Association of adherence to the seventh report of the Joint National Committee guidelines with hypertension in Korean men and women.
Whether the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-7) guidelines can be applied to the Asian population remains unclear. We aim to test the hypothesis that adherence to the JNC-7 guidelines is associated with hypertension in a representative sample of the Korean population in the fourth Korea National Health and Nutrition Examination Survey. Participants completed a non-quantitative food frequency questionnaire and 24-hour diet recall through interviews. Blood pressure, height, and weight were directly measured, and questions about physical activity and other lifestyle factors were administered. A total of 500 hypertensive and 4567 normotensive participants were identified. We estimated the odds ratio and 95% confidence intervals using a multivariate logistic regression. The following components of the JNC-7 guidelines were considered: dietary approaches to stop a hypertension style diet, moderate consumption of alcohol, adequate physical activity, and a normal body mass index. Those individuals who fell in the low-risk category for all 4 lifestyle components had an odds ratio of 0.48 (95% confidence interval, 0.30-0.78) compared with the remainder of the participants. In conclusion, we found an inverse association between adherence to the JNC-7 guidelines and hypertension prevalence among Korean adults, suggesting the importance of lifestyle modification for the prevention and management of hypertension.
Department of Food and Nutrition, Sookmyung Women's University, Yongsan-gu, Seoul, 140-742, Korea.
Hye In
HI
Kim
Yoonju
Y
Song
Woo-Young
WY
Kim
Jung Eun
JE
Lee
D000328:Adult; D000428:Alcohol Drinking; D044466:Asian People; D001794:Blood Pressure; D015992:Body Mass Index; D004032:Diet; D004034:Diet Surveys; D015444:Exercise; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000517:prevention & control*; D008019:Life Style; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D010349:Patient Compliance; D012016:Reference Values; D056910:Republic of Korea / Q000453:epidemiology; D055815:Young Adult
BMI; CI; DASH; FFQ; Human; Hypertension; JNC-7; JNC-7 guidelines; KNHANES; Korea National Health and Nutrition Examination Survey; Lifestyle modification; Logistic regression; OR; body mass index; confidence interval; dietary approaches to stop hypertension; food frequency questionnaire; odds ratio; the US Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure