Hypertension in Japanese old-old
Hypertension in Japanese old-old
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日本老年人高血压
DOI：
10.1016/s0140-6736(02)07872-8
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
K. Saijoh
中科院分区：
文献类型：
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作者：
H. Ho;K. Matusbayashi;FS Lim;S. Sahadevan;T. Kita;K. Saijoh
先生-我们多年来一直在研究日本卡北和浦洲两个城镇以及韩国首尔郊区城镇的65岁及以上的社区居住老年人，并从2001年开始纳入新加坡的老年人。该研究基于综合老年评估1的原则，并使用自我报告的问卷以及各种测试，包括神经精神功能和血液测试。我们从新加坡的初步数据中发现了一些问题，这些问题可能会引起更广泛的兴趣。我们的数据显示，除了韩国人群的舒张压外，新加坡社区居住老年人的收缩压和舒张压显著高于其他人群。除韩国外，大多数参与者年龄超过75岁（老年人）。在新加坡，某综合诊所所在地区的老年人俱乐部成员应邀参加，三分之一的人作出了答复。在这两个日本城镇，分别有34%和26%的人口是老年人，40%的老年人做出了回应。在韩国，参与城镇的老年人自愿参加了这项研究。血压测量值是患者坐着时两次读数的平均值。我们选择定义血压正常而不是高血压患者，以避免在老年人中定义高血压的争议，以及自我报告的诊断信息可能存在的模糊性。生活方式的差异，特别是饮食因素和运动，肯定会解释部分差异。远离大城市的日本老年人的饮食仍然是传统的。新加坡老年人的饮食习惯多种多样，而且仍然非常依赖种族。去农场、步行或骑自行车到最近的商店是日本或韩国老年人日常生活的一部分，但在新加坡的城市生活方式中却不是这样。
Sir—We have studied communitydwelling elderly people aged 65 years and older in two towns in Japan, Kahoku and Urausu, and in a suburb town of Seoul, Korea, for many years, and have included elderly people in Singapore since 2001. The study was based on the principles of comprehensive geriatric assessment1 and used a self-reported questionnaire in addition to various tests, including neuropsychiatric performance-based function and blood tests. Some issues have arisen from our preliminary Singapore data that may be of wider interests. Our data show that, with the exception of diastolic pressure in the Korean population, the systolic and diastolic blood pressure of community-dwelling elderly people in Singapore were significantly higher than those in the other populations. Most participants, other than in Korea, were older than 75 years (old-old). In Singapore, members of senior citizens clubs within the area of a certain polyclinic were invited to participate, and a third responded. In the two Japanese towns, in which 34% and 26%, respectively, of the population is elderly, 40% of all oldold people responded. In Korea, elderly people in the participating town volunteered for the study. Blood pressure measurements were the average of two readings taken while the patients were sitting. We chose to define normotensive instead of hypertensive patients to avoid the controversy of defining hypertension in the old-old, and possible ambiguity of self-reported information about diagnosis.Lifestyle differences, especially dietary factors and exercise, would certainly account for part of the difference. The diet of Japanese elderly people living away from major cities is still traditional. Dietary habits of Singaporean elderly people are varied and still very much racedependent. Going to the farm, walking or cycling long distances to the nearest shop is a part of daily lives for elderly people in Japan or Korea, but not in the city lifestyle of those in Singapore.