Skip Navigation
Skip to contents

Epidemiol Health : Epidemiology and Health

OPEN ACCESS
SEARCH
Search

Search

Page Path
HOME > Search
7 "Blood pressure"
Filter
Filter
Article category
Keywords
Publication year
Authors
Funded articles
Original Articles
Association of blood pressure measurements in sitting, supine, and standing positions with the 10-year risk of mortality in Korean adults
Inkyung Baik, Nan Hee Kim, Seong Hwan Kim, Chol Shin
Epidemiol Health. 2023;45:e2023055.   Published online June 8, 2023
DOI: https://doi.org/10.4178/epih.e2023055
  • 4,279 View
  • 140 Download
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
This prospective cohort study investigated the association between blood pressure (BP) as measured in different body postures and all-cause and cardiovascular (CV) mortality risk.
METHODS
This population-based investigation included 8,901 Korean adults in 2001 and 2002. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured sequentially in the sitting, supine, and standing positions and classified into 4 categories: (1) normal, SBP <120 mmHg and DBP <80 mmHg; (2) high normal/prehypertension, SBP 120-129 mmHg and DBP <80 mmHg/SBP 130-139 mmHg or DBP 80-89 mmHg; (3) grade 1 hypertension (HTN), with SBP 140-159 mmHg or DBP 90-99 mmHg; and (4) grade 2 HTN, SBP ≥160 mmHg or DBP ≥100 mmHg. The date and cause of individual deaths were confirmed in the death record data compiled until 2013. Data were analyzed using Cox proportional hazard regression.
RESULTS
Significant associations were found between the BP categories and all-cause mortality, but only when BPs were measured in the supine position. The multivariate hazard ratios (95% confidence intervals, [CIs]) were 1.36 (95% CI, 1.06 to 1.75) and 1.59 (95% CI, 1.06 to 2.39) for grade 1 HTN and grade 2 HTN, respectively, compared with the normal category. The associations between the BP categories and CV mortality were significant regardless of body posture among participants ≥65 years, whereas they were significant for supine BP measurements only in those <65 years.
CONCLUSIONS
BP measured in the supine position predicted all-cause mortality and CV mortality better than BP measured in other postures.
Summary
Korean summary
본 역학 연구는 한국 성인 8,901명을 연구대상자로 하여 기초조사에서 세가지 자세, 즉 앉은 자세, 누운 자세, 일어선 자세에서 혈압을 측정하고, 이후 10년 동안의 사망 여부를 추적조사하여, 측정 자세에 따른 혈압과 사망 위험과의 관련성을 분석하였다. 그 결과, 누운 자세에서 측정된 고혈압(기준: 수축기 혈압이 140 mmHg 이상 혹은 이완기 혈압이 90 mmHg 이상)인 사람은 정상 혈압(기준: 수축기 혈압이 120 mmHg 미만이고 이완기 혈압이 80 mmHg 미만)인 사람에 비해 36%(1단계 고혈압) 혹은 59%(2단계 고혈압) 가량 총 사망 위험이 유의적으로 증가하는 것으로 나타났다. 이에 비해, 앉은 자세 및 일어선 자세에서 측정, 정의된 고혈압은 총 사망 위험을 증가시켰지만 유의적인 결과를 나타내지 못했다. 추후 연구에서 재확인이 필요하지만, 본 연구 결과가 시사하는 바는 앉은 자세나 일어선 자세보다 누운 자세에서 측정하는 혈압이 총 사망 위험을 더 잘 예측하므로, 고혈압 진단 외의 추가적인 활용 가능성이 있는 것으로 평가된다.
Key Message
The current epidemiological study revealed that blood pressure measured in a supine position could predict all-cause mortality and cardiovascular mortality better than blood pressure measured in a sitting or standing position. As a result, blood pressure measurements in a supine position may be useful in assessing mortality risk.
Late eating, blood pressure control, and cardiometabolic risk factors among adults with hypertension: results from the Korea National Health and Nutrition Examination Survey 2010-2018
Jee-Seon Shim, Hyeon Chang Kim
Epidemiol Health. 2021;43:e2021101.   Published online November 24, 2021
DOI: https://doi.org/10.4178/epih.e2021101
  • 8,030 View
  • 153 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Despite growing concerns regarding the timing of eating, little is known about the association between late eating and health. This study aimed to investigate whether late eating is associated with blood pressure (BP) control and cardiometabolic risk factors among Korean adults with hypertension.
METHODS
Data from the Korea National Health and Nutrition Examination Survey 2010-2018 were used. Adults with hypertension aged 30-79 years (n=13,361) were included in this study. Dietary intake and information on meal timing were assessed using 1-day 24-hour recall. Late eating was defined as after the median midpoint between the times of the first and the last eating episode during the recall day. Logistic and linear regression models were used to estimate the associations of late eating with BP control and cardiometabolic risk factors.
RESULTS
Among late eaters, there were more men than women. Compared to early eaters, late eaters were younger, had a higher body mass index (BMI) and unhealthier habits, and their overall dietary quality score was lower. A negative association between late eating and BP control was found in a univariate model (odds ratio [OR], 0.82; 95% confidence interval [CI], 0.94 to 1.12), but this association disappeared after adjustment for confounders (OR, 1.03; 95% CI, 0.94 to 1.12). Late eating was independently associated with higher BMI (p=0.03) and blood triglyceride concentration (p<0.01).
