Frequency and Related Factors of Masked Hypertension at a Worksite in Korea

김상규; 배준호; 나득영; 이동욱; 황태윤; 이경수

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자료유형: 학술저널

저자정보: 김상규 배준호 나득영 이동욱 황태윤 이경수

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제44권 제3호

발행연도: 2011.1

수록면: 131 - 139 (9page)

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Objectives: Masked hypertension is associated with metabolic risks and increased risk of cardiovascular disease. The purpose of this study was to identify the frequency of and risk factors of masked hypertension in Korean workers. Methods: The study was conducted among 121 employees at a hotel in Gyeongju, Korea, from December 2008 to February 2009. We measured blood pressure (BP) both in the clinic and using 24-hour ambulatory BP monitors for all subjects. Hypertension was defined independently by both methods, and subjects were classified into four groups: true normotension, masked hypertension, white coat hypertension, and sustained hypertension. Results: The frequency of masked hypertension in our study group was 25.6%. Compared with true normotension, the factors related to masked hypertension were male gender (odds ratio [OR], 10.7; 95% confidence interval [CI], 1.41 to 81.09), aging one year (OR, 0.88; 95% CI, 0.78 to 0.99), clinic BP 120-129 /80-84 mmHg (OR, 8.42; 95% CI, 1.51 to 46.82),clinic BP 130-139 / 85-89 mmHg (OR, 12.14; 95% CI, 1.80 to 81.85), smoking (OR, 5.51; 95% CI, 1.15 to 26.54), and increase of total cholesterol 1 mg / dL (OR, 1.05; 95% CI, 1.02 to 1.08). In males only, these factors were clinic BP 120-129/ 80-84 mmHg (OR, 15.07; 95% CI, 1.55 to 146.19), clinic BP 130-139/ 85-89 mmHg (OR, 17.16; 95% CI, 1.56 to 189.45),smoking (OR, 11.61; 95% CI, 1.52 to 88.62), and increase of total cholesterol 1 mg/dL (OR, 1.05; 95% CI, 1.01 to 1.09). Conclusions: The frequency of masked hypertension was high in our study sample. Detection and management of masked hypertension, a known strong predictor of cardiovascular risk, could improve prognosis for at-risk populations.

#Hypertension #Masked hypertension #Ambulatory blood pressure monitoring #Worksite

참고문헌 (33)

참고문헌 신청

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Mancia G / 2002 / Reversed white-coat hypertension: definition, mechanisms and prognostic implications / J Hypertens 20(4):579~581

Ben-Dov IZ / 2005 / In clinical practice, masked hypertension is as common as isolated clinic hypertension: predominance of younger men / Am J Hypertens 18(5):589~593