• 임상이비인후과
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• 제29권2호
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• pp.182-189
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• 2018

Background and Objectives : There were few literatures about the relationship between upper airway disorders and cardiovascular risk factors such as hypertension, although an association between impaired lower respiratory function and cardiovascular alterations was often reported. Our purpose was to assess the relationships between chronic sinusitis and hypertension. Materials and Methods : Three hundred subjects with bilateral chronic sinusitis who underwent functional endoscopic sinus surgery between 2015and 2017 were evaluated. Six hundred forty subjects without any nasal diseases were enrolled as a control group. Blood pressure and body mass index (BMI) were measured using a standardized method, and subjects were asked about current use of any antihypertensive medication, history of diabetes, smoking and alcohol drinking habits.Sinusitis group was assessed by nasal endoscopic examination, paranasal sinus CT scan and allergy test. Results : Average systolic and diastolic blood pressures were statistically significantly higher in subjects with sinusitis than control group. Chronic rhinosinusitis was associated with a 1.415-fold (95% confidence interval 1.053-1.930) increased hazard of hypertension after multivariate adjustment. Conclusions : These results suggest that sinusitis is associated with high blood pressure. Therefore patients with sinusitis may need special attention for blood pressure control. Further studies need to be performed to elucidate the pathogenesis behind such associations.

• 대한간호학회지
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• 제10권2호
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• pp.73-85
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• 1980

The purpose of this study was to investigate the compliance behavior of hypertensive patients in light of their health belief model that explains an individual's compliance with health maintenance or getting well. Although there are many effective regimens and treatments for hypertension nowadays. the most important point to be taken to consideration in their behavioral aspect is their compliance with regard to the control of body weight. eating habits as to salt and cholesterol intake. stresses. activity patterns and smoking as related to their life style. The important reasons for the failure in the control of hypertensive patients are the complexity of regimens to be complied to. irregular medication and the life long restrictions in their own life style. The compliance of patients to medical regimens and rocommendations or failure to do so is an essential factor. Accordingly. the degree of the patient's compliance is an important determinant as to the success or failure of hypertension control. The subjects for this study were 187 hypertensive patients selected from admitted and out patients of the medical department at seven University Hospitals in Seoul. Data was collected from Dec. 1, 1979 to Feb. 15, 1980 using the questionaire method and was analysed by the use of means. standard deviations, coefficient of correlations, analysis of variance and multiple regression analysis. The results obtained are as follows A. Of the seven independent variables in light of health belief model. benefit. barrier and severity are closely related to patient's compliance behavior. Therefore these variables could be used as determinants to predict and modify the hypertensive behavior. 1. Benefit is the most important and significant of the variables for explaining the dependent variables. It accounts for the highest variance of patient's compliance. (23.62%) 2. Then taking the former together with barrier. the variance of compliance showed on increase. (26.59%) 3. And with the addition of severity to the first two. the variance of compliance was also increased. (28.l2 %) B. Except for susceptibility all the independent variables such as severity. benefit, knowledge. motivation and barrier are correlated to dependent variable compliance. C. Sex. marital status and religion appeared to have significant influence on the dependent variables. Therefore one could conclude that the more the patients are aware that hypertension is a threat to health. the more they understand the benefit of taking actions to prevent such a threat. and the less they perceive any barrier when taking action. the more compliant they become in following medical regimens and recommendations. Age. marital status and religion played a significant influence to their compliance. Accordingly. the selected structural variables and demographic variables which have influenced sick role behavior of the hypertensive patient must be integrated to teaching and counselling programs for better hypertension control.

• Journal of Preventive Medicine and Public Health
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• 제25권2호
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• pp.148-156
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• 1992

혈중 카드뮴, 아연 및 아연에 대한 카드뮴의 비와 혈압 간의 관련성을 보기 위하여 울산 및 그 인근지역에서 직업적으로 카드뮴에 폭로된 경력이 없는 근로자중 고혈압군 83명과 대조군 77명을 성과 연령에 대해 빈도수 짝짓기로 선택하여 얻은 결과는 다음과 같다. 평균 혈중 카드뮴치는 고혈압군이 $2.90{\eta}g/ml$로, 대조군의 $1.99{\eta}g/ml$보다 유의하게 높았으며(P<0.01), 흡연 정도와 연령에 대해 층화분석을 한 후에도 모든 층에서 고혈압군이 유의하게 놀았다. 혈중 아연에 대한 카드뮴의 비도 고혈압군이 2.46. 대조군의 1.65로 유의하게 높았으며(P<0.01), 흡연정도와 연령에 대해 층화분석을 한 후에도 모든 층에서 고혈압군이 유의하게 높았다. 혈중 아연치는 두 군 사이에 유의한 차이를 볼 수 없었다. 홉연, 연령, 음주, 크레아티닌 및 ${\beta}2$-마이크로글로블린 등의 혼란변수를 고려한 다변량 분적상 혈중 아연에 대한 카드뮴의 비가 가장 유의한 변수로 나타났다. 본 연구를 통하여 볼 때 정상치 범위 이내의 혈중 카드뮴치도 고혈압과 관련성이 있을 것으로 생각되며, 특히 아연치에 대한 상대적인 카드뮴치의 상승이 카드뮴의 절대치보다 더욱 중요한 인자일 것으로 생각된다. 그러나 명확한 인과관계를 밝히기 위하여서는 코호트 연구가 필요할 것으로 생각된다.

