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01.10.2007 | Cardiovascular Disease

The proportion of individuals with obesity-induced hypertension among total hypertensives in a general Japanese population: NIPPON DATA80, 90

verfasst von: Koshi Nakamura, Tomonori Okamura, Takehito Hayakawa, Atsushi Hozawa, Takashi Kadowaki, Yoshitaka Murakami, Yoshikuni Kita, Akira Okayama, Hirotsugu Ueshima, for the NIPPON DATA80, 90 Research Group

Erschienen in: European Journal of Epidemiology | Ausgabe 10/2007

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Abstract

The increased prevalence of obesity in Japan may contribute to the high prevalence of hypertension in Japan. In the present study, we calculated the odds ratio for hypertension in obesity (body mass index (BMI) ≥ 25.0 kg/m²) using data from independent nationwide surveys conducted in 1980 and 1990. We estimated the percentage of hypertensives whose condition was due to obesity among total hypertensives in the general Japanese population. In the 1980 survey, 18.8% of 4,623 male participants were obese and 50.4% were hypertensive, whereas 22.6% of 5,893 female participants were obese and 41.1% were hypertensive. For both sexes, obese participants had a higher odds ratio for hypertension than non-obese participants (BMI < 25.0 kg/m²), and there was a significant dose–response relationship between BMI and the odds ratio for hypertension. Among all hypertensives, the percentage whose hypertension was due to obesity in 1980 and 1990 was 11.4% (95% confidence interval (CI): 4.7–17.7%) and 15.3% (95% CI: 6.8–23.1%) for men and 19.3% (95% CI: 12.1–25.9%) and 22.3% (95% CI: 14.6–29.3%) for women, respectively. Approximately 80–90% of individuals with obesity-induced hypertension were in the 25.0 ≤ BMI < 30.0 kg/m² category for both sexes in each year. In conclusion, we found that obesity-induced hypertension as a proportion of total hypertension increased between 1980 and 1990 for both sexes. Obesity now is playing a more important role in the high prevalence of hypertension in Japan than it was before.

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Dahl LK. Possible role of salt intake in the development of essential hypertension. Int J Epidemiol 2005;34:967–72.PubMedCrossRef

Ueshima H, Tatara K, Asakura S, Okamoto M. Declining trends in blood pressure level and the prevalence of hypertension, and changes in related factors in Japan, 1956–1980. J Chronic Dis 1987;40:137–47.PubMedCrossRef

INTERSALT Cooperative Research Group. Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. BMJ 1988;297:319–28.

Hashimoto T, Fujita Y, Ueshima H, Kagamimori S, Kasamatsu T, Morioka S, et al. Urinary sodium and potassium excretion, body mass index, alcohol intake and blood pressure in three Japanese populations. J Hum Hypertens 1989;3:315–21.PubMed

Nakagawa H, Morikawa Y, Okayama A, Fujita Y, Yoshida Y, Mikawa K, et al. Trends in blood pressure and urinary sodium and potassium excretion in Japan: reinvestigation in the 8th year after the Intersalt Study. J Hum Hypertens 1999;13:735–41.PubMedCrossRef

Marmot MG, Elliott P, Shipley MJ, Dyer AR, Ueshima H, Beevers DG, et al. Alcohol and blood pressure: the INTERSALT study. BMJ 1994;308:1263–7.PubMed

Klag MJ, Moore RD, Whelton PK, Sakai Y, Comstock GW. Alcohol consumption and blood pressure: a comparison of native Japanese to American men. J Clin Epidemiol 1990;43:1407–14.PubMedCrossRef

Ueshima H, Ozawa H, Baba S, Nakamoto Y, Omae T, Shimamoto T, et al. Alcohol drinking and high blood pressure: data from a 1980 national cardiovascular survey of Japan. J Clin Epidemiol 1992;45:667–73.PubMedCrossRef

Inoue S. Prevalence and secular trends of obesity in Japan. Nippon Rinsho 2002;60(Suppl 8):119–27 (in Japanese).PubMed

10.

Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL. Increasing prevalence of overweight among US adults. The National Health and Nutrition Examination Surveys, 1960 to 1991. JAMA 1994;272:205–11.PubMedCrossRef

11.

