Browse > Article

Dietary Risk Factors for Hypertension among Korean Adult Men  

Park, Jin-Young (London School of Hygiene & Tropical Medicine, University of London)
Shim, Jae-Eun (Institute of Human Ecology, Seoul National University)
Paik, Hee-Young (Institute of Human Ecology, Seoul National University)
Publication Information
Journal of Community Nutrition / v.8, no.4, 2006 , pp. 193-199 More about this Journal
Abstract
There have been many studies indicating increased salt intake is related to elevated blood pressure (BP). Hypertension and pre-hypertension are prevalent in Korea. A national survey showed that the Korean average daily salt consumption was 12.5g, which is more than twice the current recommendation in the UK or USA. This study was performed to understand which aspects of the Korean diet contributed to high salt intake and elevated BP in Korea. The subjects consisted of 1,110 Korean adult men aged 30 to 49 years who were selected from the data of 2001 Korean National Health and Nutrition Survey, a nationwide cross sectional survey. The relationship of BP with sodium and high sodium food intakes were analyzed. After categorizing subjects according to their BP, the socio-demographic information and food and nutrients intakes were analyzed. BP increased with a larger amounts of sodium intake and the trend was significant with diastolic BP. However, the trends of BP for sodium densities of the diet were not. People with hypertension significantly tended to be older, larger, and less educated than people with normal BP. And they consumed more foods from the fats, oils & sweets group and larger amounts of discretionary sodium than normal people. The current report advocates that public health intervention, which improves the awareness of the role of salt on elevated blood pressure for the public, should be implemented in Korea.
Keywords
diastolic/systolic blood pressure; salt/sodium intake; Korean adult men; 2001 Korean National Health and Nutrition Survey;
Citations & Related Records
연도 인용수 순위
  • Reference
1 He FJ, MacGregor GA(2004): Effect of longer-term modest salt reduction on blood pressure. Cochrane Database Syst Rev(3): CD004937
2 He FJ, MacGregor GA(2005): Blood pressure--importance of salt intake. Am J Hypertens 18(9 Pt 1): 1258-9   DOI   ScienceOn
3 Korean Federation for Environmental Movement(2005): Sodium contents in instant noodle, Ra Myeon. Korean Federation for Environmental Movement, Seoul
4 MacGregor GA, Sever PS(1996): Salt--overwhelming evidence but still no action: can a consensus be reached with the food industry? BMJ 312(7041): 1287-1289   DOI
5 Bingham SA(1991): Limitations of the various methods for collecting dietary intake data. Ann Nutr Metab 35(3): 117-127   DOI
6 Jurgens G, Graudal NA(2004): Effects of low sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterols, and triglyceride. Cochrane Database Syst Rev 1: CD004022
7 World Health Organization(WHO)(2004): Global status report on alcohol 2004. WHO
8 Patterson HR(1984): Sources of error in recording the blood pressure of patients with hypertension in general practice. Br Med J(Clin Res Ed) 289(6459): 1661-1664   DOI
9 Jung N(2005): Killer in silence, hypertension, Weekly Chosun, www.weekly.chosun.com
10 Korean National Statistical Office(NSO)(2004): The Korean standard classification of diseases and causes of death. National Statistical Office, Seoul
11 Korean Ministry of Health and Welfare(MOHW)(2002): Korean National Health and Nutrition Survey Report. MOHW, Seoul
12 National Heart, Lung, and Blood Institute(NHLBI)(2003): Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The seventh report of the joint national committee, NHLBI
13 Eaton L(2004): Food agency launches campaign to reduce salt intake. BMJ 329(7467): 644
14 Gregory J, Foster K, Tyler H, Wiseman M(1990): The Dietary and Nutritional Survey of British Adults. HMSO, London
15 He FJ, MacGregor GA(2005): Blood pressure--importance of salt intake. Am J Hypertens 18(9 Pt 1): author reply 1259- 1261   DOI   ScienceOn
16 Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S, Murray CJL, and the Comparative Risk Assessment Collaborating Group (2002): Selected major risk factors and global and regional burden of disease. Lancet 360: 1347-1360   DOI   ScienceOn
17 Hooper L, Bartlett C, Davey SG, Ebrahim S(2004): Advice to reduce dietary salt for prevention of cardiovascular disease. Cochrane Database Syst Rev 1: CD003656
18 Sacks FM, Svetkey LP, Vollmer WM(2001): Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension(DASH) diet. DASH-Sodium Collaborative Research Group. N Engl J Med 344(1): 3-10   DOI   ScienceOn
19 Joint WHO/FAO expert consultation(2002): Diet, nutrition and the prevention of chronic diseases. WHO, Geneva
20 Staessen JA, O'Brien ET, Thijs L, Fagard RH(2000): Modern approaches to blood pressure measurement. Occup Environ Med 57(8): 510-520   DOI
21 Khaw K, Welch A, Luben R, O'Brien E, Wareham N, Day N (2004): Blood pressure and urinary sodium in men and women: the Norfolk Cohort of the European Prospective Investigation into Cancer(EPIC-Norfolk). Am J Clin Nutr 80: 1397-1403   DOI