• Journal of Ginseng Research
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• 제45권5호
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• pp.546-554
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• 2021

Background: Diabetes mellitus and hypertension often occur together, amplifying cardiovascular disease (CVD) risk and emphasizing the need for a multitargeted treatment approach. American ginseng (AG) and Korean Red Ginseng (KRG) species could improve glycemic control via complementary mechanisms. Additionally, a KRG-inherent component, ginsenoside Rg3, may moderate blood pressure (BP). Our objective was to investigate the therapeutic potential of coadministration of Rg3-enriched Korean Red Ginseng (Rg3-KRG) and AG, added to standard of care therapy, in the management of hypertension and cardiometabolic risk factors in type-2 diabetes. Methods: Within a randomized controlled, parallel design of 80 participants with type-2 diabetes (HbA1c: 6.5-8%) and hypertension (systolic BP: 140-160 mmHg or treated), supplementation with either 2.25 g/day of combined Rg3-KRG + AG or wheat-bran control was assessed over a 12-wk intervention period. The primary endpoint was ambulatory 24-h systolic BP. Additional endpoints included further hemodynamic assessment, glycemic control, plasma lipids and safety monitoring. Results: Combined ginseng intervention generated a mean ± SE decrease in primary endpoint of 24-h systolic BP (-3.98 ± 2.0 mmHg, p = 0.04). Additionally, there was a greater reduction in HbA1c (-0.35 ± 0.1% [-3.8 ± 1.1 mmol/mol], p = 0.02), and change in blood lipids: total cholesterol (-0.50 ± 0.2 mmol/l, p = 0.01), non-HDL-C (-0.54 ± 0.2 mmol/l, p = 0.01), triglycerides (-0.40 ± 0.2 mmol/l, p = 0.02) and LDL-C (-0.35 ± 0.2 mmol/l, p = 0.06) at 12 wks, relative to control. No adverse safety outcomes were observed. Conclusion: Coadministration of Rg3-KRG + AG is an effective addon for improving BP along with attaining favorable cardiometabolic outcomes in individuals with type 2 diabetes. Ginseng derivatives may offer clinical utility when included in the polypharmacy and lifestyle treatment of diabetes. Clinical trial registration: Clinicaltrials.gov identifier, NCT01578837;

• 한국식품영양과학회지
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• 제36권10호
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• pp.1287-1292
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• 2007

본 연구는 보건소를 다니는 고혈압 환자를 대상으로 혈압 조절군(수축기혈압 <140 mmHg 그리고 확장기혈압 <90 mmHg, n=44)과 혈압비조절군(수축기 혈압 $\geq140mmHg$ 혹은 확장기 혈압 $\geq90mmHg$, n=41)으로 분류하여 고혈압 관리 상태, 고혈압관련 지식, 고혈압의 영양지식, 건강실천 행위, 혈액성상을 조사하여 지역사회에서의 고혈압 환자를 대상으로 한 영양교육의 기초 자료를 수집하고자 수행하였다. 연구대상자의 고혈압 관리 상태, 건강행위 실천과 고혈압관련 지식에 관한 문제는 두군 간의 유의적 차이가 없었다. 그러나 고혈압의 영양지식 점수는 혈압조절군이 혈압비조절군보다 유의적으로 높았다(p<0.05). 고혈압의 영양지식중 '혈압관리를 위 한 가장 쉬운 방법은 혈압약을 먹는 것이다'를 맞춘 혈압조절군은 97.7%였으며 이는 혈압비조절군의 82.9%보다 유의적으로 많이 맞추었다(p<0.05). 그리고 두군 간의 유의적 차이는 없었으나 균형된 식사의 중요성에 대한 인식이 낮았다. 연구대상자들의 혈액성상은 정상범위에 속하였으며 두군 간의 유의적 차이는 없었으나 혈압비조절군의 총콜레스테롤, 중성지방, 공복혈당이 혈압조절군보다 높은 편이었다. 그러므로 지역사회 고혈압 환자에게 규칙적인 혈압약의 복용과 혈압검사, 고혈압의 지속적인 관리와 운동에 대한 교육이 필요하였으며 특히 혈압이 조절되지 않는 고혈압 환자에 대한 더욱 집중적인 교육이 필요하였다. 그리고 저염식의 요령, 고섬유소 식사, 콜레스테롤 함유식품, 균형된 식사에 대한 강화된 영양교육 프로그램이 요구되었다.

