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This approach may lead to a good misclassification off BP kinds and you will present dilution bias, possibly underestimating true contacts

This approach may lead to a good misclassification off BP kinds and you will present dilution bias, possibly underestimating true contacts

In the current study, the association of new BP categories with risk of incident CVD was more evident in young adults aged <40 years than in the older subjects, which is in line with earlier studies that also reported a stronger association between BP and CVD outcomes in middle?aged compared with elderly populations. 8 , 46 , 51 , 52 , 53 The reasons for the stronger associations in young adults are unclear.

The result away from BP to the risk of CVD may be diluted which have broadening ages since both the incidence from higher BP and most other CVD risk circumstances along with be much more common as we age

From inside the Southern Korea, this new Korean People of Blood pressure computed to utilize the previous blood pressure levels conditions out of systolic BP/diastolic BP ? mm Hg on account of too little obvious research for further take advantage of decreasing the blood pressure level endurance in order to mm Hg to have Koreans. 54 , 55 According to Korean Blood circulation pressure Truth Layer 2018, how many someone identified as having hypertension improved out-of step 3 billion for the 2002 to 8.9 billion within the 2016, with just 5.seven billion people who have appropriate and you can persistent antihypertensive medication for the 2016. 56 The procedure speed improved out of 22% for the 1998 so you can 59% for the 2007 in order to 61% inside the 2016, and also the manage price increased of 5% in the 1998 to help you 41% within the 2007 in order to forty-two% within the 2016. 56 During the research conducted recently utilizing the Korean Federal Health and Diet Test Questionnaire, the incidence regarding blood pressure levels while the number of people who require antihypertensive therapy might possibly be increased, becoming comparable along with other regions. 55 , 57 , 58 Considering present degree dealing with utilization of the assistance from inside the several countries, like the You, Asia, and you may Korea, the latest 2017 ACC/AHA hypertension direction commonly markedly boost the frequency away from blood pressure levels and exactly how many clients who want antihypertensive therapy initiation and people who require medication intensification global. 57 , 58 , 59 , sixty , 61 , 62 Within the a recent study regarding National Health insurance and Diet Test Questionnaire, depending on the 2017 ACC/AHA rule, compared with the newest Seventh Mutual National Panel tip, the fresh frequency off blood pressure level has increased out of 29.9% in order to forty-five.6%, the newest portion of Us people recommended for antihypertensive treatment has increased from 34.3% in order to thirty-six.2%, and you can 53.4% folks adults delivering antihypertensive treatment you need a lot more intense lowering of the BP. 59 In the event of Asia, adoption of your own 2017 ACC/AHA blood pressure guidelines carry out lead to the increment in the incidence out of blood pressure out-of 25% so you can fifty%. 63 It ought to be examined if the such as alterations in the latest diagnostic tolerance and you may healing aim from in order to mm Hg perform boost BP handle and its own relevant result. Future research is along with had a need to establish the newest connection ranging from BP and you can CVD risk about more youthful society which have varied ethnicity and you can to decide if the chance/benefit proportion getting treatment solutions are how to message someone on christianconnection favorable inside reasonable?chance group.

This and you may sex standardization is actually performed by using the head approach for the many years design of your own Korean people, old 20 so you’re able to 80 age, in 2010

The strengths of our study are its cohort study design, the large sample size, the use of carefully standardized clinical procedures, and the almost complete follow?up for CVD events, as the National Health Insurance collects all medical services use covering the entire Korean population. This study also has several limitations. First, as with most previous studies, the determination of BP was based on a single?day measurement, although 3 readings were taken. Second, we did not incorporate changes in BP categories and other covariates during follow?up. Third, health behaviors were assessed via a self?administered structured questionnaire used in health checkup programs in Korea, as part of the National Health Insurance plan. Measurement errors in these variables may introduce some degree of residual confounding, similar to most epidemiologic studies. Fourth, we used the Pooled Cohorts Equations in all participants; however, it was not validated in adults aged <40 years. Finally, this is an opportunistic cohort of individuals, who self?presented for the health examination, and hence is not a representative sample of low cardiovascular risk young adults in the community. The study population of this cohort was relatively highly educated, young to middle?aged Korean adults with high accessibility to healthcare resources. We compared our study population with a representative sample of the general Korean population (the Korea National Health and Nutrition Examination Survey). The age? and sex?standardized prevalence of hypertension (defined as systolic BP ?140 mm Hg, diastolic BP ?90 mm Hg, or the use of antihypertensive medication), type 2 diabetes mellitus (defined as fasting serum glucose level ?126 mg/dL or the use of blood glucose–lowering agents), obesity (body mass index ?25 kg/m 2 ), and current smoker was lower than those of the general population (16.6% versus 29.1%, 9.3% versus 10.5%, 27.6% versus 31.5%, and 16.8% versus 26.5%, respectively), indicating that our study population may be healthier than the general Korean population. Thus, our findings might not be generalizable to other ethnic groups or populations with different age, demographic, diet, and health behavior characteristics.