Blood pressure control and weight loss -
Whelton PK, Carey RM, Aronow WS, et al. J Am Coll Cardiol. Bramlage P, Pittrow D, Wittchen HU, et al. Hypertension in overweight and obese primary care patients is highly prevalent and poorly controlled. Am J Hypertens. Wolk R, Shamsuzzaman AS, Somers VK. Obesity, sleep apnea, and hypertension.
Fantin F, Giani A, Zoico E, Rossi AP, Mazzali G, Zamboni M. Weight Loss and Hypertension in Obese Subjects. Williams B, Mancia G, Spiering W, et al. Eur Heart J. Bluher M, Rudich A, Kloting N, et al. Two patterns of adipokine and other biomarker dynamics in a long-term weight loss intervention.
Diabetes Care. Article PubMed PubMed Central CAS Google Scholar. Lean M, Hankey C. Keeping it off: the challenge of weight-loss maintenance. Lancet Diabetes Endocrinol. Neter JE, Stam BE, Kok FJ, Grobbee DE, Geleijnse JM.
Influence of weight reduction on blood pressure: a meta-analysis of randomized controlled trials. Aucott L, Rothnie H, McIntyre L, Thapa M, Waweru C, Gray D.
Long-term weight loss from lifestyle intervention benefits blood pressure? Engberink MF, Geleijnse JM, Bakker SJ, et al. Effect of a high-protein diet on maintenance of blood pressure levels achieved after initial weight loss: the DiOGenes randomized study.
J Hum Hypertens. Fazliana M, Liyana AZ, Omar A, et al. Effects of weight loss intervention on body composition and blood pressure among overweight and obese women: findings from the MyBFF home study.
BMC Womens Health. Stevens VJ, Obarzanek E, Cook NR, et al. Long-term weight loss and changes in blood pressure: results of the Trials of Hypertension Prevention, phase II. Ann Intern Med. Gepner Y, Shelef I, Komy O, et al. The beneficial effects of Mediterranean diet over low-fat diet may be mediated by decreasing hepatic fat content.
J Hepatol. Gepner Y, Shelef I, Schwarzfuchs D, et al. Effect of Distinct Lifestyle Interventions on Mobilization of Fat Storage Pools: CENTRAL Magnetic Resonance Imaging Randomized Controlled Trial. Grossman E, Eshkol A, Rosenthal T. Diet and weight loss: their effect on norepinephrine renin and aldosterone levels.
Int J Obes. CAS PubMed Google Scholar. Sowers JR, Nyby M, Stern N, et al. Blood pressure and hormone changes associated with weight reduction in the obese. Noren E, Forssell H. Very low calorie diet without aspartame in obese subjects: improved metabolic control after 4 weeks treatment. Nutr J.
Fenske WK, Dubb S, Bueter M, et al. Effect of bariatric surgery-induced weight loss on renal and systemic inflammation and blood pressure: a month prospective study. Surg Obes Relat Dis. Bonfils PK, Taskiran M, Damgaard M, et al. Roux-en-Y gastric bypass alleviates hypertension and is associated with an increase in mid-regional pro-atrial natriuretic peptide in morbid obese patients.
J Hypertens. Busetto L, De Stefano F, Pigozzo S, Segato G, De Luca M, Favretti F. Long-term cardiovascular risk and coronary events in morbidly obese patients treated with laparoscopic gastric banding.
Careaga M, Esmatjes E, Nunez I, Molero J, Vidal J, Flores L. Effect of weight loss on abnormal hour blood pressure patterns in severely obese patients. Effect of weight loss through laparoscopic gastric banding on blood pressure, plasma renin activity and aldosterone levels in morbid obesity.
Nutr Metab Cardiovasc Dis. Article PubMed CAS Google Scholar. Flores L, Vidal J, Canivell S, Delgado S, Lacy A, Esmatjes E. Hypertension remission 1 year after bariatric surgery: predictive factors. Schiavon CA, Bersch-Ferreira AC, Santucci EV, et al. Effects of Bariatric Surgery in Obese Patients With Hypertension: The GATEWAY Randomized Trial Gastric Bypass to Treat Obese Patients With Steady Hypertension.
