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KMID : 1101220030350020223

2003 Volume.35 No. 2 p.223 ~ p.229
Changes of Pattern of Obesity Index and Electrocardiogram in Blood Pressure Variation
Jin Bok-Hee

Park Sun-Young
Jang Mi-Kyung
Abstract
Recently, the economical level improvements for the Koreans have caused many changes in a mode of living and dietary life of the aspects of disease. Hypertension is one of the chronic senile blood-vessel diseases that is very common in the late 40's and hard to control its progression, since it predisposes of many circulating diseases. Therefore, we have looked for the relationship between the variations of blood pressure and the diseases that are associated with diet and life, so that we hope to use this data as standardized treatment and management in order to prevent hypertension by reducing risk factors and finding effective treatment. We targeted for 428 people over 40 years old(male 226 and female 256) who had visited to the comprehensive medical examinations for lifestyle related diseases to the dept. of Clinical Pathology, Sungdong-Gu Health Center from February to May, 2002. And, we measured systolic/diastolic blood pressures in order to classify normal range blood pressure group(NRBPG), borderline hypertension group(BHG) and definite hypertension group(DHG) and compared/analyzed each individual's obesity, electrocardiogram and blood serum work-up. The systolic/diastolic blood pressures of subjects were within of NRBPG for all age groups, and there were not of the blood pressure variation with increasing age. The blood pressure ranges for subjects' systolic/diastolic blood pressures were 32.4% for NRBPG, 16.2% for BHG and 2.5% for DHG. BMI(p<0.001) and PIBW(p<0.01) in systolic blood pressure variation and BMI(p<0.01) and PIBW(p<0.05) in diastolic blood pressure variation were significantly different between three groups. However heart rate, PQ interval/QT interval in electrocardiogram, total cholesterol and glucose level according to the systolic/diastolic blood pressure variation were not significantly different between three groups. Age(p<0.05), body weight(p<0.01), BMI(p<0.01), PIBW(p<0.05) and total cholesterol (p<0.05) in total blood pressure variation were significantly different between three groups. while height, heart rate, PQ interval/QT interval in electrocardiogram, and glucose level. were not significantly different between three groups. We have found that age is major risk factor and increased serum total cholesterol level secondary to obesity that has closely related to body weight, BMI, PIBW of increase and westernized life/food style is highly related to the aspects of hypertension. Therefore, hypertension is gradually increased as the major risk factor of circulating diseases, and it has confronted as the critical public health issue. We have exhibited the materials for the possible early findings of hypertension, prevention, management, and effective treatment of it, so that we can diminish the risk factors for hypertension.
KEYWORD
Blood Pressure Variation, BMI, PIBW, Electrocardiogram
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