CONCLUSIONS
Our results do not support a link between late eating and BP control among adults with hypertension, but suggest that late eating is associated with cardiometabolic risk factors.
Summary
Korean summary
식사시간이 건강에 미치는 영향에 대한 관심이 증가하고 있지만, 이에 대한 근거는 많지 않다. 이 연구는 국민건강영양조사 자료를 활용하여 고혈압이 있는 성인의 늦은 식사와 혈압 조절, 심장대사 위험인자의 연관성을 분석하였다. 늦은 식사와 혈압 조절의 독립적 연관성은 찾지 못했지만, 늦은 식사는 높은 체질량지수, 혈중 지질 농도와 연관성을 보여 식사 시간 조정이 고혈압 환자의 예후 개선을 위한 유용한 대책이 될 수 있으리라는 근거를 지지한다.
Key Message
This study investigated whether late eating is associated with blood pressure (BP) control and cardiometabolic risk factors among Korean adults with hypertension using data from the Korea National Health and Nutrition Examination Survey 2010–2018. We did not find an independent association between late eating and BP control among Korean adults with hypertension, but found that late eating was significantly associated with higher BMI and a higher blood concentration of triglycerides, independent of potential confounders. Our findings support the suggestion that a time-based dietary approach can be used as a useful strategy to improve the prognosis of adults with hypertension.

Citations

Citations to this article as recorded by  
  • Relationship between omitting breakfast and late eating with obesity and metabolic disorders: a review focusing on chrononutrition
    Gabriel da Silva Almeida, Manoela Oliveira De Souza, Leonardo Matthew Ribeiro Nunes Pereira
    Journal Archives of Health.2023; 4(2): 466.     CrossRef
A hypertension risk score for adults: a population-based cross-sectional study from the Dubai Household Survey 2019
Ibrahim Mahmoud, Nabil Sulaiman, Amal Hussein, Heba Mamdouh, Wafa K. AL Nakhi, Hamid Y. Hussain, Gamal M. Ibrahim
Epidemiol Health. 2021;43:e2021064.   Published online September 8, 2021
DOI: https://doi.org/10.4178/epih.e2021064
  • 17,715 View
  • 135 Download
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
The aim of this study was to develop a risk score model for predicting hypertension specific to the population of Dubai in the United Arab Emirates (UAE) to facilitate prevention and early intervention.
METHODS
A retrospective analysis of data from the Dubai Household Health Survey 2019 was conducted. Demographic and physical parameters, as well as blood glucose levels, were included in the data. The risk factors for hypertension were identified using bivariate analysis. A risk score model was developed using the enter method, where all significant predictors of hypertension in bivariate analyses were entered in a single step with the primary outcome of hypertension status (yes/no). The model was validated internally by splitting the data into Emirati and non-Emirati populations.
RESULTS
A total of 2,533 subjects were studied. The significant risk factors for hypertension identified were male sex, older age (≥40 years), education level, body mass index, diabetes mellitus, and dyslipidaemia. The model showed a high discrimination ability between individuals with and without hypertension, with an area under the curve of 0.77 (95% confidence interval [CI], 0.75 to 0.79), excellent sensitivity (81.0%; 95% CI, 71.9 to 88.2) and moderate specificity (56.0%; 95% CI, 45.7 to 65.9).
CONCLUSIONS
The model developed by this study is simple, convenient, and based on readily available demographic and medical characteristics. This risk score model could support initial hypertension screening and provide an effective tool for targeted lifestyle counselling and prevention programs.
Summary
Key Message
To prevent hypertension in Dubai's adult population, primary health care physicians can use our risk score model to recommend preventative measures, with a focus on men over 40 years old, with a low educational level, who are obese, and who have other morbidities, such as diabetes mellitus and dyslipidemia.
Trends in the prevalence and management of diabetes in Korea: 2007-2017
Ji-Yeon Shin
Epidemiol Health. 2019;41:e2019029.   Published online July 4, 2019
DOI: https://doi.org/10.4178/epih.e2019029
  • 15,042 View
  • 300 Download
  • 37 Web of Science
  • 36 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
This study analyzed Korea National Health and Nutrition Examination Survey data from 2007 to 2017 to assess trends in the prevalence, treatment, and control of diabetes in Korean adults ≥30 years of age.
METHODS
Prevalent diabetes was defined as a fasting plasma glucose level ≥126 mg/dL, self-reported use of anti-diabetic treatment (insulin or oral anti-diabetic drugs), or diabetes diagnosis by a physician. Target levels were defined as glycosylated hemoglobin <6.5% or <7.0%, blood pressure <130/80 mmHg, and total cholesterol <200 mg/dL. All survey waves were age-standardized to the 2005 Korean census population.
RESULTS
Diabetes prevalence increased from 9.6% in 2007-2009 to 10.8% in 2016-2017 (p<0.001). Impaired fasting glucose prevalence significantly increased in both genders and almost every age group. Diabetes awareness and glycemic control did not show an increasing trend; however, the treatment rate and proportion of people diagnosed with diabetes achieving target blood pressure and total cholesterol levels improved from 57.2% to 63.5% (p=0.008), from 41.1% to 53.2% (p<0.001), and from 65.0% to 78.0% (p<0.001), respectively.