Heneghan HM, Meron-Eldar S, Brethauer SA, Schauer PR, Young JB. Effect of bariatric surgery on cardiovascular risk profile. Am J Cardiol. Ricci C, Gaeta M, Rausa E, Asti E, Bandera F, Bonavina L.
Long-term effects of bariatric surgery on type II diabetes, hypertension and hyperlipidemia: a meta-analysis and meta-regression study with 5-year follow-up. Obes Surg. Ricci C, Gaeta M, Rausa E, Macchitella Y, Bonavina L. Early impact of bariatric surgery on type II diabetes, hypertension, and hyperlipidemia: a systematic review, meta-analysis and meta-regression on 6, patients.
Vest AR, Heneghan HM, Agarwal S, Schauer PR, Young JB. Bariatric surgery and cardiovascular outcomes: a systematic review. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. Wilhelm SM, Young J, Kale-Pradhan PB.
Effect of bariatric surgery on hypertension: a meta-analysis. Ann Pharmacother. Pedersen JS, Borup C, Damgaard M, et al. Early hour blood pressure response to Roux-en-Y gastric bypass in obese patients.
Scand J Clin Lab Invest. Hawkins DN, Faler BJ, Choi YU, Prasad BM. Time Course of Blood Pressure Decrease After Bariatric Surgery in Normotensive and Hypertensive Patients. Yin X, Qian J, Wang Y, et al.
Short-term outcome and early effect on blood pressure of laparoscopic sleeve gastrectomy in morbidly obese patients.
Clin Exp Hypertens. Pouwels S, Lascaris B, Nienhuijs SW, Bouwman AR, Buise MP. Short-Term Changes in Cardiovascular Hemodynamics in Response to Bariatric Surgery and Weight Loss Using the Nexfin R Non-invasive Continuous Monitoring Device: a Pilot Study.
Gilardini L, Redaelli G, Croci M, Conti A, Pasqualinotto L, Invitti C. Effect of a Modest Weight Loss in Normalizing Blood Pressure in Obese Subjects on Antihypertensive Drugs.
Obes Facts. Article CAS PubMed PubMed Central Google Scholar. Ernsberger P, Nelson DO. Refeeding hypertension in dietary obesity. Am J Physiol. CAS PubMed PubMed Central Google Scholar. Beavers DP, Beavers KM, Lyles MF, Nicklas BJ. Cardiometabolic risk after weight loss and subsequent weight regain in overweight and obese postmenopausal women.
J Gerontol A Biol Sci Med Sci. Linna MS, Borg P, Kukkonen-Harjula K, et al. Successful weight maintenance preserves lower levels of oxidized LDL achieved by weight reduction in obese men. Int J Obes Lond. Article CAS Google Scholar.
Wang P, Holst C, Wodzig WK, et al. Circulating ACE is a predictor of weight loss maintenance not only in overweight and obese women, but also in men. Sjostrom L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery.
N Engl J Med. Download references. The authors thank the CENTRAL participants for their consistent cooperation and to Iris Shai from Ben-Gurion University of Negev. Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, and Sylvan Adams Sports Institute, Tel-Aviv University, Tel-Aviv, Israel.
Soroka University Medical Center, Beer-Sheva, Israel. Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. Internal Medicine Wing, The Chaim Sheba Medical Center, Tel-Hashomer, Israel. You can also search for this author in PubMed Google Scholar.
Correspondence to Yftach Gepner PhD. All authors have no relevant conflict of interest to disclose and have approved the final article. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Reprints and permissions.
Gepner, Y. Dissociation Between Long-term Weight Loss Intervention and Blood Pressure: an month Randomized Controlled Trial.
J GEN INTERN MED 36 , — Download citation. Received : 07 July Accepted : 08 February Published : 25 February Issue Date : August Anyone you share the following link with will be able to read this content:.
Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Download PDF. Abstract Background Obesity is associated with elevated blood pressure BP.
Objective We aimed to assess the effect of long-term weight loss intervention on BP in normotensive and hypertensive subjects. Design Randomized controlled trial. Participants Two hundred seventy-eight subjects mean age Intervention Eighteen-month weight loss intervention.
Main Measures Body weight and BP were measured at baseline, after 6 and 18 months. Conclusion Weight-loss intervention reduced BP in hypertensive patients, but this was not maintained in the long run.
Clinical Trial Registration ClinicalTrials. gov Identifier: NCT The effects of body weight loss and gain on arterial hypertension control: an observational prospective study Article Open access 25 October The effect of weight loss and weight gain on blood pressure in children and adolescents with obesity Article 31 May Effect of metformin on blood pressure in patients with hypertension: a randomized clinical trial Article 21 August Use our pre-submission checklist Avoid common mistakes on your manuscript.
METHODS This is a secondary analysis of the 18 months long CENTRAL trial ClinicalTrials. Clinical Measurements Clinical parameters were measured at baseline and after 6 and 18 months of weight loss intervention.
Statistical Analysis The primary outcome in this report was change in BP over 18 months of weight-loss intervention, with a priori hypothesis that BP changes will parallel to changes in body mass index. Table 1 Clinical characteristics of study participants by hypertension Full size table.
Figure 1. Full size image. Figure 2. Figure 3. References Chooi YC, Ding C, Magkos F. Article CAS PubMed Google Scholar Hall JE, do Carmo JM, da Silva AA, Wang Z, Hall ME.
Article PubMed PubMed Central Google Scholar Iacobini C, Pugliese G, Blasetti Fantauzzi C, Federici M, Menini S. Article CAS PubMed Google Scholar Lanas F, Seron P.
Article PubMed Google Scholar Whelton PK, Carey RM, Aronow WS, et al. These complications can include stroke, heart failure, heart attack, and kidney damage.
Worldwide, hypertension contributes to cardiovascular death more than any other risk factor. Making dietary changes reducing sodium intake and increasing potassium intake and losing weight for people who are overweight are effective treatments for reducing blood pressure [ 1 ].
Other lifestyle changes that can help include stopping smoking, reducing stress, reducing alcohol consumption, and exercising regularly. All of these lifestyle changes are effective when used alone but often have the greatest benefit when used together.
Since the effects of lifestyle changes are usually relatively modest, many people with hypertension will also require medications to achieve goal blood pressure. An overview of hypertension and a discussion of treatments can be found elsewhere.
See "Patient education: High blood pressure in adults Beyond the Basics " and "Patient education: High blood pressure treatment in adults Beyond the Basics ".
Normal blood pressure — Less than over less than Elevated blood pressure — to over less than People with elevated blood pressure are at increased risk of developing hypertension and cardiovascular complications; however, medications used to treat hypertension are not known to be beneficial in people with elevated blood pressure.
Most adults with hypertension have primary hypertension formerly called "essential" hypertension , which means that the cause of the high blood pressure is not known. A small subset of adults has secondary hypertension, which means that there is an underlying and potentially correctable cause, usually a kidney or hormonal disorder.
Hypertension is a common health problem. In the United States, approximately 46 percent of adults have hypertension. Hypertension is more common as people grow older. In the United States, for example, it affects 76 percent of adults aged 65 to 74 years and 82 percent of adults aged 75 years or older.
Unfortunately, many people's blood pressure is not well controlled. According to a national survey, hypertension was under good control in only 47 percent of adults.
Reduce sodium salt — Reducing the amount of sodium you consume can lower blood pressure if you have hypertension or elevated blood pressure. The main source of sodium in the diet does not come from the salt shaker; it comes from the salt contained in packaged and processed foods and in foods from restaurants.
The body requires a small amount of sodium in the diet, and most people consume more sodium than they need over 3 grams per day. A low-sodium diet contains fewer than 2. Although the ideal target for daily sodium intake remains controversial, the optimal goal is less than mg per day.
A detailed discussion of low-sodium diets is available separately. See "Patient education: Low-sodium diet Beyond the Basics ". Reduce alcohol — Drinking a lot of alcohol increases your risk of developing high blood pressure.
A "drink" is defined as 5 oz of wine, 12 oz of beer, or 1 oz of hard liquor. Drinking more than two drinks per day increases the risk of high blood pressure compared with not drinking, and it also makes hypertension more difficult to control. Binge drinking consuming four to five drinks within two hours is an even greater problem for overall health and hypertension.
Eat more fruits and vegetables — Adding more fruits and vegetables to your diet may reduce high blood pressure or protect against developing high blood pressure; it can also help improve your health in general.
