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KMID : 1101720170210020016
Physical Activity and Nutrition
2017 Volume.21 No. 2 p.16 ~ p.22
Influences of body mass index and physical activity on hypertension and stroke in Korean adult males: 10-year longitudinal study
Kim Yong-Hwan

Jee Hae-Mi
Abstract
Purpose: Hypertension and stroke have been major causes of increased mortality and social and economic burden in Korea. Although physical activity is one of the critical factors for managing adult diseases, studies on the long-term effects are rarely discussed. Therefore, the aim of this study was to elucidate the role of physical activity in hypertension and stroke via a 10-year longitudinal study.

Methods: Routinely performed health examination data of 5,624,503 Korean men between ages 20 to 70 obtained from the Korean National Health and Nutrition Examination Survey (KNHNES: 2001-2011) were assessed for this study. Data of subjects who met the initial criteria were divided into three groups based on their BMI: normal weight (18.5 to <25.0 kg/m2), overweight (25.0 to <30.0 kg/m2), and obese (¡Ã30.0 kg/ m2) groups. The results were further sub-divided by physical activity frequencies (days/ week). The disease codes for hypertension and stroke were provided by KNHNES for the adjusted relative risks (RR) assessment with the Cox proportional hazard model.

Results: Significant RRs of hypertension and stroke were shown in the overweight moderately active group (3 ? 4 days/week). In addition, significant RR of hypertension was shown in the normal weight moderately active group. No significance was seen in the obese group in all physical activity frequencies.

Conclusion: Regularly performed moderate amount of physical activity may be beneficial in reducing the risk for hypertension and stroke. However, the effects of excessive body weight may override the positive effects of physical activity on the occurrence of hypertension and stroke.
KEYWORD
Hypertension, Stroke, Physical activity, Obesity, Longitudinal study
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