Osong Public Health and Research Perspectives

Original Articles

Cardiovascular Disease Risk Factors and Obesity Levels in Korean Adults: Results from the Korea National Health and Nutrition Examination Survey, 2007–2015: Kwanjun Park, Sunmi Lim, Yoonhyung Park, Woong Ju, Yoonhee Shin, Hansol Yeom; Osong Public Health Res Perspect. 2018;9(4):150-159. Published online August 31, 2018; DOI: https://doi.org/10.24171/j.phrp.2018.9.4.03

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Objectives

The increase in the obesity rate in adult males in Korea is higher than countries in the Organization for Economic Co-operation and Development and other Asian countries. We examined the trends and prevalence of major risk factors for cardiovascular disease by evaluating the weight status amongst adults from 2007 to 2015.

Methods

The study included 37,402 adults, who participated in the Korea National Health and Nutrition Examination Survey. The prevalence trends of cardiovascular disease risk factors were estimated for each body mass index group.

Results

From 2007 to 2015, significant increases in the prevalence of hypertension, diabetes, and hypercholesterolemia were observed in normal weight adults (0.03 percentage point (%p), 0.06%p, and 0.13%p, respectively). Amongst the overweight and obese adults, a significant increase in the prevalence of hypercholesterolemia was observed, During this period, the prevalence of smoking decreased amongst obese adults and no significant changes in drinking habits and physical activity were noted across all body mass index groups.

Conclusion

The prevalence of obesity in Korean adults is increasing, and it is necessary to implement interventions to prevent further weight gain and obesity-associated cardiovascular disease.

Citations

Citations to this article as recorded by

Prevalence of cardiovascular risk factors in middle-aged Lithuanian women in different body mass index and waist circumference groups
Egidija Rinkūnienė, Emilija Petrulionytė, Vilma Dženkevičiūtė, Žaneta Petrulionienė, Augustė Senulytė, Roma Puronaitė, Aleksandras Laucevičius
Primary Care Diabetes.2022;[Epub] CrossRef
Thirty-six Year Trends in Mortality from Diseases of Circulatory System in Korea
Jongmin Baek, Hokyou Lee, Hyeok-Hee Lee, Ji Eun Heo, So Mi Jemma Cho, Hyeon Chang Kim
Korean Circulation Journal.2021; 51(4): 320. CrossRef
The identification of established modifiable mid-life risk factors for cardiovascular disease which contribute to cognitive decline: Korean Longitudinal Study of Aging (KLoSA)
Yebeen Ysabelle Boo, Otto-Emil Jutila, Meghan A. Cupp, Logan Manikam, Sung-Il Cho
Aging Clinical and Experimental Research.2021; 33(9): 2573. CrossRef
A Healthy Diet Rich in Calcium and Vitamin C Is Inversely Associated with Metabolic Syndrome Risk in Korean Adults from the KNHANES 2013–2017
Sunmin Park, Kyungjin Kim, Byung-Kook Lee, Jaeouk Ahn
Nutrients.2021; 13(4): 1312. CrossRef
Classification and Prediction on the Effects of Nutritional Intake on Overweight/Obesity, Dyslipidemia, Hypertension and Type 2 Diabetes Mellitus Using Deep Learning Model: 4–7th Korea National Health and Nutrition Examination Survey
Hyerim Kim, Dong Hoon Lim, Yoona Kim
International Journal of Environmental Research an.2021; 18(11): 5597. CrossRef
Trends in cardiovascular disease risk factors by BMI category among adults in England, 2003‐2018
Shaun Scholes, Linda Ng Fat, Jennifer S. Mindell
Obesity.2021; 29(8): 1347. CrossRef
Precision Medicine and Cardiovascular Health: Insights from Mendelian Randomization Analyses
Wes Spiller, Keum Ji Jung, Ji-Young Lee, Sun Ha Jee
Korean Circulation Journal.2020; 50(2): 91. CrossRef
Association of the Healthy Eating Index with Estimated Cardiovascular Age in Adults from the KNHANES 2013–2017
Sunmin Park, Kyungjin Kim, Byung-Kook Lee, Jaeouk Ahn
Nutrients.2020; 12(10): 2912. CrossRef

Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad: Sunmi Lim, Seong Ae Hong, Hyun Sook Lee; Osong Public Health Res Perspect. 2015;6(2):126-132. Published online April 30, 2015; DOI: https://doi.org/10.1016/j.phrp.2015.02.003

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15 Download
4 Citations

Abstract PDF

Objectives
The purpose of this study is to compare the agreement in opinion between the elderly in care facilities and their family members regarding the life-sustaining treatment at the deathbed and to find out if the intentions of the elderly are being properly reflected in their deathbed treatment.
Methods
Data were collected from 85 elderly individuals at five care facilities in Chunkcheongnam-do and 85 family members. The data were collected with a self-administered questionnaire from July 22, 2013 to August 15, 2014. A total of 170 cases were analyzed using SPSS version 21.
Results
First, the family members' preference for life-sustaining treatment was higher than the patients' preference. The preference between the elderly and their family members regarding life-sustaining treatment was statistically significant with regards to oral nutrition, pain control through oral and anal administration, pain control through intravenous administration, transfusion, and admission to an intensive care unit. Second, looking at the agreement between elderly and guardians regarding life-sustaining treatment, there was significant concordance about general testing, oral nutrition, intravenous hydration, intravenous nutrition, antibiotic treatment for severe infection with low resiliency, admission to an intensive care unit, blood pressure increase medication use, cardiopulmonary resuscitation, and tracheotomy.
Conclusion
It is essential for the medical staff to confirm agreement between the elderly and their family members regarding life-sustaining treatment, and if such a prior agreement is not feasible, the patient's intention should be considered more actionable than their family members.

Citations

Citations to this article as recorded by

Analysis of high-intensity care in intensive care units and its cost at the end of life among older people in South Korea between 2016 and 2019: a cross-sectional study of the health insurance review and assessment service national patient sample database
Yunji Lee, Minjeong Jo, Taehwa Kim, Kyoungsun Yun
BMJ Open.2021; 11(8): e049711. CrossRef
Effect of the Contents in Advance Directives on Individuals’ Decision-Making
Jae Yoon Park, Chi-Yeon Lim, Gloria Puurveen, Do Yeun Kim, Jae Hang Lee, Han Ho Do, Kyung Soo Kim, Kyung Don Yoo, Hyo Jin Kim, Yunmi Kim, Sung Joon Shin
OMEGA - Journal of Death and Dying.2020; 81(3): 436. CrossRef
Do medical oncology patients and their support persons agree about end‐of‐life issues?
Amy Waller, Alix Hall, Rob Sanson‐Fisher, Nicholas Zdenkowski, Charles Douglas, Justin Walsh
Internal Medicine Journal.2018; 48(1): 60. CrossRef
Preferences of older inpatients and their family caregivers for life-sustaining treatments in South Korea
Hyeyoung Hwang, Sook Ja Yang, Sarah Yeun-Sim Jeong
Geriatric Nursing.2018; 39(4): 428. CrossRef

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