Recommendations Summary

HTN: Weight Management 2008

Click here to see the explanation of recommendation ratings (Strong, Fair, Weak, Consensus, Insufficient Evidence) and labels (Imperative or Conditional). To see more detail on the evidence from which the following recommendations were drawn, use the hyperlinks in the Supporting Evidence Section below.

• Recommendation(s)

  Weight Management

  Optimal body weight should be achieved and maintained (BMI 18.5 - 24.9) to reduce blood pressure. Weight reduction lowers systolic blood pressure by 5 - 20 mmHg per 22 lbs (10 kg) body weight loss.

  Rating: Consensus
  Imperative

  • Risks/Harms of Implementing This Recommendation

    None.

  • Conditions of Application

    No conditions specified.

  • Potential Costs Associated with Application

    None.

  • Recommendation Narrative

    • Based on the JNC 7 report, a weight loss of as little as 10 lbs (4.5 kg) reduces blood pressure and/or prevents hypertension in a large proportion of overweight persons.

  • Recommendation Strength Rationale

    The ADA Hypertension Expert Work Group concurs with the recommendations from the JNC 7,  regarding weight management.

    • Updated from The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.  Arch Intern Med 1997; 157:2413-46.
    • Published in The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure.  JAMA 2003;289:2560-71.

  • Minority Opinions

    Consensus reached.

• Supporting Evidence

  The recommendations were created from the evidence analysis on the following questions. To see detail of the evidence analysis, click the blue hyperlinks below (recommendations rated consensus will not have supporting evidence linked).

  • References
  • References not graded in Academy of Nutrition and Dietetics Evidence Analysis Process

    The Seventh Report of the Joint National Commitee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure, NIH Publication No. 04-5230, August 2004, produced by the National Heart, Lung and Blood Institute in cooperation with the National High Blood Pressure Education Program.

    Available at:   

    http://www.nhlbi.nih.gov/guidelines/hypertension/

    To access the pdf of the JNC 7, click here: 

    http://www.nhlbi.nih.gov/guidelines/hypertension/jnc7full.htm