Trends of Blood Pressure Distributions in a Northeast Rural Japanese Population
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概要
- 論文の詳細を見る
In Japan recently there has been a rapid change in living and eating patterns along with accelerated urbanizations in rural communities. This provides an unique opportunity to observe a critical "natural experiment" of change in both risk factors and disease. Data on blood pressures and time trends were obtained in population-based surveys conducted in rural Japan ; the first survey from 1963-66, the second from 1972-75, and the third from 1980-83. This report describes the population trends over 20 years for blood pressure distributions and its related factors. Between the 1960s and the 1970s, the prevalence of a higher blood pressure level declined although no remarkable shift of the blood pressure distribution was observed. However, between the 1970s and the 1980s, there was a significant downward shift of the blood pressure distribution. The decline in blood pressure between the 1960s and 1970s was primarily related to a fall in the prevalence of elevated blood pressure, attributable in turn to the greater use of anti-hypertensive medications and improved blood pressure control. In contrast, the large downward shift in the whole blood pressure destributions between the 1970s and the 1980s was attributable partly to improved hypertension control and apparently also to changes in environmental factors of associated behaviors that affected the whole distribution. The correlation between blood pressure and relative weight index was weak in the 1960s but became stronger in the 1970s and the 1980s. The significant blood pressure trend in a whole population are consistent with the reported decline in stroke incidence in this population. J Epidemiol, 1993; 3 : 63-70.
- 日本疫学会の論文
著者
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KITAMURA Akihiko
Department of Preventive Cardiology, National Cardiovascular Center
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ISO Hiroyasu
Institute of Community Medicine, University of Tsukuba
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SANKAI Tomoko
Institute of Community Medicine, University of Tsukuba
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KIYAMA Masahiko
Department of Epidemiology and Mass Examination, Osaka Medical Center for Cancer and Cardiovascular
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NAITO Yoshihiko
Department of Epidemiology and Mass Examination, Osaka Medical Center for Cancer and Cardiovascular
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KOMACHI Yoshio
The Osaka Research Institute of Public Health
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Shimamoto Takashi
Institute Of Community Medicine University Of Tsukuba
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Konishi Masamitsu
Department Of Clinical Pharmacology And Therapeutics Tohoku University
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Iida Minoru
Department Of Domestic Science Tokyo Bunka Junior College
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Sato Shinichi
Department Of Applied Biology Faculty Of Textile Science Kyoto Institute Of Technology
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Miyake Satoshi
National Center of Neurology and Psychiatry
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Komachi Yoshio
The Osaka Prefectural Institute of PublicHealth
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Kiyama Masahiko
Department of Epidemiology and Mass Examina-tion, The Center for Adult Diseases
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Naito Yoshihiko
Department of Epidemiology and Mass Examina-tion, The Center for Adult Diseases
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Kitamura Akihiko
Department of Epidemiology and Mass Examina-tion, The Center for Adult Diseases
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Iida Minoru
Department of Epidemiology and Mass Examina-tion, The Center for Adult Diseases
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