CONCLUSIONS
From 2007 to 2017, the prevalence of diabetes increased moderately in Korea, whereas the diabetes treatment rate and the proportion of people diagnosed with diabetes achieving target blood pressure and total cholesterol levels improved. However, awareness of diabetes and glycemic control require significant improvements. A national-level action plan is required to raise awareness about diabetes and prediabetes, with the goal of improving glycemic control and minimizing the occurrence of adverse health outcomes.
Summary
Korean summary
지난 2007년-2017년 동안 우리나라 30세 이상 성인의 당뇨병 유병률은 소폭 증가하였으며, 당뇨환자의 치료율, 혈압 조절율, 총콜레스테롤 조절율은 증가 추세를 보였다. 그러나 당뇨병 인지율과 당뇨 환자의 혈당 조절율은 현재의 추세대로라면 Health Plan 2020의 목표치를 달성하기 어려울 것으로 보이며, 개선이 필요하다.

Citations

Citations to this article as recorded by  
  • Sex differences in the reciprocal relationship between glycemic control and depressive symptoms among older adults with diabetes: Using a nationwide population‐based sample
    Gyeong A Kang, Chang Won Won, Miji Kim, Ju Young Yoon
    Geriatrics & Gerontology International.2024; 24(1): 32.     CrossRef
  • The KL genetic polymorphisms Associated with type 2 diabetes Mellitus
    Hyun-Seok Jin, Dongju Jung
    Indian Journal of Clinical Biochemistry.2023; 38(3): 385.     CrossRef
  • Fatty Liver and Risk of Head and Neck Cancer in Type 2 Diabetes Mellitus: A Nationwide Cohort Study
    Junhee Park, Kyungdo Han, Seung Woo Lee, Yeong Jeong Jeon, Sang-Man Jin, Wonyoung Jung, Yoon Kyoung So, Sang Duk Hong, Dong Wook Shin
    Cancers.2023; 15(4): 1209.     CrossRef
  • Type 2 Diabetes Mellitus- and Complication-Related Risk of Nontuberculous Mycobacterial Disease in a South Korean Cohort
    Da Som Jeon, Seonok Kim, Mi Ae Kim, Yong Pil Chong, Tae Sun Shim, Chang Hee Jung, Ye-Jee Kim, Kyung-Wook Jo, Paschalis Vergidis, Byung Woo Jhun
    Microbiology Spectrum.2023;[Epub]     CrossRef
  • Association between breakfast frequency and insulin resistance in Korean adults with prediabetes: A nationwide population-based cross-sectional study
    Sihyung Lee, Duk Chul Lee, Hye Jun Lee
    Diabetes & Metabolic Syndrome: Clinical Research & Reviews.2023; 17(4): 102763.     CrossRef
  • Trends in Frailty Prevalence Among Older Adults in Korea: A Nationwide Study From 2008 to 2020
    Min-gu Kang, Oh Seok Kim, Emiel O. Hoogendijk, Hee-Won Jung
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Clinical trait and systemic risk of familial diabetes mellitus according to its onset timing and number: A community-based KoGES cohort study
    Ju-Yeun Lee, Kyungsik Kim, Sangjun Lee, Woo Ju An, Sue K Park
    Epidemiology and Health.2023;[Epub]     CrossRef
  • Glycemic outcomes of people with diabetes mellitus in Brazilian primary health care
    Adrielen Aparecida Silva Calixto, Laercio Joel Franco, Rebecca Ortiz La Banca Barber, Luis Angel Cendejas Medina, Maria Tereza Gonçalves Torquato, Marta Maria Coelho Damasceno, Maria Lúcia Zanetti, Carla Regina de Souza Teixeira
    International Journal of Diabetes in Developing Countries.2023;[Epub]     CrossRef
  • Prevalence trends and disease burden of diabetes and prediabetes in Chinese adults of Shanghai
    Jianfeng Pei, Yanyun Li, Yihui Yang, Minna Cheng, Yan Shi, Wang Hong Xu
    Journal of Diabetes.2023; 15(7): 583.     CrossRef
  • Incidence and temporal trends in type 2 diabetes by weight status: A systematic review and meta-analysis of prospective cohort studies
    Hong-jie Yu, Mandy Ho, Xiangxiang Liu, Jundi Yang, Pui Hing Chau, Daniel Yee Tak Fong
    Journal of Global Health.2023;[Epub]     CrossRef
  • Amplitude of Low-Frequency Fluctuation to Determine Disturbed Spontaneous Brain-Activity Pattern in Patients with Diabetic Optic Neuropathy
    Xiao-Yu Wang, San-Hua Xu, Hong Wei, Min Kang, Jie Zou, Qian Ling, Hui Huang, Xu Chen, Yi-Xin Wang, Yi Shao, Yao Yu
    Diabetes, Metabolic Syndrome and Obesity.2023; Volume 16: 2899.     CrossRef
  • SCORE and SCORE2 in East Asian Population
    JungMin Choi, Soseul Sung, Sue K. Park, Seyong Park, Hyoyeong Kim, Myeong-Chan Cho, Bryan Williams, Hae-Young Lee
    JACC: Asia.2023;[Epub]     CrossRef
  • Non-Alcoholic Fatty Liver Disease and the Risk of Diabetes Mellitus by Menopausal Status: A Nationwide Cohort Study
    Jungeun Shin, Soo Jung Choi, Han Rim Lee, Kyungdo Han, Jiwon Chang, Su-Min Jeong, Yun-sun Choi, Daeho Lee, Dong Wook Shin
