Obesity and Hypertension: What Should We Do?
Authors: Thomas G. Pickering
Journal: Annals of Internal Medicine (2001)

Editorials2 January 2001Obesity and Hypertension: What Should We Do?Thomas G. Pickering, MD, DPhilThomas G. Pickering, MD, DPhilDr. Pickering: Mount Sinai Medical Center; New York, NY 10029Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-134-1-200101020-00016 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The treatment of hypertension represents a major international problem. It is estimated that only 27% of hypertensive persons in the United States have their blood pressure controlled, which is a smaller proportion than 10 years ago (1). Over the same period, expenditures on antihypertensive drugs have nearly doubled (2), and even when blood pressure is adequately controlled by medication, hypertensive patients are still at substantially higher risk for cardiovascular morbidity than normotensive persons (3). Although blood pressure tends to increase with age, this process is not inevitable, and one of its major modifiable risk factors is body weight. In the ...References1. . The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Arch Intern Med. 1997;157:2413-46. CrossrefMedlineGoogle Scholar2. Use of antihypertensive drugs. www.americanheart.org/statistics/10econom.html. 2000. Accessed June 2000. Google Scholar3. Isles CG, Walker LM, Beevers GD, Brown I, Cameron HL, Clarke J, et al . Mortality in patients of the Glasgow Blood Pressure Clinic. J Hypertens. 1986;4:141-56. CrossrefMedlineGoogle Scholar4. Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL. Overweight and obesity in the United States: prevalence and trends, 1960-1994. Int J Obes Relat Metab Disord. 1998;22:39-47. CrossrefMedlineGoogle Scholar5. Quesenberry CP, Caan B, Jacobson A. 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Optimisation of antihypertensive treatment by crossover rotation of four major classes. Lancet. 1999;353:2008-13. CrossrefMedlineGoogle Scholar15. Kiernan M, King AC, Kraemer HC, Stefanick ML, Killen JD. Characteristics of successful and unsuccessful dieters: an application of signal detection methodology. Ann Behav Med. 1998;20:1-6. CrossrefMedlineGoogle Scholar16. Williamson DF. Pharmacotherapy for obesity [Editorial]. JAMA. 1999;281:278-80. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Dr. Pickering: Mount Sinai Medical Center; New York, NY 10029Current Author Address: Thomas G. Pickering, MD, DPhil, Mount Sinai Medical Center, 50 East 98th Street, New York, NY 10029. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoLong-Term Weight Loss and Changes in Blood Pressure: Results of the Trials of Hypertension Prevention, Phase II Victor J. Stevens , Eva Obarzanek , Nancy R. Cook , I-Min Lee , Lawrence J. Appel , Delia Smith West , N. Carole Milas , Mildred Mattfeldt-Beman , Lorna Belden , Charlotte Bragg , Marian Millstone , James Raczynski , Amy Brewer , Bali Singh , Jerome Cohen , and Metrics Cited ByUse of the cellular model of body composition to describe changes in body water compartments after total fasting, very low calorie diet and low calorie diet in obese menNutritional Issues of Cardiovascular Disease in WomenHelpt afvallen tegen hypertensie?Pharmaceutical Price Controls and Patient WelfareJohn E. Calfee, PhD 2 January 2001Volume 134, Issue 1Page: 72-74KeywordsBlood pressureBody weightDrug therapyDrugsHealth care providersHypertensionObesityPublic policySodiumWeight loss ePublished: 2 January 2001 Issue Published: 2 January 2001 CopyrightCopyright © 2001 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...