SDM78,79 between the provider and patient should be considered in selecting specific lifestyle interventions, with consideration of the patient s individual values, preferences, socioeconomic status, associated conditions, and comorbidities to enhance adherence to lifestyle modification. Clinical Recommendations 2017 Hypertension Clinical Practice Guidelines4 A heart-healthy diet, such as the DASH (Dietary Approaches to Stop Hypertension) diet, that facilitates achieving a desirable weight is recommended for adults with elevated BP or hypertension.80 82 (Class 1, Level of Evidence: A) Sodium reduction is recommended for adults with elevated BP or hypertension.83 87 (Class 1, Level of Evidence: A) Potassium supplementation, preferably in dietary modification, is recommended for adults with elevated BP or hypertension, unless contraindicated by the presence of CKD or use of drugs that reduce potassium excretion.88 92 (Class 1, Level of Evidence: A) Adult men and women with elevated BP or hypertension who currently consume alcohol should be advised to drink no more than 2 and 1 standard drinks* per day, respectively.93 98 (Class 1, Level of Evidence: A) Increased physical activity with a structured exercise program is recommended for adults with elevated BP or hypertension.87,99 105 (Class 1, Level of Evidence: A) Weight loss is recommended to reduce BP in adults with elevated BP or hypertension who are overweight or obese.99,100,106,107 (Class 1, Level of Evidence: A) Effective behavioral and motivational strategies to achieve a healthy lifestyle (ie, tobacco cessation, weight loss, moderation in alcohol intake, increased physical activity, reduced sodium intake, and consumption of a healthy diet) are recommended for adults with hypertension.108,109 (Class 1, Level of Evidence: C-EO) Adults with an elevated BP or stage 1 hypertension who have an estimated 10-y ASCVD risk less than 10% should be managed with nonpharmacological therapy and have a repeat BP evaluation within 3 to 6 months.59,60 (Class 1, Level of Evidence: B-R) Adults with stage 1 hypertension who have an estimated 10-y ASCVD risk of 10% or higher should be managed initially with a combination of nonpharmacological and antihypertensive drug therapy and have a repeat BP evaluation in 1 month.59,60 (Class 1, Level of Evidence: B-R) *In the United States, 1 standard drink contains roughly 14 g of pure alcohol, which is typically found in 12 oz of regular beer (usually about 5% alcohol), 5 oz of wine (usually about 12% alcohol), and 1.5 oz of distilled spirits (usually about 40% alcohol). 