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Review
. 2017 Aug 24;19(10):98.
doi: 10.1007/s11886-017-0912-4.

Hypertension in Obesity and the Impact of Weight Loss

Jordana B Cohen  1
Affiliations
Review

Hypertension in Obesity and the Impact of Weight Loss

Jordana B Cohen. Curr Cardiol Rep. .

Abstract

Purpose of review: Several interrelated mechanisms promote the development of hypertension in obesity, often contributing to end organ damage including cardiovascular disease and chronic kidney disease.

Recent findings: The treatment of hypertension in obesity is complicated by a high prevalence of resistant hypertension, as well as unpredictable hemodynamic effects of many medications. Weight loss stabilizes neurohormonal activity and causes clinically significant reductions in blood pressure. While lifestyle interventions can improve blood pressure, they fail to consistently yield sustained weight loss and have not demonstrated long-term benefits. Bariatric surgery provides more permanent weight reduction, corresponding with dramatic declines in blood pressure and attenuation of long-term cardiovascular risk. Hypertension is closely linked to the prevalence, pathophysiology, and morbidity of obesity. There are multiple barriers to managing hypertension in obesity. Surgical weight loss offers the most promise in reducing blood pressure and decreasing end organ damage in this patient population.

Keywords: Antihypertensive; Bariatric surgery; Hypertension; Morbid obesity; Obesity; Weight loss.

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Conflict of interest statement

COMPLIANCE WITH ETHICAL STANDARDS

Conflict of Interest

Jordana B. Cohen declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article contains information on a retrospective study performed by the author. For this type of study formal consent is not required. The article does not contain any other studies with human or animal subjects performed by the author.

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