Hypertension: Therapeutic approach to weight loss, exercise, and salt intake - Part two of a roundtable discussion

Ideal body weight is difficult to achieve, but losing 10 lbs may be benefic ial in controlling high blood pressure. Patients are more likely to exercis e if they enjoy the activity, establish a routine, and exercise with a frie nd. Older Americans consume a lot of processed foods, the source of 80% of dietary salt. Most older African-Americans, especially those with obesity a nd type 2 diabetes, are salt-sensitive. Four steps to successful patient ed ucation are: 1) tell patients their blood pressure readings; 2) tell them a bout their medications and potential side effects; 3) provide culturally-se nsitive printed materials; 4) use video tapes to educate all new patients a nd those with compliance problems.