The Massively Obese Hypertensive Patient: An Analysis of Blood Pressure Response to Weight Reduction with Supplemented Fasting

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Abstract
A 42.4% incidence of hypertension was seen in 783 massively obese patients admitted to a supplemented fasting program between Feb. 1974 and Nov. 1976. The 99 hypertensives who had not received any antihypertensive medication before admission were chosen for this study. The blood pressure response after 1 wk of inhospital fasting was compared to that at the end of a period of outpatient fasting. Reduction in blood pressure was noted in 85 patients by the end of the 1st wk; by the end of the fasting period 68 patients were normotensive. The elevated blood pressure common in a high percentage of massively obese patients is primarily volume-dependent.