题名

Factors Associated With Blood Pressure Classification in Korean University Students: A Descriptive Survey

DOI

10.1097/jnr.0000000000000325

作者

Eun-Ju CHOI;Ae Kyung CHANG;Jin Yi CHOI

关键词

blood pressure ; university student

期刊名称

The Journal of Nursing Research

卷期/出版年月

28卷1期(2020 / 02 / 01)

页次

1 - 7-003

内容语文

英文

中文摘要

Background: The prevalence of hypertension in young adults has increased. Hypertension is known to be a leading contributor to many diseases. Purpose: The study aimed to identify factors influencing blood pressure (BP) classification in university students and to establish a basis for the prevention and management of hypertension in young adults. Methods: Four hundred three university students in South Korea were analyzed to determine the factors that influence BP classification. Data were analyzed using the chi-square test, analysis of variance, and multinomial logistic regression. Results: The reference group for the logistic regression analysis included students with normal BP. The odds of being male and of having an overweight or obese body mass index were significantly higher in the prehypertension group than in the normal BP group. The odds of regular (≥ 6 months) exercise habits, having subcutaneous and borderline visceral fat types, and social support were significantly lower in the prehypertension group than in the normal BP group. The odds of being male, being overweight or obese, and having more exercise barriers were significantly higher in the hypertension group than in the normal BP group. The odds of having a high or low economic status were higher and lower in the hypertension group, respectively. Finally, the odds of having subcutaneous or borderline visceral fat types and a vigorous physical activity level were significantly lower in the hypertension group than in the normal BP group. Conclusions: Interventions that address the factors related to BP in young adults are necessary to prevent the occurrence and progression of hypertension in young adults.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Ashman, J. J.,Rui, P.,Schappert, S. M.(2016).Age differences in visits to office-based physicians by adults with hypertension: United States, 2013.NCHS Data Brief,263
  2. Benjamin, E. J.,Blaha, M. J.,Chiuve, S. E.,Cushman, M.,Das, S. R.,Deo, R.,American Heart Association Statistics Committee and Stroke Statistics Subcommittee(2017).Heart disease and stroke statistics-2017 update: A report from the American Heart Association.Circulation,135(10),e146-e603.
  3. Bruno, R. M.,Pucci, G.,Rosticci, M.,Guarino, L.,Guglielmo, C.,Agabiti Rosei, C.,Pengo, M. F.(2016).Association between lifestyle and systemic arterial hypertension in young adults: A national, survey-based, cross-sectional study.High Blood Pressure & Cardiovascular Prevention,23(1),31-40.
  4. Butt, J.,Weinberg, R. S.,Breckon, J. D.,Claytor, R. P.(2011).Adolescent physical activity participation and motivational determinants across gender, age, and race.Journal of Physical Activity & Health,8(8),1074-1083.
  5. Cheng, H. L.,Medlow, S.,Steinbeck, K.(2016).The health consequences of obesity in young adulthood.Current Obesity Reports,5(1),30-37.
  6. Choi, J. A.(2008).Construction of leisure physical activity model of middle-aged women in urban area.Korean Journal of Adult Nursing,20(4),626-640.
  7. De Venecia, T.,Lu, M.,Figueredo, V. M.(2016).Hypertension in young adults.Postgraduate Medicine,128(2),201-207.
  8. Egan, B. M.,Stevens-Fabry, S.(2015).Prehypertension-Prevalence, health risks, and management strategies.Nature Reviews Cardiology,12(5),289-300.
  9. Everett, B.,Zajacova, A.(2015).Gender differences in hypertension and hypertension awareness among young adults.Biodemography and Social Biology,61(1),1-17.
  10. Gabb, G. M.,Mangoni, A. A.,Anderson, C. S.,Cowley, D.,Dowden, J. S.,Golledge, J.,Arnolda, L.(2016).Guideline for the diagnosis and management of hypertension in adults-2016.The Medical Journal of Australia,205(2),85-89.
  11. Hall, J. E.,do Carmo, J. M.,da Silva, A. A.,Wang, Z.,Hall, M. E.(2015).Obesity-induced hypertension: Interaction of neurohumoral and renal mechanisms.Circulation Research,116(6),991-1006.
