• Journal of Preventive Medicine and Public Health
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• 제51권6호
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• pp.298-309
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• 2018

Objectives: The objective of this study was to assess the relationship between systolic and diastolic blood pressure (SBP, DBP) and the risk of death from specific causes other than cardiovascular diseases. Methods: We calculated the risk of specific death by SBP and DBP categories for 506 508 health examinees in 2002-2003 using hazard ratios (HRs) and 95% confidence intervals (CIs) in a Cox proportional hazards model. Results: Compared to normal levels (SBP <120 or DBP <90 mmHg), stage I systolic and diastolic hypertension (SBP 140-159, DBP 85-89 mmHg, respectively) were associated with an increased risk of death from diabetes mellitus, alcoholic liver disease, and renal failure (HR, 1.83; 95% CI, 1.51 to 2.22; HR, 1.24; 95% CI, 1.06 to 1.46; HR, 2.30; 95% CI, 1.64 to 3.21; HR, 1.67; 95% CI, 1.27 to 2.20; HR, 1.99; 95% CI, 1.41 to 2.81; HR, 1.31; 95% CI, 0.99 to 1.73, respectively), but a decreased risk of death from intestinal pneumonia (HR, 0.64; 95% CI, 0.42 to 0.98; HR, 0.59; 95% CI, 0.39 to 0.91). Only stage II systolic hypertension (SBP ${\geq}160mmHg$) was associated with an increased risk of death from pneumonia, liver cirrhosis, and intestinal ischemia (HR, 1.54; 95% CI, 1.19 to 1.98; HR, 1.46; 95% CI, 1.00 to 2.15; HR, 3.77; 95% CI, 1.24 to 11.40, respectively), and stage I and II diastolic hypertension (SBP 140-159 and ${\geq}160mmHg$) were associated with an increased risk of death from intestinal ischemia (HR, 3.07; 95% CI, 1.27 to 7.38; HR, 4.39; 95% CI, 1.62 to 11.88, respectively). Conclusions: An increase in blood pressure levels may alter the risk of death from certain causes other than cardiovascular diseases, a well-known outcome of hypertension, although the mechanism of these associations is not well documented.

• 센서학회지
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• 제17권2호
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• pp.87-94
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• 2008

Blood pressure (BP), one of the most important vital signs, is used to identify an emergency state and reflects the blood flow characteristics of the cardiovascular system. The conventional noninvasive method of measuring BP is inconvenient because patients must wear a cuff on their arm and the measurement process takes time. This paper proposes an algorithm for estimating the BP using the pulse transit time (PTT) of the photoplethysmography (PPG) and pressure pulse from finger at the same time as a more convenient way to measure the BP. After recording the electrocardiogram (ECG), measuring the pressure pulse, and performing PPG, we calculated the PTT from the acquired signals. Then, we used a multiple regression analysis to measure the systolic and diastolic BP indirectly. Comparing the BP measured indirectly using the proposed algorithm and the real BP measured with a sphygmomanometer, the systolic pressure had a mean error of ${\pm}3.240$ mmHg and a standard deviation of 2.530 mmHg, while the diastolic pressure had a satisfactory result, i.e., a mean error of ${\pm}1.807$ mmHg and a standard deviation of 1.396 mmHg. These results are more superior than existing method estimating blood pressure using the one PTT and satisfy the ANSI/AAMI regulations for certifying a sphygmomanometer i.e., the measurement error should be within a mean error of ${\pm}5$ mmHg and a standard deviation of 8 mmHg. These results suggest the possibility of applying our method to a portable, long-term BP monitoring system.

• 한국응용과학기술학회지
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• 제34권4호
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• pp.756-768
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• 2017

본 연구는 50대 비만중년여성을 대상으로 순환운동이 건강체력, 혈압 및 혈관탄성도에 미치는 영향을 규명하는데 있었으며, 이를 위해 비만중년여성 24명을 대상으로 운동그룹 12명, 대조군 12명으로 분류하여 8주간 순환운동 프로그램을 실시하였다. 순환운동 프로그램은 유산소 운동과 저항운동으로 구성되었으며, 회당 40분간, 주3회 실시하였고, 유산소 운동 수행강도는 50-70% HRmax, 저항운동은 1-RM의 40-60%로 수행되었으며, 순환운동 전 후에 측정한 자료의 그룹 내 차이 비교를 위해 대응표본 T검정, 그룹 간 차이는 운동 전 후의 변화율을 산출하여 독립표본 T검정을 실시하였다. 그 결과 운동그룹은 건강 체력 중 BMI(p<.05)가 유의하게 감소하였고, 심폐지구력(p<.001), 근지구력(p<.001), 유연성(p<.01)이 증가하였으며, 그룹 간 대조군 보다 심폐지구력, 유연성이 유의하게 증가되었다(p<.01). 수축기 혈압과 이완기 혈압은 운동그룹이 유의하게 감소하였으며(p<.01), 이완기 혈압은 그룹 간 대조군 보다 운동그룹이 유의하게 감소하였다(p<.05). PWV는 운동그룹이 유의하게 감소하였고(p<.05), 대조군이 유의하게 증가하였으며(p<.01), 그룹 간 대조군 보다 운동군이 유의하게 감소하였다(p<.05). 이상의 결과 비만중년여성의 건강증진 및 비만치료를 위한 순환운동은 건강체력, 혈압 및 혈관탄성도에 긍정적인 영향을 미친 것으로 사료된다.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1998년도 제50차 추계 학술대회 연제집
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• pp.279-280
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• 1998

