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Assessing risk factors of coronary heart disease and its risk prediction among Korean adults: the 2001 Korea National Health and Nutrition Examination Survey.

Abstract

BACKGROUND

An in-depth assessment of coronary heart disease (CHD) risk factors in Koreans was conducted to develop effective risk reduction strategies for this population.

METHOD

Based on 2001 Korea National Health and Examination Survey, a cross-sectional survey, this paper presents the prevalence of major CHD risk factors and estimates future risk by applying the Framingham model and CHD risk factor guidelines of the National Cholesterol Education Program Adult Treatment Panel III (NCEP) to 4639 Koreans aged 20 to 79 years.

RESULT

Our findings indicate that CHD is a major health threat to Koreans. Among these factors, low high-density lipoprotein cholesterol (HDL-C) was seen in 35.1% of men and 17.8% of women; both had a low rate of controlled high blood pressure (men 13.7%, women 23.6%), and age-adjusted current smoking was especially high (61.6%) in men. The 10-year CHD risk averaged 11.1% in men and 5.5% in women based on Framingham model, and 7.4% and 1.4% based on NCEP guidelines. About 9.1% of men and 2.6% of women were "high-risk," (>20%) based on the Framingham model, and 4.7% and 0.7%, respectively, on the NCEP guideline. Diabetes was the most prevalent risk factor among high-risk individuals and total cholesterol in men and low HDL-C in women was fairly high regardless of prediction method.

CONCLUSION

These findings suggest that current coronary heart health of Koreans is nearly comparable to that of western developed countries. Developing and implementing effective population-based intervention strategies focusing on diabetes is warranted to lower the CHD risk for Koreans.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Division of Epidemiology, School of Public Health, Seoul National University, Chongno-gu, Korea. mjungk@hanmail.net

    ,

    Source

    International journal of cardiology 110:2 2006 Jun 16 pg 184-90

    MeSH

    Adult
    Aged
    Blood Pressure
    Body Height
    Body Mass Index
    Body Weight
    Cholesterol, HDL
    Cholesterol, LDL
    Coronary Disease
    Cross-Sectional Studies
    Diabetes Mellitus
    Female
    Humans
    Hypercholesterolemia
    Hypertension
    Korea
    Male
    Middle Aged
    Nutrition Surveys
    Practice Guidelines as Topic
    Risk Assessment
    Risk Factors
    Smoking

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    16412525

    Citation

    Ko, Minjung, et al. "Assessing Risk Factors of Coronary Heart Disease and Its Risk Prediction Among Korean Adults: the 2001 Korea National Health and Nutrition Examination Survey." International Journal of Cardiology, vol. 110, no. 2, 2006, pp. 184-90.
    Ko M, Kim MT, Nam JJ. Assessing risk factors of coronary heart disease and its risk prediction among Korean adults: the 2001 Korea National Health and Nutrition Examination Survey. Int J Cardiol. 2006;110(2):184-90.
    Ko, M., Kim, M. T., & Nam, J. J. (2006). Assessing risk factors of coronary heart disease and its risk prediction among Korean adults: the 2001 Korea National Health and Nutrition Examination Survey. International Journal of Cardiology, 110(2), pp. 184-90.
    Ko M, Kim MT, Nam JJ. Assessing Risk Factors of Coronary Heart Disease and Its Risk Prediction Among Korean Adults: the 2001 Korea National Health and Nutrition Examination Survey. Int J Cardiol. 2006 Jun 16;110(2):184-90. PubMed PMID: 16412525.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Assessing risk factors of coronary heart disease and its risk prediction among Korean adults: the 2001 Korea National Health and Nutrition Examination Survey. AU - Ko,Minjung, AU - Kim,Miyong T, AU - Nam,Jung Ja, Y1 - 2006/01/18/ PY - 2005/05/09/received PY - 2005/07/13/revised PY - 2005/07/24/accepted PY - 2006/1/18/pubmed PY - 2006/11/3/medline PY - 2006/1/18/entrez SP - 184 EP - 90 JF - International journal of cardiology JO - Int. J. Cardiol. VL - 110 IS - 2 N2 - BACKGROUND: An in-depth assessment of coronary heart disease (CHD) risk factors in Koreans was conducted to develop effective risk reduction strategies for this population. METHOD: Based on 2001 Korea National Health and Examination Survey, a cross-sectional survey, this paper presents the prevalence of major CHD risk factors and estimates future risk by applying the Framingham model and CHD risk factor guidelines of the National Cholesterol Education Program Adult Treatment Panel III (NCEP) to 4639 Koreans aged 20 to 79 years. RESULT: Our findings indicate that CHD is a major health threat to Koreans. Among these factors, low high-density lipoprotein cholesterol (HDL-C) was seen in 35.1% of men and 17.8% of women; both had a low rate of controlled high blood pressure (men 13.7%, women 23.6%), and age-adjusted current smoking was especially high (61.6%) in men. The 10-year CHD risk averaged 11.1% in men and 5.5% in women based on Framingham model, and 7.4% and 1.4% based on NCEP guidelines. About 9.1% of men and 2.6% of women were "high-risk," (>20%) based on the Framingham model, and 4.7% and 0.7%, respectively, on the NCEP guideline. Diabetes was the most prevalent risk factor among high-risk individuals and total cholesterol in men and low HDL-C in women was fairly high regardless of prediction method. CONCLUSION: These findings suggest that current coronary heart health of Koreans is nearly comparable to that of western developed countries. Developing and implementing effective population-based intervention strategies focusing on diabetes is warranted to lower the CHD risk for Koreans. SN - 0167-5273 UR - https://www.unboundmedicine.com/medline/citation/16412525/Assessing_risk_factors_of_coronary_heart_disease_and_its_risk_prediction_among_Korean_adults:_the_2001_Korea_National_Health_and_Nutrition_Examination_Survey_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0167-5273(05)01070-3 DB - PRIME DP - Unbound Medicine ER -