Key result
Hypertension links to lower general health perception in women but higher social functioning in men.
Why the study?
The relationship between hypertension and health-related quality of life adjusted by chronic pain, chronic diseases, and life habits in the general middle-aged population in Japan was unclear.
Does hypertension affect health-related quality of life in a general middle-aged population?
Cross-Sectional (n=1,117)
Does hypertension affect health-related quality of life in a general middle-aged population?
Hypertension is associated with lower general health perception in women but higher social functioning in men among a middle-aged Japanese population without cardiovascular disease or chronic pain.
Hypertension was associated with lower general health perception in women but higher social functioning in men after adjustments; leaves open causal direction and clinical relevance in middle-aged adults.
OBJECTIVES: The aim of this study was to examine the relationship between hypertension and health-related quality of life (HRQoL) adjusted by chronic pain, other chronic diseases, and life habits in the general middle-aged population in Japan. METHODS: This study is a population-based cross-sectional study. In this study, 1117 participants aged 40-65 years and living in Shika Town completed a self-administered questionnaire including Short Form-36 (SF-36). The scores of SF-36 among hypertensives were compared with those of normotensives. The independent association of hypertension with each SF-36 subscale was analyzed using a multiple linear regression model adjusted by age, BMI, chronic pain, chronic diseases, sleep, exercise, and occupational status. We analyzed two groups; Group 1 which contained 846 participants completed the questionnaire without coronary heart disease and cerebral vascular disease, Group 2 which contained 686 participants without coronary heart disease, cerebral vascular disease, or diseases accompanied by chronic pain (gastroduodenal ulcer, fracture, osteoarthritis, osteoporosis, rheumatoid arthritis, and disc herniation). RESULTS: In Group 2, hypertensive women had a lower general health perception than normotensive women [unstandardized coefficients; B = -8.84, 95 % confidence interval (95 % CI) = -13.3 to -4.34, standardized coefficients; β = -0.200, p < 0.001], whereas hypertensive men had higher social functioning than normotensive men (B = 5.66, 95 % CI = 1.30-10.0, β = 0.149, p < 0.05) after adjusting by chronic pain and life habits. CONCLUSIONS: These results may be due to the sex difference in the light of the perception for health.
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KITAOKA et al. (2016) conducted a cross-sectional in Hypertension (n=1,117). Hypertension vs. Normotension was evaluated on General health perception (SF-36 subscale) in women (B = -8.84, 95% CI -13.3 to -4.34, p=< 0.001). Hypertensive women had lower general health perception than normotensive women (B = -8.84; 95% CI -13.3 to -4.34; p<0.001), whereas hypertensive men had higher social functioning.
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