effect of environmental and lifestyle factors on hypertension shimane cohre study环境和生活方式因素对高血压的影响岛根县居住权中心研究.pdfVIP

Effect of Environmental and Lifestyle Factors on Hypertension: Shimane COHRE Study 1,2 3 1,2 1,2 1,4 Tsuyoshi Hamano *, Yoshinari Kimura , Miwako Takeda , Masayuki Yamasaki , Minoru Isomura , Toru Nabika1,4, Kuninori Shiwaku1,2 1 Center for Community-Based Health Research and Education (COHRE), Organization for the Promotion of Project Research, Shimane University, Izumo, Japan, 2 Department of Environmental and Preventive Medicine, Shimane University School of Medicine, Izumo, Japan, 3 Department of Geography, Graduate School of Literature and Human Sciences, Osaka City University, Osaka, Japan, 4 Department of Functional Pathology, Shimane University School of Medicine, Izumo, Japan Abstract Background: In recent years there has been increasing evidence of an association between residential remoteness and hypertension (HTN); however, no study has examined the effects of residential remoteness-lifestyle associations on HTN. The objective of this study was to evaluate the effects of residential remoteness, as measured by road network distance and elevation, and lifestyle associations, including access to daily products as a measure of car use, on HTN in a rural region in Japan. Method: This is a cross-sectional population based study. We analyzed data from the Shimane COHRE study conducted from 2006 to 2009 in the rural mountainous regions of Japan. After excluding missing data, we conducted a logistic regression analysis of the data for 1,348 individuals and examined the effects of residential remoteness and lifestyle associations, including road network distance, elevation and access to daily