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Current Hypertension Reports

, Volume 10, Issue 2, pp 143–150 | Cite as

The treatment of hypertension in obese patients

  • Marion R. Wofford
  • Grant Smith
  • Deborah S. Minor
Article

Abstract

Hypertension causes a significant disease burden in all racial and ethnic groups and is directly attributable to excess weight in most cases. The relationship between increasing body mass index and hypertension prevalence has been recognized for decades. Epidemiologic studies clearly demonstrate the correlation between body weight and blood pressure in obese and lean populations. Most patients with hypertension are overweight or obese, and loss of excess weight lowers blood pressure. Although the epidemiologic relationship is clear, the understanding of mechanisms linking hypertension and weight gain is still evolving. Lifestyle modifications and specific pharmacologic agents address many of the known mechanisms; however, blood pressure remains difficult to control in obese hypertensive patients. This review highlights the association of obesity and hypertension, identifies potential mechanisms for this association, and describes nonpharmacologic and pharmacologic strategies that offer potential benefits for the obese patient with hypertension.

Keywords

Obstructive Sleep Apnea Felodipine Valsartan Orlistat Aliskiren 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Current Medicine Group LLC 2008

Authors and Affiliations

  • Marion R. Wofford
    • 1
  • Grant Smith
  • Deborah S. Minor
  1. 1.Department of Medicine, Division of General Internal Medicine/HypertensionUniversity of Mississippi Medical CenterJacksonUSA

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