Nutritional therapy in obesity complicated by primary hypertension: a case study

Kun Zhang^1#, Hongshi Liu^2#, Jinhua Bao¹, Chaorui Xu¹, Lu Bo¹, Yuze Li^1*

¹Department of Clinical Nutrition, Heilongjiang Provincial Hospital, Harbin, Heilongjiang, 150036, China;

²Heilongjiang Provincial Hospital, Harbin, Heilongjiang, 150036, China;

# Kun Zhang and Hongshi Liu contributed equally to this work.

*Correspondence: Yuze Li, Email: yuzehaijun@126.com

Abstract

Objective This study explored the therapeutic value of nutritional intervention in treating a patient with obesity complicated by primary hypertension.

Methods A patient with obesity and primary hypertension received an individualized nutritional intervention devised and continuously monitored by clinical nutritionists. The program included supplementation with probiotics, water-soluble vitamins, branched-chain amino acids, and whey protein powder. The nutritional plan was maintained for four weeks, with ongoing assessment of body weight and blood pressure. Antihypertensive medications were discontinued during follow-up.

Results After four weeks of nutritional therapy, the patient lost 5.2 kg in weight, and blood pressure normalized and remained stable even after cessation of antihypertensive drugs. No adverse reactions were observed.

Conclusion Nutritional therapy may provide a new, non-pharmacological option for managing obesity accompanied by primary hypertension. Its benefits may stem from improvements in metabolic function, insulin sensitivity, and inflammation, offering an alternative strategy to conventional pharmacotherapy.

Keywords: primary hypertension, obesity, nutritional therapy, weight management, metabolic syndrome