Prevalence of Hypertension and Risk Factors According to Sasang Constitution

사상체질(四象體質)에 따른 고혈압 유병률 및 위험인자

  • Kim, Min-Jong (Dept. of Sasang Constitutional Medicine College of Oriental Medicine, Sangji Univ.) ;
  • Yoo, Jun-Sang (Dept. of Sasang Constitutional Medicine College of Oriental Medicine, Sangji Univ.) ;
  • Koh, Sang-Baek (Dept. of Preventive Medicien Wonju College of Medicine, Yonsei Univ.) ;
  • Park, Jong-Ku (Dept. of Preventive Medicien Wonju College of Medicine, Yonsei Univ.)
  • 김민종 (상지대학교 한의과대학) ;
  • 유준상 (상지대학교 한의과대학) ;
  • 고상백 (연세대학교 원주의과대학 예방의학교실) ;
  • 박종구 (연세대학교 원주의과대학 예방의학교실)
  • Published : 2009.04.30

Abstract

1. Objectives This study was to designed investigate the relationship between hypertension and its risk factors and the prevalence of hypertension according to Sasang Constitution. 2. Methods Five hundred and twenty six people were subjects out of 666 people, over 40 years old, who participated in the community-based cohort in Wonju, South Korea from July 2nd to August 30th in 2006. Hypertensive group was 263 peoples and normal group was 263 people, selected randomly among non hypertensive people who had same age and sex with hypertensive groups. Sasang Constitutional Diagnosis was carried out using PSSC(Phonetic System of Sasang Constitution), face and tongue photos and a checkup list. Risk factors from blood samples, physical measurements and social indices were analyzed using SPSS. 3. Results The prevalence of hypertension in Taeeumin was 63.1%(N=166), that of Soeumin was 22.4%(N=59) and that of Soyangin was 14.4%(N= 38). Considering risk factors of hypertension, there weren't any differences between two groups in social support indices and Framingham type A score. But scores of Soeumin's and Soyangin's were significantly high compared with that of Taeeumin in female normal group. There were significantly high results in Adiponectin of Soeumin's and HDL-cholesterol of female Soyangin's and HOMA-IR of Taeeumin's than any other groups. Crude OR of Taeeumin was 2.18 as compared with that of Soeumin in terms of risk of hypertension, and OR of Taeeumin was 2.02 as compared with that of Soeumin after drinking, smoking, total cholesterol, fasting blood sugar and HOMA-IR were adjusted. But after BMI was adjusted there wasn't a significance between Soeumin and Taeeumin and the OR of more than 25 was 2.42 as compared with that of less than 23 in BMI. 4. Conclusions Sasang Constitution is thought to be the reasonable variable to control hypertension in terms of prevention, treatment and regimen. And constitution is needed as a good variable to make a cohort study concerning chronic diseases, especially hypertension.

Keywords

References

  1. 보건복지부, 질병관리본부 국민건강영앙조사 2007년. Available from http://knhanes.cdc.go.kr
  2. National Heart, Lung, and Blood Institute. The Seventh Report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure. NIH Publication No. 03-5233: 2003.
  3. 송일병 외 16 인. 사상의학, 집문당, 2004:164.
  4. 이태규, 이수정, 최봉근, 송일병. 일개 종합병원 건강 검진자의 사상체질에 따른 만성질환의 유병률에 관한 연구, 사상체질의학회지. 2005;17(2):32-45.
  5. Friedman M, Rosenman RH. Association of specific overt behavior Pattern with blood and cardiovascular findings. JAMA. 1559;96:1286-1296.
  6. Tara M. Wallace, Honathan C. Levy, David R. Matthews. Use and Abuse of HOMA Modeling. Diabetes Care. 2004;27(6): 1487-1495. https://doi.org/10.2337/diacare.27.6.1487
  7. 통계청. 2006년 사망원인통계연보. 2007.
  8. Berenson GS, Srinivasan SR, Bao W, Newman WP, Tracy RE. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. New England J Med. 1988;338(23): 1650-1656. https://doi.org/10.1056/NEJM199806043382302
  9. Tomson DW, Furlan AJ. Clinical epidemiology of stroke. Neuroepidemi ology 1996;14(2):309-315.
  10. 함통일,체질별 대사증후군의 유병률과 관련위험 요인에 관한 연구:40-60대 성인 남.여를 대상으로 경희대학교 석사학위논문. 2007.
  11. 이태규, 황민우, 이수경, 최봉근, 고병회, 송일병. 사상체질에 따른 대시증후군의 유병률과 위험인자에 대한 연구. 대한한의학회지. 2006;27(2): 14-22.
  12. 양상묵. 원주코호트에서 사상체질에 따른 대사증후군 유병률과 관련요인. 상지대학교 대학원 박사 학위논문, 2007.
  13. Dembroski TM, Weiss JS. Shields SM., et al. Reliability and Validity of methods used to asess coronary-prone behavior. Springer-Verlag, 1978: 95-106.
  14. Orth-Gomer K Unden A: Type A behavior, social support and coronary risk: Interaction and significance for mortality in cardiac patients. Psychosom Med. 1990; 52(1):59-72. https://doi.org/10.1097/00006842-199001000-00005
  15. 서석권, 이충원, 구은수. A형행동양상과 사회적 인지지 및 혈청 콜레스테롤과의 상관성, 계명의대논문집. 1991;10(1):44-56