Weight reduction and obesity

Obesity and hypertension are intimately linked. Weight loss lowers blood pressure and improves the blood pressure response to sodium restriction and antihypertensive medications. In addition to the effects of energy restriction, diets rich in fruits and vegetables (and hence potassium) and rich in low fat dairy products (and hence rich in calcium and magnesium), high in fiber, and low in saturated fat also lower blood pressure independent of sodium and energy content. These dietary modifications, along with weight loss are beneficial in patients only mildly overweight and, because of beneficial effects on other cardiac risk factors should be part of the therapeutic regimen in all obese hypertensive patients.