Nutr Res Pract.  2011 Feb;5(1):60-65.

Dietary factors related to hypertension risk in Korean adults-data from the Korean national health and nutrition examination survey III

• Lee JS
• Park J
• Kim J

Abstract

Regional differences between large cities and rural areas are observed in the Korean National Health and Nutrition Examination Survey (KNHANES). This present study was conducted to evaluate the effect of dietary factors on hypertension risk in Korean populations, especially residents of the Chungcheong province which was not in metropolitan area, using KNHANES III. A total of 544 adults aged > or = 19 years were placed into either the normotensive or the hypertensive group. Subject characteristics, BMI, blood pressure, and nutrient intakes were compared between the two groups using a chi-square test and t-test. We estimated odds ratios (ORs) using multiple logistic regression, adjusted for energy intake and selected covariates. There were significant differences in age, education level, alcohol consumption, and BMI between the normotensive and hypertensive groups. We found decreased ORs for the medium versus lowest tertile of calcium intake (multivariate OR = 0.43, 95% CI: 0.21-0.88), for the highest versus lowest tertile of calcium intake (multivariate OR = 0.43, 95% CI: 0.20-0.90) with significant trends in risk (P = 0.040), and for the medium versus lowest tertile of potassium intake (multivariate OR = 0.43, 95% CI: 0.20-0.89). Subjects with the highest sodium/calcium ratio had a 2.10-fold greater risk of hypertension compared to the subject with the lowest, with significant trends in risk (P = 0.002). Adequate calcium and potassium intake should be encouraged and regional differences should be considered in making a healthy plan for hypertension management.

Keyword

Hypertension; sodium; potassium; calcium; Korean National Health and Nutrition Examination Survey

MeSH Terms

Adult
Aged
Alcohol Drinking
Blood Pressure
Calcium
Electrolytes
Energy Intake
Humans
Hypertension
Logistic Models
Nutrition Surveys
Odds Ratio
Potassium
Sodium
Calcium
Electrolytes
Potassium
Sodium

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