• Korean Circulation Journal
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• 제52권6호
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• pp.475-477
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• 2022

• 대한간호학회지
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• 제50권6호
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• pp.740-756
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• 2020

Purpose: The purpose of this study was to evaluate the effect on blood pressure (BP) and heart rate (HR) according to aerobic exercise characteristics in adults with hypertension using a systematic review and meta-analysis. Methods: The related researches were selected from PubMed, EMBASE, Cochrane library, CINAHL, PsycINFO, SPORTDiscus and 5 domestic databases up to September 4, 2019. To estimate the effect size, random effect models were used to derive weighted mean differences (WMD) and their 95% confidence intervals (CI) of aerobic exercise on BP and HR. Results: A total of 37 RCTs with 1,813 samples were included. Aerobic exercise was found to significantly reduce systolic BP (WMD, - 8.29 mmHg; 95% CI, - 10.12 to - 6.46), diastolic BP (WMD, - 5.19 mmHg; 95% CI, - 6.24 to - 4.14) and HR (WMD, - 4.22 beats/min; 95% CI, - 5.36 to -3.09). In detail, systolic BP and diastolic BP were significantly decreased in all groups of exercise types, frequency and duration. Systolic BP and diastolic BP were significantly decreased in the moderate and vigorous-intensity group. Exercise characteristics with the most dramatical change in systolic BP were water-based training, moderate-intensity, 3 times a week and 8 to 11 weeks of duration. In diastolic BP, the greatest effect size was over 24 weeks of exercise. Conclusion: Moderate aerobic exercise, especially water-based exercise can be an important part of lifestyle modification for hypertensive patients. Also, it can be recommended in a variety of clinical settings for lowering BP and HR. However, there is insufficient evidence that low-intensity exercise is effective in lowering BP.

• Journal of Nutrition and Health
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• 제26권5호
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• pp.625-638
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• 1993

The purpose of this study was to observe the relationship of dietary factors to blood pressure in 5th and 6th grade school children. Salt threshold, salt preference and nutrition knowlege about blood pressure were tested. Twenty-four hour urines were collected for the measurements of the volume and concentrations of sodium, potassium, chloride, calcium, phosphorus, creatinine and urea nitrogen. 1) Mean systolic and diastolic blood pressure of elementary school children were 106.8/67.6mmHg in males and 108.7/69.5mmHg in females. Seven children(4%) of total subjects were found to be hypertensive. Their mean blood pressure was 130.0/86.4mmHg. 2) Urinary excretions of creatinine and urea nitrogen during twenty-four hours were 621.1mg and 1524mg, respectively. The mean daily urinary sodium excretion was 2940mg, which is equivalent to 7.37g NaCl. 3) The daily urinary excretions of other minerals were as follows; potassium was 1301mg, chloride, 4991mg, calcium, 55.7mg and phosphorus, 700.03mg. 4) Salt preference of hypertensive children90.473$\pm$0.275) was significantly higher than those of normotensive children(0.473$\pm$0.213%), but salt threshold was lower in hypertensives(0.105$\pm$0.04%) than normotensives(0.081$\pm$0.022%) (p<0.05). INdices for assessing obesity, such as body weight, triceps skinfold, weight for heigth and body surface area, were high in hypertensive children than normotensive children(p<0.05). But there was no significant difference in energy and nutrient intakes between two groups. 5) Various anthropometric measurements had positive correlations with blood pressure, but body muscle mass(%) had a negative correlation with blood pressure. And daily energy and nutrient intakes were not related to blood pressure. 6) Blood pressures-both systolic and diastolic-were significantly correlated with urinary excretions of potassium and chloride. Daily sodium excretion was related to systolic blood pressure, but no related to diastolci blood pressure. There was no relationship of salt threshold to salt preference, and neither threshold nor preference was related to blood pressure. Results of this study suggest that nutrition education program for children including the information about desirable food habits for the prevention of hypertension should be developed.

