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. 2004 Oct;6(10):578-81.
doi: 10.1111/j.1524-6175.2004.03874.x.

Lifestyle modification: is it achievable and durable? The argument for

Lawrence J Appel  1
Affiliations

Lifestyle modification: is it achievable and durable? The argument for

Lawrence J Appel. J Clin Hypertens (Greenwich). 2004 Oct.
No abstract available

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Figures

Figure 1
Figure 1
Mean systolic blood pressure (BP) in the Phase 2 of the Trials of Hypertension Prevention control group, as well as BP reduction in three subgroups of the weight loss intervention: 1) those who did not lose weight; 2) those who lost weight but regained it; and 3) those who successfully maintained weight loss of at least 4.5 kg. Adapted with permission from Ann Intern Med. 2001;134:7–11. 3
Figure 2
Figure 2
Mean change in urinary sodium excretion (mmol/24 hr) in Trials of Non‐Pharmacologic Interventions in the Elderly participants assigned to a reduced sodium group vs. those not assigned to a reduced sodium group. Adapted with permission from JAMA. 1998;279:839–846. 4
Figure 3
Figure 3
Mean change in body weight (kg) in Trials of Non‐Pharmacologic Interventions in the Elderly participants assigned to a weight loss group vs. those not assigned to a weight loss group.
Adapted with permission from JAMA. 1998;279:839–846. 4
Figure 4
Figure 4
Average macronutrient composition of diet consumed by individuals who successfully maintained weight loss: results from the National Weight Control Registry
Figure 5
Figure 5
Average weight loss over 18 months stratified by amount of physical activity.
Adapted with permission from JAMA. 1999;282:1554–1560. 6
See this image and copyright information in PMC

Comment in

References

    1. Appel LJ, Champagne CM, Harsha DW, et al. Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial. JAMA. 2003;289:2083 – 2093. - PubMed
    1. The Trials of Hypertension Prevention Collaborative Research Group . Effects of weight loss and sodium reduction intervention on blood pressure and hypertension incidence in overweight people with high‐normal blood pressure. The Trials of Hypertension Prevention, phase II. Arch Intern Med. 1997;157:657 – 667. - PubMed
    1. Stevens VJ, Obarzanek E, Cook NR, et al., for the Trials of Hypertension Prevention Research Group . Long‐term weight loss and changes in blood pressure: results of the Trials of Hypertension Prevention, phase II. Ann Intern Med. 2001;134:1 – 11. - PubMed
    1. Whelton PK, Appel LJ, Espeland MA, et al., for the TONE Collaborative Research Group . Sodium reduction and weight loss in the treatment of hypertension in older persons: a randomized controlled trial of nonpharmacologic interventions in the elderly (TONE). JAMA. 1998;279:839 – 846. - PubMed
    1. Klem ML, Wing RR, McGuire MT, et al. A descriptive study of individuals successful at long‐term maintenance of substantial weight loss. Am J Clin Nutr. 1997;66:239 – 246. - PubMed

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