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. 2017 Mar;58(2):326-338.
doi: 10.3349/ymj.2017.58.2.326.

Management Status of Cardiovascular Disease Risk Factors for Dyslipidemia among Korean Adults

Jongseok Lee  1 , Heejeong Son  2 , Ohk Hyun Ryu  3
Affiliations

Management Status of Cardiovascular Disease Risk Factors for Dyslipidemia among Korean Adults

Jongseok Lee et al. Yonsei Med J. 2017 Mar.

Abstract

Purpose: Dyslipidemia, hypertension, and diabetes are well-established risk factors for cardiovascular disease (CVD). This study investigated the prevalence and management status of these factors for dyslipidemia among Korean adults aged 30 years old and older.

Materials and methods: The prevalence and management status of dyslipidemia, hypertension, and diabetes were analyzed among 12229 subjects (≥30 years) participating in the Korea National Health and Nutrition Survey 2010-2012. Dyslipidemia was defined according to treatment criteria rather than diagnostic criteria in Korea. Therefore, hyper-low-density lipoprotein (LDL) cholesterolemia was defined if LDL cholesterol levels exceeded the appropriate risk-based threshold established by the National Cholesterol Education Program Adult Treatment Panel III.

Results: The age-standardized prevalence was highest for dyslipidemia (39.6%), followed by hypertension (32.8%) and diabetes (9.8%). The lowest patient awareness was found for dyslipidemia (27.9%). The treatment rate was 66.5% for diabetes and 57.3% for hypertension, but only 15.7% for dyslipidemia. The control rate among those undergoing treatment was highest for hypertension (64.2%), followed by dyslipidemia (59.2%) and diabetes (22.1%). The higher the risk levels of CVD were, the lower the control rate of dyslipidemia.

Conclusion: While the prevalence of dyslipidemia was higher than hypertension and diabetes, awareness and treatment rates thereof were lower. Higher CVD-risk categories showed lower control rates of dyslipidemia. In order to improve awareness and control rates of dyslipidemia, diagnostic criteria should be reconciled with treatment targets based on cardiovascular risk in Korean populations.

Keywords: Management; diabetes mellitus; dyslipidemia; hypertension.

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Conflict of interest statement

The authors have no financial conflicts of interest.

Figures

Fig. 1
Fig. 1. Prevalence and management of dyslipidemia by age groups. p values for difference in rates between men and women were calculated by Fisher's exact two-tailed test.
Fig. 2
Fig. 2. Prevalence and management of hypertension by age groups. p values for difference in rates between men and women were calculated by Fisher's exact two-tailed test.
Fig. 3
Fig. 3. Prevalence and management of diabetes by age groups. p values for difference in rates between men and women were calculated by Fisher's exact two-tailed test.
Fig. 4
Fig. 4. Age-standardized prevalence and management of hyper-LDL-cholesterolemia. p values for difference in rates between men and women were calculated by Fisher's exact two-tailed test. LDL, low-density lipoprotein.
Fig. 5
Fig. 5. Risk factor status and prevalence of hyper-LDL-cholesterolemia. 1) Obesity: body mass index ≥25 kg/m2. AO: waist circumference ≥90 cm in men, or 85 cm in women. Hyper-TG: TG ≥150 mg/dL. Hypo-HDL-C: HDL-C <40 mg/dL in men, or <50 mg/dL in women. 2) p values for difference in prevalence rates were calculated by Fisher's exact two-tailed test. AO, abdominal obesity; TG, triglycerides; HDL-C, high-density lipoprotein cholesterol; MS, metabolic syndrome; LDL, low-density lipoprotein.
See this image and copyright information in PMC

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