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. 2019 Apr;98(15):e15071.
doi: 10.1097/MD.0000000000015071.

Unhealthy changes in eating habits cause acute onset hypertension in the normotensive community-dwelling elderly-3 years cohort study

Takeyasu Kakamu  1 , Tomoo Hidaka  1 , Tomohiro Kumagai  1 , Yusuke Masuishi  1   2 , Hideaki Kasuga  1 , Shota Endo  1 , Sei Sato  1 , Akiko Takeda  2 , Makoto Koizumi  2 , Tetsuhito Fukushima  1
Affiliations

Unhealthy changes in eating habits cause acute onset hypertension in the normotensive community-dwelling elderly-3 years cohort study

Takeyasu Kakamu et al. Medicine (Baltimore). 2019 Apr.

Abstract

The aim of this study was to determine what lifestyle changes can predict acute onset hypertension in the normotensive community-dwelling elderly.This study targeted elderly people enrolled in National Health Insurance in Fukushima Prefecture, Japan. The subjects were 24,490 people who took all of the specific health examination conducted by National Health Insurance in fiscal years 2013, 2014, and 2015 continuously and had a recorded systolic blood pressure (BP) <130 mm Hg and diastolic BP <85 mm Hg in the first 2 fiscal years. We examined their lifestyle changes for the first 2 fiscal years using the questionnaires given at the health examination. Multivariate Poisson regression analysis was conducted to examine the relationship between new-onset hypertension observed at the last examination and unhealthy lifestyle changes.The mean age of the subjects was 61.5 ± 8.2 years old at baseline. We observed new-onset hypertension in 1.062 subjects at the last examination. Of the study subjects, 12,027 (49.1%) answered to having at least one of the items of unhealthy lifestyle change in the questionnaire. In the multivariate logistic regression, eating supper before bedtime showed a significant increase in the risk ratio for acute onset hypertension (risk ratio 1.27, 95% confidence interval, 1.01-1.58).This study indicated that eating before bedtime is a risk factor of new-onset hypertension in the normotensive community-dwelling elderly. Adequate health guidance to avoid unhealthy lifestyle changes is required even in normotensive people as this hypertension is preventable.

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Figures

Figure 1
Figure 1
Subjects included in the study, excluded from the study and follow-up criteria.
See this image and copyright information in PMC

References

    1. Okayama A, Kadowaki T, Okamura T, et al. 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. - PubMed
    1. Ikeda A, Iso H, Yamagishi K, et al. Blood pressure and the risk of stroke, cardiovascular disease, and all-cause mortality among Japanese: the JPHC Study. Am J Hypertens 2009;22:273–80. - PubMed
    1. Iyer AS, Ahmed MI, Filippatos GS, et al. Uncontrolled hypertension and increased risk for incident heart failure in older adults with hypertension: findings from a propensity-matched prospective population study. J Am Soc Hypertens JASH 2010;4:22–31. - PMC - PubMed
    1. Ministry of Health, Labour and Welfare, Japan. Patient Survey 2014. Available at: http://www.mhlw.go.jp/toukei/saikin/hw/kanja/14/index.html Accessed February 7, 2018.
    1. Nakamura K. Impact of cardiovascular risk factors on medical expenditure: evidence from epidemiological studies analysing data on health checkups and medical insurance. J Epidemiol 2014;24:437–43. - PMC - PubMed