Hyun Ja Kim1, Yuna Kim2, Yumi Cho3, Byungyool Jun4, Kyung Won Oh5. 1. Division of Health and Nutrition Survey, Korea Centers for Disease Control and Prevention, Cheongwon, Republic of Korea. Electronic address: wisekimh@korea.kr. 2. Division of Health and Nutrition Survey, Korea Centers for Disease Control and Prevention, Cheongwon, Republic of Korea. Electronic address: yunaghim@korea.kr. 3. Division of Health and Nutrition Survey, Korea Centers for Disease Control and Prevention, Cheongwon, Republic of Korea. Electronic address: choym527@korea.kr. 4. Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea. Electronic address: byjun@yuhs.ac. 5. Division of Health and Nutrition Survey, Korea Centers for Disease Control and Prevention, Cheongwon, Republic of Korea. Electronic address: kwoh27@korea.kr.
Abstract
BACKGROUND: Mortality from coronary heart disease in Korea has increased continuously, but there are few comprehensive national data on trend in the prevalence of risk factors for cardiovascular disease in this population. We examined the trends in the prevalence of major risk factors for cardiovascular disease, including smoking, obesity, hypertension, diabetes, and hypercholesterolemia, from 1998 through 2012 in a representative Korean population. METHODS: Using data from the Korea National Health and Nutrition Examination Survey I (1998) to V (2010-2012), we selected the adults aged≥30 yr who participated in both a health examination and health interview survey. RESULTS: From 1998 to 2012, significant decrease in the prevalence of hypertension was observed in both men (32.5 to 31.5%) and women (26.9 to 24.3%). Smoking rates decreased only in men (65.1 to 47.0%), whereas the prevalence of diabetes did not change over time. Conversely, the prevalence of hypercholesterolemia significantly increased from 7.2% to 12.6% for men and from 8.4% to 14.9% for women, whereas the rates of awareness and treatment for hypercholesterolemia were relatively lower than that of hypertension and diabetes. During the period, prevalence of obesity significantly increased from 26.8% to 38.1% only in men. CONCLUSIONS: The increased prevalence of hypercholesterolemia and obesity may have contributed to the increasing trend in the mortality from coronary heart disease in Korea. Further population-based surveillance of blood cholesterol levels and obesity needs to be performed, and national strategies for improvement of these factors should be established in Korea.
BACKGROUND: Mortality from coronary heart disease in Korea has increased continuously, but there are few comprehensive national data on trend in the prevalence of risk factors for cardiovascular disease in this population. We examined the trends in the prevalence of major risk factors for cardiovascular disease, including smoking, obesity, hypertension, diabetes, and hypercholesterolemia, from 1998 through 2012 in a representative Korean population. METHODS: Using data from the Korea National Health and Nutrition Examination Survey I (1998) to V (2010-2012), we selected the adults aged≥30 yr who participated in both a health examination and health interview survey. RESULTS: From 1998 to 2012, significant decrease in the prevalence of hypertension was observed in both men (32.5 to 31.5%) and women (26.9 to 24.3%). Smoking rates decreased only in men (65.1 to 47.0%), whereas the prevalence of diabetes did not change over time. Conversely, the prevalence of hypercholesterolemia significantly increased from 7.2% to 12.6% for men and from 8.4% to 14.9% for women, whereas the rates of awareness and treatment for hypercholesterolemia were relatively lower than that of hypertension and diabetes. During the period, prevalence of obesity significantly increased from 26.8% to 38.1% only in men. CONCLUSIONS: The increased prevalence of hypercholesterolemia and obesity may have contributed to the increasing trend in the mortality from coronary heart disease in Korea. Further population-based surveillance of blood cholesterol levels and obesity needs to be performed, and national strategies for improvement of these factors should be established in Korea.
Authors: Hak Jin Kim; Eun Jeong Cho; Mi Hyang Kwak; Bang Wool Eom; Hong Man Yoon; Soo-Jeong Cho; Jong Yeul Lee; Chan Gyoo Kim; Keun Won Ryu; Young-Woo Kim; Il Ju Choi Journal: Support Care Cancer Date: 2018-10-13 Impact factor: 3.603
Authors: Steven B Heymsfield; Courtney M Peterson; Diana M Thomas; Moonseong Heo; John M Schuna; Sangmo Hong; Woong Choi Journal: Am J Clin Nutr Date: 2014-10-08 Impact factor: 7.045