ASSESSMENT AND MANAGEMENT OF PATIENTS WITH OBESITY AND HYPERTENSION IN EUROPEAN SOCIETY OF HYPERTENSION EXCELLENCE CENTRES. A SURVEY FROM THE ESH WORKING GROUP ON DIABETES AND META

Objective: Healthcare providers are faced with an increasing number of patients with obesity and arterial hypertension. Preventing obesity-associated hypertension and appropriately managing patients with established disease are both important. Hence, the aim of our study was to evaluate the clinical care of patients with obesity and hypertension among ESH Excellence Centres (ECs). Design and method: We conducted a cross-sectional, worldwide 30-item survey through e-mails. Results: In total, 70 representatives of ECs participated (78% men) with 66% of them practicing medicine for more than 30 years and working in well-equipped clinics. Most were internists (41%) and cardiologists (37%) and 73% reported training on the management of obese patients with hypertension. A majority weigh their patients (77%) and evaluate patients for sleep disorders (93%). However, only 47% spend more than 5 min to advise for lifestyle modification in general, 59% for weight loss, 56% for salt intake and 64% for exercise. Finally, a minority of participants ask patients if they like their body (6%) or about previous attempts to lose weight (28%), evaluate 24h urinary sodium excretion rate (22%) and provide written (15%) or personalized (10%) dietary advices. If the patient suffers also from type 2 diabetes mellitus, 66% switch treatment to GLP1 receptor agonists and 60% to SGLT2 inhibitors. Conclusions: Most clinicians in ESH ECs are well educated regarding obesity-associated hypertension, and clinics are sufficiently equipped to manage these patients, as well. However, several deficits were reported regarding efforts to address and implement obesity specific aspects and interventions to improve care in patients with obesity and hypertension.

Objective: to explore the promoting effect of long-term consumption of potassium-enriched salt (KCL/NACL=1:1) on dietary salt restriction in the nursing home population.

Design and method:
In northern China, a total of 29 nursing homes were selected using cluster random sampling.The nursing homes were divided into intervention group (using potassium-enriched salt in the dining room) and control group (using regular salt in the dining room).The usage of salt and high-sodium condiments in the dining room was recorded, including the amount of salt used and the number of diners.The average per capita daily sodium intake from condiments (TNA/ PD) in the nursing home was calculated, as well as the average per capita daily sodium intake from dietary salt (SNA/PD).The two values were added together to calculate the total per capita daily sodium intake (ANA/PD).
Results: Over 6 years, a total of 18,046 meals were consumed in the dining room.The intervention group demonstrated a significant reduction in per capita daily sodium intake (ANA/PD) compared to the control group (3.0 vs 5.0g).There was no statistically significant difference in per capita daily sodium intake from condiments (TNA/PD) between the two groups, but the intervention group exhibited a significantly lower per capita daily sodium intake from dietary salt (SNA/PD) compared to the control group (2.2 vs 4.1g).Furthermore, the intervention group consistently maintained a lower urine sodium-to-potassium ratio than the control group.By incorporating potassium-enriched salt, the intervention group achieved an average increase of 1.2±0.31g in daily potassium intake.Subgroup analysis of 24-hour urine results indicated that the intervention group had significantly lower urinary sodium excretion and higher potassium excretion.Following one year of using potassium-enriched salt, the estimated dietary salt intake in the intervention group decreased from approximately 15g to around 9g based on urinary sodium excretion.
Conclusions: These findings suggest that the utilization of potassium-enriched salt can effectively reduce sodium intake without necessitating alterations in dietary habits.

ASSESSMENT AND MANAGEMENT OF PATIENTS WITH OBESITY AND HYPERTENSION IN EUROPEAN SOCIETY OF HYPERTENSION EXCELLENCE CENTRES. A SURVEY FROM THE ESH WORKING GROUP ON DIABETES AND META
Christina Antza 1 , Guido Grassi 2 , Thomas Weber 3 , Alexandre Persu 4 , Jens Jordan

Design and method:
We conducted a cross-sectional, worldwide 30-item survey through e-mails.

