Kim JinShil, Park Eunok
College of Nursing, Gachon University Incheon, South Korea.
College of Nursing, Jeju National University, Jeju, South Korea.
Asian Nurs Res (Korean Soc Nurs Sci). 2017 Sep;11(3):223-229. doi: 10.1016/j.anr.2017.08.002. Epub 2017 Aug 13.
To compare the cardiometabolic condition of obesity, blood pressure (BP), cholesterol, dietary sodium and potassium intake, and lifestyle behaviors of persons with cardio-cerebrovascular diseases, with those who are disease-free in Korea.
A secondary data analysis was conducted using a representative sample of Korean adults.
Of 10,906 Korean adults (mean age 43.12 ± 0.24 years, women 50.4%), 9,074 were disease-free and 1,520 had hypertension, 137 stroke, and 175 ischemic heart disease. Compared with the disease-free group, obesity, BP, and total cholesterol were higher for the hypertensives. 25.5% of ischemic heart disease group were still smoking; 14.9% of hypertensives were heavy alcohol drinkers. Physical activity was lower in cardio-cerebrovascular diseases than disease-free group. No significant association was found between Na/K ratio adequacy and types of cardio-cerebrovascular diseases.
The cardiometabolic condition varied, with hypertensives having a higher prevalence for obesity, high BP, and cholesterol; poorer adherence to the behavioral recommendations was also noted in cardio-cerebrovascular diseases. Such variations in cardiovascular risks would provide implications for addressing vulnerability across groups.
比较韩国患有心脑血管疾病者与无病者在肥胖、血压（BP）、胆固醇、膳食钠和钾摄入量以及生活方式行为方面的心脏代谢状况。
使用韩国成年人的代表性样本进行二次数据分析。
在10906名韩国成年人（平均年龄43.12±0.24岁，女性占50.4%）中，9074人无疾病，1520人患有高血压，137人中风，175人患有缺血性心脏病。与无病组相比，高血压患者的肥胖、血压和总胆固醇水平更高。缺血性心脏病组中有25.5%的人仍在吸烟；高血压患者中有14.9%是重度饮酒者。心脑血管疾病患者的身体活动水平低于无病组。未发现钠/钾比值充足与心脑血管疾病类型之间存在显著关联。
心脏代谢状况各不相同，高血压患者肥胖、高血压和胆固醇的患病率更高；在心脑血管疾病中还发现对行为建议的依从性较差。心血管风险的这种差异将为应对不同群体的脆弱性提供启示。
