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January 1, 2014Journal of the Korean Society of HypertensionOpen Access

Systolic BP decreased by 10.9 ± 15.3 mm Hg and diastolic BP by 7.7 ± 11.8 mm Hg; predictors for systolic BP elevation included starting regular exercise (OR 0.765, 95% CI 0.604-0.968, p=0.0257), fasting glucose (OR 0.984, 95% CI 0.972-0.996, p=0.0102), and HOMA-IR (OR 0.82, 95% CI 0.707-0.952, p=0.0086).

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Population

1,863 middle-aged adults from a Korean rural cohort, mean age 53.4, 38.5% male. Excluded: individuals with…

Design

Cohort

Follow-up

mean 2.4 ± 0.9 years

Authors

JLJun‐Won LeeBYByung‐Su YooJLJi Hyun Lee

Discussion

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Overview

Exercise and lower insulin resistance may aid BP control in normotensives; leaves open causal prevention effects pending trials.

Structured PICO

P
Population
1,863 middle-aged adults from a Korean rural cohort (ARIRANG), mean age 53.4, 38.5% male. Excluded: individuals with hypertension, diabetes mellitus, cerebral infarction, myocardial infarction, missing data for BP, and newly-developed hypertension.
O
Outcome
Blood pressure change (systolic and diastolic) and predictors for elevation of systolic BP on follow-upsurrogate

In a middle-aged Korean rural cohort without baseline hypertension or cardiovascular disease, blood pressure significantly decreased over a 2.4-year follow-up, with exercise, fasting glucose, and insulin resistance predicting systolic BP changes.

Limitations

  • Short follow-up period

Cite This Study

Lee et al. (2014) studied this question.

synapsesocial.com/papers/6a1d4dbc164c88e7165dddf3https://doi.org/10.5646/jksh.2014.20.2.31
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Also Consider

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