-
Trends in the prevalence and management of major metabolic risk factors for chronic disease over 20 years: findings from the 1998-2018 Korea National Health and Nutrition Examination Survey
-
Yoonjung Kim, Sun Jin Nho, Gyeongji Woo, Hyejin Kim, Suyeon Park, Youngtaek Kim, Ok Park, Kyungwon Oh
-
Epidemiol Health. 2021;43:e2021028. Published online April 19, 2021
-
DOI: https://doi.org/10.4178/epih.e2021028
-
-
15,443
View
-
390
Download
-
18
Web of Science
-
20
Crossref
-
Abstract
Summary
PDFSupplementary Material
-
Abstract
OBJECTIVES We aimed to explore trends in the prevalence and management of obesity, hypertension, diabetes, and hypercholesterolemia in Korean adults from 1998 to 2018 using data from the Korea National Health and Nutrition Examination Survey (KNHANES).
METHODS The study participants included 79,753 individuals aged ≥ 30 years who had participated in the health examination and health interview of the first (1998) to the seventh (2016-2018) KNHANES. The prevalence and management as well as annual percent change (APC) in chronic diseases were analyzed using SAS and the Joinpoint software program.
RESULTS The prevalence of obesity in men significantly increased from 26.8% in 1998 to 44.7% in 2018 (APC= 1.9, p< 0.001), whereas that in women decreased slightly from 30.5% in 1998 to 28.3% in 2018 (APC= -0.5, p< 0.001). The prevalence of hypertension in men was 33.2% in 2018, with no significant change, whereas that in women slightly decreased to 23.1% in 2018 (APC= -0.9, p< 0.001). The prevalence of diabetes in men increased slightly from 10.5% in 2005 to 12.9% in 2018 (APC= 1.6, p< 0.001), whereas that in women remained at approximately 8%, with no significant change. The prevalence of hypercholesterolemia in both men and women increased 3-fold in 2018 (20.9% in men [APC = 8.2, p < 0.001] and 21.4% in women [APC= 7.1, p< 0.001]) compared to that in 2005. The awareness rate, treatment rate, and control rate of hypertension and hypercholesterolemia increased 2-3 fold. Regarding diabetes, the treatment rate increased, but the control rate did not change.
CONCLUSIONS Over the past 20 years, the prevalence of obesity (in men), diabetes, and hypercholesterolemia has increased and management indicators, such as the awareness rate, treatment rate, and control rate of chronic diseases, have improved continuously.
-
Summary
Korean summary
국민건강영양조사(1998-2018) 자료를 활용하여 우리나라 성인의 비만, 고혈압, 당뇨병, 고콜레스테롤혈증 유병률 및 관리수준을 분석한 결과, 20년 동안 비만(남자), 당뇨병, 고콜레스테롤혈증 만성질환의 유병 수준은 악화되고 있는 반면, 만성질환의 인지율, 치료율, 치료자 중 조절률 등 관리지표는 지속적으로 개선되고 있었다.
Key Message
We examined trends in the prevalence and management of obesity, hypertension, diabetes, and hypercholesterolemia in Korean adults from the 1998-2018 Korea National Health and Nutrition Examination Survey. Over the past 20 years, the prevalence of obesity (in men), diabetes, and hypercholesterolemia has increased and management indicators, such as the awareness rate, treatment rate, and control rate of chronic diseases, have improved continuously.
-
Citations
Citations to this article as recorded by
- The role of glucagon-like peptide-1 receptor agonists (GLP1-RAs) in the management of the hypertensive patient with metabolic syndrome: a position paper from the Korean society of hypertension
Hae Young Lee, Seung-Hyun Ko, Sungjoon Park, Kyuho Kim, Song-Yi Kim, In-Jeong Cho, Eun Joo Cho, Hyeon Chang Kim, Jae-Hyeong Park, Sung Kee Ryu, Min Kyong Moon, Sang-Hyun Ihm Clinical Hypertension.2024;[Epub] CrossRef - The Trend of Chronic Diseases Among Older Koreans, 2004–2020: Age–Period–Cohort Analysis
Eun Ha Namkung, Sung Hye Kang, Jessica A Kelley The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences.2024;[Epub] CrossRef - Health-Related Quality of Life and Associated Comorbidities in Community-Dwelling Women with Breast Cancer
Dong Kee Jang, Hyung Seok Nam, Jieun Kim, Yeo Hyung Kim Journal of Clinical Medicine.2024; 13(17): 5321. CrossRef - Relationship Between the Risk of Obstructive Sleep Apnea and Cardiovascular Health in Middle-Aged Korean Men and Women: A Nationwide Study