    Journal of Personalized Medicine.2022; 12(4): 546.     CrossRef
  • High prevalence of diabetes in elderly of Iran: an urgent public health issue
    Farid Fotouhi, Farhad Rezvan, Hassan Hashemi, Ali Javaherforoushzadeh, Mirgholamreza Mahbod, Abbasali Yekta, Zahra Jamshididana, Mehdi Khabazkhoob
    Journal of Diabetes & Metabolic Disorders.2022; 21(1): 777.     CrossRef
  • Annual Trends in the Incidence and Prevalence of Alzheimer's Disease in South Korea: A Nationwide Cohort Study
    Min Seok Baek, Han-Kyeol Kim, Kyungdo Han, Hyuk-Sung Kwon, Han Kyu Na, Chul Hyoung Lyoo, Hanna Cho
    Frontiers in Neurology.2022;[Epub]     CrossRef
  • Current Status of the National Health Screening Programs in South Korea
    Hee-Taik Kang
    Korean Journal of Family Medicine.2022; 43(3): 168.     CrossRef
  • Time trend of diabetes mellitus in adults and elderly people in Rio Branco, Acre, Western Brazilian Amazon (2006–2020)
    Yara de Moura Magalhães Lima, Fernanda Andrade Martins, Alanderson Alves Ramalho
    Diabetes Epidemiology and Management.2022; 7: 100093.     CrossRef
  • Burden, trends, and risk factors for breast cancer in China from 1990 to 2019 and its predictions until 2034: an up-to-date overview and comparison with those in Japan and South Korea
    Na Liu, Da-Wei Yang, Yan-Xia Wu, Wen-Qiong Xue, Dan-Hua Li, Jiang-Bo Zhang, Yong-Qiao He, Wei-Hua Jia
    BMC Cancer.2022;[Epub]     CrossRef
  • Differences in health behavior and nutrient intake status between diabetes-aware and unaware Korean adults based on the Korea national health and nutrition examination survey 2016–18 data: A cross-sectional study
    Anshul Sharma, Chen Lulu, Kee-Ho Song, Hae-Jeung Lee
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Fasting blood glucose and risk of incident pancreatic cancer
    Young Jin Kim, Chang-Mo Oh, Sung Keun Park, Ju Young Jung, Min-Ho Kim, Eunhee Ha, Do Jin Nam, Yeji Kim, Eun Hye Yang, Hyo Choon Lee, Soon Su Shin, Jae-Hong Ryoo, Altaf Mohammed
    PLOS ONE.2022; 17(10): e0274195.     CrossRef
  • Effects of Diabetes Quality Assessment on Diabetes Management Behaviors Based on a Nationwide Survey
    Chang Kyun Choi, Jungho Yang, Ji-An Jeong, Min-Ho Shin
    International Journal of Environmental Research and Public Health.2022; 19(23): 15781.     CrossRef
  • Estimating the disease burden of Korean type 2 diabetes mellitus patients considering its complications
    Juyoung Kim, Seok-Jun Yoon, Min-Woo Jo, Brecht Devleesschauwer
    PLOS ONE.2021; 16(2): e0246635.     CrossRef
  • Assessment of Trends in the Incidence Rates of Central Retinal Artery Occlusion in Korea From 2002 to 2015
    Jongshin Kim, Seong Jun Byun, Se Joon Woo, Kyu Hyung Park, Sang Jun Park
    JAMA Ophthalmology.2021; 139(4): 399.     CrossRef
  • Trends of Diabetes and Prediabetes Prevalence among Korean Adolescents From 2007 to 2018
    Ji Hyun Kim, Jung Sub Lim
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Prevalence and risk factors of diabetes among adults aged 45 years or older in China: A national cross‐sectional study
    Anying Bai, Jing Tao, Liyuan Tao, Jue Liu
    Endocrinology, Diabetes & Metabolism.2021;[Epub]     CrossRef
  • Comorbidity network analysis related to obesity in middle-aged and older adults: findings from Korean population-based survey data
    Hye Ah Lee, Hyesook Park
    Epidemiology and Health.2021; 43: e2021018.     CrossRef
  • Association between domain-specific physical activity and diabetes in Korean adults
    Eun-Byeol Lee, Sunghyun Hong, Jihee Min, Dong-Hyuk Park, Wonhee Cho, Sang-Hoon Suh, Hae-Dong Lee, Han-Joo Lee, Heejin Kimm, Sun Ha Jee, Eun Seok Kang, Dong Hoon Lee, Justin Y. Jeon
    Scientific Reports.2021;[Epub]     CrossRef
  • The Current Situation Regarding Long-Acting Insulin Analogues Including Biosimilars Among African, Asian, European, and South American Countries; Findings and Implications for the Future
    Brian Godman, Mainul Haque, Trudy Leong, Eleonora Allocati, Santosh Kumar, Salequl Islam, Jaykaran Charan, Farhana Akter, Amanj Kurdi, Carlos Vassalo, Muhammed Abu Bakar, Sagir Abdur Rahim, Nusrat Sultana, Farzana Deeba, M. A. Halim Khan, A. B. M. Muksudu
    Frontiers in Public Health.2021;[Epub]     CrossRef
  • Current utilization patterns for long-acting insulin analogues including biosimilars among selected Asian countries and the implications for the future
