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Daily life activity and the risk of developing hypertension in middle-aged Japanese men.

Abstract

BACKGROUND

Although previous studies suggest that physical activity may reduce the risk of hypertension, the role of daily life activity in the development of hypertension remains unclear.

METHODS

The study population included 2548 Japanese male office workers aged 35 to 59 years, who were without hypertension (systolic blood pressure [SBP] <140 mm Hg, diastolic blood pressure [DBP] <90 mm Hg, and no medication for hypertension) and had no history of cardiovascular disease. Daily life energy expenditure was estimated by a 1-day activity record during an ordinary weekday at study entry. Blood pressures were measured at periodic annual health examinations over 7 successive years.

RESULTS

After controlling for potential predictors of hypertension (age, family history of hypertension, alcohol consumption, cigarette smoking, regular physical exercise at entry, and change in body mass index during the follow-up period), mean SBP and DBP in each follow-up year decreased as daily life energy expenditure increased. With additional adjustment for SBP at entry, the relative risk of hypertension (SBP > or =140 mm Hg and/or DBP > or =90 mm Hg or medication for hypertension) across quartiles of daily life energy expenditure (lowest to highest) were 1.00, 0.84, 0.75, and 0.54 (P<.001 for trend). Analyses by presence or absence of a risk factor demonstrated that the risk of hypertension was inversely related to daily life energy expenditure in men at either low or high risk of hypertension. Daily life energy expenditure was also associated with reduced risk of hypertension for subjects in all 3 categories of normotension: low normal, normal, and high normal.

CONCLUSIONS

Increased daily life activity is effective for the prevention of hypertension, and this benefit applies to men at either low or high risk of hypertension.

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  • Authors+Show Affiliations

    ,

    Department of Social and Environmental Medicine, Course of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan. noriyuki@pbhel.med.osaka-u.ac.jp

    Source

    Archives of internal medicine 165:2 2005 Jan 24 pg 214-20

    MeSH

    Adult
    Age Factors
    Asian Continental Ancestry Group
    Blood Pressure Determination
    Cohort Studies
    Energy Metabolism
    Exercise
    Health Surveys
    Humans
    Hypertension
    Incidence
    Japan
    Life Style
    Male
    Middle Aged
    Office Management
    Physical Fitness
    Probability
    Prospective Studies
    Reference Values
    Risk Assessment
    Sex Factors

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    15668369

    Citation

    Nakanishi, Noriyuki, and Kenji Suzuki. "Daily Life Activity and the Risk of Developing Hypertension in Middle-aged Japanese Men." Archives of Internal Medicine, vol. 165, no. 2, 2005, pp. 214-20.
    Nakanishi N, Suzuki K. Daily life activity and the risk of developing hypertension in middle-aged Japanese men. Arch Intern Med. 2005;165(2):214-20.
    Nakanishi, N., & Suzuki, K. (2005). Daily life activity and the risk of developing hypertension in middle-aged Japanese men. Archives of Internal Medicine, 165(2), pp. 214-20.
    Nakanishi N, Suzuki K. Daily Life Activity and the Risk of Developing Hypertension in Middle-aged Japanese Men. Arch Intern Med. 2005 Jan 24;165(2):214-20. PubMed PMID: 15668369.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Daily life activity and the risk of developing hypertension in middle-aged Japanese men. AU - Nakanishi,Noriyuki, AU - Suzuki,Kenji, PY - 2005/1/26/pubmed PY - 2005/2/18/medline PY - 2005/1/26/entrez SP - 214 EP - 20 JF - Archives of internal medicine JO - Arch. Intern. Med. VL - 165 IS - 2 N2 - BACKGROUND: Although previous studies suggest that physical activity may reduce the risk of hypertension, the role of daily life activity in the development of hypertension remains unclear. METHODS: The study population included 2548 Japanese male office workers aged 35 to 59 years, who were without hypertension (systolic blood pressure [SBP] <140 mm Hg, diastolic blood pressure [DBP] <90 mm Hg, and no medication for hypertension) and had no history of cardiovascular disease. Daily life energy expenditure was estimated by a 1-day activity record during an ordinary weekday at study entry. Blood pressures were measured at periodic annual health examinations over 7 successive years. RESULTS: After controlling for potential predictors of hypertension (age, family history of hypertension, alcohol consumption, cigarette smoking, regular physical exercise at entry, and change in body mass index during the follow-up period), mean SBP and DBP in each follow-up year decreased as daily life energy expenditure increased. With additional adjustment for SBP at entry, the relative risk of hypertension (SBP > or =140 mm Hg and/or DBP > or =90 mm Hg or medication for hypertension) across quartiles of daily life energy expenditure (lowest to highest) were 1.00, 0.84, 0.75, and 0.54 (P<.001 for trend). Analyses by presence or absence of a risk factor demonstrated that the risk of hypertension was inversely related to daily life energy expenditure in men at either low or high risk of hypertension. Daily life energy expenditure was also associated with reduced risk of hypertension for subjects in all 3 categories of normotension: low normal, normal, and high normal. CONCLUSIONS: Increased daily life activity is effective for the prevention of hypertension, and this benefit applies to men at either low or high risk of hypertension. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/15668369/full_citation L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/10.1001/archinte.165.2.214 DB - PRIME DP - Unbound Medicine ER -