Association between Central Obesity and Circadian Parameters of Blood Pressure from the Korean Ambulatory Blood Pressure Monitoring Registry: Kor-ABP Registry
Journal of Korean Medical Science 2013³â 28±Ç 10È£ p.1461 ~ p.1467
°Àμ÷(Kang In-Sook) - Ewha Womans University College of Medicine Department of Internal Medicine
Æí¿í¹ü(Pyun Wook-Bum) - Ewha Womans University School of Medicine Department of Internal Medicine
½ÅÁøÈ£(Shin Jin-Ho) - Hanyang University Seoul Hospital Department of Cardiology
±èÁÖÇÑ(Kim Ju-Han) - Chonnam National University Medical School Department of Internal Medicine
±è¼ø±æ(Kim Soon-Gil) - Hanyang University College of Medicine Department of Internal Medicine
½Å±æÀÚ(Shin Gil-Ja) - Ewha Womans University School of Medicine Department of Internal Medicine
Abstract
Central obesity has been reported as a risk for atherosclerosis and metabolic syndrome. The influence of central obesity on diurnal blood pressure (BP) has not been established. In this study, we investigated the influence of central obesity on the circadian parameters of BP by 24 hr ambulatory BP monitoring. Total 1,290 subjects were enrolled from the Korean Ambulatory BP registry. Central obesity was defined as having a waist circumference¡Ã90 cm in males and ¡Ã85 cm in females. The central-obese group had higher daytime systolic BP (SBP), nighttime SBP and diastolic BP (DBP) than the non-obese group (all, P<0.001). There were no differences in nocturnal dipping (ND) patterns between the groups. Female participants showed a higher BP mean difference (MD) than male participants with concerns of central obesity (daytime SBP MD 5.28 vs 4.27, nighttime SBP MD 6.48 vs 2.72) and wider pulse pressure (PP). Central obesity within the elderly (¡Ã65 yr) also showed a higher BP MD than within the younger group (daytime SBP MD 8.23 vs 3.87, daytime DBP 4.10 vs 1.59). In conclusion, central obesity has no influence on nocturnal dipping patterns. However, higher SBP and wider PP are associated with central obesity, which is accentuated in women.
Å°¿öµå
Obesity, Abdominal, Blood Pressure Monitoring, Ambulatory, Blood Pressure
KMID :
0191120130280101461
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)
Higher SBP and wider pulse pressure (PP) are associated with central obesity, especially in women.