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Improving Treatment Effectiveness in Hypertension

Improving Treatment Effectiveness in Hypertension COMMENTARY TIS a disturbing fact that weight reduction and sodium re- Trial of Nonpharmacologic Inter- only 27% of patients with striction. A recent trial of diet plus ventions in the Elderly Collabora- hypertension have their exercise was evaluated for the treat- tive Research Group. They com- blood pressure (BP) con- ment of hypertension. The diet was pared the effects of withdrawal of I trolled at normotensive lev- low in energy intake and sodium. In- antihypertensive drug treatment in els. This has occurred despite the tensive indoctrination and motiva- 4 groups of patients treated as fol- availability of effective antihyper- tion sessions were used to obtain lows: (1) low-sodium diet, (2) tensive drug treatment. It is appar- compliance. The diet-exercise inter- weight-reducing diet, (3) both di- ent that, unless we can improve our vention was maintained for 1 year. ets combined, and (4) usual care (no present methods of delivering treat- At the end of that time, body weight dietary interventions). Special edu- ment and improving compliance, we was reduced by an average of 4.5 kg cational efforts were used to help will continue to leave more than two and BP had fallen by an average of gain compliance. Antihypertensive http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Improving Treatment Effectiveness in Hypertension

Freis, Edward D.
JAMA Internal Medicine , Volume 159 (21) – Nov 22, 1999
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References (38)

Publisher
American Medical Association
Copyright
Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinte.159.21.2517
Publisher site
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Abstract

COMMENTARY TIS a disturbing fact that weight reduction and sodium re- Trial of Nonpharmacologic Inter- only 27% of patients with striction. A recent trial of diet plus ventions in the Elderly Collabora- hypertension have their exercise was evaluated for the treat- tive Research Group. They com- blood pressure (BP) con- ment of hypertension. The diet was pared the effects of withdrawal of I trolled at normotensive lev- low in energy intake and sodium. In- antihypertensive drug treatment in els. This has occurred despite the tensive indoctrination and motiva- 4 groups of patients treated as fol- availability of effective antihyper- tion sessions were used to obtain lows: (1) low-sodium diet, (2) tensive drug treatment. It is appar- compliance. The diet-exercise inter- weight-reducing diet, (3) both di- ent that, unless we can improve our vention was maintained for 1 year. ets combined, and (4) usual care (no present methods of delivering treat- At the end of that time, body weight dietary interventions). Special edu- ment and improving compliance, we was reduced by an average of 4.5 kg cational efforts were used to help will continue to leave more than two and BP had fallen by an average of gain compliance. Antihypertensive

Journal

JAMA Internal Medicine – American Medical Association

Published: Nov 22, 1999

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