Diet and Exercise
A 78-year-old woman with hypertension presents for a 3-month follow-up visit for her hypertension. A year ago, she moved to a retirement community, where she began to eat meals more regularly; during the past year, she has gained 15 lb. She is sedentary. She weighs 174 lb, and her height is 5 ft 1 in. She is a lifelong smoker; she smokes one pack of cigarettes a day and has repeatedly refused to receive counseling regarding smoking cessation. She has occasional stiffness on waking in the morning. Her blood pressure is 120/80 mm Hg. She reports taking the prescribed antihypertensive therapy almost every day. She is concerned about her weight gain because this is the most she has ever weighed. She has reported that she has stopped eating desserts at most meals and is aware that she needs to reduce the amount of fat she eats. She has never exercised regularly, but her daughter has told her to ask about an aerobic exercise program. She has asked for exercise recommendations, although she does not know whether it will make much difference. Which of the following would you recommend for this patient?
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