    Brian Godman, Mainul Haque, Santosh Kumar, Salequl Islam, Jaykaran Charan, Farhana Akter, Amanj Kurdi, Eleonora Allocati, Muhammed Abu Bakar, Sagir Abdur Rahim, Nusrat Sultana, Farzana Deeba, M. A. Halim Khan, A. B. M Muksudul Alam, Iffat Jahan, Zubair Ma
    Current Medical Research and Opinion.2021; 37(9): 1529.     CrossRef
  • Trends in the prevalence and management of major metabolic risk factors for chronic disease over 20 years: findings from the 1998-2018 Korea National Health and Nutrition Examination Survey
    Yoonjung Kim, Sun Jin Nho, Gyeongji Woo, Hyejin Kim, Suyeon Park, Youngtaek Kim, Ok Park, Kyungwon Oh
    Epidemiology and Health.2021; 43: e2021028.     CrossRef
  • Dietary carbohydrates interact with AMY1 polymorphisms to influence the incidence of type 2 diabetes in Korean adults
    Dayeon Shin, Kyung Won Lee
    Scientific Reports.2021;[Epub]     CrossRef
  • Clinical Characteristics and Associated Risk Factors of Prediabetes in the Southwestern Region of Korea from 2010–2019
    Mi-Ra Oh, Su-Jin Jung, Eun-Ju Bae, Byung-Hyun Park, Soo-Wan Chae
    Journal of Clinical Medicine.2020; 9(4): 1114.     CrossRef
  • Interactions of Habitual Coffee Consumption by Genetic Polymorphisms with the Risk of Prediabetes and Type 2 Diabetes Combined
    Taiyue Jin, Jiyoung Youn, An Na Kim, Moonil Kang, Kyunga Kim, Joohon Sung, Jung Eun Lee
    Nutrients.2020; 12(8): 2228.     CrossRef
  • Anemia and incidence of dementia in patients with new-onset type 2 diabetes: a nationwide population-based cohort study
    Jae Woo Choi, Tae Hyun Kim, Euna Han
    BMJ Open Diabetes Research & Care.2020; 8(1): e001289.     CrossRef
  • Body Weight Variability and the Risk of Cardiovascular Outcomes and Mortality in Patients With Type 2 Diabetes: A Nationwide Cohort Study
    Ga Eun Nam, Wonsock Kim, Kyungdo Han, Chung-woo Lee, Yeongkeun Kwon, Byoungduck Han, Seokwon Park, Joo-Hyun Park, Yang-Hyun Kim, Do-Hoon Kim, Seon Mee Kim, Youn Seon Choi, Kyung Hwan Cho, Yong Gyu Park
    Diabetes Care.2020; 43(9): 2234.     CrossRef
  • Association of Blood Cadmium with Cardiovascular Disease in Korea: From the Korea National Health and Nutrition Examination Survey 2008–2013 and 2016
    Jihyun Jeong, Sang-moon Yun, Minkyeong Kim, Young Ho Koh
    International Journal of Environmental Research and Public Health.2020; 17(17): 6288.     CrossRef
Pre-hypertension and the risk of diabetes mellitus incidence using a marginal structural model in an Iranian prospective cohort study
Ahmad Khosravi, Mohammad Hassan Emamian, Hassan Hashemi, Akbar Fotouhi
Epidemiol Health. 2018;40:e2018026.   Published online June 23, 2018
DOI: https://doi.org/10.4178/epih.e2018026
  • 10,927 View
  • 187 Download
  • 5 Web of Science
  • 4 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
The aim of this study was to evaluate the effect of pre-hypertension and its sub-classification on the development of diabetes.
METHODS
In this cohort study, 2,941 people 40 to 64 years old without hypertension or diabetes were followed from 2009 through 2014. According to the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC)-7 criteria, we classified participants into normal and pre-hypertension groups. The effect of pre-hypertension on the 5-year incidence rate of diabetes was studied using inverse probability of treatment weighting. We modeled the exposure and censored cases given confounding factors such as age, sex, body mass index, smoking, economic status, and education.
RESULTS
The 5-year incidence rate of diabetes among people with pre-hypertension and those with normal blood pressure (BP) was 12.7 and 9.7%, respectively. The risk ratio (RR) for people with pre-hypertension was estimated to be 1.13 (95% confidence interval [CI], 0.90 to 1.41). The RRs among people with normal BP and high-normal BP, according to the JNC-6 criteria, compared to those with optimal BP were 0.96 (95% CI, 0.73 to 1.25) and 1.31 (95% CI, 1.01 to 1.72), respectively.
CONCLUSIONS
Our results showed that participants who had higher levels of BP (high-normal compared to optimal BP) had a higher risk of diabetes development. With regard to the quantitative nature of BP, using the specifically distinguishing of stage 1 hypertension or high-normal BP may be a more meaningful categorization for diabetes risk assessment than the JNC-7 classification.
