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Dietary and Lifestyle Factors Associated with Hypertension in Korean Adolescents -Based on 2005 Korean National Health and Nutrition Examination Survey-


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Dietary and Lifestyle Factors Associated with Hypertension in Korean Adolescents -Based on 2005 Korean National Health and Nutrition Examination Survey-

Article information

Korean J Community Nutr. 2011;16(4):439-453
Publication date (electronic) : 2011 August 31
doi : https://doi.org/10.5720/kjcn.2011.16.4.439
Killye Kim, Sook Mee Son, Hye-Kyeong Kim
Department of Food Science & Nutrition, The Catholic University of Korea, Bucheon, Korea.
Corresponding author: Hye-Kyeong Kim, Department of Food Science & Nutrition, The Catholic University of Korea, 43-1 Yeokgok 2-dong, Wonmi-gu, Bucheon, Gyeonggi-do 420-743, Korea. Tel: (02) 2164-4314, Fax: (02) 2164-4314, hkyeong@catholic.ac.kr
Received 2011 July 25; Revised 2011 July 22; Accepted 2011 August 16.

Abstract

This study was performed to determine dietary and lifestyle factors associated with hypertension in Korean adolescents. Study subjects were 12~19 years (n = 521) adolescents who participated in the 2005 Korean National Health and Nutrition Examination Survey (KNHANES III). Subjects were divided into the hypertensive group (HG, n = 102) and normotensive group (NG, n = 419) by '2007 Korean children and adolescents growth standard' and the relationships between blood pressure and physical measurement, nutrients intakes, eating behaviors and health related factors were analyzed. HG showed significantly higher levels in weight, waist circumference and BMI than NG. The amount of nutrient intakes was not different between NG and HG. Index of nutritional quality (INQ) for phosphate was higher in HG compared with NG. In both male and female HG, INQ for iron was higher but INQ for vitamin B1 was lower than NG. HG revealed higher consumption frequencies of snack, yoghurt, and ice cream compared with NG. In eating and behavioral factors, 'dinner with family', 'eat proper amount', 'keep Korean traditional diet', alcohol drinking, and mean alcohol intake were significantly different between the two groups. By logistic regression method, risk factors for hypertension revealed in this study were gender (male), age (15~19 years), BMI (≥ 85 percentile), and not keeping Korean traditional diet. These results suggest that education program for hypertension prevention in adolescents should include eating habits improvement and lifestyle modification as well as weight control.

Keywords: hypertension; adolescent; nutrients intake; lifestyle factor; KNHANES 2005

