Journal of Korean Academy of Nursing

Research Paper

Impact of Anthropometric Indices of Obesity on the Risk of Incident Hypertension in Adults with Prehypertension: A Secondary Analysis of a Cohort Study: Jang, Se Young , Kim, Jihun , Kim, Seonhwa , Lee, Eun Sun , Choi, Eun Jeong; J Korean Acad Nurs 2024;54(1):18-31. Published online February 29, 2024; DOI: https://doi.org/10.4040/jkan.23067

Purpose
This study aimed to investigate the impact of anthropometric indices of obesity (body mass index [BMI], waist circumference, waist hip ratio, and body fat percentage) on the incidence of hypertension in adults with prehypertension.
Methods
A longitudinal study design using secondary data form the Korean Genome and Epidemiology Study was employed. The study included 1,838 adults with prehypertension tracked every two years from 2001 to 2018. Statistical analyses, including frequency assessments, number of cases per 1,000 person-years, log-rank tests, Kaplan-Meier curves, and Cox’s proportional hazards regression, were conducted using SPSS version 25.
Results
Over the observation period (15,783.6 person-years), 1,136 individuals developed hypertension. The incidence of hypertension was significantly higher in the obesity groups defined by BMI (hazard ratio [HR] = 1.33), waist circumference (HR = 1.34), waist hip ratio (HR = 1.29), and body fat percentage (HR = 1.31) compared to the non-obese group. These findings indicate an increased risk of hypertension associated with obesity as measured by these indices.
Conclusion
The study underscores the importance of avoiding obesity to prevent hypertension in individuals with prehypertension. Specifically, BMI, waist circumference, waist hip circumference, and body fat percentage were identified as significant risk factors for hypertension. The results suggest the need for individualized weight control interventions, emphasizing the role of health professionals in addressing the heightened hypertension risk in this population.

Citations

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Original Article

Effects of Moxibustion on Physiological Indices and Autonomic Nervous Symptoms in Adults with Prehypertension: Soon Hee Cho; J Korean Acad Nurs 2010;40(5):686-694. Published online October 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.5.686

Abstract PDF

Purpose

This study was done to examine the effects of moxibustion on physiological indices, such as 24-hr blood pressure, pulse pressure, and pulse rate, and autonomic nervous symptoms among adults with prehypertension.

Methods

Participants were adults whose systolic and diastolic blood pressures were in the prehypertension stage and were not under treatment for the condition. Both experimental and control group consisted of 13 participants who were taking classes on acupuncture and moxibustion at a private institute. The experimental group received moxibustion once a day for 15 min, at least 5 days a week for 8 weeks. The results were analyzed using χ²-test, t-test, Fisher's exact test, Wilcoxon rank sum test and repeated measures ANOVA with the SAS program. Bonferroni correction method was adopted for multiple comparisons.

Results

No significant change was observed in the 24-hr systolic and diastolic blood pressure between the two groups. Differences in the 24-hr pulse pressure and pulse rate were also not significant. However, significant decreases in headache, symptoms of flushing and fatigue were observed in the experimental group.

Conclusion

The results suggest that moxibustion contributes to alleviating symptoms such as headache, flushing and fatigue associated with the autonomic nervous system among adults with prehypertension.

Citations

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Korean Journal of Veterinary Research.2013; 53(2): 89. CrossRef
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Journal of Korean Academy of Community Health Nursing.2011; 22(2): 100. CrossRef
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