Scientific Online Resource System

Conference Proceedings

Antihypertensive Therapy Volume Reduction Following Dietary Consultation And The Establishment Of An Adequate Nutritional Intake

Tatyana Mateva, Ivan Enev, Boyko Matev

Abstract

Introduction:

Regardless of the sex, age, and ethnicity of patients, certain tendencies related to eating present as independent risk factors in the development of hypertension. Lifestyle changes are a staple in all guidelines for the condition. However, the evaluation of the effect of dietary consultations on the overall hypertension management is rarely reported in medical publications.

Aim:

A case of antihypertensive volume therapy reduction via the application of an interdisciplinary method regarding nutrition and medication in the context of long-distance consultations is presented. The objective characterization of corrected patient nutrition is also emphasized.

Materials and Methods:

A 47-year-old female patient with a height of 168 cm, weight of 100 kg, and BMI of 35.4 had a confirmed diagnosis of hypertension from two years prior. On the initial consultation she had already undergone therapy with 8 mg candesartan and 12.5 mg hydrochlorothiazide. The waist circumference was 118 cm.; there was low-to-nonexistent physical activity and high reported work stress.

Results:

Four months after the initial correction of food intake, the patient reported a weight loss of 16 kg. To maintain normal values of blood pressure, the pharmacological therapy was reduced to a monotherapy with 4 mg candesartan.

Conclusion:

Considering the efficacy of the combined approach and the very modest financial requirements for its execution, it should be taken into account on the initiation of every single antihypertensive therapy. More research should be conducted focusing on the quantitative assessment of nutritional correction on antihypertensive therapy.


Keywords

dietetic consultation, nutrition counselling, antihypertensive therapy, adequate alimentary intake, obesity

Full Text


References

Hill JO, Wyatt HR, Reed GW, Peters JC. Obesity and the environment: Where do we go from here? [Internet]. Vol. 299, Science. American Association for the Advancement of Science; 2003 [cited 2021 Apr 10]. p. 853–5. Available from: https://science.sciencemag.org/content/299/5608/853

Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, et al. Effects on Blood Pressure of Reduced Dietary Sodium and the Dietary Approaches to Stop Hypertension (DASH) Diet. N Engl J Med [Internet]. 2001 Jan 4 [cited 2021 Apr 10];344(1):3–10. Available from: http://www.nejm.org/doi/abs/10.1056/NEJM200101043440101

Klatsky AL, Gunderson E. Alcohol and hypertension: a review. Vol. 2, Journal of the American Society of Hypertension. Elsevier; 2008. p. 307–17.

Wang W, Lee ET, Fabsitz RR, Devereux R, Best L, Welty TK, et al. A longitudinal study of hypertension risk factors and their relation to cardiovascular disease: The strong heart study. Hypertension [Internet]. 2006 Mar 1 [cited 2021 Apr 10];47(3):403–9. Available from: http://www.hypertensionaha.org

Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for themanagement of arterial hypertension [Internet]. Vol. 39, European Heart Journal. Oxford University Press; 2018 [cited 2021 Apr 10]. p. 3021–104. Available from: www.escardio.org/guidelines

Barbosa-Silva MCG, Barros AJ. Bioelectrical impedance analysis in clinical practice: a new perspective on its use beyond body composition equations. Curr Opin Clin Nutr Metab Care [Internet]. 2005 May [cited 2021 Apr 10];8(3):311–7. Available from: https://journals.lww.com/00075197-200505000-00012

Deurenberg P, Yap M, Van Staveren WA. Body mass index and percent body fat: A meta analysis among different ethnic groups. Int J Obes [Internet]. 1998 Dec 17 [cited 2021 Apr 10];22(12):1164–71. Available from: http://www.stockton-press.co.uk/ijo

Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Himmelfarb CD, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults a report of the American College of Cardiology/American Heart Association Task Force on Clinical practice guidelines [Internet]. Vol. 71, Hypertension. Lippincott Williams and Wilkins; 2018 [cited 2021 Apr 10]. p. E13–115. Available from: www.acc.org

Lennon SL, DellaValle DM, Rodder SG, Prest M, Sinley RC, Hoy MK, et al. 2015 Evidence Analysis Library Evidence-Based Nutrition Practice Guideline for the Management of Hypertension in Adults. J Acad Nutr Diet [Internet]. 2017 Sep 1 [cited 2021 Apr 10];117(9):1445-1458.e17. Available from: http://jandonline.org/article/S2212267217303489/fulltext

Roth GA, Forouzanfar MH, Moran AE, Barber R, Nguyen G, Feigin VL, et al. Demographic and Epidemiologic Drivers of Global Cardiovascular Mortality. N Engl J Med [Internet]. 2015 Apr 2 [cited 2021 Apr 10];372(14):1333–41. Available from: http://www.nejm.org/doi/10.1056/NEJMoa1406656

Vogt TM, Appel LJ, Obarzanek E, Moore TJ, Vollmer WM, Svetkey LP, et al. Dietary Approaches to Stop Hypertension: Rationale, design, and methods. J Am Diet Assoc [Internet]. 1999 Aug 1 [cited 2021 Apr 10];99(8 SUPPL.):S12–8. Available from: http://jandonline.org/article/S0002822399004113/fulltext


Refbacks

Font Size