Abstract
Objectives
The aim of this study was to examine the relationship between hypertension and health-related quality of life (HRQoL) adjusted by chronic pain, other chronic diseases, and life habits in the general middle-aged population in Japan.
Methods
This study is a population-based cross-sectional study. In this study, 1117 participants aged 40–65 years and living in Shika Town completed a self-administered questionnaire including Short Form-36 (SF-36). The scores of SF-36 among hypertensives were compared with those of normotensives. The independent association of hypertension with each SF-36 subscale was analyzed using a multiple linear regression model adjusted by age, BMI, chronic pain, chronic diseases, sleep, exercise, and occupational status. We analyzed two groups; Group 1 which contained 846 participants completed the questionnaire without coronary heart disease and cerebral vascular disease, Group 2 which contained 686 participants without coronary heart disease, cerebral vascular disease, or diseases accompanied by chronic pain (gastroduodenal ulcer, fracture, osteoarthritis, osteoporosis, rheumatoid arthritis, and disc herniation).
Results
In Group 2, hypertensive women had a lower general health perception than normotensive women [unstandardized coefficients; B = −8.84, 95 % confidence interval (95 % CI) = −13.3 to −4.34, standardized coefficients; β = −0.200, p < 0.001], whereas hypertensive men had higher social functioning than normotensive men (B = 5.66, 95 % CI = 1.30–10.0, β = 0.149, p < 0.05) after adjusting by chronic pain and life habits.
Conclusions
These results may be due to the sex difference in the light of the perception for health.
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Acknowledgments
This study was supported by a Health Labour Sciences Research Grant for “Study on elucidation of the actual situation of intractable pain and development of countermeasures” (Principal Researcher: Takahiro Ushida, 2011–2012) and the fund for Priority Research Systems from Kanazawa University (No. 22,608) 2011–2012. We would like to thank the staff of the Health and Welfare Center of Shika Town; Norio Fujisawa, the chief of this section; a Health and Labour Sciences Research Grant; and the staff of the Department of Environmental and Preventive Medicine, Kanazawa University Graduate School of Medical Sciences.
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Kitaoka, M., Mitoma, J., Asakura, H. et al. The relationship between hypertension and health-related quality of life: adjusted by chronic pain, chronic diseases, and life habits in the general middle-aged population in Japan. Environ Health Prev Med 21, 193–214 (2016). https://doi.org/10.1007/s12199-016-0514-6
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DOI: https://doi.org/10.1007/s12199-016-0514-6