Miyuki Hori1, Akihiko Kitamura2,3, Masahiko Kiyama3, Hironori Imano1,3, Kazumasa Yamagishi3,4, Renzhe Cui1, Mitsumasa Umesawa4,5, Isao Muraki3, Takeo Okada3, Tomoko Sankai4, Tetsuya Ohira6, Isao Saito7, Takeshi Tanigawa8, Hiroyasu Iso1. 1. Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine. 2. Research team for social participation and community health, Tokyo Metropolitan institution of gerontology. 3. Osaka Center for Cancer and Cardiovascular Diseases Prevention. 4. Department of Public Health Medicine, Faculty of Medicine, University of Tsukuba. 5. Department of Public Health, Dokkyo Medical University School of Medicine. 6. Department of Epidemiology, School of Medicine, Fukushima Medical University. 7. Department of Community Health Systems Nursing, Ehime University Graduate School of Medicine. 8. Department of Public Health, Graduate School of Medicine, Juntendo University.
Abstract
AIM: Data for long-term trends in blood pressures, body mass index (BMI), and their relations are needed to set future intervention priorities for prevention of cardiovascular disease. The objective of this study was to investigate these trends revealed by repeated cross-sectional surveys conducted from 1963 to 2013 in a Japanese community. METHODS: Men and women aged 40-79 years who participated in annual cardiovascular checkups were enrolled, and the number of participants ranged between 1,776 and 2,366 with consistently high participation rates for both sexes aged 60-69 years. Sex- and age-specific mean systolic and diastolic blood pressures were calculated using mixed effects modeling for repeated measurement, and the prevalence of hypertension with and without obesity (BMI ≥ 25 kg/m2) were also calculated. RESULTS: Sex- and age-specific mean systolic and diastolic blood pressures declined irrespective of antihypertensive medication use in both men and women from 1963-1966 to 2009-2013, while mean BMI increased among men of all ages and women of ages 60-69 and 70-79 years. For both sexes aged 60-69 years, the prevalence of hypertension with obesity increased, but the prevalence of hypertension without obesity was still higher that with obesity. CONCLUSIONS: Despite the transition to increased BMI levels, targeting non to obese hypertension remains important in addition to targeting obese hypertension for cardiovascular disease prevention.
AIM: Data for long-term trends in blood pressures, body mass index (BMI), and their relations are needed to set future intervention priorities for prevention of cardiovascular disease. The objective of this study was to investigate these trends revealed by repeated cross-sectional surveys conducted from 1963 to 2013 in a Japanese community. METHODS:Men and women aged 40-79 years who participated in annual cardiovascular checkups were enrolled, and the number of participants ranged between 1,776 and 2,366 with consistently high participation rates for both sexes aged 60-69 years. Sex- and age-specific mean systolic and diastolic blood pressures were calculated using mixed effects modeling for repeated measurement, and the prevalence of hypertension with and without obesity (BMI ≥ 25 kg/m2) were also calculated. RESULTS: Sex- and age-specific mean systolic and diastolic blood pressures declined irrespective of antihypertensive medication use in both men and women from 1963-1966 to 2009-2013, while mean BMI increased among men of all ages and women of ages 60-69 and 70-79 years. For both sexes aged 60-69 years, the prevalence of hypertension with obesity increased, but the prevalence of hypertension without obesity was still higher that with obesity. CONCLUSIONS: Despite the transition to increased BMI levels, targeting non to obese hypertension remains important in addition to targeting obese hypertension for cardiovascular disease prevention.
Entities:
Keywords:
Blood pressure; Body mass index; Hypertension; Long-term trends; Obesity
Authors: V L Burt; J A Cutler; M Higgins; M J Horan; D Labarthe; P Whelton; C Brown; E J Roccella Journal: Hypertension Date: 1995-07 Impact factor: 10.190
Authors: Goodarz Danaei; Mariel M Finucane; John K Lin; Gitanjali M Singh; Christopher J Paciorek; Melanie J Cowan; Farshad Farzadfar; Gretchen A Stevens; Stephen S Lim; Leanne M Riley; Majid Ezzati Journal: Lancet Date: 2011-02-03 Impact factor: 79.321
Authors: Letícia de Paula Scalioni; Allan Peres da Silva; Juliana Custódio Miguel; Márcia Paschoal do Espírito Santo; Vanessa Alves Marques; Carlos Eduardo Brandão-Mello; Cristiane Alves Villela-Nogueira; Lia Laura Lewis-Ximenez; Elisabeth Lampe; Livia Melo Villar Journal: Int J Mol Sci Date: 2017-07-21 Impact factor: 5.923