Summary

Citations

Citations to this article as recorded by  
  • Prevalence of prediabetes, diabetes, diabetes awareness, treatment, and its socioeconomic inequality in west of Iran
    Farhad Moradpour, Satar Rezaei, Bakhtiar Piroozi, Ghobad Moradi, Yousef Moradi, Negar Piri, Azad Shokri
    Scientific Reports.2022;[Epub]     CrossRef
  • Association between cardiovascular risk factors and stage 1 hypertension defined by the 2017 ACC/AHA guidelines
    Xing Zhen Liu, Dong Shui Chen, Fu Ping Di, Cheng Yong Shi, Hui Hua Li, Jun Min Wang, Yi Xin Ji
    Clinical and Experimental Hypertension.2020; 42(6): 483.     CrossRef
  • Obesity is the most important factor for gender inequality in type 2 diabetes incidence in an Iranian population
    Ahamd Khosravi, MohammadHassan Hashemian, Hassan Hashemi, Akbar Fotouhi
    International Journal of Preventive Medicine.2019; 10(1): 215.     CrossRef
  • Blood Pressure and the Risk of Death From Non-cardiovascular Diseases: A Population-based Cohort Study of Korean Adults
    Jeoungbin Choi, Jieun Jang, Yoonsuk An, Sue K. Park
    Journal of Preventive Medicine and Public Health.2018; 51(6): 298.     CrossRef
Prevalence, awareness, treatment, control, and risk factors of hypertension among adults: a cross-sectional study in Iran
Maryam Eghbali, Alireza Khosravi, Awat Feizi, Asieh Mansouri, Behzad Mahaki, Nizal Sarrafzadegan
Epidemiol Health. 2018;40:e2018020.   Published online May 18, 2018
DOI: https://doi.org/10.4178/epih.e2018020
  • 15,223 View
  • 476 Download
  • 38 Web of Science
  • 30 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Hypertension (HTN) is an important risk factor for cardiovascular disease. Considering the importance of this disease for public health, this study was designed in order to determine the prevalence, awareness, treatment, control, and risk factors of HTN in the Iranian adult population.
METHODS
This cross-sectional study was conducted among 2,107 residents of Isfahan, Iran. Samples were selected through multi-stage random cluster sampling in 2015-2016. The outcome variable was HTN, determined by measuring blood pressure in the right arm via a digital arm blood pressure monitor. Awareness, treatment, and control of HTN were assessed by a validated and reliable researcher-developed questionnaire. Other demographic and clinical variables were assessed via a demographic questionnaire.
RESULTS
The overall prevalence of HTN was 17.3% (18.9 and 15.5% in men and women, respectively). The prevalence of HTN increased in both genders with age. The prevalence of awareness of HTN among people with HTN was 69.2%, of whom 92.4 and 59.9% were taking medication for HTN and had controlled HTN, respectively. Logistic regression identified age, body mass index, having diabetes and hyperlipidemia, and a positive family history of HTN as determinants of awareness of HTN.
CONCLUSIONS
The results showed that HTN was highly prevalent in the community, especially in men and in middle-aged and older adults. Approximately 30.8% of patients were unaware of their disease, and there was less awareness among younger adults. Despite the high frequency of taking medication to treat HTN, it was uncontrolled in more than 40.1% of patients. Health policy-makers should therefore consider appropriate preventive and therapeutic strategies for these high-risk groups.
Summary

Citations

Citations to this article as recorded by  
  • Self-rated health and its determinants in patients with hypertension in Isfahan in 2019
    Asieh Mansouri, Alireza Khosravi Farsani, Noushin Mohammadifard, Fatemeh Nouri, Mahnaz Jozan, Ghazaal Alavi Tabatabaei, Rezvan Salehidoost, Hamed Rafiee
    BMC Public Health.2024;[Epub]     CrossRef
  • Contribution of NOS3AS Variants to Susceptibility to Essential Hypertension: A Study in Kermanshah Province, Western Iran
    Bahareh Karami, Azam Azimi, Zohreh Rahimi, Sousan Mahmoudi, Nazanin Jalilian
    Biochemical Genetics.2023; 61(5): 2149.     CrossRef
  • Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis
    Demetrio Lamloum, Federico Fassio, Brianna Osetinsky, Fabrizio Tediosi
    International Journal of Public Health.2023;[Epub]     CrossRef
  • Prevalence and risk factors of pre-hypertension and hypertension among adults in Southeastern Iran: Findings from the baseline survey of the Zahedan adult cohort study
    Mojtaba Gholami Zare, Hassan Okati-Aliabad, Alireza Ansari-Moghaddam, Mahdi Mohammadi, Fariba Shahraki-Sanavi, Seyed Aria Nejadghaderi
    PLOS ONE.2023; 18(12): e0295270.     CrossRef
  • Prevalence and incidence of pre-hypertension and hypertension (awareness/control) in Iran: findings from Kerman coronary artery diseases risk factors study 2 (KERCADRS)
    Hamid Najafipour, Hamid Reza Nasri, Farzaneh Rostamzadeh, Raheleh Amirzadeh, Mitra Shadkam, Ali Mirzazadeh
    Journal of Human Hypertension.2022; 36(5): 461.     CrossRef
