基于1998 - 2014年韩国国家健康与营养检查调查（KNHANES）的韩国成年人血压趋势及高血压患病率
Trends in Blood Pressure and Prevalence of Hypertension in Korean Adults Based on the 1998-2014 KNHANES.
作者信息
Kim Tae Jong, Lee Jae Woo, Kang Hee Taik, Cho Myeong Chan, Lim Hyoung Ji, Kim Jin Young, Bae Jang Whan, Lee Yong Jae, Lee Sang Hyun, Linton John A, Kim Yeseul
机构信息
Department of Family Medicine, Chungbuk National University Hospital, Cheongju, Korea.
Department of Epidemiology and Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Korea.
出版信息
Yonsei Med J. 2018 May;59(3):356-365. doi: 10.3349/ymj.2018.59.3.356.
PURPOSE
To investigate trends in blood pressure (BP) and hypertension prevalence in Korea.
MATERIALS AND METHODS
Based on the Korean National Health and Nutrition Examination Survey (KNHANES) I (1998), II (2001), III (2005), IV (2007-2009), V (2010-2012), and VI (2013-2014), 56077 participants (23974 men and 32103 women) were included.
RESULTS
Mean systolic BP (SBP) and diastolic BP (DBP) decreased in both sexes (male SBP: 128.1 to 120.2 mm Hg, male DBP: 82.0 to 78.5 mm Hg; female SBP: 125.7 to 116.0 mm Hg and female DBP: 77.4 to 73.2 mm Hg from the KNHANES I-VI). The age-standardized prevalence of hypertension was significantly decreased in both sexes (male; 33.3% to 30.3%, female; 28.7% to 22.7%, all p for trend <0.001). Regardless of taking anti-hypertensive medication or not, SBP and DBP declined universally in both sexes. Compared to the KNHANES I, the odds ratios (95% confidence intervals) of the KNHANES II to VI for less-than-normotensive and less-than-hypertensive BP increased in both sexes.
CONCLUSION
Mean BP levels in both sexes and hypertension prevalence showed downward trends during the 16-year period.
目的
调查韩国血压（BP）和高血压患病率的趋势。
材料与方法
基于韩国国家健康与营养检查调查（KNHANES）I（1998年）、II（2001年）、III（2005年）、IV（2007 - 2009年）、V（2010 - 2012年）和VI（2013 - 2014年），纳入了56077名参与者（23974名男性和32103名女性）。
结果
男女的平均收缩压（SBP）和舒张压（DBP）均下降（男性SBP：从128.1毫米汞柱降至120.2毫米汞柱，男性DBP：从82.0毫米汞柱降至78.5毫米汞柱；女性SBP：从125.7毫米汞柱降至116.0毫米汞柱，女性DBP：从77.4毫米汞柱降至73.2毫米汞柱，来自KNHANES I - VI）。男女高血压的年龄标准化患病率均显著下降（男性；从33.3%降至30.3%，女性；从28.7%降至22.7%，所有趋势p值<0.001）。无论是否服用抗高血压药物，男女的SBP和DBP普遍下降。与KNHANES I相比，KNHANES II至VI中血压低于正常和低于高血压水平的男女的优势比（95%置信区间）增加。
结论
在16年期间，男女的平均血压水平和高血压患病率呈下降趋势。
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