Incidence of Hypertension in Korea: 5-Year Follow-up Study

Autor: Yongkeun Cho, Shung Chull Chae, Kwon Bae Kim, Young Jo Kim, Dong Hoon Shin, Byung Yeol Chun, Dong Heon Yang, Wee Hyun Park, Jae Eun Jun, Ji Yeon Shin, Hun Sik Park, Kyeong-Soo Lee, Kee Sik Kim, Jang Hoon Lee
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Journal of Korean Medical Science
ISSN: 1598-6357
1011-8934
Popis: Limited data are available about the incidence of hypertension over the 5-yr in non-hypertensive subjects. The study subjects were 1,806 subjects enrolled in a rural area of Daegu, Korea for a cohort study from August to November 2003. Of them, 1,287 (71.3%) individuals had another examination 5 yr later. To estimate the incidence of hypertension, 730 non-hypertensive individuals (265 males; mean age = 56.6 ± 11.1 yr-old) at baseline examination were analyzed in this study. Hypertension was defined as either a new diagnosis of hypertension or self-reports of newly initiated antihypertensive treatment; prehypertension was if the systolic blood pressure was 120-139 mmHg and/or diastolic blood pressure was 80-89 mmHg. During the 5-yr follow-up, 195 (26.7%) non-hypertensive individuals developed incident hypertension. The age-adjusted 5-yr incidence rates of hypertension were 22.9% (95% confidence interval [CI] = 19.9-29.0) in overall subjects, 22.2% (95% CI = 17.2-27.2) in men, and 24.3% (95% CI = 20.4-28.2) in women. The incidence rates of hypertension significantly increased with age. In the multivariate analysis, prehypertension (Odds ratio [OR] 2.25; P < 0.001) and older age (OR 2.26; P = 0.010) were independent predictors for incident hypertension. In this rapidly aging society, population-based preventive approach to decrease blood pressure, particularly in subjects with prehypertension, is needed to reduce hypertension.
Databáze: OpenAIRE