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65세 이상 노인과 65세 미만 성인의 고혈압 위험요인

Risk factors for hypertension in elderly people aged 65 and over, and adults under age 65

  • 투고 : 2018.11.08
  • 심사 : 2019.01.04
  • 발행 : 2019.01.31

초록

본 연구는 65세 미만 성인과 65세 이상 노인에서 고혈압 위험요인을 파악하기 위한 서술적 조사연구이다. 6차 고령화 연구패널조사를 활용하여 6,152명의 연구대상자를 분석하였으며, 수집된 자료는 SPSS 23을 이용하여 카이검정과 로지스틱 회귀분석을 시행하였다. 고혈압 유병률에 영향을 미치는 위험요인에 대한 로지스틱 회귀분석 결과는 65세 미만 성인과 65세 이상 노인 둘 다에서, 주관적 건강상태, 당뇨병 유무, 심장질환 유무, BMI에 따른 비만정도가 위험요인으로 나타났고, 65세 미만에서는 만성폐질환, 소화기계 질환, 음주가, 65세 이상에서는 거주지역, 관절염 및 류마티스 질환, 흡연, 인지기능 정도가 고혈압에 영향을 미치는 위험요인으로 나타났다. 우리나라는 급속한 고령화 현상으로 인해 체계적이고 정책적인 만성질환관리가 절실하다. 특히, 나이에 따라 꾸준히 증가하는 고혈압에 대한 효과적인 관리를 위해 연령대에 따른 위험요인을 분석하는 것은 중요하다. 따라서 개인적 노후준비 뿐만 아니라 전반적인 사회복지수준 향상 및 노인복지대책을 통해 질병에 대한 관리가 필요하다.

This study investigated the risk factors of hypertension among individuals under and over 65 years of age. A total of 6,152 participants were analyzed using the 6th Korean Longitudinal Study of Aging. The collected data were analyzed by Chi-square tests and logistic regression using SPSS 23. The results showed that the subjective health status, diabetes, heart disease, and degree of obesity according to BMI were risk factors affecting hypertension in individuals both under and over age 65. In adults under age 65, chronic lung disease, digestive disease, and drinking were risk factors affecting hypertension. In elderly over age 65, region, arthritis and rheumatic disease, smoking, and cognitive function were risk factors affecting hypertension. There is a need for chronic disease management in Korea due to rapid aging. In particular, it is important to analyze for effective management age-related risk factors affecting steadily increasing hypertension with age. Therefore, it is necessary to manage chronic disease management through social welfare improvement and welfare plans for the elderly, as well as personal management.

키워드

Table 1. General Characteristics of Participants

SHGSCZ_2019_v20n1_162_t0001.png 이미지

Table 2. The bivariate analysis by hypertension

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Table 3. Risk factors affecting hypertension by age

