Journal of Preventive Medicine and Public Health

  • 제44권3호
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  • Pages.131-139
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  • 2011
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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Frequency and Related Factors of Masked Hypertension at a Worksite in Korea

  • Kim, Sang-Kyu (Department of Preventive Medicine, Dongguk University College of Medicine) ;
  • Bae, Jun-Ho (Department of Internal Medicine, Dongguk University College of Medicine) ;
  • Nah, Dung-Young (Department of Internal Medicine, Dongguk University College of Medicine) ;
  • Lee, Dong-Wook (Department of Family Medicine, Dongguk University College of Medicine) ;
  • Hwang, Tae-Yoon (Department of Preventive Medicine and Public Health, Yeungnam University College of Medicine) ;
  • Lee, Kyeong-Soo (Department of Preventive Medicine and Public Health, Yeungnam University College of Medicine)
  • 투고 : 2010.10.15
  • 심사 : 2011.03.17
  • 발행 : 2011.05.31
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초록

Objectives: Masked hypertension is associated with metabolic risks and increased risk of cardiovascular disease. The purpose of this study was to identify the frequency of and risk factors of masked hypertension in Korean workers. Methods: The study was conducted among 121 employees at a hotel in Gyeongju, Korea, from December 2008 to February 2009. We measured blood pressure (BP) both in the clinic and using 24-hour ambulatory BP monitors for all subjects. Hypertension was defined independently by both methods, and subjects were classified into four groups: true normotension, masked hypertension, white coat hypertension, and sustained hypertension. Results: The frequency of masked hypertension in our study group was 25.6%. Compared with true normotension, the factors related to masked hypertension were male gender (odds ratio [OR], 10.7; 95% confidence interval [CI], 1.41 to 81.09), aging one year (OR, 0.88; 95% CI, 0.78 to 0.99), clinic BP 120-129 /80-84 mmHg (OR, 8.42; 95% CI, 1.51 to 46.82), clinic BP 130-139 / 85-89 mmHg (OR, 12.14; 95% CI, 1.80 to 81.85), smoking (OR, 5.51; 95% CI, 1.15 to 26.54), and increase of total cholesterol 1 mg / dL (OR, 1.05; 95% CI, 1.02 to 1.08). In males only, these factors were clinic BP 120-129/ 80-84 mmHg (OR, 15.07; 95% CI, 1.55 to 146.19), clinic BP 130-139/ 85-89 mmHg (OR, 17.16; 95% CI, 1.56 to 189.45), smoking (OR, 11.61; 95% CI, 1.52 to 88.62), and increase of total cholesterol 1 mg/dL (OR, 1.05; 95% CI, 1.01 to 1.09). Conclusions: The frequency of masked hypertension was high in our study sample. Detection and management of masked hypertension, a known strong predictor of cardiovascular risk, could improve prognosis for at-risk populations.

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