Results:
In total, 70 representatives of ECs participated (78% men) with 66% of them practicing medicine for more than 30 years and working in well-equipped clinics.Most were internists (41%) and cardiologists (37%) and 73% reported training on the management of obese patients with hypertension.A majority weigh their patients (77%) and evaluate patients for sleep disorders (93%).However, only 47% spend more than 5 min to advise for lifestyle modification in general, 59% for weight loss, 56% for salt intake and 64% for exercise.Finally, a minority of participants ask patients if they like their body (6%) or about previous attempts to lose weight (28%), evaluate 24h urinary sodium excretion rate (22%) and provide written (15%) or personalized (10%) dietary advices.If the patient suffers also from type 2 diabetes mellitus, 66% switch treatment to GLP1 receptor agonists and 60% to SGLT2 inhibitors.

Conclusions:
Most clinicians in ESH ECs are well educated regarding obesityassociated hypertension, and clinics are sufficiently equipped to manage these patients, as well.However, several deficits were reported regarding efforts to address and implement obesity specific aspects and interventions to improve care in patients with obesity and hypertension.

EFFECT OF DASH VS. MEDITERRANEAN DIET ON METABOLIC SYNDROME PREVALENCE IN ADULTS WITH HIGH NORMAL BLOOD PRESSURE OR GRADE 1 HYPERTENSION: A RANDOMIZED CONTROLLED TRIAL
Christina Filippou 1 , Costas Thomopoulos 2 , Dimitrios Konstantinidis 1 , Kyriakos Dimitriadis 1 , Fotis Tatakis 1 , Eirini Siafi 1 , Eleni Manta 1 , Sotirios Drogkaris 1 , Maria Stathoulopoulou 1 , Dimitrios Polyzos 1 , Kalliopi Grigoriou 1 , Niki Kakouri 1 , Ioanna Tsoumpou 1 , Ioannis Andrikou 1 , Alexandros Kasiakogias 1 , Konstantinos Tsioufis 1 . 1 First Cardiology Clinic, Medical School, National and Kapodistrian University of Athens, Hippokration Hospital, Athens, GREECE, 2 Department of Cardiology, General Hospital of Athens Laiko, Athens, GREECE Objective: Lifestyle interventions are recommended as the first-line treatment to control metabolic syndrome components.However, studies directly comparing the effects of the Dietary Approaches to Stop Hypertension (DASH) vs. the Mediterranean diet (MedDiet) on metabolic syndrome prevalence are currently lacking.Thus, we aimed to assess the effects of a 3-month intensive dietary intervention implementing salt restriction either alone or on top of the DASH and MedDiet compared to no/ minimal intervention on metabolic syndrome prevalence in never drug-treated adults with high normal blood pressure (BP) or grade 1 hypertension.
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5 , Peter Nilsson 6 , Josef Redon 7 , Stella Stabouli 8 , Reinhold Kreutz 9 , Vasilios Kotsis 1 . 1 3rd Department of Internal Medicine, Hypertension-24-h ABPM ESH Center of Excellence, Papageorgiou Hospital, Aristotle U, Thessaloniki, GREECE, 2 Clinical Medica, School of Medicine and Surgery, Milano-Bicocca University, Milan, ITALY, 3 Cardiology Department, Klinikum Wels-Grieskirchen, Wels, AUSTRIA, 4 Division of Cardiology, Department of Cardiovascular Diseases, Cliniques Universitaires Saint-Luc, Brussels, BELGIUM, 5 Institute of Aerospace Medicine, German Aerospace Center, Medical Faculty, University of Cologne, Cologne, GERMANY, 6 Department of Clinical Sciences, Internal Medicine, Skåne University Hospital, Malmo, SWEDEN, 7 Cardiometabolic Renal Risk Research Group, INCLIVA Biomedical Research Institute, University of Valencia, Madrid, SPAIN, 8 1st Department of Pediatrics, Aristotle University of Thessaloniki, Hippokratio General Hospital, Thessaloniki, GREECE, 9 Charité -Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, GERMANY Objective: Healthcare providers are faced with an increasing number of patients with obesity and arterial hypertension.Preventing obesity-associated hypertension and appropriately managing patients with established disease are both important.Hence, the aim of our study was to evaluate the clinical care of patients with obesity and hypertension among ESH Excellence Centres (ECs).