The scientific evidence for the management of prehypertensives and high risk group

Byung Yeol Chun; Ji-Yeon Shin

doi:10.5124/jkma.2011.54.10.1013

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Chun and Shin: The scientific evidence for the management of prehypertensives and high risk group

Focused Issue of This Month

Clinical preventive service and scientific evidence-II

Journal of the Korean Medical Association

Journal of the Korean Medical Association 2011; 54(10): 1013-1019.

Published online: 12 October 2011

DOI: https://doi.org/10.5124/jkma.2011.54.10.1013

The scientific evidence for the management of prehypertensives and high risk group

Byung Yeol Chun, MD, Ji-Yeon Shin, MD

Department of Preventive Medicine, Kyungpook National University School of Medicine, Daegu, Korea.

Corresponding author: Ji-Yeon Shin, mhyeh@knu.ac.kr

Received 23 August 2011 Accepted 7 September 2011

(open-access):

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The establishment of the concept of "prehypertension" has drawn attention to the preclinical range of blood pressure with clinical and public health significance. Prehypertensive individuals require lifestyle modifications (risk factor management) to prevent the progressive rise in blood pressure and cardiovascular diseases (CVDs). Also, for those with hypertension, adoption of healthy lifestyles is an indispensable part of hypertension control, because lifestyle modifications enhance antihypertensive drug efficacy and prevent or delay the incidence of CVD. For the effective management of hypertension at the national level in Korea, evidence-based recommendations for lifestyle modification method and education programs are urgently needed. Thus, to obtain evidence-based data, intensive support from the government level is needed for further long-term follow-up studies and randomized clinical trials for high-risk groups and prehypertensives.

Keywords: Prehypertension, Risk factors, Preventive health service, Evidence-based medicine

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