减重可以减少对降压药的需求吗？
回答 Francisco Lopez-Jimenez 博士
如果超重，即使仅仅减掉 2.3 公斤（5 磅）也能降低血压。体重减少越多，血压下降就越多。如果减重成功，也许可以减少降压药的剂量，甚至完全停用降压药。但是，切勿自行更改降压药剂量。请先咨询医务人员。
切记，高血压并非治疗一次后就可以抛之脑后的病症。即便获准停用降压药，仍请务必保持健康的生活习惯。方法如下：
- 多吃富含蔬菜、水果和全谷物以及含有较低盐、反式脂肪和饱和脂肪的健康饮食。
- 控制体重。
- 每天进行至少 30 分钟中度强度的身体活动。
- 避免或限制饮酒。
- 戒烟。
- 尽量保证每天 7 到 9 小时的睡眠。
- 定期进行健康检查，以监测血压、胆固醇和糖尿病。
With
Francisco Lopez-Jimenez 博士
显示参考文献
- Whelton PK, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018; doi:10.1161/HYP.0000000000000065.
- 2020-2025 Dietary Guidelines for Americans. U.S. Department of Health and Human Services and U.S. Department of Agriculture. https://www.dietaryguidelines.gov. Accessed Nov. 16, 2021.
- DASH eating plan. National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health-topics/dash-eating-plan. Accessed Nov. 16, 2021.
- Managing weight to control high blood pressure. American Heart Association. https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-make-to-manage-high-blood-pressure/managing-weight-to-control-high-blood-pressure. Accessed Nov. 16, 2021.
- Lopez-Jimenez F (expert opinion). Mayo Clinic. Nov. 16, 2021.
Original article: https://www.mayoclinic.org/zh-hans/diseases-conditions/high-blood-pressure/expert-answers/blood-pressure-medication/faq-20058056