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Thursday, 16/7/2026 | 08:02 GMT+7

How to lose weight with high blood pressure?

I have had high blood pressure for many years, taking medication regularly, and recently gained weight quickly. How should I lose weight without affecting my blood pressure? (Mai Thuy, Can Tho)

Answer:

Being overweight or obese increases the risk of high blood pressure. Weight gain, particularly from accumulated visceral fat, places stress on the heart, forcing it to work harder to pump blood to organs. This also increases resistance in blood vessels, leading to elevated blood pressure.

Overweight and obesity are often associated with conditions such as insulin resistance, metabolic disorders, sympathetic nervous system stress, kidney dysfunction, and fluid retention. These factors contribute to high blood pressure in individuals who are overweight or obese.

High blood pressure in overweight or obese individuals increases the risk of many serious diseases, including cardiovascular disease and stroke. Losing weight is an effective measure to control blood pressure and reduce the risk of heart-related conditions.

To lose weight, you should control your calorie intake by reducing portion sizes and choosing low-calorie, high-protein foods that promote satiety. Develop a meal plan and calculate the calories in foods daily before cooking to accurately manage your intake.

Blood pressure check for a patient undergoing a weight loss consultation. Illustration: Tam Anh General Hospital.

Blood pressure check for a patient undergoing a weight loss consultation. Illustration: Tam Anh General Hospital.

To maintain stable blood pressure during weight loss, you should consume plenty of fiber from fruits, green vegetables, and whole grains. Avoid salty foods and reduce your daily salt intake to below 5 g. Refrain from alcohol and smoking. Avoid unhealthy fats found in fatty meats and deep-fried foods cooked at high temperatures.

Additionally, maintain at least 150 minutes of exercise per week with activities such as walking, jogging, cycling, or swimming to lose weight, protect blood pressure, and maintain overall health. Reducing stress and getting adequate sleep both support blood pressure control and assist with weight loss.

Currently, the Ministry of Health has approved several medications for treating obesity and reducing fat through various mechanisms, such as increasing fat excretion and limiting fat absorption from food. However, you should consult a doctor for advice and appropriate prescription.

Dr. Nguyen Thi Kim Tuyen, Master of Science

Unit of Endocrinology - Diabetes

Tam Anh General Clinic, District 7

Readers can submit questions about endocrine diseases here for doctors to answer.
By VnExpress: https://vnexpress.net/bi-cao-huyet-ap-nen-giam-can-the-nao-5097938.html
Tags: obesity treatment high blood pressure weight loss

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