  • Hypertension and Pre-Hypertension in Middle East and North Africa (MENA): A Meta-Analysis of Prevalence, Awareness, Treatment, and Control
    Abbas Balouchi, Mojgan Haj Ahmadi Pour Rafsanjani, Kholoud Al-Mutawaa, Mahin Naderifar, Hosein Rafiemanesh, Abbas Ebadi, Tahereh Najafi Ghezeljeh, Azita Shahraki-Mohammadi, Adhra Al-Mawali
    Current Problems in Cardiology.2022; 47(7): 101069.     CrossRef
  • Association of adherence to the dietary approach to stop hypertension and Mediterranean diets with blood pressure in a non-hypertensive population: Results from Isfahan Salt Study (ISS)
    Mehran Rahimlou, Narges Grau, Nasrin Banaie -Jahromi, Marzieh Taheri, Alireza Khosravi, Yiannis Mavrommatis, Noushin Mohammadifard
    Nutrition, Metabolism and Cardiovascular Diseases.2022; 32(1): 109.     CrossRef
  • Prevalence of hypertension and pre-hypertension in the Middle East region: a systematic review & meta-analysis
    Hassan Okati-Aliabad, Alireza Ansari-Moghaddam, Shiva Kargar, Mahdi Mohammadi
    Journal of Human Hypertension.2022; 36(9): 794.     CrossRef
  • The Magnitude of Salt Intake Behaviors and Its Predictors among Saqez Urban Population of Kurdistan District in Iran: A Cross-Sectional Study
    Kolsom Khoram, Mohammad Asghari-Jafarabadi, Mehrangiz Ebrahimi-Mamagani, Behjat Shokrvash, Maral Hariri-Akbari, Thereza Maria Magalhães Moreira
    International Journal of Hypertension.2022; 2022: 1.     CrossRef
  • Empirical prediction model of psychophysiological responses of workers with respect to noise exposure based on random forest
    Mostafa Rahmiani Iranshahi, Mohsen Aliabadi, Rostam Golmohammadi, Alireza Soltanian, Mohammad Babamiri
    Noise & Vibration Worldwide.2022; 53(6): 290.     CrossRef
  • Factors Related to Medication Adherence in Hypertensive Patients in the Iranian Population
    N. Roustaei, H. Hosayni, S. Jokar, F. Zinat motlagh
    Journal of Clinical Care and Skills.2022; 3(1): 13.     CrossRef
  • Predictive Factors for the Care and Control of Hypertension Based on the Health Belief Model Among Hypertensive Patients During the COVID-19 Epidemic in Sirjan, Iran
    Reza Sadeghi, Mahmood Reza Masoudi, Athina Patelarou, Narges Khanjani
    Current Hypertension Reviews.2022; 18(1): 78.     CrossRef
  • Medication Adherence and Blood Pressure Control Among Hypertensive Outpatients Attending a Tertiary Cardiovascular Hospital in Tanzania: A Cross-Sectional Study
    Pedro Pallangyo, Makrina Komba, Zabella S Mkojera, Peter R Kisenge, Smita Bhalia, Henry Mayala, Engerasiya Kifai, Mwinyipembe K Richard, Khuzeima Khanbhai, Salma Wibonela, Jalack Millinga, Robert Yeyeye, Nelson F Njau, Thadei K Odemary, Mohamed Janabi
    Integrated Blood Pressure Control.2022; Volume 15: 97.     CrossRef
  • Awareness, treatment, and practices of lifestyle modifications amongst diagnosed hypertensive patients attending the tertiary care hospital of Karachi: A cross-sectional study
    Sadia Yaqoob, Mahjabeen Yaseen, Furqan Ahmad Jarullah, Amna Saleem, Anmol Mohan, Mohammad Yasir Essar, Shoaib Ahmad
    Annals of Medicine and Surgery.2022; 82: 104587.     CrossRef
  • The Iranian blood pressure measurement campaign, 2019: study protocol and preliminary results
    Afshin Ostovar, Sadaf Sepanlou, Mohammad Shariati, Alireza Mahdavi Hezaveh, Elham Yousefi, Alieh Hodjatzadeh, Mehdi Afkar, Abbas Pariani, Alireza Moghisi, Kazem Khalagi, Mehdi Najmi, Shahnaz Bashti, Saeideh Aghamohammadi, Mohammad Bagherzade yazdi, Azizol
    Journal of Diabetes & Metabolic Disorders.2022; 22(1): 899.     CrossRef
  • Self-Care Behaviors in Patients with Hypertension to Prevent Hypertensive Emergencies: a Qualitative Study Based on the Theory of Planned Behavior
    Farnaz Eslamimehr, Zahra Hosseini, Teamur Aghamolaei, Marzieh Nikparvar, Amin Ghanbarnezhad
    Journal of Cardiovascular Emergencies.2022; 8(4): 75.     CrossRef
  • Détection et contrôle de l’hypertension artérielle dans une communauté péri-urbaine d’Afrique de l’Ouest
    Marie-Laure Tiadé, Simone Malik, Jérôme Kouamé, Aka Angèle Desquith, Annita Hounsa-Alla, Kouamé Koffi, Régine Attia-Konan, Madikiny Coulibaly, Julie-Ghislaine Sackou-Kouakou, Agbaya Serge Oga, Kouakou Luc Kouadio
    Santé Publique.2022; Vol. 34(2): 289.     CrossRef
  • The prevalence and predictors of pre-hypertension and hypertension in Kherameh cohort study: a population based study on 10,663 persons in south of Iran
    Abbas Rezaianzadeh, Fatemeh Jafari, Seyed Ebrahim Sadeghi, Salar Rahimikazerooni
    Journal of Human Hypertension.2021; 35(3): 257.     CrossRef
  • The effects of capsinoids and fermented red pepper paste supplementation on blood pressure: A systematic review and meta-analysis of randomized controlled trials
    Mohammad Reza Amini, Fatemeh Sheikhhossein, Elham Bazshahi, Mahdi Hajiaqaei, Anahid Shafie, Hossein Shahinfar, Neda Azizi, Hadi Eghbaljoo Gharehgheshlaghi, Sina Naghshi, Raana Babadi Fathipour, Sakineh Shab-Bidar