SHGSCZ_2019_v20n1_162_t0003.png 이미지

참고문헌

  1. Statistics Korea, 2018 [Internet] Available from: kostat.go.kr/
  2. M. J. Kim, J. Y. Lim, The effect of socioeconomic status on the prevalence of chronic disease in the elderly: Focusing on nutrient intake, Health and Social Welfare, 37(4), 125-145, 2017. Doi: http://doi.org/10.15709/hswr.2017.37.4.125
  3. S. K. Nam, O. S. Shim, A study on the influence factors on quality of life of elderly with chronic disease, Korean Journal of Gerontological Social Welfare, 53, 239-259, 2011.
  4. J. H. Jeong, J. S. Kim, Health literacy, health risk perception and health behavior of elders, J Korean Acad Community Health Nurs, 25(1), 65-73, 2014. Doi: http://doi.org/10.12799/jkachn.2014.25.1.65
  5. K. H. Jung et al, Korean eldely survey 2017, Korea Institute for Health and Social Affairs, 2017.
  6. E. J. Benjamin, et al, Heart disease and stroke statistics-2018 update: A report from the american heart association, Circulation, 137(12), e67-e492, 2018. Doi: http://doi.org/10.1161/CIR.0000000000000558
  7. T. R. Batista, R. C. Figueiredo, D. R. A. Rios, Platelets volume indexes and cardiovascular risk factors, Rev Assoc Med Bras (1992), 64(6), 554-559, 2018. Doi: http://doi.org/10.1590/1806-9282.64.06.554
  8. R. M. Carey, P. Muntner, H. B. Bosworth, P. K. Whelton, Prevention and control of hypertension: JACC health promotion series, J Am Coll Cardiol, 72(11), 1278-1293, 2018. Doi: https://doi.org/10.1016/j.jacc.2018.07.008
  9. H. Lee, I. K, C. S. Kwon, Prevalence of hypertension and related risk factors of the older residents in Andong rural area, The korean Society of Food Science and Nutrition, 38(7), 852-861, 2009. https://doi.org/10.3746/jkfn.2009.38.7.852
  10. D. You, S. Lee, T. Lee, E. Lee, Concordance of hypertension in husband and wife living in a rural area, Journal of Korea Academia-industrial cooperation Society, 10(3), 634-641, 2009. Doi: https://doi.org/10.5762/KAIS.2009.10.3.634
  11. Y. Nam, J. Nam, A study of the factors affecting the subjective health status of elderly people in Korea, Korean Journal of Family Welfare, 16(4), 145-162, 2011.
  12. J. E. Ware, The assessment of health status: applications of social science to clinical medicine and health policy, Rutgers University, 204-228, 1986.
  13. H. Shin, J. Kim, H. Kwon, A. Hong, J. Youn, Y. Han, Y. kim, The relationship of blood pressure with subjective health awareness and health related quality of life, Korean J Fam Pract, 6(6), 660-667, 2016. Doi: http://doi.org/10.21215/kjfp.2016.6.6.660
  14. K. Lee, E. Cho, Factors influencing health related quality of life in patients with hypertension: Based on the 5th Korean national health and nutrition examination survey, Journal of the Korea Contents Association, 16(5), 399-409, 2016. Doi: http://doi.org/10.5392/JKCA.2016.16.05.399
  15. S. Z. Jiang, W. Lu, X. F. Zong, H. Y. Ruan, Y. Liu, Obesity and hypertension, Exp Ther Med, 12(4), 2395-2399, 2016. Doi: http://doi.org/10.3892/etm.2016.3667
  16. P. Ranasinghe, D. Cooray, R. Jayawardena, P. Katulanda, The influence of family history of hypertension on disease prevalence and associated metabolic risk factors among Sri Lankan adults, BMC Public Health, Jun 20(15), 576, 2015. Doi: https://doi.org/10.1186/s12889-015-1927-7
  17. B. Moon, S. Lee, J. Kwon, Regional variations in risk factors for hypertension: Data analysis from the 6th Korea national health and nutrition examination survey, Korean J Fam Pract, 7(1), 25-29, 2017. Doi: https://doi.org/10.21215/kjfp.2017.7.1.25
  18. M. C. Gulliford, D. Mahabir, B. Rocke, Socioeconomic inequality in blood pressure and its determinants: cross-sectional data from Trinidad and Tobago, J Hum Hypertens, 18, 61-70, 2004. Doi: http://doi.org/10.1038/sj.jhh.1001638
  19. Y. Wu, R. Huxley, L. Li, V. Anna, G. Xie, C. Yao, M. Woodward, X. Li, J. Chalmers, R. Gao, L. Kong, X. Yang, Prevalence, awareness, treatment, and control of hypertension in China: data from the China national nutrition and health survey 2002, Circulation, Dec 16, 118(25), 2679-2686, 2008. Doi:http://dx.doi.org/10.1161/CIRCULATIONAHA.108.788166
  20. H. R. Kim, H. G. Son, Prevalence of hypertension and its risk factors among aged 65 and over in Korea, Journal of Korean Biological Nursing Science, 14(4), 282-290, 2012. Doi: http://dx.doi.org/10.7586/jkbns.2012.14.4.282
  21. C. Lee, K. Park, Risk factors of dementia, The Journal of Korean Diabetes, 13(3), 129-132, 2012. Doi: http://dx.doi.org/10.4093/jkd.2012.13.3.129
  22. S. Kim, S. Moon, H. Lee, D. Lee, Cognitive function and dementia-related risk factors in elders above 50 years old, Korean J Clin Geri, 6(2), 217-224, 2005.