Bando, Masaaki Bando Heart Clinic
Fujiwara, Ikuyo Bando Heart Clinic
Imamura, Yuki Bando Heart Clinic
Takeuchi, Yoko Bando Heart Clinic
Hayami, Eiko Bando Heart Clinic
Nagao, Nobuko Bando Heart Clinic
Abe, Hatsue Bando Heart Clinic
Okumura, Mayumi Bando Heart Clinic
Little, Mito Bando Heart Clinic
Tanaka, Noriko Bando Heart Clinic
Mori, Shizue Bando Heart Clinic
Yuasa, Megumi Bando Heart Clinic
Sakai, Kayo Bando Heart Clinic
Kimoto, Yayoi Bando Heart Clinic
Nishitani, Natsuko Bando Heart Clinic
Yoneda, Shigemi Bando Heart Clinic
Yamada, Kumiko Bando Heart Clinic
registered dietitian nutritionist
Lifestyle habits adjustment
Background: Hypertension is one of lifestyle-related diseases, and prevention and effect of reduction pressure can be expected by non-pharmacological interventions. Authors have continued guidance of adjustment for lifestyle to thousands of hypertensive patients, resulting 4.6%-6.1% case could discontinue hypertensive agents. This study enrolled patients with all necessary related data.
Subjects and methods: Subjects were 50 patients with hypertension (M/F: 25/25, age 65.4 ± 8.6 vs. 53.4 ± 6.2 years, BMI 23.4 ± 2.7 vs. 22.3 ± 2.5, respectively), who could discontinued antihypertensive agents. They received consultation and intervention from registered dietitian nutritionists, exercise therapists and nurses.
Results: The comparative results on males and females are as follows: smoking habit was 76% vs. 0%, alcohol intake was 60% vs. 0%, diabetes complication was 16% vs. 8%, and hyperlipidemia was 32% vs. 52%, respectively. These cases showed rare to none incidence of cerebral vascular accident (CVA), coronary heart disease (CHD) and chronic kidney disease (CKD). Consultations in median were 4.0 vs. 4.0 times, median weight reduction was 2.2 kg vs. 1.6 kg and median period withdrawal of the drug was 2.0 years vs. 2.5 years.
Discussion and conclusion: When living adjustment is advised, blood pressure decreases due to behavior change. Our results suggest that these cases have less arteriosclerosis development, which enables withdrawal of medicine. It is necessary to carefully observe the progress whether the antihypertensive drug will be unnecessary or will be restarted. Current results obtained would become the fundamental data in the future, and the adjustment for diet and exercise would be useful for more adequate treatment for hypertension.
Journal of Hypertension : Open Access
© 2018 Bando M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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