抄録
Background To know the historical change in risk factors for high BP of Japanese.
Methods We verified and analyzed the data of “Ningen Dock” of 1973 and 1997. The subjects were 46,941 adults in 1997 and 12,031 adults in 1973.
Results Compared to 1973, the proportion of high BP in both males and females went down in 1997. According to logistic analysis, the risk factors for high BP in 1973 were being male, aging, and high BMI. In 1997, occupation appeared to be a risk factor in addition to the risks in 1973. According to our new 1997 model with more detailed variables, occupation appeared to be a risk factor for both males and females again. Another common risk factor to males and females was character. Moreover, being single, the drinking and aging were risk factors for males. As for the role of smoking, it was considered that when subjects were obese, the risk was high regardless of smoking, but the risk was depressed when they smoked.
Conclusion Modifications of both lifestyle and occupational circumstances will be a considerable contribution in controlling BP. To prevent lifestyle related disease including high BP of the Japanese, the role of occupational physicians who manage work environment or health for employees is becoming bigger. It is considered that they should contribute more to the health care, by clarifying the clinical role.
