Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Nutritional Environment Influences Hypertension in the Middle-aged Korean Adults - based on 1998 & 2001 National Health and Nutrition Survey -

한국 중년성인의 고혈압과 영양환경요인의 관련성 - 1998년과 2001년 국민건강.영양조사 결과에 근거하여 -

  • Lee, Hae-Jeung (Center for Nutrition Policy & Promotion, Korea Health Industry Development Institute) ;
  • Lee, Haeng-Shin (Center for Nutrition Policy & Promotion, Korea Health Industry Development Institute) ;
  • Lee, Yoon-Na (Center for Nutrition Policy & Promotion, Korea Health Industry Development Institute) ;
  • Jang, Young-Ai (Center for Nutrition Policy & Promotion, Korea Health Industry Development Institute) ;
  • Moon, Jae-Jin (Center for Nutrition Policy & Promotion, Korea Health Industry Development Institute) ;
  • Kim, Cho-Il (Center for Nutrition Policy & Promotion, Korea Health Industry Development Institute)
  • 이해정 (한국보건산업진흥원 영양관리지원센터) ;
  • 이행신 (한국보건산업진흥원 영양관리지원센터) ;
  • 이윤나 (한국보건산업진흥원 영양관리지원센터) ;
  • 장영애 (한국보건산업진흥원 영양관리지원센터) ;
  • 문재진 (한국보건산업진흥원 영양관리지원센터) ;
  • 김초일 (한국보건산업진흥원 영양관리지원센터)
  • Published : 2007.06.30
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Abstract

This study was performed to delineate the relationship between lifestyle and nutritional risk factors associated with hypertension in representative middle-aged Korean population. Hypertension in this study is defined as hypertensive ($SBP{\geq}140mmHg\;or\;DBP{\geq}90mmHg$) adults without recognition of a disease state before a health exam. With data from the 1998 and 2001 National Health and Nutritional Survey, nutrient intakes of 6,112 adults, 40-64 years of age were calculated using food composition database and matched with health examination records by individual ID. After excluding those with extreme intake values, the number of final subjects included in the analysis was 5,200 (male 2,458, female 2,742). Using logistic regression method, socio-demographic data, lifestyle factors, and nutrient intakes were analyzed. Risky factors for hypertension revealed in this study were age, sex, BMI over 23, waist circumference, alcohol intake of more than 16g (male) or 8g (female). Regarding nutrient intakes, the intakes of highest quartile for energy (${\geq}2363.0kcal$) and protein (${\geq}90.2g$) were significantly associated with higher risk of hypertension after adjusting for age, sex, and other socio-demographic factors (OR=1.312(1.046-1.711), OR=1.488(1.194-1.854), respectively)). Although high intakes of sodium (${\geq}6604.0mg$) and phosphorus seemed to be risk factors of hypertension also before energy adjustment (OR=1.278(1.034-1.581), OR=1.280(1.024-1.600), respectively), only high intakes of energy and protein remained significant after adjustment. This study revealed that modifying risky lifestyles and dietary patterns, especially high energy intake, high protein intake, and high alcohol drinking, in middle-aged Korean adults could result in a prevalence decrease and/or prevention of hypertension.

Keywords

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