Impact of therapeutic lifestyle changes in resistant hypertension Article

Full Text via DOI: 10.1016/j.pcad.2019.11.012 PMID: 31756356 Web of Science: 000521520900003

Cited authors

  • Ozemek, Cemal; Tiwari, Stephanie; Sabbahi, Ahmad; Carbone, Salvatore; Lavie, Carl J.


  • Hypertensive individuals are at an increased risk of developing heart disease and stroke. Adopting healthy life-styles, such as being active on days per week, weight-loss in the presence of obesity, consuming a diet rich in fruits and vegetables, and sodium below the recommended threshold, avoiding high alcohol consumption and refraining from smoking have been effective lifestyle therapies to prevent or control stage 1 hypertension (HTN). Among the 1 in 3 Americans who have HTN (systolic blood pressure >= 130 mmHg or diastolic blood pressure 80 mmHg), 16% are diagnosed with resistant HTN (RHT). Although there are comparatively fewer studies examining the blood pressure lowering effects of therapeutic lifestyle interventions in patients with resistant HTN, the available literature appears promising. This paper reviews key studies that quantify the blood pressure lowering effects of certain therapeutic lifestyles in patients with RHT and highlights areas needing more attention. (C) 2019 Elsevier Inc. All rights reserved.

Publication date

  • 2020

Published in

International Standard Serial Number (ISSN)

  • 0033-0620

Start page

  • 4

End page

  • 9


  • 63


  • 1