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KMID : 0358119950210020003
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Journal of the Korean Public Health Association
1995 Volume.21 No. 2 p.3 ~ p.18
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Association Between Serum Total Cholesterol, Blood Pressure, Obesity and Life Style in a Population
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Abstract
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High blood pressure has been associated with elevated atherogenic blood lipid fraction, but epidemiological surveys often give inconsistent results across population subgroups. A better understanding of relation between blood pressure and blood lipids may provide insight into the mechanism whereby hypertension is associated with increased risk of coronary heart disease.
We assessed the cross-sectional relations of serum total cholesterol with other health parameters in a population of 5,011 men and 1,171 women 30-69 years old. Measurements of percent ideal body weight (PIBW), body mass index (BNII), blood pressure and cholesterol were made and a questionnaire on family history, smoking, drinking habit was given to each adult subjects. The mean systolic and diastolic blood pressure were 119.0±14.8 mmHg and 76.4±10.2 mmHg, respectively. The mean serum total cholesterol level was 190.9±38.9 mgldL in men, 183.9± 39.4 mg/dL in women, respectively. The systolic and diastolic blood pressure levels increased with age in both sexes, but the levels of serum total cholesterol, PIBW and BMI decreased with age in both sexes. Total cholesterol levels increased significantly with increasing systolic and diastolic blood pressure in both sexes. Total cholesterol levels increased very significantly with increasing PIBW index in both sexes. In men, systolic & diastolic blood pressure levels were very significantly increased with increasing PIBW index, but in wonxnr, its increased slightly. The PIBW and BMi index had more influence on the total cholesterol level than blood pressure. Family history had little influence on the cholesterol and blood pressure. Alcohol consumption correlated positively with blood pressure, but cigaretting smoking correlated negatively with blood pressure. These results support the hypothesis that there are biological interrelations between blood pressure and blood lipids that may influence the mechanizes whereby blood pressure is associated with risk: of coronary heart disease.
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