Cho Jun Hwan, Park Gyu Tae, Park Kyung-Taek, Kim Hyue Mee, Lee Sang Yeub, Jeong Young-Hoon, Lee Wang-Soo, Kim Sang-Wook, Won Hoyoun
Division of Cardiology, Chung-Ang University Gwangmyeong Hospital and Department of Internal Medicine, Chung-Ang University College of Medicine, Gwangmyeong, Korea.
Cardiovascular-Arrhythmia Center, College of Medicine, Chung-Ang University Hospital, Seoul, Korea.
Hypertens Res. 2025 Jan;48(1):157-167. doi: 10.1038/s41440-024-01838-w. Epub 2024 Aug 16.
Adherence to lifestyle recommendations is crucial in managing hypertension, independent of medical treatment. This study aimed to evaluate the implementation of adherence to lifestyle recommendations and analyze the trends in adherence to lifestyle recommendations among patients with hypertension in Korea from 2007 to 2021 using the Korea National Health and Nutrition Examination Survey (KNHANES). The study included adults aged ≥20 years. Factors such as regular physical activity, smoking and alcohol abstinence, weight and stress management, and adherence to a healthy diet were analyzed. In 2021, A doublefold increase was observed in the proportion of patients with hypertension who adhered to sodium restriction compared to 2007. However, 70% of patients with hypertension consume more sodium than recommended. Moreover, potassium intake has steadily decreased since 2014, with only 23.8% of patients with hypertension meeting the recommended intake. The body mass index (BMI) and waist circumference of patients with hypertension have gradually increased, with fewer patients maintaining an appropriate weight. The neglect of diet and weight control among young patients with hypertension who experience high stress levels poses challenges in modifying their lifestyles. Patients with hypertension in Korea still consume high amounts of sodium, whereas potassium intake is gradually decreasing. Additionally, obesity rates have been increasing, especially among young patients with hypertension. A multidisciplinary approach is necessary for improving the lifestyle habits of hypertensive patients.
坚持生活方式建议对于高血压管理至关重要，与药物治疗无关。本研究旨在利用韩国国家健康与营养检查调查（KNHANES）评估韩国2007年至2021年高血压患者坚持生活方式建议的实施情况，并分析其坚持生活方式建议的趋势。该研究纳入了年龄≥20岁的成年人。分析了规律体育活动、戒烟限酒、体重和压力管理以及坚持健康饮食等因素。与2007年相比，2021年坚持钠限制的高血压患者比例增加了一倍。然而，70%的高血压患者钠摄入量超过推荐量。此外，自2014年以来钾摄入量稳步下降，只有23.8%的高血压患者达到推荐摄入量。高血压患者的体重指数（BMI）和腰围逐渐增加，维持适当体重的患者减少。压力水平高的年轻高血压患者忽视饮食和体重控制，给改变他们的生活方式带来了挑战。韩国高血压患者仍然摄入大量钠，而钾摄入量逐渐减少。此外，肥胖率一直在上升，尤其是在年轻高血压患者中。改善高血压患者的生活习惯需要多学科方法。