  12. Hur, B. R.,Yim, J. H.,Bae, J. M.,Choi, S. S.,Kim, S. W.,Whang, W. S.(1996).The validity of modified Korean-translated BEPSI (Brief Encounter Psychosocial Instrument) as instrument of stress measurement in outpatient clinic.Korean Journal of Family Medicine,17(1),42-49.
  13. IPAQ Research Committee. (2005). Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ)-Short and long forms. Retrieved from https://sites.google.com/site/theipaq/scoring-protocol
  14. Korea Centers for Disease Control & Prevention. (2017). 2016 Health behavior and chronic disease statistics. Retrieved from https://knhanes.cdc.go.kr/knhanes/eng/index.do (Original work published in Korean)
  15. Lee, M. H.,Kang, D. R.,Kim, H. C.,Ahn, S. V.,Khaw, K. T.,Suh, I.(2014).A 24-year follow-up study of blood pressure tracking from childhood to adulthood in Korea: The Kangwha Study.Yonsei Medical Journal,55(2),360-366.
  16. Marcus, B. H.,Selby, V. C.,Niaura, R. S.,Rossi, J. S.(1992).Selfefficacy and the stages of exercise behavior change.Research Quarterly for Exercise and Sport,63(1),60-66.
  17. Molanorouzi, K.,Khoo, S.,Morris, T.(2015).Motives for adult participation in physical activity: Type of activity, age, and gender.BMC Public Health,15(1),66.
  18. Mucci, N.,Giorgi, G.,De Pasquale Ceratti, S.,Fiz-Pérez, J.,Mucci, F.,Arcangeli, G.(2016).Anxiety, stress-related factors, and blood pressure in young adults.Frontiers in Psychology,7(1682)
  19. Nigg, C. R.,Rossi, J. S.,Norman, G. J.,Benisovich, S. V.(1998).Structure of decisional balance for exercise adaptation.Annals of Behavioral Medicine,20,S211.
  20. Núñez-Córdoba, J. M.,Martínez-González, M. A.,Bes-Rastrollo, M.,Toledo, E.,Beunza, J. J.,Alonso, A.(2009).Alcohol consumption and the incidence of hypertension in a Mediterranean cohort: The SUN study.Revista Española de Cardiología,62(6),633-641.
  21. Patnode, C. D.,Evans, C. V.,Senger, C. A.,Redmond, N.,Lin, J. S.(2017).Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults without known cardiovascular disease risk factors: Updated evidence report and systematic review for the US Preventive Services Task Force.JAMA,318(2),175-193.
  22. Ramchand, R.,Ahluwalia, S. C.,Xenakis, L.,Apaydin, E.,Raaen, L.,Grimm, G.(2017).A systematic review of peer-supported interventions for health promotion and disease prevention.Preventive Medicine,101,156-170.
  23. Rovniak, L. S.,Anderson, E. S.,Winett, R. A.,Stephens, R. S.(2002).Social cognitive determinants of physical activity in young adults: A prospective structural equation analysis.Annals of Behavioral Medicine,24(2),149-156.
  24. Samadian, F.,Dalili, N.,Jamalian, A.(2016).Lifestyle modifications to prevent and control hypertension.Iranian Journal of Kidney Diseases,10(5),237-263.
  25. Shin, Y. A.,Ok, J. S.(2012).Relationships between age, physical activity and obesity index in men.Korean Society for Wellness,7(3),199-208.
  26. Viera, A. J.,Hawes, E. M.(2016).Management of mild hypertension in adults.BMJ,355,i5719.
  27. Wang, J.,Zhang, L.,Wang, F.,Liu, L.,Wang, H.,China National Survey of Chronic Kidney Disease Working Group(2014).Prevalence, awareness, treatment, and control of hypertension in China: Results from a national survey.American Journal of Hypertension,27(11),1355-1361.
  28. Wellman, R. J.,Vaughn, J. A.,Sylvestre, M. P.,O'Loughlin, E. K.,Dugas, E. N.,O'Loughlin, J. L.(2016).Relationships between current and past binge drinking and systolic blood pressure in young adults.The Journal of Adolescent Health,58(3),352-357.
  29. WHO Expert Consultation(2004).Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies.The Lancet,363(9403),157-163.
  30. World Health Organization(2014).Global status report on noncommunicable diseases 2014.Geneva, Switzerland:Author.
  31. Yoon, S. S.,Carroll, M. D.,Fryar, C. D.(2015).Hypertension prevalence and control among adults: United States, 2011-2014.National Center for Health Statistics Data Brief,220,1-8.
  32. Zhang, Y.,Moran, A. E.(2017).Trends in the prevalence, awareness, treatment, and control of hypertension among young adults in the United States, 1999 to 2014.Hypertension,70(4),736-742.