Comparative 10-year-Follow-up Study on Hypertension in Nepal

尼泊尔高血压 10 年比较随访研究

• 批准号: 08041178
• 负责人: KAWASAKI Terukazu
• 金额: $ 3.07万
• 依托单位: KYUSHU UNIVERCITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for international Scientific Research
• 财政年份: 1996
• 资助国家: 日本
• 起止时间: 1996 至 无数据
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-08041178/
• 关键词: Nepal; Hilly village (or Kotyang); Suburban village (or Bhadrakali); Hypertension; Follow-up Study; Lifestyle; Interdisciplinary research; Mineral intake; 丘陵地農村 or Kotyang; 都市近郊農村 or Bhadrakali

[Objective] The purpose of this study is to investigate and specify the factors concerning the genesis of hypertension in Nepal, Particularly, we focused our attention on changes in the blood pressure level, health status with age and lifestyle. The specific purposes of the present study are to determine any changes in the blood pressure (BP) and health status of the inhabitants after 10-year period, and to identify any changes in the BP and health status of the inhabitants after a transition to an urban and modern lifestyle.[Subjects and Methods] One of the two survey sites was located in a hilly village (Kotyang: K), where traditional lifestyle is still common, while the other was in a suburban village (Bhadrakali: B) near Katmandu, where the changes in lifestyle have been rapid. A comparison of these two sites is expected to help elucidate the crucial factors. Of the genesis of hypertension. We selected the survey sites and the subjects identical to those of the 1987-study, and cond … More ucted in the same season as previous one in 1987. A total of 189 men and 185 women in Kotyanrg and 278 men and 318 women in Bhadrakali, aged from 20 to 86, participated in this study. To compare the results between 1987 and 1996, similar medical, nutritional and anthropometrical procedures were performed on each group.[Results] (1) No significant differences in the average height and weight were found between the two villagers. (2) The average %Fat and the appearance rate of obesity for women were also similar among both groups of villagers, while those for men were lower in K than in B. (3) Maximal aerobic powers for both sexes were apparently higher in K than in B for all age-group. (4) Both systolic and diastolic BP were significantly lower in K than in B. (_5) The incidence of hypertension (140/90 mmHg or over) was 0.8% for men and 0.6Z% for women in K and 14% and 0.1% for men and women in B. (6) Estimated average salt intake was 10.8 and 10.6 g/day in K's men and women and 10.1 and 10.6 g/day in B's men and women. (7) Urinary K excretion was higher in K than in B.[Conclusion] We confirmed that the BP was still low in K's villagers in spite of consuming the high salt diet and these results suggest that the physical activities in their daily lire may substantially differ between K and B. More detailed analyses are required to clarify the relationship between BP changes and the lifestyle changes between the two villagers. Less

【目的】本研究的目的是调查和明确尼泊尔高血压发病的相关因素，特别关注血压水平、健康状况随年龄和生活方式的变化。本研究的具体目的是确定10年后居民血压（BP）和健康状况的变化，并确定居民在向城市和现代生活方式过渡后血压和健康状况的变化。[对象和方法]两个调查点之一位于一个丘陵村庄（Kotyang: K），传统的生活方式仍然很普遍，而另一个调查点位于加德满都附近的一个郊区村庄（Bhadrakali: B），那里的生活方式变化很快。对这两个地点的比较有望有助于阐明关键因素。高血压的起源。我们选择了与1987年研究相同的调查地点和调查对象，并在1987年的同一季节进行了更多的调查。Kotyanrg共有189名男性和185名女性，Bhadrakali共有278名男性和318名女性参加了这项研究，年龄从20岁到86岁不等。为了比较1987年至1996年期间的结果，对每组进行了类似的医疗、营养和人体测量程序。[结果](1)两村人均身高、体重无显著差异。(2)两组村民中女性的平均脂肪百分比和肥胖外观率也相似，而男性的K值低于B值。(3)各年龄组中K值的最大有氧能力明显高于B值。(4) K组的收缩压和舒张压均明显低于B组。(5)高血压（140/90 mmHg及以上）的发生率，K组男性为0.8%，女性为0.6%，B组男性为14%，女性为0.1%。(6)估计平均盐摄入量，K组男性和女性分别为10.8和10.6 g/d， B组男性和女性分别为10.1和10.6 g/d。(7) K组尿钾排泄量高于b组。[结论]我们证实了K村村民在高盐饮食的情况下血压仍然较低，这些结果表明K村和b村在日常生活中的体力活动可能存在很大差异。少

项目成果

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KAWASAKI,T., et al.：“每日矿物质摄入量（钠、钾、钙和镁）对尼泊尔高血压发生的意义”健康科学杂志。

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