PS-C29-4: EVALUATION OF HYPERTENSION COMPLICATIONS AFTER THE START OF WEIGHT MANAGEMENT THERAPY IN OBESITY

Abstract

Objective: We evaluated 86 patients who attended the obesity outpatient clinic continuously for 3 years from their first visit. The assessment items were weight progress and hypertensive complications during this period. Design and method: For patients with body mass index (BMI) less than 35, weight loss of 3% or more was considered successful weight loss; for BMI 35 and above, weight loss of 5% or more was considered successful weight loss. The group that regained weight less than 25% of the weight lost after successful weight loss was defined as the weight loss maintenance group. The group that regained weight more than 25% of the weight lost was defined as the weight loss regain group. The group that gained weight less than 3% of BMI < 35 and less than 5% of BMI 35 or greater was defined as the maintenance group. The group with greater weight gain than 3% of BMI < 35 and 5% of BMI 35 or greater without successful weight loss was defined as the gradual weight gain group. Results: Patients with an ambulatory blood pressure of 140/90 mmHg or higher or those taking antihypertensive medication were considered to have a hypertension complication. At the initial visit, the percentage of patients with hypertension was 65% in the weight loss maintenance group, 57% in the weight loss regain group, 65% in the maintenance group, and 63% in the gradual weight gain group, with no apparent difference. Conclusion: In this report, we describe the status of hypertension complications in the four groups at 6 months, 1 year, 2 years, and 3 years after the start of weight management therapy in obesity.