A 52-year-old man presents to your clinic for pre pre-surgery physical examination. He has no complaints other than occasional backaches. He is due for a surgery for right hip replacement. During the history taking, you discover that he is a smoker and an alcoholic. He works as an electrician. His vital signs are His temperature is 99.8 ⁰ F, heart rate is 82 beats per minute, respiratory rate is 18 breaths per minute, blood pressure is 167/88 mm Hg, and oxygen saturation is 97% of room air. Physical examination is significant for obesity. Patient is disappointed that he cannot undergo his hip replacement surgery without controlling his blood pressure. Routine laboratory tests yielded normal results. In addition to medications, he would like to try some lifestyle changes to treat his hypertension. Which of the following yields best results in reducing blood pressure in this patient?
