Izuno T, Yoshida K, Sugita M, Miyakawa M, Takahashi E, Sugimori H, Nakamura J, Sakai K
Department of Environmental and Occupational Health, Toho University.
Nihon Koshu Eisei Zasshi. 1996 Jan;43(1):3-8.
In order to elucidate the significance of high normal blood pressure in occupational health care, a 5 year follow up survey was performed on 874 men with normal blood pressure and 225 men with high normal blood pressure. The major results of this survey were as follows. 1) Sixty-seven out of 874 with normal blood pressure (7.7%), and 78 out of 225 with high normal blood pressure (34.6%) became hypertensive in 5 years. 2) High normals started with a higher frequency of obesity, hypercholesterolemia, hyper gamma-Glutamyl transpeptidasemia compared with normal blood pressure at the start of the survey. 3) Logistic regression analysis showed that age, SBP, DBP were risk factors of developing hypertension from normal blood pressure, while only the amount of alcohol drinking applied for high normal blood pressure. 4) Logistic regression showed that high normal blood pressure, drinking, obesity and were significantly related to the development of hypertension. These results suggested that interventive activities for high normal blood pressure should be included in occupational health care because of a high tendency of underlying poor life style and a high risk of getting hypertension.
为了阐明正常血压高值在职业卫生保健中的意义，对874名血压正常的男性和225名血压正常高值的男性进行了为期5年的随访调查。本次调查的主要结果如下：1）874名血压正常者中有67名（7.7%），225名血压正常高值者中有78名（34.6%）在5年内患高血压。2）在调查开始时，血压正常高值者肥胖、高胆固醇血症、高γ-谷氨酰转肽酶血症的发生率高于血压正常者。3）逻辑回归分析表明，年龄、收缩压、舒张压是血压正常者发生高血压的危险因素，而对于血压正常高值者，只有饮酒量是危险因素。4）逻辑回归显示，血压正常高值、饮酒、肥胖与高血压的发生显著相关。这些结果表明，由于血压正常高值人群潜在不良生活方式倾向高且患高血压风险高，职业卫生保健应纳入针对血压正常高值的干预活动。