• 농촌의학ㆍ지역보건
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• 제42권1호
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• pp.13-23
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• 2017

이 연구는 장항제련소 주변 지역 주민들을 대상으로 중금속 노출에 의한 인체영향을 파악하기 위해 수행된 환경역학조사 결과 중 혈중 중금속 농도와 혈압 사이의 관계를 평가하기 위해 수행되었다. 이 연구에는 제련소에서 4km 이내에 거주하는 570명의 30세 이상 성인 남녀가 포함되었으며 남녀별로 혈중 카드뮴, 수은 및 납 농도를 각각 3분위로 나눈 후 군별로 수축기 및 이완기 혈압의 차이를 각각 비교하였다. 또한, 다중회귀분석을 통하여 남녀별로 수축기 및 이완기혈압에 영향을 주는 위험요인으로서의 중금속을 파악하였다. 남자의 경우는 혈중 카드뮴과 수은의 농도별 군에 따라 수축기 혈압 및 이완기 혈압의 평균에 유의한 차이를 보였으나 여자의 경우는 모든 중금속의 3분위 군에서 수축기 및 이온기 혈압의 평균이 유의한 차이를 보이지 않았다. 다중 회귀 분석의 결과에서는 남자의 경우 연령과 체질량 지수 그리고 혈중 카드뮴 농도가 혈압에 영향을 주는 위험요인으로 나타났고, 여자의 경우는 연령과 체질량 지수, 음주 및 흡연, 그리고 혈중 수은이 혈압에 유의한 영향을 주었다. 종합해보면, 장항 제련소 근처에 거주하는 주민들은 일반인구 집단과 비교해 볼 때, 매우 높은 농도의 혈중 카드뮴, 납 수치를 보여 이들은 과거 직업적 또는 환경적으로 고농도의 중금속에 노출된 것으로 판단되며, 이러한 고농도 노출 집단에서의 유해 중금속 노출, 특히 카드뮴과 수은이 혈압 상승에 유의한 영향을 주는 것으로 확인되었다. 따라서 이들을 대상으로 추가적인 중금속 노출을 예방하기 위한 노력과 혈압 및 심뇌혈관질환 발생에 대한 지속적인 모니터링이 이루어져야 할 것으로 판단된다.

• 한국학교ㆍ지역보건교육학회지
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• 제17권1호
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• pp.23-33
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• 2016

Objectives: The purpose of this study is analysing the influence of how health behavior such as smoking, drinking, and consuming salt and obesity affects to blood pressure and providing useful data for preventing ischemic heart disease of Peru which is main cause of death since 2012 and promoting healthy lifestyle of community. Methods: At the selected four districts in Lima and Callao region of Peru by KOICA Peru office, survey was conducted among adults over the age of 18. Excepted 19 incomplete people for the missing, 686 people were analysed in this survey. Results: There was no significant relationship between blood pressure and drinking and salt intake. By regression analysis, systolic blood pressure was significantly related with gender, age and abdominal obesity and diastolic blood pressure was significantly related with gender and abdominal obesity. Conclusions: As a result, diastolic and systolic blood pressure are mainly affected by waist circumference and gender. Therefore, It's need to be classifying male into vulnerable groups in the occurrence of hypertension and providing health education and information about hypertension to them. For improving health status of vulnerable group, awareness of hypertension prevention and changing unhealthy lifestyle to healthy lifestyle activities are necessary. In the end, it is necessary to prevent abdominal obesity through periodic health education.

• 대한간호학회지
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• 제28권4호
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• pp.856-868
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• 1998

The purpose of this study is to evaluate the effects of Qigong gymnastics exercise program on the physiopsychological parameter in essential hypertension. The design of the research was a one group pretest-posttest design. A total of 20 pateints with hypertension who were from forty to sixty-five years old participated in the study. The Qigong gymnastics program was carried out twice a week for thirty minutes or forty minutes for six weeks from 22, Sep. to 31, Oct. in 1997. In order to evaluate the effect of the Qigong gymnastics program physiological parameter (blood pressure, pulse rate, FVC, FEV1, Epinephrine, Norepinephrine, Cortisol) and psychological parameter(self-efficacy, Life satisfaction) were measured before and after the exercise program. Collected data was analyzed by the paired t-test with SAS package. The result are as follows : 1) There were significant decrease in systolic blood pressure and diastolic blood pressure, but there was no significant change in pulse rate. 2) There were no significant difference in FVC and FEV1 3) There were significant decrease in epinephrine, norepinephrine and cortisol. 4) There were significant improved in general self-efficacy and life satisfaction. 5) The effect of Qigong gymnastics program by measurement time on blood pressure and pulse rate were as follows : In a systolic blood pressure was gradually significant decreased from 1 week to 6 weeks and diastolic blood pressure was significantly decreased after 4weeks. But there was no significant change in pulse rate. This results suggest that Qigong gymnastics are an appropriate nursing intervention for clients with hypertension. For further research is necessary to reevaluate the effect with a letter experimental design and longer period than 8 weeks for the Qigong gymnastics program.