The Influence of Family History of Hypertension on Hypertension Prevalence, Management and Healthy Behaviors among Korean Adults: Results from the Korea National Health and Nutrition Examination Survey 2014-2016
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Background: This study was designed to investigate the influence of family history of hypertension (FH) on hypertension prevalence, management, and healthy behaviors among Korean adults. Methods: By using data from the Korea National Health and Nutrition Examination Survey 2014-2016, a cross-sectional study was performed. The study population included 8,280 individuals who underwent health examination and food frequency questionnaire were divided into two groups based on FH. Participants with one or more first-degree FH classified as having a FH. Health behaviors analyzed were low sodium intake, weight management, no smoking, non-risky drinking, and sufficient physical activity. Multiple logistic regression analyses were used to compare outcome variables (hypertension prevalence, awareness, treatment, control, and healthy behaviors). Results: Of a total of 8,280 subjects, 3,626 (43.8%) participants had FH. Presence of a FH significantly associated with the risk of hypertension prevalence (adjusted odds ratio [aOR], 2.47; 95% confidence interval [CI], 2.01-3.04), awareness (aOR, 1.97; 95% CI, 1.30-2.99), treatment (aOR, 2.61; 95% CI, 1.71-3.98), and control (aOR, 1.77; 95% CI, 1.19-2.64). In contrast, FH was not significantly associated with healthy behaviors. In the subgroup analyses, the normotensives with FH were even slightly less likely to get health check-ups than those without FH (aOR, 0.84; 95% CI, 0.72-0.99). Conclusions: Although those with FH showed higher prevalence, awareness, treatment, and control rates, health behaviors of those with FH were not higher than those without FH. More attention should be directed to promote the healthy behaviors for management and prevention of hypertension, especially among those with FH.
Abstract
Background: This study was designed to investigate the influence of family history of hypertension (FH) on hypertension prevalence, management, and healthy behaviors among Korean adults. Methods: By using data from the Korea National Health and Nutrition Examination Survey 2014-2016, a cross-sectional study was performed. The study population included 8,280 individuals who underwent health examination and food frequency questionnaire were divided into two groups based on FH. Participants with one or more first-degree FH classified as having a FH. Health behaviors analyzed were low sodium intake, weight management, no smoking, non-risky drinking, and sufficient physical activity. Multiple logistic regression analyses were used to compare outcome variables (hypertension prevalence, awareness, treatment, control, and healthy behaviors). Results: Of a total of 8,280 subjects, 3,626 (43.8%) participants had FH. Presence of a FH significantly associated with the risk of hypertension prevalence (adjusted odds ratio [aOR], 2.47; 95% confidence interval [CI], 2.01-3.04), awareness (aOR, 1.97; 95% CI, 1.30-2.99), treatment (aOR, 2.61; 95% CI, 1.71-3.98), and control (aOR, 1.77; 95% CI, 1.19-2.64). In contrast, FH was not significantly associated with healthy behaviors. In the subgroup analyses, the normotensives with FH were even slightly less likely to get health check-ups than those without FH (aOR, 0.84; 95% CI, 0.72-0.99). Conclusions: Although those with FH showed higher prevalence, awareness, treatment, and control rates, health behaviors of those with FH were not higher than those without FH. More attention should be directed to promote the healthy behaviors for management and prevention of hypertension, especially among those with FH.
참고문헌 (14)
- Mozaffarian D, "Executive summary: heart disease and stroke statistics--2016 Update: a report from the American Heart Association", Circulation, 133(4), pp.447~454 (2016)
- Hajjar I, "Hypertension: trends in prevalence, incidence, and control", Annu Rev Public Health, 27, pp.465~490 (2006)
- Whelton PK, "ACC", AHA, ABC, pp.ACPM, AGS[DOI]
- van der Sande MA, "Family history: an opportunity for early interventions and improved control of hypertension, obesity and diabetes", Bull World Health Organ, 79(4), pp.321~328 (2001)
- Stamler R, "Family (parental) history and prevalence of hypertension. Results of a nationwide screening program", JAMA, 241(1), pp.43~46 (1979)
- Rampal L, "Prevalence, awareness, treatment and control of hypertension in Malaysia: a national study of 16,440 subjects", Public Health, 122(1), pp.11~18 (2008)
- Ursua R, "Awareness, treatment and control of hypertension among Filipino immigrants", J Gen Intern Med, 29(3), pp.455~462 (2014)
- Tian S, "Factors associated with prevalence, awareness, treatment and control of hypertension in urban adults from 33 communities in China: the CHPSNE Study", Hypertens Res, 34(10), pp.1087~1092 (2011)
- Agyemang C, "Factors associated with hypertension awareness, treatment and control among ethnic groups in Amsterdam, the Netherlands: the SUNSET study", J Hum Hypertens, 20(11), pp.874~881 (2006)
- Kweon S, "Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES)", Int J Epidemiol, 43(1), pp.69~77 (2014)
- Kim DW, "Reproducibility and validity of an FFQ developed for the Korea National Health and Nutrition Examination Survey (KNHANES)", Public Health Nutr, 18(8), pp.1369~1377 (2015)
- Bull FC, "Global physical activity questionnaire (GPAQ): nine country reliability and validity study", J Phys Act Health, 6(6), pp.790~804 (2009)
- Lascaux-Lefebvre V, "Influence of parental histories of cardiovascular risk factors on risk factor clusters in the offspring", Diabetes Metab, 27(4 Pt 1), pp.503~509 (2001)
- Corvol P, "Can the genetic factors influence the treatment of systemic hypertension? The case of the renin-angiotensin-aldosterone system", Am J Cardiol, 70(12), pp.14D~20D (1992)