ArticleGerontology2013
Sociodemographic correlates of four indices of blood pressure and hypertension among older persons in Japan.
Article in Gerontology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Joint analysis of blood pressure changes over time and survival of hypertensive patients under treatment at Sawula hospital in Southern Ethiopia.BMC public health · 2025Article
- Living Alone Increases the Risk of Hypertension in Older Chinese Adults: A Population-Based Longitudinal Study.Innovation in aging · 2023Article
- Association of living alone and living alone time with hypertension among Chinese men aged 80 years and older: a cohort study.Frontiers in public health · 2023Article
- Cognitive Performance Among Older Persons in Japan and the United States.Journal of the American Geriatrics Society · 2020Article
- Association of cigarette smoking with radial augmentation index: the Circulatory Risk in Communities Study (CIRCS).Hypertension research : official journal of the Japanese Society of Hypertension · 2018Article
- Systolic hypertension: an increasing clinical challenge in Asia.Hypertension research : official journal of the Japanese Society of Hypertension · 2015Review
- Diagnosis and Control of Hypertension in the Elderly Populations of Japan and the United States.International journal of population studies · 2015Article
- Gender differences in hypertension control among older korean adults: Korean social life, health, and aging project.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2015Article
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Authors and funding
4 authors.
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Abstract
backgroundHigh blood pressure is a significant risk factor for cardiovascular disease and mortality. Japan has traditionally had higher levels of measured blood pressure than many Western countries, and reducing levels of hypertension has been a major focus of Japanese health policy over recent decades. In the West, hypertension is strongly associated with sociodemographic and behavioral (smoking and body mass index, BMI) factors; studies of the association between sociodemographic factors and biological indicators have not been fully explored in the elderly population of Japan using nationally representative survey data.
objectiveTo describe hypertension prevalence rates with increasing age and to examine the link between sociodemographic and behavioral factors (including age, gender, education, residence, smoking, and BMI) and measures of blood pressure and overall hypertension in the Japanese population aged ≥68 years.
methodsData were collected in 2006 during the fourth wave of the Nihon University Japanese Longitudinal Study of Aging, a nationally representative sample of those ≥68. The analytic sample includes 2,634 participants. Pulse pressure, systolic, diastolic, and mean blood pressure, as well as hypertension, were regressed on sociodemographic and behavioral factors.
resultsThere is no significant difference in the prevalence of overall hypertension by age for men and women from ages 68-69 to 90+. Higher BMI and older age were linked to higher blood pressure and higher chance of having hypertension. More years of education and being female were associated with a lower likelihood of measured hypertension. Smoking, rural residence, and living alone were not significantly associated with the outcome measures.
conclusionThe increase in hypertension with higher BMI raises concerns about future health in Japan as BMI increases. The lack of a relationship between smoking and any measure of blood pressure or hypertension is an indicator that smoking may have different effects in Japan than in other countries. Because there is no effect of living alone on blood pressure, compliance with drug regimes may not be enhanced by living with others in Japan.
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