• 정신신체의학
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• 제11권2호
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• pp.149-158
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• 2003

목 적: 고전적 정신신체질환인 내과 외래의 소화성 궤양과 고혈압 환자를 대상으로 하여 불안, 우울의 정도와 그 심리적인 특성을 관찰하고, 그러한 특성이 내과 치료에 미치는 영향과 정신과 자문 현황 등을 알아 보고자 하였다. 방 법: 1999년 3월에서 4월까지 본원 내과 외래를 방문하였던 소화기계와 심혈관계 환자에게 State Trait Anxiety Inventory(STAI), BDI, SCL-90R과 발병 원인 및 심각성, 약물 순응도, 의사와의 관계에 대한 만족도 등으로 구성된 설문을 시행하였다. 이후 병록지 검토, 전화 인터뷰를 통하여 소화성 궤양 환자 56명, 본태성 고혈압 환자 44명을 선택하였다. 대조군은 1999년 9월 한 달 동안 본원 건강 검진 센터를 방문한 환자 중 설문조사에 응한 153명 중 116명을 선택하였다. 결 과: BDI 우울군은 21점을 기준으로 소화성 궤양 환자 중 39.3%, 본태성 고혈압 27.7%, 대조군 12.1%였다. 상태특성불안척도에서 45점을 기준으로 하였을 때 상태 불안군은 소화성 궤양 환자 중 44.6%, 본태성 고혈압 54.5%, 대조군 18.1%였고, 특성 불안군은 궤양 환자에서 42.9%, 고혈압 환자에서 34.1%, 대조군이 25.8%로 나타났다. 환자들이 인식하고 있는 질환의 심각도와 불편함은 고혈압 환자들이 소화성 궤양보다 높았고, 심각성의 인식 정도는 BDI, STAI와 통계적으로 의미있는 상관관계를 나타냈다. SCL-90R 중 SOM 척도, BDI, STAI 가 높은 환자들은 의사의 설명에 대한 만족도나 약물 순응도가 낮게 나타났다. 소화성 궤양 환자의 48.2%, 본태성 고혈압 환자의 45.7%가 심리적인 요인을 가장 큰 발병 원인으로 생각하였다. 향정신성 약물이 처방된 예는 소화성 궤양에서 16.1%, 본태성 고혈압 환자에서 9.1%였으나 정신과에 자문된 경우는 각 1명씩으로 1.8%, 2.3%에 불과하였다. 결 론: 내과 외래 환자들은 입원환자와 같이 높은 수준의 불안과 우울을 보였으며, 특히 소화성 궤양 환자들은 우울에서, 본태성 고혈압 환자들은 상태 불안이 높았다. 환자들의 심리적인 특성은 약물에 대한 순응 정도와 관련이 있어 치료 결과에 영향을 주는 것으로 여겨졌다. 많은 환자들이 발병 원인으로 심리적인 요인을 들고 있었으나 정신과 자문율은 낮아서, 내과 질환의 심리적인 특성에 따른 정신의학적 접근 방법이 필요하다고 생각되었다.

• Journal of Pharmaceutical Investigation
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• 제8권3호
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• pp.16-23
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• 1978

