Degree Name

Nursing Practice, DNP

Publication Date

9-11-2023

Upload Date

2024

First Advisor

Linda Latting

Abstract

Obesity and hypertension directly contribute to cardiovascular disease, which is modifiable and preventable with lifestyle modification. Blood pressure (BP) control directly impacts mortality from heart disease. The literature suggests that weight reduction is associated with a decrease in BP. The project’s purpose is to assess the effect of a weight management plan on obese or overweight adults with hypertension. The best practice identified was the DASH diet for weight loss and BP reduction, followed by a medication regimen such as Semaglutide. The inclusion criteria comprised adults >18 years with a BMI > 25 and exclusion criteria of <18 years old, BMI <25, and a diagnosis of diabetes. Based on the inclusion criteria, a convenience sample of 27 patients was obtained from an outpatient clinic through a retrospective chart review. Obesity, hypertension, and DASH diet education were provided to the clinic staff. During the initial weight management consultation, the provider educated patients about the DASH diet. A baseline BP and weight were obtained and compared four weeks later. A two-tailed Wilcoxon and paired t-test revealed a significant systolic and diastolic BP reduction. The results were statistically significant, indicating that a comprehensive weight management plan is essential to reducing both BP and weight in overweight, obese, and hypertensive patients.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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