Essential Hypertension in Medicine / Internal Medicine — 52yo Man | Cardiology | SMLE Q#1060

SMLE Question #1060

Medicine / Internal Medicine Cardiology
Last updated: February 2026
A 52-year-old man is newly diagnosed with essential hypertension after repeated home measurements. He has no diabetes, chronic kidney disease, or established cardiovascular disease. He has obesity (BMI 32 kg/m²), smokes 10 cigarettes daily, has a sedentary job, and frequently eats processed and restaurant foods. He prefers to start with non-pharmacologic measures. Which single lifestyle intervention is most important to improve blood pressure control?

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