Journal of the East Asian Society of Dietary Life (동아시아식생활학회지)

The East Asian Society of Dietary Life (동아시아식생활학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of the Obesity and Physical Activity on the Prevalence of Hypertension in Korean Adults

비만도와 신체활동이 성인의 고혈압에 미치는 영향

  • Park, Seon-Joo (Dept. of Food & Nutrition, Eulji University) ;
  • Lee, Gun-Soon (Dept. of General Education, Korea National College of Agriculture & Fisheries) ;
  • Lee, Hae-Jeung (Dept. of Food & Nutrition, Eulji University)
  • 박선주 (을지대학교 식품영양학과) ;
  • 이건순 (국립한국농수산대학 교양공통학과) ;
  • 이해정 (을지대학교 식품영양학과)
  • Received : 2015.05.14
  • Accepted : 2015.06.22
  • Published : 2015.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was conducted to assess joint effect of body mass index (BMI) and physical activity with risk of hypertension in middle-aged Koreans. The effects of BMI and physical activity on risk of hypertension were studied using data set of 10,020 subjects aged 40~69 years in a Korean Genome and Epidemiology Study (KoGES). About 31.8% of men and 30.2% of women had hypertension. Higher BMI was associated with increased risk of hypertension in men and women. However, diverse association of physical activity with hypertension was only detected in women. Inactive women with a BMI${\geq}25$ were more likely to have hypertension than active women with a BMI<23 (ORs=3.96, 95% CI; 2.77~5.67). The present study indicates that regular physical activity and weight control can reduce risk of hypertension in Korean middle-aged women.