References

1. Alonso A, Beunza JJ, Delgado-Rodriguez M, Martinez JA, Martinez-Gonzalez MA. Low-fat dairy consumption and reduced risk of hypertension : the Seguimiento Universidad de Navarra (SUN) cohort. Am J Clin Nutr 2005. 82(5)972–979.
2. Byeon YS, Lee HS. Relation of the blood pressure, lipids and body mass index by smoking status among adolescents. J Korean Acad Nurs 2007. 37(6)1020–1026.
3. Chang SO. The amount of sodium in the processed foods, the use of sodium information on the nutrition label and the acceptance of sodium reduced ramen in the female college students. Korean J Nutr 2006. 39(6)585–591.
4. Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood : a systematic review and meta-regression analysis. Circulation 2008. 117(25)3171–3180.
5. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ. 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(19)2560–2572.
6. Choi MK, Bae YJ. A study on blood lipids and blood pressure of adult men and women according to vegetable intake. Korean J Community Nutr 2007. 12(6)761–772.
7. Choi MK, Lee WY, Park JD. Relation among mineral (Ca, P, Fe, Na, K, Zn) intakes, blood pressure, and blood lipids in Korean adults. Korean J Nutr 2005. 38(10)827–835.
8. Choi YG, Song HJ, Kang JH. Prevalence of the metabolic syndrome in Korean children and adolescents according to the international diabetes federation definition in children and adolescents. Korean J Fam Med 2009. 30(4)261–268.
9. Choi YS, Kim YO, Suh L. Association of blood pressure with sodium and potassium intake for adolescents. J Korean Soc Food Nutr 1995. 24(4)493–501.
10. Chung HC, Chang KJ. Body composition of male college students by standard guideline for Korean dietary. J East Asian Soc Dietary Life 2006. 16(3)261–271.
11. Clarke WR, Schrott HG, Leaverton PE. Tracking of blood lipids and blood pressure in school age children : The muscatine study. Circulation 1978. 58(4)626–634.
12. Cushman WC. Alcohol consumption and hypertension. J Clin Hypertens (Greenwich) 2001. 3(3)166–170.
13. Dahl LK. Possible role of salt intake in the development of essential hypertension. Int J Epidemiol 2005. 34(5)967–972.
14. Deng PY, Li YJ. Calcitonin gene-related peptide and hypertension. Peptides 2005. 26(9)1676–1685.
15. Falkner B, Sadowski RH. Hypertension in children and adolescents. Am J Hypertens 1995. 8(12 Pt 2)106s–110s.
16. Gillman MW, Ellison RC. Childhood prevention of essential hypertension. Pediatr Clin North Am 1993. 40(1)179–194.
17. He J, Ogden LG, Vupputuri S, Bazzano LA, Loria C, Whelton PK. Dietary sodium intake and subsequent risk of cardiovascular disease in overweight adults. JAMA 1999. 282(21)2027–2034.
18. Jee SH, Suh I, Kim IS, Appel LJ. Smoking and atherosclerotic cardiovascular disease in men with low levels of serum cholesterol: The Korea medical insurance corporation study. JAMA 1999. 282(22)2149–2155.
19. Kim DH, Seong TJ, Hong YJ, Son BK, Kim SK. Relationship between body fat distribution and metabolic risk factors in adolescents. J Korean Pediatr Soc 2003. 46(4)326–334.
20. Kim EK, Yoo MY, Jean KS. Blood pressure, salt threshold, salt preference, urinary excretions and nutrition knowledge about blood pressure of elementary school children in rural area. Korean J Nutr 1993. 26(5)625–638.
21. Kim HG, Lim GW, Kim HS, Hong YM. Effects of a 12-week, school-based obesity management program on obese primary school children. Korean J Pediatr 2010. 53(3)335–340.
22. Kim HS, Lee BH. Influence of computer use hours on physical development, dietary patterns, and nutritional status of higher grade elementary school children. Korean J Nutr 2008. 41(2)165–173.
23. Kim JY, Han YS, Bae HS, Ahn HS. Dietary intakes and serum lipids and iron indices in obese children. Korean J Community Nutr 2006a. 11(5)575–586.
24. Kim YJ, Kim SG, Paek YM, Kim MK. Comparison of energy nutrient and fat intake between the hypertensive and normotensive male workers. Korean J Occup Environ Med 2006b. 18(4)263–271.
25. Kim YS. Lifestyle and chronic disease-A cohort study on the risk factors for hypertension and NIDDM in Korea. Korean J Community Nutr 2003. 8(6)1010–1020.
26. Korea National Statistical Office. Annual report on the cause of death statistics 2009. Seoul:
27. Lee JW, Hwang YS, Hong YS, Im HS. Effects of dietary calcium levels on blood pressure and calcium metabolism in normotensive female young adults with the hypertension family history. Korean J Nutr 1993. 26(6)728–742.
28. Lee JW, La HS, Kwak CS. Dietary factors and serum and urinary electrolytes affecting blood pressure in adolescents. Korean J Community Nutr 1996. 1(1)61–70.
29. Lee JY. A study of salt consumption and related factors among adult females. Korean J Food Nutr 2001. 14(5)430–440.
30. Lee SH, Sung EJ, Shin HC, Park YW, Kim CH, Soh KS. Factors related to increase of blood pressure in obese children and adolescents. J Korean Acad Fam Med 2007a. 28(7)515–522.
31. Lee SM, Song HY, Sohn UD. Effect of alcohol consumption characteristics on the body mass index and blood pressure. Yakhak Hoeji 2007b. 51(6)389–401.
32. Lynch SR. Iron overload-prevalence and impact on heart. Nutr Rev 1995. 53(9)255–260.
33. Ministry of Health and Welfare. The third National Health And Nutrition Examination Survey (KNHANES III) 2006.
34. Moon HK, Park JH. Comparative analysis and evaluation of dietary Intake between with and without hypertension using 2001 Korea National Health and Nutrition Examination Survey. Korean J Nutr 2007. 40(4)347–361.
35. Suter PM, Sierro C, Vetter W. Nutritional factors in the control of blood pressure and hypertension. Nutr Clin Care 2002. 5(1)9–19.
36. Park SH, Kang YH, Park HY. Alcohol consumption and the coronary heart disease-related risk factors in Korean adults-the third Korea national health and nutrition examination survey (KNHANES III). Korean J Nutr 2008. 41(3)232–241.
37. Park YS, Lee DH, Choi JM, Kang YJ, Kim CH. Trend of obesity in school age children in Seoul over the past 23 years. Korean J Pediatr 2004. 47(3)247–257.
38. Rimm EB, Williams P, Fosher K, Criqui M, Stampfer MJ. Moderate alcohol intake and lower risk of coronary heart disease: meta-analysis of effects on lipids and haemostatic factors. BMJ 1999. 319(7224)1523–1528.
39. Seo MJ, Jeong WS, Sohn KJ, Ko BJ, Han JH, Kim SM. Prevalence of the metabolic syndrome in Korean children and adolescents: Korea national health and nutrition survey 2001. J Korean Acad Fam Med 2006. 27(10)798–806.
40. Son SM. Rice based meal for prevention of obesity and chronic disease. Korean J Community Nutr 2001. 6(5)862–867.
41. Son SM, Heo KY. Salt intake and nutritional problems in Korea. Korean J Community Nutr 2002. 7(3)381–390.
42. Son SM, Huh GY. Dietary risk factors associated with hypertension in patients. Korean J Community Nutr 2006. 11(5)661–672.
43. Sorof J, Daniels S. Obesity hypertension in children - A problem of epidemic proportions. Hypertension 2002. 40(4)441–447.
44. Suh I, Nam CM, Lee KH, Jee SH, Kim SI, Kim GS, Kim CB. The effect of sodium and potassium intake on blood pressure change in Korean adolescents. Korean J Prev Med 1998. 31(3)384–394.
45. Sung EJ, Shin TS. The effect of overweight to cardiovascular risk factors among Korean adolescents. J Korean Acad Fam Med 2003. 24(11)1017–1025.
46. Sugiyama T, Xie D, Graham-Maar RC, Inoue K, Kobayashi Y, Stettler N. Dietary and lifestyle factors associated with blood pressure among U.S. adolescent. J Adolesc Health 2007. 40(2)166–172.
47. The Korea Nutrition Society. Dietary reference intakes for Koreans (DRIs for Koreans) 2005.
48. The Korean Pediatric Society. Korea Centers for Disease Control and Prevention. The Committee for the Development of Growth Standard for Korean Children and Adolescents. Korean children and adolescents growth standard(commentary of the development of 2007 growth charts) 2007. Seoul;
49. Whelton PK. Epidemiology of hypertension. Lancet 1994. 344(8915)101–106.
50. Yi KH. Prevalence of obesity, hypertension, and hyperlipidemia in Gunpo children of low economic status. Korean J Pediatr 2008. 51(12)1310–1314.
51. Yoo JY, Kim YN. Survey of cookie consumption and nutrition labelling of cookie consumed in high school students. Korean J Community Nutr 2009. 14(2)147–157.

