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Chronic obstructive pulmonary disease is independently associated with hypertension in men: A survey design analysis using nationwide survey data.

Abstract Although studies have shown that chronic obstructive pulmonary disease (COPD) and hypertension are linked as comorbidities, it remains unclear whether COPD is independently associated with the risk of hypertension or is caused by common risk factors such as age and smoking. The objective of this study was to investigate the relationship between COPD and hypertension by using nationally representative data.This cross-sectional study analyzed data from the Korea National Health and Nutrition Examination Survey V conducted during 2010 to 2012. Hypertension was defined as a mean systolic blood pressure ≥ 140 mm Hg and/or a diastolic blood pressure ≥ 90 mm Hg, or current consumption of antihypertensive medications. A diagnosis of COPD was defined as a smoking history of at least 10 pack-years with airflow limitation on spirometry. Multivariate logistic regression was performed to investigate the independent association between COPD and hypertension after adjusting for covariates. Survey design analyses were conducted for all analyses.Among 4043 men (aged ≥ 40 years) who underwent spirometry, 2190 (54.2%) had hypertension. Even after adjusting for age, body mass index, smoking status, diabetes, metabolic syndrome, and stroke, COPD was independently associated with hypertension (adjusted odds ratio, 1.71; 95% confidence interval, 1.37-2.13; P < .001). Adjusted pulse pressure significantly increased as the ratio of forced expiratory volume in 1 s (FEV1) to forced vital capacity and FEV1 decreased.COPD is independently associated with hypertension, and this could explain the link between the risk of cardiovascular diseases and COPD.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28489760
OWN - NLM
STAT- MEDLINE
DA  - 20170510
DCOM- 20170612
LR  - 20170612
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 19
DP  - 2017 May
TI  - Chronic obstructive pulmonary disease is independently associated with
      hypertension in men: A survey design analysis using nationwide survey data.
PG  - e6826
LID - 10.1097/MD.0000000000006826 [doi]
AB  - Although studies have shown that chronic obstructive pulmonary disease (COPD) and
      hypertension are linked as comorbidities, it remains unclear whether COPD is
      independently associated with the risk of hypertension or is caused by common
      risk factors such as age and smoking. The objective of this study was to
      investigate the relationship between COPD and hypertension by using nationally
      representative data.This cross-sectional study analyzed data from the Korea
      National Health and Nutrition Examination Survey V conducted during 2010 to 2012.
      Hypertension was defined as a mean systolic blood pressure &gt;/= 140 mm Hg and/or a
      diastolic blood pressure &gt;/= 90 mm Hg, or current consumption of antihypertensive
      medications. A diagnosis of COPD was defined as a smoking history of at least 10 
      pack-years with airflow limitation on spirometry. Multivariate logistic
      regression was performed to investigate the independent association between COPD 
      and hypertension after adjusting for covariates. Survey design analyses were
      conducted for all analyses.Among 4043 men (aged &gt;/= 40 years) who underwent
      spirometry, 2190 (54.2%) had hypertension. Even after adjusting for age, body
      mass index, smoking status, diabetes, metabolic syndrome, and stroke, COPD was
      independently associated with hypertension (adjusted odds ratio, 1.71; 95%
      confidence interval, 1.37-2.13; P &lt; .001). Adjusted pulse pressure significantly 
      increased as the ratio of forced expiratory volume in 1 s (FEV1) to forced vital 
      capacity and FEV1 decreased.COPD is independently associated with hypertension,
      and this could explain the link between the risk of cardiovascular diseases and
      COPD.
FAU - Kim, Seon-Hye
AU  - Kim SH
AD  - aDivision of Pulmonary and Critical Care Medicine, Department of Internal
      Medicine, Seoul National University Hospital bDivision of Pulmonary and Critical 
      Care Medicine, Seoul Metropolitan Government-Seoul National University Boramae
      Medical Center, Seoul, Korea.
FAU - Park, Ju-Hee
AU  - Park JH
FAU - Lee, Jung-Kyu
AU  - Lee JK
FAU - Heo, Eun Young
AU  - Heo EY
FAU - Kim, Deog Kyeom
AU  - Kim DK
FAU - Chung, Hee Soon
AU  - Chung HS
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Antihypertensive Agents)
SB  - AIM
SB  - IM
MH  - Adult
MH  - Antihypertensive Agents/therapeutic use
MH  - Blood Pressure
MH  - Comorbidity
MH  - Cross-Sectional Studies
MH  - Forced Expiratory Volume
MH  - Humans
MH  - Hypertension/drug therapy/*epidemiology/physiopathology
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Odds Ratio
MH  - Pulmonary Disease, Chronic Obstructive/*epidemiology/physiopathology
MH  - Republic of Korea/epidemiology
MH  - Risk Factors
MH  - Smoking/epidemiology/physiopathology
MH  - Spirometry
MH  - Surveys and Questionnaires
MH  - Vital Capacity
PMC - PMC5428594
EDAT- 2017/05/11 06:00
MHDA- 2017/06/13 06:00
CRDT- 2017/05/11 06:00
AID - 10.1097/MD.0000000000006826 [doi]
AID - 00005792-201705120-00027 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 May;96(19):e6826. doi: 10.1097/MD.0000000000006826.

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