Eat more fiber — Eating an increased amount of fiber may decrease blood pressure. The recommended amount of dietary fiber is 20 to 35 grams of fiber per day.
Many breakfast cereals are excellent sources of dietary fiber. More information about increasing fiber is available separately. See "Patient education: High-fiber diet Beyond the Basics ".
Eat more fish — Eating more fish may help to lower blood pressure, especially when combined with weight loss [ 2 ]. Caffeine — Caffeine can temporarily increase blood pressure in people who don't consume it regularly.
In regular caffeine users, a moderate amount of caffeine equivalent to approximately two cups of coffee daily usually does not affect blood pressure. However, excessive amounts of caffeine such as in many supplements and large-size beverages may raise blood pressure in susceptible people.
Dietary Approaches to Stop Hypertension DASH eating plan — The DASH eating plan combines many of the dietary interventions noted above.
It is high in fruits, vegetables, whole grains, fiber, and low-fat dairy products, with reduced saturated fat, total fat, and meat intake. All people, including those with and without high blood pressure, who strictly follow the DASH eating plan can have fairly significant reductions in blood pressure, particularly when combined with a low-sodium diet.
Regular exercise can lower your blood pressure even if you don't lose weight. Recommendations from the American Heart Association suggest that to achieve substantial health benefits requires to minutes per week of moderate-intensity aerobic activity such as brisk walking or 75 to minutes per week of vigorous intensity aerobic activity such as jogging plus muscle-strengthening exercises resistance training involving all major muscle groups at least twice per week [ 3 ].
Isometric exercises eg, repeated handgrip contraction may also be of benefit. Exercise will not only help lower blood pressure but also improves cholesterol levels.
However, to maintain this benefit, you must continue to exercise regularly. Although this level of exercise is recommended to get substantial reductions in blood pressure 4 to 5 mmHg systolic , any amount of physical activity is better than none.
Even gentle forms of exercise, like walking, have health benefits. See "Patient education: Exercise Beyond the Basics ". Being overweight or having obesity increases your risk of having high blood pressure, diabetes, and cardiovascular disease.
The definition of overweight and obese are based upon a calculation called body mass index BMI. You can find your BMI using an online calculator calculator 1 and calculator 2. A person is considered overweight if their BMI is greater than 25, while a person with a BMI of 30 or greater is classified as having obesity.
People who are overweight or have obesity can see significant reductions in blood pressure with even modest weight loss. To lose weight, you must eat fewer calories and exercise more. See "Patient education: Losing weight Beyond the Basics ".
In susceptible individuals, nonsteroidal antiinflammatory drugs or "NSAIDs" such as ibuprofen and naproxen can increase blood pressure. Oral contraceptive birth control pills may increase blood pressure in some people.
Additionally, any stimulant, including those found in some decongestants, weight loss products, and illegal drugs, can increase blood pressure. If you are regularly consuming any of these substances, you should talk to your health care provider. If you continue to have high blood pressure despite making lifestyle modifications including changes in your diet, exercising more, and losing weight, you may need a medication to reduce your blood pressure.
Medications for high blood pressure are discussed separately.
Mayo Pressyre offers appointments in Arizona, Florida and Minnesota and presssure Mayo Natural energy boosters Health System locations. By pressuee these 10 lifestyle changes, you can lower Regular website performance audits blood conrol and reduce losss risk of heart disease. Natural energy boosters you have high blood pressure, you may wonder if medication is necessary to bring the numbers down. But lifestyle plays a vital role in treating high blood pressure. Controlling blood pressure with a healthy lifestyle might prevent, delay or reduce the need for medication. Blood pressure often increases as weight increases. Being overweight also can cause disrupted breathing while you sleep sleep apneawhich further raises blood pressure. Thank pdessure for visiting Natural energy boosters. You are using a browser version with limited support for CSS. To obtain the best Understanding thermogenesis mechanism, weigyt recommend weitht use a more up to date browser or turn off compatibility mode in Internet Explorer. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. We evaluated the effects of body weight BW loss on blood pressure BP in overweight non-obese patients with stage 1 hypertension. Each patient received tailored, low caloric dietary advice.
es kann hier der Fehler?
Ich denke, dass Sie den Fehler zulassen. Schreiben Sie mir in PM, wir werden reden.
Ich berate Ihnen.