A Retrospective Cohort Study on Obesity and Hypertension Risk Among Korean Adults

Overview

Journal J Korean Med Sci

Specialty General Medicine

Date 2005 Apr 16

PMID 15831985

Citations 16

Authors

Sung-Hee Lee

Young-Sik Kim

Sung Sunwoo

Bong-Yul Huh

Affiliations

Soon will be listed here.

Abstract

A retrospective cohort of adult Korean males and females was conducted to evaluate the influence of obesity on the development of hypertension and to determine the level of the body mass index at which the risk of hypertension significantly increases. The subjects of this study were 1,467 men and 944 women aged 20 to 75 yr who were normotensive at the time of their initial examinations from 1990 to 1991, who had a follow-up examination at least 1 yr after their initial examinations, or whose blood pressure status could be confirmed by reviewing their medical records until June 2000. During an average follow-up period of 6.2 yr, 234 new cases of hypertension were identified. An analysis using the Cox proportional hazards model showed that the risk of developing hypertension increased with increasing age, body mass index, and amount of daily alcohol consumption in men; and with increasing age and body mass index in women. Comparing men and women whose body mass indices were smaller than 23 kg/m(2), the relative risks of hyper-tension were 2.56 times greater in men and 3.17 times greater in women, whose body mass indices were greater than 27 kg/m(2). Our study confirmed that obesity is a strong risk factor for hypertension among Korean adults. In addition, high alcohol consumption may be a significant risk factor for men.

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References

Witteman J, Willett W, Stampfer M, Colditz G, Sacks F, Speizer F . A prospective study of nutritional factors and hypertension among US women. Circulation. 1989; 80(5):1320-7. DOI: 10.1161/01.cir.80.5.1320. View

Staessen J, Bieniaszewski L, Pardaens K, Petrov V, Thijs L, Fagard R . Life style as a blood pressure determinant. J R Soc Med. 1996; 89(9):484-9. PMC: 1295909. DOI: 10.1177/014107689608900903. View

Savdie E, Grosslight G, Adena M . Relation of alcohol and cigarette consumption to blood pressure and serum creatinine levels. J Chronic Dis. 1984; 37(8):617-23. DOI: 10.1016/0021-9681(84)90111-5. View

Kim I, Lee Y, Suh I, Oh H, Oh D, Kim S . Korean nationwide blood pressure study. Yonsei Med J. 1982; 23(1):15-25. DOI: 10.3349/ymj.1982.23.1.15. View

Masaki K, Curb J, Chiu D, Petrovitch H, Rodriguez B . Association of body mass index with blood pressure in elderly Japanese American men. The Honolulu Heart Program. Hypertension. 1997; 29(2):673-7. DOI: 10.1161/01.hyp.29.2.673. View

Blair S, Goodyear N, Gibbons L, COOPER K . Physical fitness and incidence of hypertension in healthy normotensive men and women. JAMA. 1984; 252(4):487-90. View

Bakx J, van den Hoogen H, van den Bosch W, van Schayck C, Van Ree J, Thien T . Development of blood pressure and the incidence of hypertension in men and women over an 18-year period: results of the Nijmegen Cohort Study. J Clin Epidemiol. 1999; 52(6):531-8. DOI: 10.1016/s0895-4356(99)00023-2. View

Itoh T, Horie S, Takahashi K, Okubo T . An evaluation of various indices of body weight change and their relationship with coronary risk factors. Int J Obes Relat Metab Disord. 1996; 20(12):1089-96. View

Bonithon-Kopp C, Raison J, Courbon D, Bonhomme G, Guy-Grand B, Ducimetiere P . Relationships between 3-y longitudinal changes in body mass index, waist-to-hip ratio, and metabolic variables in an active French female population. Am J Clin Nutr. 1992; 56(3):475-82. DOI: 10.1093/ajcn/56.3.475. View

10.

Field A, Byers T, Hunter D, Laird N, Manson J, Williamson D . Weight cycling, weight gain, and risk of hypertension in women. Am J Epidemiol. 1999; 150(6):573-9. DOI: 10.1093/oxfordjournals.aje.a010055. View

11.

Ford E, Cooper R . Risk factors for hypertension in a national cohort study. Hypertension. 1991; 18(5):598-606. DOI: 10.1161/01.hyp.18.5.598. View

12.

He J, Klag M, Whelton P, Chen J, Qian M, He G . Body mass and blood pressure in a lean population in southwestern China. Am J Epidemiol. 1994; 139(4):380-9. DOI: 10.1093/oxfordjournals.aje.a117010. View

13.

Ishikawa-Takata K, Ohta T, Moritaki K, Gotou T, Inoue S . Obesity, weight change and risks for hypertension, diabetes and hypercholesterolemia in Japanese men. Eur J Clin Nutr. 2002; 56(7):601-7. DOI: 10.1038/sj.ejcn.1601364. View

14.

Reed D, McGee D, Yano K . Biological and social correlates of blood pressure among Japanese men in Hawaii. Hypertension. 1982; 4(3):406-14. DOI: 10.1161/01.hyp.4.3.406. View

15.

Shetterly S, Rewers M, Hamman R, Marshall J . Patterns and predictors of hypertension incidence among Hispanics and non-Hispanic whites: the San Luis Valley Diabetes Study. J Hypertens. 1994; 12(9):1095-102. View

16.

Haffner S, Miettinen H, Gaskill S, Stern M . Metabolic precursors of hypertension. The San Antonio Heart Study. Arch Intern Med. 1996; 156(17):1994-2001. View

17.

Dischinger P, Apostolides A, ENTWISLE G, Hebel J . Hypertension incidence in an inner-city black population. J Chronic Dis. 1981; 34(8):405-13. DOI: 10.1016/0021-9681(81)90039-4. View

18.

Dannenberg A, Garrison R, Kannel W . Incidence of hypertension in the Framingham Study. Am J Public Health. 1988; 78(6):676-9. PMC: 1350281. DOI: 10.2105/ajph.78.6.676. View

19.

Curtis A, Strogatz D, James S, Raghunathan T . The contribution of baseline weight and weight gain to blood pressure change in African Americans: the Pitt County Study. Ann Epidemiol. 1998; 8(8):497-503. DOI: 10.1016/s1047-2797(98)00024-6. View

20.

Friedman G, Klatsky A, SIEGELAUB A . Alcohol, tobacco, and hypertension. Hypertension. 1982; 4(5 Pt 2):III143-50. DOI: 10.1161/01.hyp.4.5_pt_2.iii143. View