This study was carried out for the purpose of observing the effect of Korean Acanthopanax Radicis Cortex on renal hypertension and to clarify the mechanism of this effect, making use of its ethanol extract. Adult male or female rats, weighing 180-250g, were divided into 3 groups; the first for normotensive control, the second for hypertensive control and the third for hypertensive Acantopanax-treatment. Rats in the normotensive and hypertensive control group were administered 0.9% saline subcutaneously only, whereas those in the Acanthopanax-treated hypertensive group were administered 50mg/kg Acanthopanax ethanol extract subcutanously once a day. Changes of original blood pressure, and responses of blood pressure to various 4gents(norepinephrine, angiotensin, acetylcholine, serotonin and histamine) were recorded for each group on the initial, 18th, 32nd and 46th days of the experiment. The results obtained in this experiment are as follows: 1) The initial blood pressure was $102.6{\pm}7.6mmHg$ on the average. The blood pressures of the normotensive control group were not observed to alter significantly at any period in the course of the experiment. 2) The mean blood pressures in the hypertensive control group were recorded at $120.3{\pm}10.4mmHg$ on the 18th day, at $134.5{\pm}9.2$ on the 32nd day and at $138.8{\pm}8.3$ on the 46th day, thus revealing significant elevation in comparison with the corresponding normotensive control group blood pressures. On the other hand, the mean blood pressures in Acanthopanax-treated hypertensive group on the 18th, 32nd and 46th days were $118.3{\pm}9.7,\;129.9{\pm}8.3\;and\;120.2{\pm}8.3mmHg$ respectively. The blood pressures of the hypertensive-Acanthopanax group recorded. on the 46th day revealed a significant difference as compared with those of the corresponding hypertensive control group. 3) On the 46th day of this experiment, the responses of blood pressure to acetylcholine in the hypertensive-Acanthopanax group were suppressed significantly as compared with those of the hypertensive control group, and in the latter group, angiotensin was decreased markedly as compared with the corresponding normotensive control group. In contrast, pressor action of norepinephrine and depressor action of serotonin and histamine did not differ significantly among the three groups. These results suggest that Acanthopanax ethanol extract suppresses the induction of renal hypertension by means of a cholinergic action such as that caused by acetylcholine.

• 대한본초학회지
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• 제21권2호
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• pp.143-150
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• 2006

Oriental pear was used as treatment of asthma, control of blood pressure tonic medicine diabetes in oriental medicine, Pear Pectin was effective on control of blood pressure in previous report. In this study, it was investigated that Woohwang with pear extractions effects on cardiovascular system as blood pressure and renin and Atrial natriuretic peptide(ANP) in plasma. The 2K1C hypertension model was prepared by constricting the left renal artery with a sliver dip. Animals were then divided into three groups, control, Woowhang:Pear Phenolic compound(1:1), Woowhang:Pear Phenolic compound(2:1),Woowhang:Pear Phenolic compound(1:2) were supplied with them. Direct-blood pressure was measured at femoral vein, Indirect-blood pressure was measured at rodent tail. The results are as follows. The blood pressure was more significantly decreased at 1:2(woohwang:pear phenolic compound)group than other groups. On 6,9,12,15days, the blood pressure was significantly decreased in 1:2(woohwang:pear phenolic compound)group. The plasma ANP was significantly increased in 1:2(woohwang:pear phenolic compound)group. It tenders to decrease in 1:2(woohwang:pear phenolic compound)group on plasma renin. Based on the above results it is assumed that oral administration of Woohwang with Pear Phenolic compound(1:2) can help the treatment of hypertension.

• 한국식생활문화학회지
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• 제27권5호
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• pp.535-543
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• 2012

This study was conducted to investigate the effects of brown rice and brown rice phytosterol on blood pressure and lipid levels in spontaneously hypertension rats (SHR). SHR were grouped according to blood pressure and fed either a control diet or experimental diets containing 50% brown rice powder or 5% brown rice phytosterol for 3 weeks. Body weight gain and epididymal fat weight were significantly reduced in the brown rice powder and brown rice phytosterol groups compared to control. Brown rice and brown rice phytosterol diets suppressed age-dependent increases in systolic blood pressure compared to control. In addition, brown rice and brown rice phytosterol diets decreased total lipid, triglyceride, and cholesterol levels in the liver, whereas serum HDL cholesterol increased. Lastly, brown rice phytosterol reduced TBARS contents in the kidney. These results suggest that brown rice and brown rice phytosterol exert antihypertensive effects that improve lipid metabolism in SHR.

• 동아시아식생활학회지
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• 제10권2호
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• pp.142-152
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• 2000

This study was conducted to investigate the life style and dietary factors in high-risk of vascular diseases among workers residing in Kyungbook province. The survey was carried out on March and April, 1997 The subjects of this study consisted of fifty men aged over 30 years who were diagnosed as hypercholesterolemia(＞240mg/$m\ell$) or hypertension(＞160/95mmHg). In contrast, fifty healthy men were participated in this study as a control group. General environmental factors, nutrition knowledge and food behavior were investigated by questionaires through direct interviews with the subjects. Alcohol intake and smoking level of the subjects tended to be higher than those of the control, but not significantly different. Nutrition knowledge and food behavior scores of high-risk group were significantly lower than those of the control group. The smoking amount of subjects was negatively correlated with blood glucose and BMI. Alcohol consumption of subjects appeared to have a positive correlation with systolic blood pressure and BMI. The relationship of food behavior score with BMI and blood glucose were negatively correlated. Nutrition knowledge score showed a negative correlation with total cholesterol, blood glucose level, BMI and systolic blood pressure. These results suggest that efficient nutrition education programs need to be developed to prevent the cardiovascular diseases of workers.