대한지역사회영양학회지 (Korean Journal of Community Nutrition)

대한지역사회영양학회 (The Korean Society of Community Nutrition)
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한국 성인의 고혈압 유병 관련 영양소 섭취 및 생활습관 위험 요인 분석: 2007-2008년 국민건강영양조사 결과 활용

Nutrient Intake, Lifestyle Factors and Prevalent Hypertension in Korean Adults: Results from 2007-2008 Korean National Health and Nutrition Examination Survey

  • 구슬 (영남대학교 식품영양학과) ;
  • 김영옥 (동덕여자대학교 식품영양학과) ;
  • 김미경 (국립암센터 발암성연구과) ;
  • 윤진숙 (계명대학교 식품영양학과) ;
  • 박경 (영남대학교 식품영양학과)
  • Koo, Sle (Department of Food and Nutrition, Yeungnam University) ;
  • Kim, Young-Ok (Department of Food and Nutrition, Dongduk Women's University) ;
  • Kim, Mi-Kyung (Division of Carcinogenesis, National Cancer Center) ;
  • Yoon, Jin-Sook (Department of Food and Nutrition, Keimyung University) ;
  • Park, Kyong (Department of Food and Nutrition, Yeungnam University)
  • 투고 : 2012.04.24
  • 심사 : 2012.06.15
  • 발행 : 2012.06.30
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초록

Hypertension is a well-known risk factor for cardiovascular disease. Previous studies have shown that changes in diet and lifestyle factors can prevent the development of hypertension, but the combined effects of these modifiable factors on hypertension are not well established. The objective of this study is to investigate associations of diet and lifestyle factors, evaluated both individually and in combination, with prevalent hypertension among Korean adults. We analyzed data obtained from the 2007-2008 Korean National Health and Nutritional Examination Survey, a nationwide cross-sectional study using a stratified, multistage probability sampling design. The associations of 12 nutrient intakes and lifestyle factors with risk of hypertension were explored using restricted cubic spline regression and logistic regression models among 6,351 adults. Total energy and several nutrients and minerals, including, calcium, vitamin A, vitamin C, and sodium, showed non-linear relationships with the risk of prevalent hypertension. In multivariate logistic regression models, dietary score, obesity and alcohol intake were independently associated with the risk of prevalent hypertension, but smoking and physical activity were not. Overall, participants whose dietary habits and lifestyle factors were all in the low-risk group had 68% lower prevalence of hypertension (OR: 0.32, 95 CI: 0.14-0.74) compared to those who were at least one in the high-risk group of any dietary or lifestyle factors. The result suggests that combined optimal lifestyle habits are strongly associated with lower prevalence of hypertension among Korean adults.

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참고문헌

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