Abstract
The estimation of risk for incidence of hypertension was carried out by follow-up study in a small village in Kumamoto Prefecture, Japan (N=750, 48.2±15.2months). The most significant risk in both sexes was blood pressure at entry. As for other risks, age, total cholesterol, and BMI in females were significant risks for systolic and diastolic blood pressure changes to greater than the borderline level. These factors in males were not significant. From the results of analysis using Cox’s proportional hazards model, drinking in males was shown to be a significant risk for diastolic change, and in females for systolic change. It was concluded that excessive drinking in both sexes and obesity in females led to important health problems associated with hypertension among the subjects of the study.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Kasai T. The disease structure in elderly. Journal of Health and Welfare Statistics 1993;40: 25–31 (in Japanese).
Shimizu M, Iwamoto Y, Nakai J, Nomura R, Ishii Y, Matsuei T. Trends and cause of death in elderly. Journal Health and Welfare Statistics 1993;40: 50–5 (in Japanese).
Shimamoto T, Komachi Y, Inada H, Doi M, Iso H, Sato H, et al. Trends for cornary heart disease and stroke and their risk factors in Japan. Circulation 1989;79: 503–515.
Tanaka H, Ueda Y, Hayashi M, Date C, Baba T, Yamasita H, et al. Risk factors for cerebral hemorrhage and cerebral infarction in Japanese rural community. Stroke 1982;13: 62–73.
Harmsen P, Rosengren A, Tsipogianni A, Wilhelmsen L. Risk factors for stroke in middle-aged men in Göteborg, Sweden. Stroke 1990;21: 223–9.
Håheim LL, Holme I, Hjermann I, Leren P. Risk factor of stroke incidence and mortality: A 12-year follow-up of the Oslo Study. Stroke 1993;24: 1481–9.
Rutan GH, Kuller LH, Neaton JD, Wentworth DN, McDonald RH, Smith WM. Mortality associated with diastolic hypertension and isolated systolic hypertension among men screened for the Multiple Risk Factor Interventional Trial. Circulation 1988;77: 504–14.
Hu HH, Sheng WY, Chu FL, Lan CF, Chiang BN. Incidence of stroke in Taiwan. Stroke 1992;23: 1237–41.
Ueda K, Hasuo Y, Kiyohara Y, Wada J, Kawano H, Kato I, et al. Intracerebral hemorrhage in a Japanese community, Hisayama: Incidence, changing pattern during long-term follow-up, and related factors. Stroke 1988;19: 48–52.
Ueda K, Omae T, Hirota Y, Takeshima M, Katsuki S, Tanaka K, et al. Decreasing trend in incidence and mortality from stroke in Hisayama residents, Japan. Stroke 1981;12: 154–60.
WHO Expert Committee. Arterial Hypertension. WHO Technical Report Series 628, 1978.
Kikumura T. Risk factors for cerebral infarction, a prospective clinicoepdemiological study in Hisayama Town, Japan, and a comparison with the survey findings from Framingham, Massachusetts U.S.A. Fukuoka Acta Med 1985;77: 343–63.
Leitschuh M, Cupples LA, Kannnel W, Gagnon D, Chobanian A. High-normal blood pressure progression to hypertension in the Framingham Heart Study. Hypertension 1991;17: 22–7.
Miura K. Predictors of the development of hypertension: Ten-years follow up study in a community. Jpn J Public Health 1992;39: 456–66. (in Japanese)
Reed D, McGree D, Yano K. Biological and social correlates of blood pressure among men in Hawaii. Hypertension 1982;4: 406–14.
MacMahon S. Alcohol consumption and hypertension. Hypertension 1987;9: 111–21.
Wakabayashi K, Nakamura K, Kono S, Shinchi K, Imanishi K. Alcohol consumption and blood pressure: An extended study of self-defence officials in Japan. Int J Epidemiol 1994;23: 307–11.
Lang T, Nicaud V, Damé B, Rueff B. Improving hypertension control among excessive alcohol drinkers: A randomised controlled trial in France. J Epidemiol Community Health 1995;49: 610–6.
Kiyohara Y, Kato I, Iwamoto H, Nakahara K, Fujishima M. The impact of alcohol and hypertension on stroke incidence in a general Japanese population the Hisayama study. Stroke 1995;26: 368–72.
Ueshima H, Mikawa K, Baba S, Sasaki S, Ozawa H, Tsushima M, et al. Effect of reduced alcohol consumption on blood pressure in untreated hypertensive men. Hypertension 1993;21: 248–52.
Potter JF, Beevers DG. Pressor effect of alcohol in hypertension. Lancet 1984;1: 119–22.
Tsukahara T. Epidemiological study on factors relating to chronological fluctuation of blood pressure. Jpn J Hyg 1994;49: 877–86. (in Japanese)
Kato I, Tominaga S, Matuoka I. A prospective study on the relationship between life style and major adult diseases. Jpn J Public Health 1989;36: 662–8. (in Japanese)
Tarumi K. Effects of lifestyle and work environment on the level of blood pressure and serum cholesterol of industrial workers. Jpn J Public Health 1989;36: 425–34. (in Japanese)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shono, M., Kitano, T. & Futatsuka, M. Risk estimation for hypertension based on follow-up health examination data in a small village in Kumamoto prefecture, Japan. Environ Health Prev Med 1, 206–210 (1997). https://doi.org/10.1007/BF02931218
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02931218