scholarly journals Effect of ‘rice’ pattern on high blood pressure by gender and obesity: using the community-based KoGES cohort

2019 ◽  
Vol 23 (2) ◽  
pp. 275-285
Author(s):  
Yuri Han ◽  
Daehee Kang ◽  
Sang-Ah Lee

AbstractObjective:The present study aimed to examine the association between dietary pattern and the risk of high blood pressure (BP) and to estimate the attenuated effect by gender and obesity on the association using data from a prospective cohort study in Korea.Design:Prospective study. Diet was assessed using a validated 103-item FFQ and was input into factor analysis after adjustment for total energy intake.Setting:Community-based Korean Genome Epidemiology Study (KoGES) cohort.Participants:Healthy individuals (n 5151) without high BP at recruitment from the community-based cohort study.Results:Dietary pattern was not associated with the risk of high BP regardless of the type of covariates, with the exception of the ‘rice’ pattern. The effect of the ‘rice’ pattern was observed in both men (Ptrend = 0·013) and women (Ptrend < 0·001), but the statistical significance remained only in women after adjustment for confounders (Ptrend = 0·004). The positive association of the ‘rice’ pattern with high BP risk was attenuated by obesity. After stratification by gender and obese status, in particular, the harmful effect of the ‘rice’ pattern was predominantly observed in obese women (Ptrend < 0·001) only.Conclusions:This longitudinal study in Korean adults found a positive association of the ‘rice’ pattern with long-term development of incident high BP, predominantly in women. The association is likely to be attenuated by gender and obese status.

2020 ◽  
Vol 10 (2) ◽  
pp. 48-52
Author(s):  
Jeevitha M ◽  
Kalaichandar M ◽  
Kirubakaran K ◽  
Baskaran V ◽  
Kokila K ◽  
...  

Low blood pressure truly includes a worse prognosis than the excessive blood strain. This mechanism,bills for the "reverse causation "seen within the haemodialysis’ patients, the company of conventional risk elements, such as high blood pressure, hyperlipidemia, and obesity, appear to be a worst diagnosis.Exogenous erythropoietic products can growth blood strain and requirement of antihypertensive tablets.30 Chronic ECFV overload secondary to activation of renin-angiotensin-aldosterone axisand disturbances inside the stability of vasoconstrictors and the vasodilators make a contribution to high blood pressure. Improvement in blood pressure can be introduced out with oral sodium restriction, diuretics, and fluid elimination with dialysis. Some patients will continue to be hypertensive notwithstanding of the careful attention to ECFV reputation. LVH is related with reduced endurance of sufferers on hemo/peritoneal dialysis .Lower five year survival charge in ESRD patients with LVH have a 30% than people missing LVH. This have a look at produces the mean carotid artery intima-medial thickness turned into higher in sufferers with superior CKD although it did now not attain statistical significance, probable due to smaller sample size.It was also observed that carotid intima medial thickness had no correlation with dyslipidemia. Even though the patients had maintained significantly normal cholesterol and high HDL levels, there was an increase in CIMT. Therefore, CKD patients, CIMT cannot be predicted based on the traditional atherosclerotic risk factors like serum cholesterol and HDL.


2020 ◽  
Vol 10 (9) ◽  
pp. 3214
Author(s):  
Muhammad Tahir ◽  
Muhammad Usman ◽  
Fazal Muhammad ◽  
Shams ur Rehman ◽  
Imran Khan ◽  
...  

High Blood Pressure (BP) is a vital factor in the development of cardiovascular diseases worldwide. For more than a decade now, patients search for quality and easy-to-read Online Health Information (OHI) for symptoms, preventions, therapy and other medical conditions. In this paper, we evaluate the quality and readability of OHI about high BP. In order that the first 20 clicks of three top-rated search engines have been used to collect the pertinent data. Using the exclusion criteria, 25 unique websites are selected for evaluation. The quality of all included links is evaluated through DISCERN checklist, a questionnaire for assessing the quality of written information for a health problem. To enhance the reliability of evaluation, all links are separately assessed by two different groups—a group of Health Professional (HPs) and a group of Lay Subjects (LS). A readability test is performed using Flesch-Kincaid tool. Fleiss’ kappa has been calculated before considering average value of each group. After evaluation, the average DISCERN value of HPs is 49.43 ± 14.0 (fair quality) while for LS, it is 48.7 ± 12.2; the mean Flesch-Reading Ease Score (FRES) is 58.5 ± 11.1, which is fairly difficult to read and the Average Grade Level (AGL) is 8.8 ± 1.9. None of the websites scored more than 73 (90%). In both groups, only 4 (16%) websites achieved DISCERN score over 80%. Mann-Whitney and Cronbach’s alpha have been computed to check the statistical significance of the difference between two groups and internal consistency of DISCERN checklist, respectively. Normality and homoscedasticity tests have been performed to check the distribution of scores of both evaluating groups. In both groups, information category websites achieved high DISCERN score but their readability level is worse. Highest scoring websites have clear aim, succinct source and high quality of information on treatment options. High BP is a pervasive disease, yet most of the websites did not produce precise or high-quality information on treatment options.


2017 ◽  
Vol 40 (7) ◽  
pp. 710-716 ◽  
Author(s):  
Seung Won Lee ◽  
Hyeon Chang Kim ◽  
Ju-mi Lee ◽  
Young Mi Yun ◽  
Joo Young Lee ◽  
...  

2016 ◽  
Vol 17 (7) ◽  
pp. 654-662 ◽  
Author(s):  
Chia-Jen Shih ◽  
Yung-Tai Chen ◽  
Shuo-Ming Ou ◽  
Chi-Hung Lin ◽  
Der-Cherng Tarng

1990 ◽  
Vol 20 (1) ◽  
pp. 115-124 ◽  
Author(s):  
David U. Himmelstein ◽  
Richard Levins ◽  
Steffie Woolhandler

Epidemiologists usually employ measures of variability of physiological traits such as blood pressure and cholesterol only to determine confidence intervals or statistical significance. For evolutionary biologists population variability per se has proven of interest. This article explores the applicability of this perspective to the analysis of human physiology, using data from the Framingham Heart Disease Study and the National Health and Nutrition Examination Surveys. The nonrandom patterns of variability observed suggest that examination of the degree and pattern of heterogeneity within a population may provide information not evident from the analysis of mean values.


2018 ◽  
Vol 41 (7) ◽  
pp. 531-538 ◽  
Author(s):  
Ryosuke Komi ◽  
◽  
Fumitaka Tanaka ◽  
Shinichi Omama ◽  
Yasuhiro Ishibashi ◽  
...  

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