• Title/Summary/Keyword: Cross-over adjustment

Search Result 23, Processing Time 0.017 seconds

Association of Blood Pressure Levels with Carotid Intima-Media Thickness and Plaques (혈압 수준과 경동맥 내중막 두께 및 동맥경화반의 관련성)

  • Lee, Young-Hoon;Kweon, Sun-Seog;Choi, Jin-Su;Rhee, Jung-Ae;Choi, Sung-Woo;Ryu, So-Yeon;Shin, Min-Ho
    • Journal of Preventive Medicine and Public Health
    • /
    • v.42 no.5
    • /
    • pp.298-304
    • /
    • 2009
  • Objectives : The aim of this study was to investigate the association of blood pressure levels with the common carotid artery intima-media thickness (CCA-IMT) and carotid plaques. Methods : Data were obtained from 2,635 subjects, aged 50 years and over, who participated in the Community Health Survey (a population-based, cross-sectional study) in Dong-gu, Gwangju city between 2007 and 2008. Participants were categorized into three groups according to blood pressure levels; normotensives (<120/80 mmHg), prehypertensives (120-139/80-89 mmHg), and hypertensives ($\geq$140/90 mmHg). Prehypertensives were further categorized as low prehypertensives (120-129/80-84 mmHg) and high prehypertensives (130-139/85-89 mmHg). Carotid intima-media thickness and plaques were evaluated with a high-resolution B-mode ultrasound. Statistical analyses were performed using chi-square test, ANOVA, and multiple logistic regression. Results : Prehypertensives had significantly greater maximal CCA-IMT values than normotensives, with a multivariate adjusted odds ratio of 1.78 (95% CI=1.36-2.32) for abnormal CCA-IMT (maximal CCA-IMT$\geq$1.0 mm), and 1.45 (95% CI=1.19-1.77) for carotid plaques. The multivariate adjusted odds ratio of low prehypertensives was 1.64 (95% CI=1.21-2.21) for abnormal CCA-IMT, and 1.30 (95% CI=1.04-1.63) for carotid plaques compared with normotensives. Subject with hypertension had higher frequency of abnormal CCA-IMT (odds ratio, 2.18; 95% CI=1.49-3.18), and carotid plaques (odds ratio, 1.98; 95% CI=1.46-2.67) compared with normotensives after adjustment for other cardiovascular risk factors. Conclusions : Our results indicate that there is a significant increase in the prevalence of carotid atherosclerosis in subjects with prehypertension (even in low prehypertensives) compared with normotensive subjects. Further studies are required to confirm the benefits and role of carotid ultrasonography in persons with prehypertension.

Data Process and Precision Analysis of Ship-Borne Gravity (선상 중력자료의 처리 및 정밀도 분석)

  • Keum, Young-Min;Kwon, Jay-Hyoun;Lee, Ji-Sun;Choi, Kwang-Sun;Lee, Young-Cheol
    • Journal of Korean Society for Geospatial Information Science
    • /
    • v.18 no.1
    • /
    • pp.89-97
    • /
    • 2010
  • The ship-borne gravity data is essential to construct geoid in Korea surrounding ocean area. The altimeter data was used in previous study, however, the ship-borne gravity data could be used due to more ship-borne data was collected by improvement of instrument, positioning system. Therefore, the study on verification of precision of ship-borne gravity data and practical usage analysis is needed. In this study, free-air anomaly having 16.47mGal and 18.86mGal as mean and standard deviation was obtained after consistent processing such as Eotvos correction, Kalman Filter, Cross-over adjustment etc. The calculated free-air anomaly was compared to DNSC08 altimeter data and the difference was computed having -0.88mGal and 9.46mGal of mean and standard deviation. The reason causing those differences are owing to spatial limits of data acquisition and effects of ocean topography. To use ship-borne gravity data for precision geoid development, the efforts to overcome the limits of data collection and study for data combination should be proceeded.

Cross-Sectional Relations of Arterial Stiffness and Inflammatory Markers in Korean Adults Aged 50 Years and Older (지역사회 거주 50세 이상 성인의 동맥경직도와 염증반응인자와의 관련성)

  • Ryu, So-Yeon;Shin, Min-Ho;Lee, Young-Hoon;Rhee, Jung-Ae;Choi, Jin-Su;Park, Kyeong-Soo;Nam, Hae-Sung;Jeong, Seul-Ki;Kweon, Sun-Seog
    • Journal of agricultural medicine and community health
    • /
    • v.36 no.2
    • /
    • pp.101-112
    • /
    • 2011
  • Objectives: The aim of this study is to determine arterial stiffness levels as measured by brachial-ankle pulse wave velocity (baPWV) and to identify the association between arterial stiffness and inflammatory markers, in healthy adults over 50 years old. Methods: The study population consisted of 4617 persons over the age of 50 years who participated in the baseline survey of the Dong-gu Study, which was conducted in 2007 and 2008. Arterial stiffness was measured using baPWV. A multiple regression analysis was performed to assess the relationship between conventional cardiovascular risk factors and inflammatory markers, including white blood cell (WBC) counts, high-sensitive C-reactive protein (hs-CRP), and gamma glutamyltransferase (GGT). Results: After adjustment for conventional cardiovascular risk factors including sex, age, smoking status, body mass index, systolic blood pressure, fasting glucose, hypertension or diabetic medication, total cholesterol, triglycerides, uric acid, and alanine aminotransferase, baPWV was significantly associated with WBC counts (${\beta}$=0.158, p<0.0001), hs-CRP (${\beta}$=0.244, p=0.026), and GGT (${\beta}$=0.003, p<0.0001). Conclusion: This study shows that arterial stiffness correlates with inflammatory markers. Arterial stiffness may be used as a composite risk factor to identify persons with higher risk for cardiovascular disease. Additionally, arterial stiffness may be a marker for future cardiovascular disease and a target for prevention.