Nutrition and physical activity: An Obesity Medicine Association (OMA) Clinical Practice Statement 2022

Obesity and hypertension: Obesity medicine association (OMA) clinical practice statement (CPS) 2023

“…Beyond the neurovascular effects of eating, unhealthful nutrition is an important driver of body fat accumulation and adipose tissue dysfunction [ 30 ]. In the absence of weight reduction among patients with pre-obesity or obesity, and compared to monounsaturated and polyunsaturated fats, increased saturated fat intake can increase blood pressure, possibly due to impaired arterial endothelial function [ 10 ].…”

“…4 also illustrates physical inactivity as a contributor to both obesity and hypertension [ 37 ]. Routine physical activity has health benefits in improving body composition [ 38 ], facilitating weight reduction, and especially maintaining weight reduction [ 30 ]. In addition, regular physical activity may lower blood pressure, reduce cardiovascular risk, and improve cardiac remodeling.…”

“…Nutritional intervention to reduce dietary sodium [ 138 ] and saturated fats may lower blood pressure (See Fig. 5 ), as typified by the Dietary Approaches to Stop Hypertension (DASH) [ 30 ]. DASH medical nutrition therapy effectively reduces blood pressure in patients with obesity, but may not necessarily promote clinically meaningful weight reduction [ 22 ].…”

Obesity, thrombosis, venous disease, lymphatic disease, and lipedema: An obesity medicine association (OMA) clinical practice statement (CPS) 2023

“…In addition to Obesity Medicine Association (OMA) Position Statements [ 1 , 2 ], the OMA has published a series of Clinical Practice Statements, reviews, and round-table discussions regarding obesity-related diagnostic and treatment consideration of cardiometabolic topics such as nutrition [ 3 ], physical activity [ 3 ], pediatrics [ [4] , [5] , [6] ], race/ethnicities [ [7] , [8] , [9] , [10] ], body composition [ 11 , 12 ], behavior modification [ 13 ], anti-obesity medications [ [14] , [15] , [16] ], concomitant medications [ 17 ], diabetes mellitus [ 18 ], hypertension [ 19 ], mental stress [ 20 ], sleep apnea [ 21 ], and bariatric surgery [ 22 ]. This OMA Clinical Practice Statement explores the relationship between obesity and thrombosis, venous disease, lymphatic disease, and lipedema.…”

Ten things to know about ten cardiovascular disease risk factors – 2022

“… [12] The most healthful dietary strategy incorporates evidence-based nutrition and feeding patterns. [13] Dietary patterns most associated with reduced CVD risk are those that: [ 6 , 7 , 8 , 9 , 10 ] • Prioritize: Vegetables, fruits, legumes, nuts, whole grains, seeds, and fish Foods rich in monounsaturated and polyunsaturated fatty acids such as fish, nuts, and non-tropical vegetable oils Soluble fiber •Limit: Saturated fat, such as tropical oils, as well as ultra-processed meats preserved by smoking, curing, or salting or addition of chemical preservatives, such as bacon, salami, sausages, hot dogs, or processed deli or luncheon meats, which in addition to containing saturated fats, may also have increased sodium, nitrate, and other components which might account for an increase CVD risk compared to unprocessed red meat [14] Excessive sodium Cholesterol, especially in patients at high risk for CVD with known increases in cholesterol blood levels with increased cholesterol intake Ultra-processed carbohydrates Sugar-sweetened beverages Alcoholic beverages [ 15 , 16 ] Trans fats

Figure 1 Adoption of healthful nutrition is a shared decision process between clinician and patient, with priorities based upon evidence-based dietary patterns, nutrition goals, cultural applicability, cost, and availability. While potentially counterintuive, patient preference is not consistently associated with improved health outcomes when implemeting medical nutrition therapy [17] , [18] , [19] .

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