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Blood pressure medication: Still necessary if I lose weight?By Mayo Clinic staff
Original Article: http://www.mayoclinic.com/health/blood-pressure-medication/AN01496
- With Mayo Clinic emeritus hypertension specialist
Sheldon G. Sheps, M.D.read biographyclose window
Sheldon G. Sheps, M.D.Sheldon Sheps, M.D.
Dr. Sheldon Sheps, emeritus professor of medicine and former chair of the Division of Nephrology and Hypertension in the Department of Medicine at Mayo Clinic, has been with Mayo Clinic since 1960.
Dr. Sheps, a Winnipeg, Manitoba, native, is board certified in internal medicine and specializes in hypertension and peripheral vascular diseases. He developed a multidisciplinary approach with specially trained nurses, dietitians, technicians and educators to help form a team approach to the treatment of patients with abnormal blood pressure.
"I have always believed in involving the patient and family in their health care," Dr. Sheps says. "I have asked for their understanding of the illness and issues and for participation in decisions. The Web is a natural extension of that, and now many more people can be informed."
Dr. Sheps chaired the sixth working group, and he participated in the fourth, fifth and seventh groups that developed the then-latest guidelines for hypertension under the auspices of the National Heart, Lung, and Blood Institute (NHLBI). He helped write the latest American Heart Association (AHA) report on blood pressure measurement. He chaired an AHA group that produced an online accreditation for blood pressure measurement for health professionals.
Dr. Sheps has co-authored books, newsletters, CD-ROMs and other Mayo Clinic health information material. He joined Mayo Clinic's Web team in 1998. He was medical editor-in-chief of both editions of the "Mayo Clinic on High Blood Pressure" book; the last edition was published in 2003. He was also medical editor-in-chief of "Mayo Clinic 5 Steps to Controlling High Blood Pressure," published in 2008.
In addition, Dr. Sheps was section editor for each of the first three editions of "Hypertension Primer" for the American Heart Association.
Dr. Sheps was also chairman of the Science Base Subcommittee and the National High Blood Pressure Education Program, and he was a consultant to the Hypertension Initiative of the World Health Organization. In 1997, he was honored with the Individual Achievement Award on the 25th anniversary of the National High Blood Pressure Education Program of NHLBI. In 2009, he was honored as a Distinguished Mayo Alumnus.
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Blood pressure medication: Still necessary if I lose weight?
Can weight loss reduce the need for blood pressure medication?
from Sheldon G. Sheps, M.D.
If you're overweight, losing even 5 pounds (2.3 kilograms) can lower your blood pressure. As you slim down, it may be possible to reduce your dose of blood pressure medication — or stop taking your blood pressure medication completely. Don't make changes to your blood pressure medication on your own, however. Do so only after getting your doctor's OK.
Remember, high blood pressure isn't a problem you can treat and then ignore. Even if you're able to stop taking blood pressure medication, it's still important to maintain healthy habits. Here's how:
- Eat a healthy diet-the DASH (Dietary Approaches to Stop Hypertension) diet is an effective eating plan for lowering blood pressure.
- Get 30 minutes of physical activity on most days of the week.
- Limit alcohol.
- Quit smoking.
- Schedule regular checkups with your doctor to make sure you're keeping your blood pressure in check.
High blood pressure and cold remedies: Which are safe?
- The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart Lung and Blood Institute. http://www.nhlbi.nih.gov/guidelines/hypertension/jnc7full.htm. Accessed July 19, 2013.
- Flint AJ, et al. Body mass index, waist circumference, and risk of coronary artery disease: A prospective study among men and women. Obesity Research and Clinical Practice. 2010;4:171.
- Edwards KM, et al. Effects on blood pressure and autonomic nervous system function of a 12-week exercise or exercise plus DASH-diet intervention in individuals with elevated blood pressure. Acta Physiologica. 2011;203:343.
- Your guide to lowering blood pressure with DASH. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/index.htm. Accessed July 16, 2013.