Abstract
Objectives
To examine the effective preventive strategy for hypertension in a Japanese male population, based on attributable risk measures.
Methods
A 7-year follow-up study of hypertension among 6,306 middle-aged male office workers in a Japanese telecommunication company.
Results
In terms of population attributable risk percentage (PAR%), regular alcohol intake and physical inactivity showed great contributions to the development of hypertension in the population no less than obesity. The PAR% of each risk factor varied by age group, and the total PAR% of the three modifiable risk factors was considerably higher in the 30–39 year old group (71%) than in the older groups.
Conclusions
Reduced alcohol intake and increased physical activity, as well as weight control, may have a larger impact on prevention of hypertension in younger groups than in older groups.
References
Editorial. Relative or attributable risk? Lancet 1981; 2: 1211–1212.
Nakayama T, Zaman MM, Tanaka H. Reporting of attributable and relative risks, 1966–1997. Lancet 1998; 351: 1179.
Expert committee in the Japanese Society of Hypertension. Therapeutic guideline of hypertension 2000. Kyourinsya, Tokyo Japanese.
Suka M, Sugimori H, Iida Y, Yoshida K. Risk factors for hypertension: a longitudinal study of middle-aged Japanese male workers. Jpn. J. Public Health 2001; 48: 543–550. Japanese.
Expert committee in the Japanese Society of Obesity. Diagnostic guideline of obesity. Obesity research 2000; 26: 18–28. Japanese.
Expert committee in the Japanese Society of Diabetes Mellitus. Therapeutic guideline of diabetes mellitus 1999. Bunkoudou, Tokyo. Japanese.
Cox DR. Regression models and life-tables. J. Royal Stat. Soc. Series B 1972; 34: 187–220.
Daly LE. Contidence limits made easy: interval estimation using a substitution method. Am. J. Epidemiol. 1998; 147: 783–790.
Rose G. Strategy of prevention: lessons from cardiovascular disease. BMJ. 1981; 282: 1847–1851.
Parati G, Ulian L, Santucciu C, Tortorici E, Villiani A, Di Rienzo M, Mancia G. Clinical value of blood pressure variability. J. Hypertens. Suppl. 1998; 16: S25-S33.
Nakanishi N, Nakamura K, Ichikawa S, Suzuki K, Kawashimo H, Tatara K. Risk factors for the development of hypertension: a 6-year longitudinal study of middle-aged Japanese men. J. Hypertens. 1998; 16: 753–759.
Tsuruta M, Adachi H, Hirai Y, Fujiura Y, Imazumi T. Association between alcohol intake and development of hypertension in Japanese normotensive men: 12-year follow-up study. Am. J. Hypertens. 2000; 13: 482–487.
Hayashi T, Tsumura K, Suematsu C, Okada K, Fujii S, Endo G. Walking to work and the risk for hypertension in men: the Osaka Survey. Ann. Intern. Med. 1999; 131: 21–26.
Ebrahim S, Smith GD. Lowering blood pressure: a systematic review of sustained effects of non-pharmacological interventions. J. Public Health Med. 1998; 20: 441–448.
Cutler JA, Follmann D, Allender PS. Randomized trials of sodium reduction: an overview. Am. J. Clin. Nutr. 1997; 65 (suppl): 643S-651S.
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Suka, M., Sugimori, H. & Yoshida, K. Preventive strategy for hypertension based on attributable risk measures. Environ Health Prev Med 7, 79–81 (2002). https://doi.org/10.1007/BF02897334
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DOI: https://doi.org/10.1007/BF02897334