Keywords

References

  1. Ahn Y, Lee J, Cho N, Shin C, Park C, Oh B, Kimm K (2003) Validation and calibration of semi-quantitative food frequency questionnaire - with participants of the Korean Health and Genome Study-. Korean J Community Nutr 9: 173-182.
  2. Ainsworth BE, Haskell WL, Leon AS, Jacobs DR, Montoye HJ, Sallis JF, Paffenbarger RS (1993) Compendium of physical activities - Classification of energy costs of human physical activities. Med Sci Sport Exer 25: 71-80. https://doi.org/10.1249/00005768-199301000-00011
  3. Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O'Brien WL, Bassett DR, Schmitz KH, Emplaincourt PO, Jacobs DR, Leon AS (2000) Compendium of physical activities: An update of activity codes and MET intensities. Med Sci Sport Exer 32: S498-S516. https://doi.org/10.1097/00005768-200009001-00009
  4. Arsenault BJ, Rana JS, Lemieux I, Despres JP, Kastelein JJP, Boekholdt SM, Wareham NJ, Khaw KT (2010) Physical inactivity, abdominal obesity and risk of coronary heart disease in apparently healthy men and women. Int J Obes 34: 340-347. https://doi.org/10.1038/ijo.2009.229
  5. Bassuk SS, Manson JE (2010) Physical activity and cardiovascular disease prevention in women: A review of the epidemiologic evidence. Nutr Metab Cardiovasc Dis 20: 467-473. https://doi.org/10.1016/j.numecd.2009.12.015
  6. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jones DW, Materson BJ, Oparil S, Wright JT, Roccella EJ (2003) The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure - The JNC 7 report. JAMA- J Am Med Assoc 289: 2560-2572. https://doi.org/10.1001/jama.289.19.2560
  7. Haapanen N, Miilunpalo S, Vuori I, Oja P, Pasanen M (1997) Association of leisure time physical activity with the risk of coronary heart disease, hypertension and diabetes in middle-aged men and women. Int J Epidemiol 26: 739-747. https://doi.org/10.1093/ije/26.4.739
  8. Hu G, Barengo NC, Tuomilehto J, Lakka TA, Nissinen A, Jousilahti P (2004a) Relationship of physical activity and body mass index to the risk of hypertension: A prospective study in Finland. Hypertension 43: 25-30. https://doi.org/10.1161/01.HYP.0000107400.72456.19
  9. Hu G, Tuomilehto J, Silventoinen K, Barengo W, Jousilahti P (2004b) Joint effects of physical activity, body mass index, waist circumference and waist-to-hip ratio with the risk of cardiovascular disease among middle-aged Finnish men and women. Eur Heart J 25: 2212-2219. https://doi.org/10.1016/j.ehj.2004.10.020
  10. Ishikawa-Takata K, Ohta T, Moritaki K, Gotou T, Inoue S (2002) Obesity, weight change and risks for hypertension, diabetes and hypercholesterolemia in Japanese men. Eur J Clin Nutr 56: 601-607. https://doi.org/10.1038/sj.ejcn.1601364
  11. Jackson C, Herber-Gast GC, Brown W (2014) Joint effects of physical activity and BMI on risk of hypertension in women: A longitudinal study. J Obes http://dx/doiorg/101155/2014/271532 Accessed November 5, 2015.
  12. Kim E, Kim JS (2014) The influence of breathing training gymnastics on a change in blood pressure, blood lipid, and stress of middle-aged women with stage 1 hypertension. Exer Sci 23: 129-138. https://doi.org/10.15857/ksep.2014.23.2.129
  13. Kim JH (2014) The effect of Tai Chi Chuan training on the automatic cardiac nerve activity and blood pressure in elderly women with hypertension. Official J Korean Soc Dance Sci 31: 157-168.
  14. Kim KH (2013) The effects of regular senior aerobic exercise on resting bloods pressure and cardiovascular responses of in older women with hypertension. J Korean Phys Educ Assoc Girls and Women 27: 179-192.
  15. Korea Centers for Disease Control and Prevention (2014) 2013 The Statistical of Health realted Behavior and Chronic Diseases. pp52-53.
  16. Korea National Statistical Office (2014) Causes of Death Statistics in 2013. http://kostat.go.kr. Accessed May 11, 2015.
  17. Kotsis V, Stabouli S, Papakatsika S, Rizos Z, Parati G (2010) Mechanisms of obesity-induced hypertension. Hypertens Res 33: 386-393. https://doi.org/10.1038/hr.2010.9
  18. Lee SK, Kim SH, Cho G-Y, Baik I, Lim HE, Park CG, Lee JB, Kim YH, Lim SY, Kim H, Shin C (2013) Obesity phenotype and incident hypertension: A prospective communitybased cohort study. J Hypertens 31: 145-151. https://doi.org/10.1097/HJH.0b013e32835a3637
  19. Li TY, Rana JS, Manson JE, Willett WC, Stampfer MJ, Colditz GA, Rexrode KM, Hu FB (2006) Obesity as compared with physical activity in predicting risk of coronary heart disease in women. Circulation 113: 499-506. https://doi.org/10.1161/CIRCULATIONAHA.105.574087
  20. Lim MY, Lee K-S, Shin H-S (2009) The effects of 10 weeks aerobic exercise on blood pressure, vascular compliance and double product in hypertensive middle-aged women with antihypertensive agent. Korean Soc Sports Sci 18: 901-909.
  21. Luepker RV, Johnson SB, Breslow L, Chobanian AV, Davis CE, Duling BR, Kumanyika S, Lauer RM, Lawson P, McBride PE, Oparil S, Prineas RJ, Washington RL (1996) Physical activity and cardiovascular health. J Am Med Assoc 276: 241-246. https://doi.org/10.1001/jama.1996.03540030075036
  22. Mosca L, Banka CL, Benjamin EJ, Berra K, Bushnell C, Dolor RJ, Ganiats TG, Gomes AS, Gornik HL, Gracia C, Gulati M, Haan CK, Judelson DR, Keenan N, Kelepouris E, Michos ED, Newby LK, Oparil S, Ouyang P, Oz MC, Petitti D, Pinn VW, Redberg RF, Scott R, Sherif K, Smith SC, Jr., Sopko G, Steinhorn RH, Stone NJ, Taubert KA, Todd BA, Urbina E, Wenger NK (2007) Evidence-based guidelines for cardiovascular disease prevention in women: 2007 update. Circulation 115: 1481-1501. https://doi.org/10.1161/CIRCULATIONAHA.107.181546
  23. Myers J, McAuley P, Lavie CJ, Despres JP, Arena R, Kokkinos P (2015) Physical activity and cardiorespiratory fitness as major markers of cardiovascular risk: Their independent and interwoven importance to health status. Prog Cardiovasc Dis 57: 306-314. https://doi.org/10.1016/j.pcad.2014.09.011
  24. Oh SI, Hwang JH, Cho JH (2009) The effect of 10 weeks' aerobic exercise upon blood related components of middle aged obese women wiht hypertensin and diabetes. J Korean Phys Educ Assoc Girls and Women 23: 11-21.
  25. Powers SK, Lennon SL, Quindry J, Mehta JL (2002) Exercise and cardioprotection. Curr Opin Cardiol 17: 495-502. https://doi.org/10.1097/00001573-200209000-00009
  26. Song HJ, Paek YJ, Choi MK, Lee HJ (2014) Gender differences in the relationship between risk of hypertension and fruit intake. Prev Med 67: 154-159. https://doi.org/10.1016/j.ypmed.2014.07.016
  27. Stewart KJ, Bacher A, Turner KL, Fleg JL, Hees PS, Shapiro EP, Tayback M, Ouyang P (2005) Effect of exercise on blood pressure in older persons - A randomized controlled trial. Arch Intern Med 165: 756-762. https://doi.org/10.1001/archinte.165.7.756
  28. Tesfaye F, Nawi NG, Van Minh H, Byass P, Berhane Y, Bonita R, Wall S (2007) Association between body mass index and blood pressure across three populations in Africa and Asia. J Hum Hypertens 21: 28-37. https://doi.org/10.1038/sj.jhh.1002104
  29. The Korean Nutrition Society (2000) Food composition table in recommended dietary allowances for Koreans 7th revision. Seoul.
  30. Vaneckova I, Maletinska L, Behuliak M, Nagelova V, Zicha J, Kunes J (2014) Obesity-related hypertension: Possible pathophysiological mechanisms. J Endocrinol 223: R63-R78. https://doi.org/10.1530/JOE-14-0368
  31. Weinstein AR, Sesso HD, Lee IM, Rexrode KM, Cook NR, Manson JE, Buring JE, Gaziano JM (2008) The joint effects of physical activity and body mass index on coronary heart disease risk in women. Arch Intern Med 168: 884-890. https://doi.org/10.1001/archinte.168.8.884
  32. Whelton SP, Chin A, Xin X, He J (2002) Effect of aerobic exercise on blood pressure: A meta-analysis of randomized, controlled trials. Ann Intern Med 136: 493-503. https://doi.org/10.7326/0003-4819-136-7-200204020-00006
  33. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, McQueen M, Budaj A, Pais P, Varigos J, Liu LS, Investigators IS (2004) Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet 364: 937-952. https://doi.org/10.1016/S0140-6736(04)17018-9

Cited by

  1. 20대 저체중 한국여성의 건강 및 영양 상태: 2010~2012년 국민건강영양조사 자료를 이용하여 vol.49, pp.2, 2015, https://doi.org/10.4163/jnh.2016.49.2.99
  2. 제주지역 중년여성의 건강 및 구강건강상태와 비만과의 관련성 vol.13, pp.2, 2015, https://doi.org/10.12811/kshsm.2019.13.2.081