    Clinical Nutrition.2021; 40(4): 1767.     CrossRef
  • The Effect of Cognitive-Behavioral Intervention on Self-Care Behaviors and Blood Pressure Control in Patients with Primary Hypertension
    Elham Ebrahimidorcheh, Mahin Nematollahi, Ahmadali Eslami
    Journal of Education and Community Health.2021; 8(1): 41.     CrossRef
  • Long-term Trends in Hypertension Prevalence, Awareness, Treatment, and Control Rate in the Middle East and North Africa: a Systematic Review and Meta-analysis of 178 Population-Based Studies
    Nami Mohammadian Khonsari, Ehsan Shahrestanaki, Hanieh-Sadat Ejtahed, Shirin Djalalinia, Ali Sheidaei, Benyamin Hakak-Zargar, Javad Heshmati, Armita Mahdavi-Gorabi, Mostafa Qorbani
    Current Hypertension Reports.2021;[Epub]     CrossRef
  • Prevalence and factors connected with chronic diseases in the elderly residents of Birjand: a community – based study in Birjand, South Khorasan Province, Iran
    Marjan Farzad, MitraMoodi, Farshad Sharifi, Hasan Amirabadizadeh, Alireza Amirabadizadeh, Toba Kazemi, Abbas Javadi, Maziar Nasiri
    Journal of Diabetes & Metabolic Disorders.2021; 20(2): 1655.     CrossRef
  • Comparison of multiple blood pressure frequency methods with optimum blood pressure measurement among Iranian individuals
    Alireza Mohammadi-Dolatabadi, Mehrbod Vakhshoori, Maryam Eghbali-Babadi, Maryam Heidarpour, Davood Shafie, Mohammad Garakyaraghi, Alireza Khosravi
    Journal of Research in Medical Sciences.2020; 25(1): 40.     CrossRef
  • Awareness, treatment, and control of hypertension and related factors in adult Iranian population
    Mohsen Mirzaei, Masoud Mirzaei, Behnam Bagheri, Ali Dehghani
    BMC Public Health.2020;[Epub]     CrossRef
  • Adherence of general practitioners to the national hypertension guideline, Isfahan, Iran
    AmirVatani Nezafat, Negah Tavakolifard, Atefeh Vaezi
    International Journal of Preventive Medicine.2020; 11(1): 130.     CrossRef
  • Comparing the Effect of Teach Back and Motivational Interview on the Blood Pressure in Hypertensive Patients
    S. Zabolypour, M. Alishapour, M. Behnammoghadam, R. Abbasi Larki, M. Zoladl
    Journal of Clinical Care and Skills.2020; 1(3): 133.     CrossRef
  • Prevalence of Hypertension and Its Associated Car-diovascular Disease-Induced Mortality
    Yadollah Ghafuri, Hasan Izanloo, Siamak Mohebi, Abedin Saghafipour, Moharram Karami Joushin, Saeed Karimi
    Journal of Vessels and Circulation.2020; 1(4): 29.     CrossRef
  • Effectiveness of smartphone-based medication reminder application on medication adherence of patients with essential hypertension: A clinical trial study
    Sajede Mohammadi Torkabad, Tayebeh Negahban Bonabi, Shahin Heidari
    Journal of Nursing and Midwifery Sciences.2020; 7(4): 219.     CrossRef
  • Hypertension and Pre-Hypertension Among Iranian Adults Population: a Meta-Analysis of Prevalence, Awareness, Treatment, and Control
    Roghaiyeh Afsargharehbagh, Khadije Rezaie-Keikhaie, Hosien Rafiemanesh, Abbas Balouchi, Salehoddin Bouya, Behroz Dehghan
    Current Hypertension Reports.2019;[Epub]     CrossRef
  • Prevalence, awareness, treatment, and control of hypertension and their determinants: Results from the first cohort of non-communicable diseases in a Kurdish settlement
    Fatemeh Rajati, Behrooz Hamzeh, Yahya Pasdar, Roya Safari, Mehdi Moradinazar, Ebrahim Shakiba, Shahrzad Bazargan-Hejazi, Hossein Karim, Farid Najafi
    Scientific Reports.2019;[Epub]     CrossRef
Measurement Errors on Normotensive Subjects in Screening Test.
Jong Myon Bae, Dae Sung Kim, Jaiyong Kim, Yoon Ok Ahn
Korean J Epidemiol. 1999;21(1):1-7.
  • 4,947 View
  • 8 Download
AbstractAbstract PDF
Abstract
BACKGROUND
Blood pressure measurements with a mercury sphygmomanometer serve as the screening test to establish the clinical diagnosis of primary hypertension. But one of the problems of hypertension screening is the variability of blood pressure measurements.
METHODS
In order to identify the measurement error of blood pressure through the biennial health screening program of Korea Insurance Medical Corporation, we compared the blood pressure of screening test with true value which defined as the mean of blood pressures taken from the direct contact and twice check-up among normotensive Seoul Cohort participants.
RESULTS
Three hundred forty-nine participants had both data of screening measurement and survey of direct contact. The means of difference in systolic and diastolic blood pressure between both data were 8.47 mmHg and 6.54 mmHg, respectively. These results showed statistical significance with paired t-test (p=0.001).
CONCLUSION
Our findings indicated that screening measurement of blood pressure had false negative. And if a epidemiologic study about blood pressure used the data of screening test, it should adjust value of systolic and diastolic blood pressure with adding 8 and 7 mmHg, respectively.
Summary

Epidemiol Health : Epidemiology and Health