Impact of a screening protocol for blood pressure level for hypertension in the Korean community health survey.

IF 1.8 4区医学

Blood Pressure Pub Date : 2021-12-01 Epub Date: 2021-11-01 DOI:10.1080/08037051.2021.1997094

Jinho Shin, Ju-Han Kim, Jeong Hun Shin, Mi Hyang Jung, Jung-Woo Son, Eun Mi Lee, Yu Mi Kim, Jung Sun Cho, Jung Hyun Choi, Hack-Lyoung Kim, Seon Kui Lee, Sun Hye Choi, Sang Hyun Ihm

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Abstract

Purpose: A community program is an efficient model for improving the management of chronic diseases such as hypertension, diabetes, and dyslipidemia. A specific blood pressure (BP) measurement protocol was developed for community settings in which BP was measured by the interviewer at the interviewee's home.

Materials and methods: In the 2018 Korean Community Health Survey, BP was measured twice at a five-minute interval after a five-minute resting period at the beginning of the survey. In 2019, BP was measured at the end of the survey after a two-minute rest and was obtained as three measurements at one-minute intervals. As factors related to BP level, stressful stimuli within 30 min before BP measurement such as smoking, caffeine, and/or exercise; duration of rest; and survey year were analysed.

Results: The mean age of participants was 55.2 years, and females accounted for 55.4% of the participants (n = 399,838). Stressful stimuli were observed in 21.9% of the participants in 2018 (n = 188,440) and 11.3% in 2019 (n = 211,398). Duration of rest was 0 min (2.1%), two minutes (55.0%), and five minutes (47.9%). When adjusted for age, sex, body mass index, antihypertensive medication, the arm of measurement, survey year (beta= -4.092), stressful stimuli (beta = 0.834), and resting time (beta = -1.296 per one minute of rest) were significant factors for mean systolic BP. A two-minute rest was not a significant factor in mean BP. The differences in adjusted mean systolic BPs were significant for rest times of five minutes vs. two minutes (3.1 mmHg, p < 0.0001), for stressful stimuli (0.8 mmHg, p < 0.0001), and for survey year (127.8 ± 0.2 mmHg vs. 122.2 ± 0.3 mmHg for 2018 vs. 2019, p < 0.0001).

Conclusion: For the community-based home visit survey, avoidance of stressful stimuli, five-minute rest, and allocation of BP measurement in the last part of the survey was useful for obtaining a stable BP level.

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韩国社区健康调查中高血压血压水平筛查方案的影响

目的:社区项目是改善高血压、糖尿病和血脂异常等慢性病管理的有效模式。为社区环境制定了一种特殊的血压测量方案，由采访者在受访者家中测量血压。△材料和方法:在《2018年韩国人社区健康调查》中，在调查开始时休息5分钟后，每隔5分钟测量两次血压。2019年，在休息两分钟后，在调查结束时测量血压，每隔一分钟测量三次。作为与血压水平相关的因素，血压测量前30分钟内的应激刺激，如吸烟、咖啡因和/或运动;休息时间;并对调查年份进行了分析。结果:参与者平均年龄为55.2岁，女性占55.4% (n = 399,838)。2018年21.9%的参与者(n = 188,440)和2019年11.3%的参与者(n = 211,398)观察到压力刺激。休息时间分别为0 min(2.1%)、2 min(55.0%)和5 min(47.9%)。调整年龄、性别、体重指数、抗高血压药物、测量臂、调查年份(β = -4.092)、应激刺激(β = 0.834)和休息时间(β = -1.296 / 1分钟休息)是影响平均收缩压的显著因素。休息两分钟对平均血压没有显著影响。结论:在以社区为基础的家访调查中，避免应激刺激、休息5分钟以及在调查的最后部分分配血压测量对获得稳定的血压水平是有用的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Blood Pressure Medicine-Cardiology and Cardiovascular Medicine

CiteScore

3.20

自引率

5.60%

发文量

期刊介绍： For outstanding coverage of the latest advances in hypertension research, turn to Blood Pressure, a primary source for authoritative and timely information on all aspects of hypertension research and management. Features include: • Physiology and pathophysiology of blood pressure regulation • Primary and secondary hypertension • Cerebrovascular and cardiovascular complications of hypertension • Detection, treatment and follow-up of hypertension • Non pharmacological and pharmacological management • Large outcome trials in hypertension.