Obesity and hypertension (high blood pressure) are intimately connected, but obese people are more likely to have hypertension. In the United States there are 58 to 65 million adults who have hypertension. Hypertension is the most common reason for physician office visits among non-pregnant adults and the most common reason for the use of prescription drugs.  

The most important issue to remember is that obesity is associated with hypertension, and hypertension is associated with numerous other diseases that can affect overall health and life expectancy. Anti-hypertension medications should be started if hypertension is diagnosed. But, weight-loss can lead to a significant drop in blood pressure and may permit a decrease in the number of medications taken or decrease the amount of medication taken.  Prevention would be better than any drug therapy.