The main tasks at treatment of arterial hypertension:
1. Protection of organs - targets:
2. Improvement of life quality.
3. Reduction of death and sickness rate.
Objectives of arterial hypertension treatment:
Efficiency of non-pharmaceutical treatment of arterial hypertension largely depends on the patient's motivation. In this case a physician must help the patient to comprehend that and clarify all possible measures.
First of all, this is modification of a lifestyle:
In case of obesity all measures of non-pharmaceutical treatment of arterial hypertension are very important helping to control body weight. Some studies indicate that even a small weight decrease by 5 - 10% can significantly reduce the risk of heart diseases, lipids and glucose amount in blood, obtain better control of arterial blood pressure. Data of specific studies shows that body weight decrease by one kilogram causes decrease of arterial blood pressure by 1.6 - 1.3 mm Hg. In these days obesity is interpreted as a chronic state requiring long-term treatment.
Therefore, a recommendation is made to develop an individual treatment plan for each specific patient, the plan precisely indicating the measures of non-pharmaceutical treatment of arterial hypertension, its implementation scope and speed. Only successive body weight reduction which is well chosen considering the patient's clinical state can produce good long-term results of arterial hypertension treatment. Short-term obesity treatment is recommended only in order to mitigate the risk before surgical interventions.
Observation data of several long-term studies show that a part of patients fail to maintain the reached body weight in spite of keeping to further recommendations. The reason for that is a considerable release of proteins from fat cells which stimulate the satiety center in brain. These patients need pharmaceutical treatment of obesity. If body weight index is over 27 - 30 or several risk factors are available or secondary preventive measures of some sicknesses are being applied, the recommended amount of salt is up to 6 g. per day, including the salt incoming with already made food products.