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Relationship between Change in Body Mass Index and Blood Pressure among Industrial Workers

산업장 근로자들의 BMI 변화와 혈압 변화의 관련성

  • Yoon, Seok-Han (Department of Public Health, Graduate School of Chungnam National University) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
  • 윤석한 (충남대학교 대학원 보건학과) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실)
  • Received : 2015.06.19
  • Accepted : 2015.09.11
  • Published : 2015.09.30

Abstract

This study was performed to elucidate the association of blood pressure and incidence of hypertension in response to changes in body mass index. A total of 28,249 industrial workers (male: 25,548, female: 2,701) who aged 30~69 years old, received regular medical check-up at least once per year from 2002 to 2012 (over 11 years) were included. In the analysis, the averages of blood pressure were stratified by BMI which was obtained from the initial examination results of each individual. In addition, averages of changes in blood pressure were analyzed by stratifying with changes in BMI over 10 years(from 2002); annual occurrence rates of high blood pressure, stratified per BMI, were further assessed in which patients were in normal ranges of blood pressure. As a result, the averages blood pressure over 10 years were more significantly elevating in the group of obesity compared to those of the low weight group as well as the normal weight group. Similarly, when it comes to the occurrence rates of high blood pressure, the group of higher BMI represented elevated risks compared to the groups of low BMI. In conclusion, the increase of BMI over 10 years(2002-20012) were significantly influenced on the increase of blood pressure.

본 연구는 산업장 근로자들의 건강검진결과를 토대로 BMI 변화에 따른 혈압의 변화 및 고혈압 발생비율과의 관련성을 명확하게 파악하고자 시도하였다. 조사대상은 2002년부터 20012년까지 11년간 정기건강검진을 받았던 30세부터 69세까지의 산업장 근로자 28,249명(남자 25,548명, 여자 2,701명)으로 하였다. 자료의 분석은 2002년부터 20012년까지의 BMI 구분에 따른 혈압의 평균치를 분석하였다. 또한, 기준년도(2002)로부터 10년간의 BMI의 변화량구분별로 혈압의 평균변화량을 산출하였으며, 정상혈압에서의 BMI 구분별 10년간의 고혈압의 년차별 비율을 분석하였다. 연구결과, 10년간의 평균혈압은 BMI가 저체중군에서 정상체중군, 비만군으로 갈수록 유의하게 증가하였으며, 10년간의 고혈압 발생비율도 BMI가 낮은 군에서 높은 군으로 갈수록 유의하게 증가하였다. 결론적으로 10년(2002-20012)간의 BMI의 증가는 혈압의 증가에 유의한 영향을 미치는 것으로 밝혀졌다.

Keywords

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