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자료유형
학술저널
저자정보
양명화 (울산대학교) 강서영 (울산대학교) 이정아 (울산대학교) 김영식 (울산대학교) 성은주 (성균관대학교) 이가영 (인제대학교) 김준수 (인제대학교) 오한진 (Vievisnamuh Hospital) 강희철 (연세대학교) 이상엽 (부산대학교)
저널정보
대한가정의학회 Korean Journal of Family Medicine Korean Journal of Family Medicine 제38권 제4호
발행연도
2017.7
수록면
173 - 180 (8page)

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Background: Hypertension is highly prevalent among patients who visit primary care clinics. Various factors and lifestyle behaviors are associated with effective blood pressure control. We aimed to identify factors and lifestyle modifications associated with blood pressure control among patients prescribed antihypertensive agents.Methods: This survey was conducted at 15 hospital-based family practices in Korea from July 2008 to June 2010. We prospectively recruited and retrospectively assessed 1,453 patients prescribed candesartan. An initial evaluation of patients’ lifestyles was performed using individual questions. Follow-up questionnaires were administered at 4, 8, and 12 weeks. We defined successful blood pressure control as blood pressure <140 mm Hg systolic and <90 mm Hg diastolic.Results: Of the 1,453 patients, 1,139 patients with available data for initial and final blood pressures were included. In the univariate analysis of the change in performance index, weight gain (odds ratio [OR], 2.18; 95% confidence interval [CI], 1.52 to 3.11; P<0.001), physical inactivity (OR, 1.195; 95% CI, 1.175 to 3.387; P=0.011), and increased salt intake (OR, 1.461; 95% CI, 1.029 to 2.075; P=0.034) were related to inadequate blood pressure control. Salt in-take also showed a significant association. Multivariate ORs were calculated for age, sex, body mass index, educa-tion, income, alcohol consumption, smoking status, salt intake, comorbidity, and family history of hypertension. In the multivariate analysis, sex (OR, 3.55; 95% CI, 2.02 to 6.26; P<0.001), salt intake (OR, 0.64; 95% CI 0.43 to 0.97; P=0.034), and comorbidity (OR, 1.82; 95% CI, 1.23 to 2.69; P=0.003) were associated with successful blood pressure control.Conclusion: Weight gain, physical inactivity, and high salt intake were associated with inadequate blood pressure control.

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