Background and objective: Risk factors such as dyslipidemia, hyperglycemia, and obesity are more frequent in hypertensive than in normotensive subjects. Recognition that cardiovascular risk factors often cluster together has focused attention on the concept of total cardiovascular risk. Information regard to the associations between hypertension and cardiovascular risk factors in Korean general population is limited. We investigated the associations between hypertension and cardiovascular risk factors in Korean general population.
Methods: The study subjects were enrolled 6,191 Korean adult subjects (2,659 men, 3,532 women) from the five rural areas of the KGRC, an ongoing epidemiologic study conducted on a representative senior population. We excluded subjects with treatment of diabetes mellitus, hypertension, and hyperlipidemia. and We divided into three (normotension, prehypertension and hypertension) groups by JNC7. Cardiovascular risk factors were defined as smoking, abdominal obesity (waist circumference >90cm in male, >85cm in female), low HDL-cholesterol (<40mg/dL), high LDL-cholesterol (>160mg/dL), diabetes (fasting blood glucose ≥126mg/dL) and high CRP ( > 1 mg/dL). The metabolic syndrome (Mets) was defined according to the modified ATP III criteria.
Results: The clustering of risk factors among study groups are shown below table.
Conclusion: Increasing blood pressure frequently clusters with other cardiovascular risk factors, such as obesity, and metabolic syndrome.
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