.g., 1%) Unsweetened Almond Milk (Fortified) Unsweetened Soy Milk (Fortified) Unsweetened Oat Milk (Fortified)
Saturated Fat Low Very Low (0g) Very Low Low
Calcium Excellent Source Excellent Source Excellent Source Excellent Source
Potassium Good Source Contains Potassium Contains Potassium Good Source
Magnesium Good Source Good Source Contains Magnesium Contains Magnesium
Added Sugar None None None None (in unsweetened)
Key Benefit Rich in calcium & potassium Low in calories & saturated fat, good source of magnesium Good source of protein, may lower BP Contains heart-healthy beta-glucans

What to Avoid: High-Fat and Sugary Choices

When managing high blood pressure, avoid high-fat and sugary milks.

  • High-fat dairy: Full-fat milk, certain cheeses, and ice cream are high in saturated fat, which can raise cholesterol levels. Elevated cholesterol and saturated fat intake are major risk factors for heart disease and can negatively impact blood pressure.
  • Added sugars: Flavored milks, both dairy and plant-based, often contain significant amounts of added sugars. High sugar intake contributes to weight gain, linked to increased blood pressure and other health complications.
  • High-sodium options: Check sodium content, especially in store-bought plant-based varieties. Excess sodium contributes directly to hypertension.

How to Incorporate Healthy Milks Into Your Diet

Making simple changes can help you reap heart-healthy benefits. Here are some ideas:

  • Switch your cereal: Pour fortified unsweetened soy, almond, or oat milk over whole-grain cereal.
  • Blend a smoothie: Use low-fat dairy milk or a plant-based alternative as the base for a smoothie with fruits and vegetables.
  • Upgrade your coffee or tea: Steam skim milk or add a splash of unsweetened oat milk to your morning beverage.
  • Snack smart: Pair low-fat yogurt (a DASH-recommended dairy product) with nuts, seeds, and fruits.

Conclusion

For high blood pressure, low-fat or skim dairy milk and fortified, unsweetened plant-based alternatives like soy, almond, and oat milk are recommended. These options provide blood pressure-regulating minerals while minimizing saturated fat and added sugars. Check labels for fortification and sugar content, and consider dietary needs. By choosing milk carefully, you can take a step toward better heart health as part of a balanced diet. Consult a healthcare professional for personalized advice.

Expert Recommendations for Managing High Blood Pressure

For comprehensive guidance, consult resources from organizations like the American Heart Association (AHA). The AHA provides information on heart-healthy diets, including sodium intake and fat choices. Learn more about managing blood pressure.

Frequently Asked Questions

Whole milk has higher saturated fat, which can raise cholesterol and potentially increase blood pressure and heart disease risk. Low-fat or skim milk is recommended.

Yes, unsweetened and fortified almond milk is a good choice. It is low in saturated fat, calories, and sodium, and provides magnesium, which supports healthy blood pressure regulation.

Low-fat milk has minerals like calcium, potassium, and magnesium that regulate blood pressure, without the high saturated fat levels in whole milk. It is a key part of the DASH diet.

Yes. If lactose intolerant, use fortified plant-based milk alternatives like soy, almond, or oat milk. These provide similar nutritional benefits when unsweetened and fortified with calcium and vitamin D.

Oat milk contains beta-glucans, which can lower cholesterol. Research also suggests oat consumption can reduce systolic blood pressure, especially in people with hypertension.

The DASH (Dietary Approaches to Stop Hypertension) diet lowers blood pressure. It recommends 2 to 3 servings of low-fat or fat-free dairy products daily, along with fruits, vegetables, and whole grains.

Check labels; some processed milk alternatives have added sodium. Choose varieties with no or low added sodium to avoid high intake that can impact blood pressure.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.