Article information Continued

Copyright © 2011 The Korean Society of Community Nutrition

Table 1

General characteristics of the subjects

Table 1

1) N (%): by χ2-test. 2) Mean ± SD: by t-test, *: p < 0.05, **: p < 0.01, ***: p < 0.001

Table 2

Blood pressure and anthropometric data of the subjects

Table 2

1) Mean ± SD: by ANCOVA (adjusted by sex, age)

2) N (%): by χ2-test, *: p<0.05, **: p<0.01, ***: p<0.001

3) SBP: Systolic Blood Pressure, 4) DBP: Diastolic Blood Pressure, 5) BMI: Body Mass Index, 6) Waist: Waist Circumference

Table 3

Nutrients intakes for hypertensive and normotensive in Korean adolescents

Table 3

1) Mean ± SD: by ANCOVA (adjusted by sex, age), *: p < 0.05, **: p < 0.01, ***: p < 0.001

Table 4

NAR MAR, and INQ for hypertensive and normotensive in Korean adolescents

Table 4

1) Mean ± SD: by ANCOVA (adjusted by sex, age), *: p < 0.05, **: p < 0.01, ***: p < 0.001

2) NAR: Nutrient Adequacy Ratio, 3) MAR : Mean Adequacy Ratio, 4) INQ : Index of Nutritional Quality

Table 5

Food consumption frequency for hypertensive and normotensive in Korean adolescents

Table 5

1) Mean ± S.D: by ANCOVA (adjusted by sex, age), *: p < 0.05, **: p < 0.01, ***: p < 0.001

2) Food consumption frequency: Seldom = 0, 6~11 times/year = 0.18, 1 time/month = 0.25, 2~3 times/month = 0.6, 1 time/week = 1 (Standard score), 2~3 times/week = 2.5, 4~6 times/week = 5, 1 time/day = 7, 2 times/day = 14, 3 times/day = 21

Table 6

Eating behaviors for hypertensive and normotensive in Korean adolescents

Table 6

1) N (%): by χ2-test, *: p < 0.05, **: p < 0.01, ***: p < 0.001

Table 7

Health-related behaviors for hypertensive and normotensive in Korean adolescents

Table 7

1) N (%): by χ2-test. 2) Mean ± SD: by t-test, *: p < 0.05, **: p < 0.01, ***: p < 0.001

Table 8

Correlation coefficients between blood pressure and each variables

Table 8

Significantly different at *: p < 0.05, **: p < 0.01, ***: p < 0.001 by Pearson's correlation and partial correlation (adjusted by sex, age)

Table 9

Odds ratios of hypertension for variables correlated to blood pressure

Table 9

1) Multiple logistic regression models include age, sex, bmi, Watching TV · Playing computer/games during weekend, Food consumption of snack · ice-cream · hamburger