ارتباط حس همگرایی با تغییرات 4 ساله فشار خون

Background & Objectives: A strong sense of coherence (SOC) has been associated with a reduced risk of all causes and cardiovascular mortality, but the underlying mechanism remains less clear. This study investigated the association of sense of coherence (SOC) with years-long blood pressure change, in male and female subjects. Methods: In 2001 a questionnaire survey and BP measurement were conducted among 1760 Japanese civil servants (963 men and 797 women) aged 20 to 60 years, who did not have hypertension. Thereafter which their Blood pressure was measured annually for 4 consecutive years, till the year 2005. The generalized estimating equation method was used to analyze the data. Results: The systolic and diastolic blood pressure of men in SOC quartile 3 (SOC score: ≥53~<58) was estimated to rise 5.00 and 3.52 mmHg less in 4 years (p<0.05) than the lowest quartile (SOC score: ≤46). Conclusions: Results suggested that the health promotion effects of SOC on annual BP change in men follows a curvilinear pattern. Among men individuals with moderately high SOC might have lower risk of developing high blood pressure.