Korean J Fam Pract. 2016; 6(6): 660-667  https://doi.org/10.21215/kjfp.2016.6.6.660
The Relationship of Blood Pressure with Subjective Health Awareness and Health Related Quality of Life
Hyeun-Guk Shin, Jung-Hyun Kim*, Hyun-Woo Kwon, Ahram Hong, Jae-Hyun Youn, Yun-Jae Han, Young-Il Kim
Department of Family Medicine, Hana General Hospital, Cheongju, Korea
Jung-Hyun Kim
Tel: +82-43-230-6555, Fax: +82-43-235-5300
E-mail: astrobass@hanmail.net
Received: July 8, 2016; Revised: October 24, 2016; Accepted: October 24, 2016; Published online: December 20, 2016.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Hypotension is associated with myocardial infarction and presents with nonspecific symptoms such as headache, palpitations, dizziness, and fatigue. Therefore, hypotension may affect the quality of life. This study aimed to identify the relationship between blood pressure and the quality of life/health awareness index.
Methods: Raw measurement data extracted from the 6th 2013-2014 Korea National Health & Nutrition Examination Survey, of the Korea Centers for Disease Control and Prevention was used to analyze the relationship between general characteristics, health-related quality of life, subjective health state, and blood pressure. Of 1,317 subjects, 468 were males and 849 were females. Subjective health awareness was categorized into good, normal, and bad, and was confirmed with questionnaires; the EuroQol five dimensions (EQ-5D) index was used to measure health-related quality of life.
Results: Only systolic blood pressure showed a significant correlation (P=0.04) with subjective health state. Poorer subjective health state showed a tendency toward a correlation with higher systolic blood pressure. All groups showed a non-significant correlation between systolic blood pressure, diastolic blood pressure, and the EQ-5D index.
Conclusion: Whether low blood pressure has clinical significance in healthy people has been unclear. In this study, the subjective health awareness was worse in the high systolic blood pressure group. The quality of life measured by the EQ-5D index also showed no correlation with blood pressure. This study shows that low blood pressure may not directly affect overall health-related quality of life.
Keywords: Blood Pressure; Health Awareness; Quality of Life; EuroQol Five Dimension
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