Liu L, Choudhury SR, Okayama A, Hayakawa T, Kita Y, Ueshima H. Changes in body mass index and its relationships to other cardiovascular risk factors among Japanese population: results from the 1980 and 1990 national cardiovascular surveys in Japan. J Epidemiol 1999;9:163–74.PubMed

12.

Kanazawa M, Yoshiike N, Osaka T, Numba Y, Zimmet P, Inoue S. Criteria and classification of obesity in Japan and Asia-Oceania. Asia Pac J Clin Nutr 2002;11(Suppl 8):S732–7.PubMedCrossRef

13.

Mikawa K, Ueshima H, Hashimoto T, Fujita Y, Naruse Y, Nakagawa H, et al. An INTERSALT study investigation: relationship between body mass index and blood pressure in the combined populations of three local centres in Japan. J Hum Hypertens 1994;8:101–5.PubMed

14.

Hori Y, Toyoshima H, Kondo T, Tamakoshi K, Yatsuya H, Zhu S, et al. Gender and age differences in lifestyle factors related to hypertension in middle-aged civil service employees. J Epidemiol 2003;13:38–47.PubMed

15.

Okamura T, Hayakawa T, Kadowaki T, Kita Y, Okayama A, Elliott P, et al. NIPPONDATA80 Research Group. Resting heart rate and cause-specific death in a 16.5-year cohort study of the Japanese general population. Am Heart J 2004;147:1024–32.PubMedCrossRef

16.

Okayama A, Kadowaki T, Okamura T, Hayakawa T, Ueshima H. The NIPPON DATA80 Research Group. Age-specific effects of systolic and diastolic blood pressures on mortality due to cardiovascular diseases among Japanese men (NIPPON DATA80). J Hypertens 2006;24:459–62.PubMedCrossRef

17.

Oki I, Nakamura Y, Okamura T, Okayama A, Hayakawa T, Kita Y, et al. Body Mass Index and risk of stroke mortality among a random sample of Japanese adults: 19-year follow-up of NIPPON DATA80. Cerebrovasc Dis 2006;22:409–15.PubMedCrossRef

18.

Okamura T, Hayakawa T, Kadowaki T, Kita Y, Okayama A, Ueshima H. NIPPON DATA90 Research Group. The inverse relationship between serum high-density lipoprotein cholesterol level and all-cause mortality in a 9.6-year follow-up study in the Japanese general population. Atherosclerosis 2006;184:143–50.PubMedCrossRef

19.

Nakamura K, Okamura T, Hayakawa T, Kadowaki T, Kita Y, Okayama A, et al. NIPPON DATA90 Research Group: electrocardiogram screening for left high R-wave predicts cardiovascular death in a Japanese community-based population. Hypertens Res 2006;29:353–60 (errata: Hypertens Res 2006;29:833).PubMedCrossRef

20.

Nakamura K, Okamura T, Hayakawa T, Kadowaki T, Kita Y, Ohnishi H, et al. The NIPPON DATA90 Research Group. Chronic kidney disease is a risk factor for cardiovascular death in a community-based population in Japan: NIPPON DATA90. Circ J 2006;70:954–9.PubMedCrossRef

21.

The Examination Committee of Criteria for ‘Obesity Disease’ in Japan, Japan Society for the study of Obesity. New criteria for ‘obesity disease’ in Japan. Circ J 2002;66:987–92.

22.

World Health Organization. Obesity. Preventing and managing the global endemic. WHO Technical Report Series no 894. Geneva: WHO; 2000.

23.

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. National High Blood Pressure Education Program Coordinating Committee.; National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003;289:2560–72 (errata: JAMA 2003;290:197).PubMedCrossRef

24.

Rockhill B, Newman B, Weinberg C. Use and misuse of population attributable fractions. Am J Public Health 1998;88:15–9.PubMedCrossRef

25.

Greenland S. Re: “Confidence limits made easy: interval estimation using a substitution method”. Am J Epidemiol 1999;149:884–6.PubMed

26.

Kannel WB, Brand N, Skinner JJ Jr, Dawber TR, McNamara PM. The relation of adiposity to blood pressure and development of hypertension. The Framingham study. Ann Intern Med 1967;67:48–59.PubMed

27.

Wilson PW, D’Agostino RB, Sullivan L, Parise H, Kannel WB. Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med 2002;162:1867–72.PubMedCrossRef

28.

