In the current study, the association of new BP categories with risk of incident CVD was more evident in young adults aged <40 years than in the older subjects, which is in line with earlier studies that also reported a stronger association between BP and CVD outcomes in middle?aged compared with elderly populations. 8 , 46 , 51 , 52 , 53 The reasons for the stronger associations in young adults are unclear.
The end result from BP to the chance of CVD are toned down with expanding ages once the the prevalence off higher BP and other CVD exposure issues together with be much more common as we grow older
Into the Southern area Korea, the fresh new Korean Society from Blood circulation pressure determined to make use of the prior blood pressure standards out of systolic BP/diastolic BP ? mm Hg on account of too little clear evidence for further make the most of lowering the blood pressure level endurance in order to mm Hg having Koreans. 54 , 55 According to the Korean Blood pressure level Fact Layer 2018, how many anybody diagnosed with hypertension enhanced out of 3 billion within the 2002 to 8.nine billion from inside the 2016, in just 5.seven billion people with suitable and you may persistent antihypertensive treatment inside the 2016. 56 The therapy speed improved of 22% from inside the 1998 so you’re able to 59% within the 2007 and 61% within the 2016, in addition to manage rates improved out of 5% from inside the 1998 in order to 41% in the 2007 and to forty two% in the 2016. 56 When you look at the a recent study utilising the Korean Federal Health and Diet Test Questionnaire, the newest prevalence out of blood pressure levels in addition to number of grownups who require antihypertensive medication might possibly be enhanced, getting equivalent along with other regions. 55 , 57 , 58 Considering latest education addressing utilization of new recommendations for the multiple regions, like the You, Asia, and you can Korea, the new 2017 ACC/AHA blood pressure levels assistance will significantly increase the incidence regarding blood pressure levels and you may the number of clients who are in need of antihypertensive therapy initiation and people who need procedures intensification worldwide. 57 , 58 , 59 , 60 , 61 , 62 During the a recent study on Federal Health and Nourishment Test Survey, according to the 2017 ACC/AHA tip, weighed against the latest Seventh Mutual Federal Committee tip, the latest frequency out of blood pressure has grown off 30.9% to help you 45.6%, brand new portion of United states people suitable for antihypertensive therapy has increased away from 34.3% so you can 36.2%, and you will 53.4% people adults getting antihypertensive medication need more rigorous decline in its BP. 59 In case there is Asia, adoption of 2017 ACC/AHA blood circulation pressure advice do resulted in increment regarding the frequency off blood pressure levels of 25% to help you fifty%. 63 It should be evaluated in the event that including changes in the latest symptomatic endurance and healing targets away from to help you mm Hg do improve BP handle and its particular associated lead. Future studies are together with had https://datingranking.net/tr/only-lads-inceleme/ a need to establish the newest organization ranging from BP and you may CVD risk throughout the more youthful society with diverse ethnicity and to decide whether your chance/benefit proportion having treatment solutions are favorable within lower?chance class.
The age and intercourse standardization is actually did utilising the lead strategy towards years design of your Korean society, old 20 to help you 80 decades, in the year 2010
The strengths of our study are its cohort study design, the large sample size, the use of carefully standardized clinical procedures, and the almost complete follow?up for CVD events, as the National Health Insurance collects all medical services use covering the entire Korean population. This study also has several limitations. First, as with most previous studies, the determination of BP was based on a single?day measurement, although 3 readings were taken. Second, we did not incorporate changes in BP categories and other covariates during follow?up. Third, health behaviors were assessed via a self?administered structured questionnaire used in health checkup programs in Korea, as part of the National Health Insurance plan. Measurement errors in these variables may introduce some degree of residual confounding, similar to most epidemiologic studies. Fourth, we used the Pooled Cohorts Equations in all participants; however, it was not validated in adults aged <40 years. Finally, this is an opportunistic cohort of individuals, who self?presented for the health examination, and hence is not a representative sample of low cardiovascular risk young adults in the community. The study population of this cohort was relatively highly educated, young to middle?aged Korean adults with high accessibility to healthcare resources. We compared our study population with a representative sample of the general Korean population (the Korea National Health and Nutrition Examination Survey). The age? and sex?standardized prevalence of hypertension (defined as systolic BP ?140 mm Hg, diastolic BP ?90 mm Hg, or the use of antihypertensive medication), type 2 diabetes mellitus (defined as fasting serum glucose level ?126 mg/dL or the use of blood glucose–lowering agents), obesity (body mass index ?25 kg/m 2 ), and current smoker was lower than those of the general population (16.6% versus 29.1%, 9.3% versus 10.5%, 27.6% versus 31.5%, and 16.8% versus 26.5%, respectively), indicating that our study population may be healthier than the general Korean population. Thus, our findings might not be generalizable to other ethnic groups or populations with different age, demographic, diet, and health behavior characteristics.
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