Running head: HYPERTENSION DUE TO OBESITY
Hypertension Due to Obesity
South University NSG6999
Dr. Belderson
November 16, 2019
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Evaluation Plan for EBP Proposal for Hypertension due to Obesity
Introduction
Hypertension is widely associated with obesity in the whole world. Gaining weight as a
result of body fat being centrally located because of the resistance of insulin by the body leads to
hypertension. Hypertension that comes as a result of obesity develops because of means such as
resistance of insulin by the body, retention of sodium in the body, increased activity in the
sympathetic nervous system, and vascular functions being altered (Hall et al., 2015). Some
individuals who are overweight strive to shed off excess weight, and this reduces their blood
pressure; however, this is revived in the long run. Programs that are community-based such as
those in the schools or the workplaces, are being developed to aid in preventing as well as
treating obesity. When assessing obese patients who also suffer from hypertension, the risk of
cardiovascular disease should also be looked at.
The proposal for this research will, therefore, be based on a study on people who have
hypertension as a result of them being obese (Hall et al., 2015). The research will, therefore, be
able to come up with strategies that will help in prevention as well as treatment of obesity that
are sensitive to culture. Clinical trials will also be examined to be able to come up with a therapy
that is effective for obese people. Also, the study will dig into the genetic causes of hypertension
that are linked to obesity. The main area that the study will be based on will be as follows;
Among adults diagnosed with high blood pressure seeking care at Phoebe Putney Primary Care
Clinic, does a lifestyle program of diet and exercise, compared to no lifestyle program improve
blood pressure results over eight months
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Many of the developing countries are transforming, and as a result of this, the rate of
obesity is increasing in spite of the deficiency in nutrition. This, therefore, creates a very heavy
burden for the countries in terms of health and economic challenges within the countries that
have limited resources. Visceral obesity is partly formed by the hormones (Rodríguez, 2017).
Distribution of fat in the body is also affected by factors of the environment as well as genetics.
Environmental factors that affect the distribution of fats into the body hence leading to obesity
include the consumption of alcohol, smoking of cigarettes, and also the onset of obesity that
begins in childhood.
Outcomes of the study will be Measuring
This is an evaluation of the proposal, which will go in-depth in looking into the outcomes
of obesity. I will measure the outcomes that exist as a result of obesity and how I can handle
them effectively for health reasons. Obesity can easily cause fatal health issues that may threaten
our lives. The main outcome as a result of obesity is hypertension, in which this study is focused
on more (Hall et al., 2015). Obesity can also lead to type II diabetes, which occurs as a result of
the body being unable to produce hormone insulin hence high blood sugar. It also increases the
risk of coronary disease, unexplained heart failure, infertility, cancer of the prostate, breast, and
endometrial.
The study will be determining how to deal with these outcomes to avoid any danger that
the patients will be facing. One way of combating obesity due to hypertension, the life choices of
an individual must be changed or improved by changing the diet and exercise programs. Good
diet program will involve eating food that contains less fat that is bad to the body but eating more
fat that is good to the body (Willett, 2017). Food and diet play a preeminent role here because the
health of a person relies heavily on their eating habits. They should also consume food that is
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processed and has sugar in small quantities to ensure that their health standards are good. More
vegetables and fruits should be incorporated in the diet too because of the high value of the
vitamin in them that is used by the body to prevent itself from diseases or any forms of
pathogens that may exist. Dealing with obesity begins with proper dieting, and the absence of
obesityObesity means the absence of hypertension (Hall et al., 2015).
Exercise is also of the utmost importance when fighting hypertension that results from
Obesity (Machado et al., 2016). To do these, effective aerobics should be frequent in the exercise
since it involves high-intensity exercises meant to burn the bodily fats. Through aerobics, the
victims of obesity will be able to shed off excess fats from their bodies, and they should keep
track of the weight loss by measuring it periodically. Exercise leads to a reduction of stress, and
a stress-free body is effective for the recovery process from obesity. Social support from the
family is also a factor that is important for the person recovering from obesity because the
feeling of being appreciated helps them to go through that stage of their lives with the right
attitude (Suglia et al., 2016).
The Data I am Gathering
This study will be collecting data based on the lifestyles of people suffering from
hypertension in terms of the kind of food they eat, and also if they undergo exercises. The data
will also be focused on whether their lifestyle programs are able to improve their blood pressure
results over eight months. The lifestyle programs that the people diagnosed with high blood
pressure choose to live will significantly determine their recovery process. Here the study will
focus on the outcome in the health status of the patients who decide to change their lifestyle by
exercising frequently and improving their diet by eating healthy food within eight months. Also,
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what will happen to the health status of those who will deviate from the lifestyle will be studied
to assess what effects they will encounter.
