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[A1CR]

CRers lose weight when we significantly CR. "(strength of
recommendation
[SOR] ... Evidence that weight loss is significantly
associated with blood
pressure reduction is inconclusive (SOR: C)"? Should the
strength of
recommendation for reducing new high blood pressure
incidence be weight loss
at only level C, compared with level A at which it is
recommended to reduce
salt intake or use the DASH diet?

McDonald KC, Blackwell JC, Meurer LN.
What lifestyle changes should we recommend for the patient
with newly
diagnosed hypertension?
J Fam Pract. 2006 Nov;55(11):991-993.
PMID: 17090361

Hypertensive patients should reduce sodium intake (strength of
recommendation [SOR]: A). The Dietary Approaches to Stop
Hypertension diet
(DASH diet)--with salt restriction and increased fruit,
vegetable, calcium,
and potassium intake-reduces blood pressure and should be
recommended (SOR:
A). Aerobic exercise is effective in the general, as well as
elderly,
populations for reducing blood pressure (SOR: A). Patients
should be
encouraged to reduce alcohol consumption (SOR: A). Evidence
that weight loss
is significantly associated with blood pressure reduction is
inconclusive
(SOR: C). Smoking cessation should be encouraged for all
hypertensive
patients for prevention of cardiovascular disease (SOR: A).