Kawabe H, Shibata H, Hirose H, Tsujioka M, Saito I, Saruta T. Determinants for the development of hypertension in adolescents. A 6-year follow-up. J Hypertens 2000;18:1557–61.PubMedCrossRef

29.

Yamagishi K, Hosoda T, Sairenchi T, Mori K, Tomita H, Nishimura A, et al. Body mass index and subsequent risk of hypertension, diabetes and hypercholesterolemia in a population-based sample of Japanese. Nippon Koshu Eisei Zasshi 2003;50:1050–7 (in Japanese).PubMed

30.

Droyvold WB, Midthjell K, Nilsen TI, Holmen J. Change in body mass index and its impact on blood pressure: a prospective population study. Int J Obes 2005;29:650–5.CrossRef

31.

Ishikawa-Takata K, Ohta T, Moritaki K, Gotou T, Inoue S. Obesity, weight change and risks for hypertension, diabetes and hypercholesterolemia in Japanese men. Eur J Clin Nutr 2002;56:601–7.PubMedCrossRef

32.

Berchtold P, Sims EA, Horton ES, Berger M. Obesity and hypertension: epidemiology, mechanisms, treatment. Biomed Pharmacother 1983;37:251–8.PubMed

33.

Takashima Y. Population attributable risk percent (PAR) of obesity in essential hypertension. Nippon Eiseigaku Zasshi 1985;39:914–23 (in Japanese).PubMed

34.

Zhou BF, Stamler J, Dennis B, Moag-Stahlberg A, Okuda N, Robertson C, et al. INTERMAP Research Group. Nutrient intakes of middle-aged men and women in China, Japan, United Kingdom, and United States in the late 1990s: the INTERMAP study. J Hum Hypertens 2003;17:623–30.PubMedCrossRef

35.

Dyer AR, Elliott P. The INTERSALT study: relations of body mass index to blood pressure. J Hum Hypertens 1989;3:299–308.PubMed

36.

Schotte DE, Stunkard AJ. The effects of weight reduction on blood pressure in 301 obese patients. Arch Intern Med 1990;150:1701–4.PubMedCrossRef

37.

Jones DW. Body weight and blood pressure. Effects of weight reduction on hypertension. Am J Hypertens 1996;9:50s–4s.PubMedCrossRef

38.

Hirose H, Saito I, Tsujioka M, Kawabe H, Saruta T. Effects of body weight control on changes in blood pressure: three-year follow-up study in young Japanese individuals. Hypertens Res 2000;23:421–6.PubMed

39.

The Study Circle for Health and Nutrition Information. The national nutrition survey in Japan, 2002. Tokyo: Daiichi-Shuppan; 2004. p. 182 (in Japanese).

40.

Yoshiike N. An increasing trend in the prevalence of diabetes mellitus in Japan. In: The 116th Japanese Association of Medical Sciences Symposium Report: Recent Topics on Diabetes Mellitus. Tokyo: The Japanese Association of Medical Sciences; 2000. p. 6–12 (in Japanese).

41.

Expert Panel on the Identification, Evaluation, and Treatment of Overweight in Adults. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: executive summary. Am J Clin Nutr 1998;68:899–917.

42.

Sakurai M, Miura K, Takamura T, Ota T, Ishizaki M, Morikawa Y, et al. Gender differences in the association between anthropometric indices of obesity and blood pressure in Japanese. Hypertens Res 2006;29:75–80.PubMedCrossRef

Titel: The proportion of individuals with obesity-induced hypertension among total hypertensives in a general Japanese population: NIPPON DATA80, 90
verfasst von: Koshi Nakamura
Tomonori Okamura
Takehito Hayakawa
Atsushi Hozawa
Takashi Kadowaki
Yoshitaka Murakami
Yoshikuni Kita
Akira Okayama
Hirotsugu Ueshima
for the NIPPON DATA80, 90 Research Group
Publikationsdatum: 01.10.2007
Verlag: Springer Netherlands
Erschienen in: European Journal of Epidemiology / Ausgabe 10/2007
Print ISSN: 0393-2990
Elektronische ISSN: 1573-7284
DOI: https://doi.org/10.1007/s10654-007-9168-4

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

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The proportion of individuals with obesity-induced hypertension among total hypertensives in a general Japanese population: NIPPON DATA80, 90

Abstract

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

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