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http://dx.doi.org/10.3961/jpmph.2009.42.1.21

Association between Hypertension and Pulmonary Function in Rural Adults in Korea  

Lee, Joo-Young (Department of Preventive Medicine, Yonsei University College of Medicine)
Ahn, Song-Vogue (Department of Preventive Medicine, Yonsei University College of Medicine)
Choi, Dong-Phil (Department of Public Health, Graduate School, Yonsei University)
Suh, Min-A (Department of Preventive Medicine, Yonsei University College of Medicine)
Kim, Hyeon-Chang (Department of Preventive Medicine, Yonsei University College of Medicine)
Kim, Young-Sam (Department of Internal Medicine, Yonsei University College of Medicine)
Suh, Il (Department of Preventive Medicine, Yonsei University College of Medicine)
Publication Information
Journal of Preventive Medicine and Public Health / v.42, no.1, 2009 , pp. 21-28 More about this Journal
Abstract
Objectives : Whilst hypertension exerts a negative effect on several organs there have been few studies regarding its effect on pulmonary function. The objective of this study was to examine the relationship between hypertension and pulmonary function in rural Korean adults Methods : In 2006, 2534 people were recruited, aged 40 to 70, in Kangwha County. We selected 1454(male: 624, female: 830) participants whose pulmonary function results were repeatable. Blood pressure(BP) was measured twice and the average calculated. Participants were divided into two groups(hypertensive group and non-hypertensive group) in accordance with The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Pulmonary function was measured by dry rolling seal spirometry. Forced expiratory volume in the one second and forced vital capacity were converted into percent-predicted values based on average pulmonary function amongst Koreans. Results : The number of hypertensive participants in the present study was 460(male: 205, female: 255) and the number of non-hypertensive participants was 994(male: 419, female: 575). Our findings have shown that the mean values for expiratory volume in the one second and forced vital capacity were significantly lower for hypertensive people than for non-hypertensive people, among women(P=0.002 for forced expiratory volume in the one second, p<0.001 for forced vital capacity volume). Odds ratio analysis revealed that hypertensive participants were more likely to have lower pulmonary function than non-hypertensive participants, again significantly among women. Conclusions : The pulmonary function of hypertensive women was significantly lower than that of non-hypertensive women aged 40-70.
Keywords
Hypertension; Respiratory function test;
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1 Lindgärde F, Furu M, Ljung BO. A longitudinal study on the significance of environmental and individual factors associated with the development of essential hypertension. J Epidemiol Community Health 1987; 41(3):220-226   DOI   ScienceOn
2 Guven A, Koksal N, Sokmen G, Ozdemir R. Comparison of the echocardiographic and pulmonary function test findings in orderly treated and untreated essential hypertensive patients. Blood Press 2003; 12(5-6): 319-325   DOI   ScienceOn
3 Moon HS, Lee YS, Choi YM, Kim HC, Kwon SS, Kim YK, et al. The change of pulmonary function and systemic blood pressure in patients with obstructive sleep apnea syndrome. Tuberc Respir Dis 1995; 42(2): 206-217. (Korean)   DOI   ScienceOn
4 Choi JK, Paek D, Lee JO. Normal predictive values of spirometry in Korean population. Tuberc Respir Dis 2005; 58(3): 230-242. (Korean)   DOI
5 Choi BS, Park JD, Hong YP, Chang IW. Normal predicted values of pulmonary function of the primary school children in rural area and sensitive index of respiratory symptoms. Korean J Prev Med 1995; 28(3): 690-705. (Korean)   과학기술학회마을   ScienceOn
6 Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. Eur Respir J 2005; 26(2): 319-338   DOI   ScienceOn
7 Lucas S, Platts-Mills T. Physical activity and exercise in asthma: Relevance to etiology and treatment. J Allergy Clin Immunol 2005; 115(5): 928-934   DOI   ScienceOn