Seo Young Kang, Jung Hwan Kim, Yunmi Kim Journal of Clinical Medicine.2024; 13(22): 6702. CrossRef - Adherence to Cancer Prevention Guidelines and Cancer Incidence and Mortality: A Population-Based Cohort Study
Jin-Kyoung Oh, Minji Han, Byungmi Kim, Eun Young Park Cancer Research and Treatment.2023; 55(1): 15. CrossRef - Deaths and disability-adjusted life years of hypertension in China, South Korea, and Japan: A trend over the past 29 years
Yan Qiu, Junzhuang Ma, Jiahong Zhu, Ying Liu, Wen Ren, Shuaishuai Zhang, Jingjing Ren Frontiers in Cardiovascular Medicine.2023;[Epub] CrossRef - Lifestyle and dietary changes related to weight gain in college students during the COVID-19 pandemic
Jihyun Kim, Seunghee Kye Journal of Nutrition and Health.2023; 56(3): 288. CrossRef - Ultra-Processed Food Consumption and Obesity in Korean Adults
Jee-Seon Shim, Kyoung Hwa Ha, Dae Jung Kim, Hyeon Chang Kim Diabetes & Metabolism Journal.2023; 47(4): 547. CrossRef - Changes in metabolic syndrome and the risk of breast and endometrial cancer according to menopause in Korean women
Thi Xuan Mai Tran, Soyeoun Kim, Boyoung Park Epidemiology and Health.2023; 45: e2023049. CrossRef - Diet quality partially mediates the association between ultraprocessed food consumption and adiposity indicators
Jee‐Seon Shim, Kyoung Hwa Ha, Dae Jung Kim, Hyeon Chang Kim Obesity.2023; 31(9): 2430. CrossRef - Emulsion Stability and Antioxidant Analysis of Pinus koraiensis Leaves Salad Dressing for Lacto-Ovo Diets
Jin-Ju Baek, Soo-In Ryu, Jean Kyung Paik Journal of the Korean Society of Food Science and Nutrition.2023; 52(10): 983. CrossRef - Changes in the management of hypertension, diabetes mellitus, and hypercholesterolemia in Korean adults before and during the COVID-19 pandemic: data from the 2010-2020 Korea National Health and Nutrition Examination Survey
Yoonjung Kim, Suyeon Park, Kyungwon Oh, Hongseok Choi, Eun Kyeong Jeong Epidemiology and Health.2023; 45: e2023014. CrossRef - Korea hypertension fact sheet 2021: analysis of nationwide population-based data with special focus on hypertension in women
Hyeon Chang Kim, Hokyou Lee, Hyeok-Hee Lee, Eunsun Seo, Eunji Kim, Jiyen Han, Ja-Young Kwon, Hyeon Chang Kim, Song Vogue Ahn, Sun Ha Jee, Sungha Park, Hae-Young Lee, Min Ho Shin, Sang-Hyun Ihm, Seung Won Lee, Hokyou Lee, Jong Ku Park, Il Suh, Tae-Yong Lee Clinical Hypertension.2022;[Epub] CrossRef - Sex-Specific Trends in the Prevalence of Hypertension and the Number of People With Hypertension: Analysis of the Korea National Health and Nutrition Examination Survey (KNHANES) 1998–2018
Eunsun Seo, Sunjae Jung, Hokyou Lee, Hyeon Chang Kim Korean Circulation Journal.2022; 52(5): 382. CrossRef - Benefits of adherence to the Korea Healthy Eating Index on the risk factors and incidence of the metabolic syndrome: analysis of the 7th (2016–2018) Korea National Health and Nutrition Examination Survey
Sun A Choi, Sung Suk Chung, Jeong Ok Rho Journal of Nutrition and Health.2022; 55(1): 120. CrossRef - Obesity, hypertension, diabetes mellitus, and hypercholesterolemia in Korean adults before and during the COVID-19 pandemic: a special report of the 2020 Korea National Health and Nutrition Examination Survey
Ga Bin Lee, Yoonjung Kim, Suyeon Park, Hyeon Chang Kim, Kyungwon Oh Epidemiology and Health.2022; 44: e2022041. CrossRef - Current Status of the National Health Screening Programs in South Korea
Hee-Taik Kang Korean Journal of Family Medicine.2022; 43(3): 168. CrossRef - Non-linear association between serum folate concentrations and dyslipidemia: Korea National Health and Nutrition Examination Survey 2016-2018
Taiyue Jin, Eun Young Park, Byungmi Kim, Jin-Kyoung Oh Epidemiology and Health.2022; 44: e2022046. CrossRef - Prevalence and management of hypertension in Korean adults
Hyeon Chang Kim Journal of the Korean Medical Association.2022; 65(10): 633. CrossRef - Effects of early medication treatment and metformin use for cancer prevention in diabetes patients: a nationwide sample cohort study in Korea using extended landmark time analysis
Hwa Jeong Seo, Hyun Sook Oh Epidemiology and Health.2021; 43: e2021103. CrossRef
|