Uworld QID 3094 Step 2
....Major interventions include dietary modification, weight loss (for overweight and obese patients), regular aerobic exercise, and limitation of alcohol intake.
Choice D. Smoking cessation should be recommended to all patients to reduce the overall risk of cardiovascular complications. However, the effect of smoking on blood pressure is small and generally inconsistent; discontinuation of this patient's light smoking habit is unlikely to have a significant effect in reducing his blood pressure.
UW Step 3 QID 5771 - (Choice E) Smoking cessation is an important component of lifestyle modification to reduce the risk of cardiovascular events and all-cause mortality. However, many studies indicate that chronic smoking is not clearly related to increased blood pressure. Weight loss would be more effective in lowering this patient's blood pressure.