8 Lund-Johansen P. Intensive blood pressure treatment: Beneficial for all but the smoking hypertensives? J Hypertens 2003; 21(4): 697-700   DOI   PUBMED   ScienceOn
9 Korea Center for Disease Control and Prevention. In-depth Analyses of the Third National Health and Nutrition Examination Survey: The Health Interview and Health Behavior Survey Part. Seoul: Korea Center for Disease Control and Prevention; 2007. p. 233. (Korean)
10 Ha YC, Chun HJ, Hwang HK, Kim BS, Kim JR. The prevalence, awareness, treatment, and control of hypertension, and related factors in rural Korea. Korean J Prev Med 2000; 33(4): 513-520. (Korean)   과학기술학회마을   ScienceOn
11 McClean K, Kee F, Young I, Elborn J. Obesity and the lung: 1. Epidemiology. Thorax 2008;63(7): 649-654   DOI   ScienceOn
12 Szklo M, Nieto FJ. Epidemiology-Beyond the Basics. 2nd ed. Boston: Jones and Bartlett Co.; 2007. p. 154
13 Sposato B, Mariotta S, Ricci A. When should a reversibility test be performed on patients with early stages of asthma and normal spirometry? J Asthma 2008; 45(6): 479-483   DOI   ScienceOn
14 Whelton PK, He J, Muntner P. Prevalence, awareness, treatment and control of hyper tension in North America, North Africa and Asia. J Hum Hypertens 2004; 18(8): 545-551   DOI   ScienceOn
15 Korea Center for Disease Control and Prevention, Yonsei University. In-depth Analyses of the Third National Health and Nutrition Examination Survey: The Health Examination Part. Seoul: Korea Center for Disease Control and Prevention; 2007. p. 52. (Korean)
16 Goldman L, Ausiello D. Cecil Textbook of Medicine. 22nd ed. Philadelphia: Saunders Co.; 2004. p. 509-510
17 Vasan RS, Larson MG, Leip EP, Evans JC, O Donnell CJ, Kannel WB, et al. Impact of highnormal blood pressure on the risk of cardiovascular disease. N Engl J Med 2001; 345(18): 1291-1297   DOI   ScienceOn
18 Duprez DA. Systolic Hypertension in the elderly: Addressing an unmet need. Am J Med 2008; 121(3): 179-184   DOI   PUBMED   ScienceOn
19 Mundal R, Kjeldsen SE, Sandvik L, Erikssen G, Thaulow E, Erikssen J. Clustering of coronary risk factors with increasing blood pressure at rest and during exercise. J Hypertens 1998; 16(1): 19-22   DOI   ScienceOn
20 American Thoracic Society. Lung function testing: Selection of reference values and interpretative strategies. Am Rev Respir Dis 1991; 144(5): 1202-1218   DOI   ScienceOn
21 Cox KL. Exercise and blood pressure: Applying findings from the laboratory to the community setting. Clin Exp Pharmacol Physiol 2006; 33(9): 868-871   DOI   ScienceOn
22 Scarlata S, Pedone C, Fimognari F, Bellia V, Forastiere F, Incalzi R. Restrictive pulmonary dysfunction at spirometry and mortality in the elderly. Respir Med 2008; 102(9): 1349-1354   DOI   ScienceOn
23 Young RP, Hopkins R, Eaton TE. Forced expiratory volume in one second: Not just a lung function test but a marker of premature death from all causes. Eur Respir J 2007; 30(4): 616-622   DOI   ScienceOn
24 Kang JW, Ju YS, Sung JH, Cho SH. Prediction equations for FVC and FEV1 among Korean children aged 12 years. Korean J Prev Med 1999; 32(1): 60-64. (Korean)   과학기술학회마을   ScienceOn
25 Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evalua tion, and Treatment of High Blood Pressure: The JNC 7 Report. JAMA 2003; 289(19):2560-2572   DOI   ScienceOn
26 Lee YM, Park HS, Chun BC, Kim HS. Reliability of measurements of waist circum ference at 3 different site. Korean J Obes 2002; 11(2): 123-130. (Korean)
27 Enright PL, Johnson LR, Connett JE, Voelker H, Buist AS. Spirometry in the lung health study: 1. Methods and quality control. Am Rev Respir Dis 1991; 143(6): 1215-1223   DOI   ScienceOn
28 Lee HS, Kim NY, Im DH, Jue HD, Lee JB, Kam S, et al. Effect of smoking on pulmonary function in ex-smokers and current smokers. J Korean Acad Fam Med 2000; 21(2): 211-221. (Korean)
29 Goldman L, Ausiello D. Cecil Textbook of Medicine. 22nd ed. Philadelphia:Saunders Co.; 2004. p. 347-350
30 Fields LE. Mortality from stroke and ischemic heart disease increases exponentially with blood pressure. Hypertension 2004; 43(4): e28   DOI   PUBMED
31 Goldman L, Ausiello D. Cecil Textbook of Medicine. 22nd ed. Philadelphia: Saunders Co.; 2004. p. 497-498