Excess weight is not a question of beauty, but mainly a health problem that can lead to many complications. A Body Mass Index (BMI) between 30 and 40 is an indicator of obesity and a BMI higher than 40 constitutes morbid obesity. Along with obesity, there are a series of additional conditions that can be developed due to the excess weight, also known as comorbidities, as is the case of hypertension.
Development of Hypertension and Obesity
According to the study “Mechanisms of obesity-induced hypertension,” published in March, 2010, the correlation between Hypertension and Obesity is still yet to be fully explained. However, research suggests that there is a particular importance on the impact that Hypertension and Obesity have on the sympathetic nervous system. The arterial-pressure is responsible for the diuresis and natriuresis mechanisms, which causes high blood pressure in patients who suffer from obesity.
Insulin resistance and inflammation that are prompted as a consequence of excess weight are also factors that contribute to the development of Hypertension and Obesity. Despite the fact that obese patients have a higher probability of developing hypertension than people with a healthy weight, not all of the obese patients are hypertensive, which may be explained by the heterogeneity of the disease.
Obesity-Related Hypertension Prevention
Preventing hypertension related to obesity is closely connected to the underlying disease as well as its treatment. Therefore, in order to prevent comorbidities, the best method is by the alteration of lifestyle habits, such as diet and physical activity. The 1999 study “Lifestyle modifications to prevent and control hypertension” focused on methods to prevent the disease and revealed that it is inseparable from treating obesity.
Losing weight and maintaining a healthy body weight drastically decreases the risk of developing hypertension. The researchers revealed that while the indirect benefits of a healthy body weight are numerous, the negative effects are primarily the frustrations associated with attaining and maintaining a healthy weight, which may not be easy.
Hypertension Treatment by Obese Patients
Similarly to preventing hypertension, the treatment of the condition as comorbidity associated to obesity, is also associated to the treatment of obesity itself. A healthy diet and regular exercise are key to helping patients lose weight and treat hypertension, which can be combined with other methods of medically supervised weight loss, such as pre-packed meals, pharmacotherapy or surgery. The primary goal is to reduce patients’ BMI to less than 30.
In addition to losing weight, the treatment of obesity-related hypertension is similar to the therapy of other patients. Interruption of the RAS, inhibition of sympathetic nervous activity, and diuresis may also help patients struggling with the disease, are all helpful in treating obesity-related hypertension. The main purpose of the treatment is avoid the risk of further complications, including heart attack, stroke, aneurysm, heart failure and early death.