Cardiovascular Risk Prevalence, Awareness, Treatment, and Control from 1998 to 2007 in Koreans

1998年至2007年韓國的心血管疾病風險之盛行率、自覺、治療及控制

Ka-Young Lee

《Asia Pacific Journal of Clinical Nutrition》 19卷2期 (2010/05) Pp. 261-265

https://doi.org/10.6133/apjcn.2010.19.2.16

摘要

本研究評估1998至2007年韓國國民心血管疾病風險的盛行率、自覺、治療及控制率，而心血管疾病風險者的定義為有高膽固醇血症、高血壓及糖尿病患者。資料來源為1998年、2001年、2005年及2007年韓國國民健康及營養調查（KNHANES），30至79歲國民的自述或篩檢資料。調查結果顯示，年齡調整後的高膽固醇血症盛行率有些微的上升，而高血壓及糖尿病則有下降的趨勢。對於糖尿病及高血壓盛行率的自覺與控制率，不論是男性或女性，在這幾年調查期間皆有改善的情形。但是治療率則依危險因子而有不同（診斷為高膽固醇血症者是24-39%，高血壓者是59-90%，糖尿病者是52-99%）。在2007年的調查中，達到治療標準者的比率分別為：接受高血壓膽固醇血症治療者為67-69%，接受高血壓治療者55-73%，而接受糖尿病治療者62-74%。雖然對於心血管疾病危險因子的自覺及控制率隨著調查期間有改善，但是需要策略以減少心血管疾病危險因子的評估與控制不一致的情形。

關鍵字

心血管疾病 ； 危險因子 ； 高膽固醇血症 ； 糖尿病 ； 高血壓

並列摘要

This study estimated prevalence, awareness, treatment, and control rates of cardiovascular risk (CV) defined as hypercholesterolemia, hypertension, and diabetes from 1998 to 2007 among Koreans. Data using self-report or screening examination were obtained from the Korean National Health and Nutrition Examination Survey (KNHANES) conducted in 1998, 2001, 2005, and 2007, for the 30-79 year age range. The age-adjusted prevalence of hypercholesterolemia slightly increased across the surveys, while those values of hypertension and diabetes revealed decreasing trends. Awareness and control rates among participants with diabetes and hypertension improved over the period of surveys in both genders, but treatment rate varied among risk factors (24-39% for those with prior diagnosis of hypercholesterolemia, 59-90% for hypertension, and 52-99% for diabetes). In the survey of 2007, participants who achieved target levels made up 67-90% of those who received hypercholesterolemia treatment, 55-73% of those who received hypertension treatment, and 62-74% of those who received diabetes treatment. Although awareness and control rate of CV risk factors improved across survey periods, strategies for reducing disparity from the assessment and control between CV risk factors will be required.

並列關鍵字

cardiovascular disease ； risk factor ； hypercholesterolemia ； diabetes ； hypertension