Statistical Analysis Methods that I will use to Evaluate the Effectiveness of my
Intervention
The analysis of the evaluation methods that I will use will be: First, BMI( Body Mass
Index) which is a value that is got from calculating the weight and height of a person whereby
the body mass of a person is determined by dividing it by the square of the height, therefore,
presented as kg/m2 . The adults who are diagnosed and are undergoing the process of dieting and
exercises will be engaged through measuring their Body Mass Index at intervals in order to
tabulate the statistics on their progress in terms of weight loss (Lam et al., 2015).
Secondly, ABSI (A Body Shape Index) will also be used in the study to help determine
the progress of the adults diagnosed with high blood pressure, which will be used in the Study
(Stefanescu et al., 2019). Most of the bodily fats collect in the abdominal area of people. A Body
Shape Index will, therefore, be used to measure abdominal obesity. The data will be taken every
time during the intervals of measurements that will take place during the eight months of the
study. Exercises and diet will be aimed towards making sure that fats in the abdominal area are
burned. Burning of this fat shows a reduction in abdominal obesity which will prove positive
outcome in the study.
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Conclusion
High blood pressure that is caused by obesity is in most cases created as a result of
negative human behavior that puts their health at risk and not necessarily genetics therefore
through the change of lifestyle and incorporating exercise as part of their daily routines can
revise this condition and leave people living a much healthy life. Body Mass Index (BMI) and A
Body Shape Index (ABSI) are effective for collecting data that will show whether there is an
improvement or not. The clinic will provide a conducive environment for the study, whereby the
patients will get all the inspiration they need to rid themselves of high blood pressure. Obesityrelated hypertension is based on many factors that result from genes and the environment
interacting. The association that exists between hypertension and obesity is linked to visceral
obesity, which is caused by the body rejecting insulin. The approaches in life, as depicted in the
clinic, meant for treating hypertension that results from obesity should address the overall risk of
the cardiovascular and not just hypertension. More effort should also be put in place to determine
the strategies for the prevention of obesity that are culturally sensitive and their overall impact
not only on body weight alone but also on blood pressure.
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References
Hall, J. E., do Carmo, J. M., da Silva, A. A., Wang, Z., & Hall, M. E. (2015). Obesity-induced
hypertension: interaction of neurohumoral and renal mechanisms. Circulation Research,
116(6), 991-1006.
Lam, B. C. C., Koh, G. C. H., Chen, C., Wong, M. T. K., & Fallows, S. J. (2015). Comparison of
body mass index (BMI), body adiposity index (BAI), waist circumference (WC), waistto-hip ratio (WHR) and waist-to-height ratio (WHtR) as predictors of cardiovascular
disease risk factors in an adult population in Singapore. PloS one, 10(4), e0122985.
Machado, A. P., Lima, B. M., Laureano, M. G., Silva, P. H. B., Hardin, G. P., Reis, P. S., ... &
D'Artibale, E. F. (2016). Educational strategies for the prevention of diabetes,
hypertension, and obesityObesity. Revista da Associação Médica Brasileira, 62(8), 800808.
Rodríguez-Pacheco, F., Gutierrez-Repiso, C., García-Serrano, S., Ho-Plagaro, A., GómezZumaquero, J. M., Valdes, S., ... & García-Escobar, E. (2017). Growth hormonereleasing hormone is produced by adipocytes and regulates lipolysis through growth
hormone receptor. International Journal of Obesity, 41(10), 1547.
Stefanescu, A., Revilla, L., Lopez, T., Sanchez, S. E., Williams, M. A., & Gelaye, B. (2019).
Using A Body Shape Index (ABSI) and Body Roundness Index (BRI) to predict risk of
metabolic syndrome in Peruvian adults. Journal of International Medical Research,
0300060519848854.
Suglia, S. F., Shelton, R. C., Hsiao, A., Wang, Y. C., Rundle, A., & Link, B. G. (2016). Why the
neighborhood social environment is critical in obesity prevention. Journal of Urban
Health, 93(1), 206-212.
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Willett, W. (2017). Eat, drink, and be healthy: the Harvard Medical School guide to healthy
eating. Simon and Schuster.
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