Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Department of Internal Medicine, Seoul National University Bundang Hospital, Gumi-ro 173-82, Bundang-gu, Seongnam, Kyeongi, 463-707, Republic of Korea.
Sci Rep. 2021 Mar 26;11(1):6966. doi: 10.1038/s41598-021-86199-x.
We analyzed the Korean National Health and Nutrition Examination Survey (KNHANES) database to determine the trends of hypertension treatment and control rate in Korea over the past 10 years. In addition, we tried to investigate the effect of chronic medical conditions on hypertension management. We investigated the hypertension prevalence, awareness, treatment, and control rate from 2008 to 2017. KNHANES, which uses a stratified multistage sampling design, is a cross-sectional, nationally representative survey conducted by the Korean government. A total of 59,282 adults (≥ 20 years) were included, which was representative of the total population of around 40 million Koreans per year. The mean age was 50.7 ± 16.4 years and 42.6% were male. The prevalence of hypertension, hypercholesterolemia, diabetes mellitus, and obesity significantly increased over the 10 years. During this period, the hypertension treatment and control rate significantly improved. Hypertension treatment rate was significantly lower in the younger age group compared to the older age group, but the control rate among the treated patients was not significantly different between age groups. The treatment and control rates of hypertension were higher in patients with multimorbidity, which implies that it has a favorable effect on the treatment and control of hypertension. Hypertension treatment and control rate have improved over the past 10 years. The higher treatment and control rate in patients with multimorbidity suggest that the more aggressive surveillance might be associated with the improvement of hypertension treatment and control rate in Korea.
我们分析了韩国国家健康和营养检查调查（KNHANES）数据库，以确定过去 10 年来韩国高血压治疗和控制率的趋势。此外，我们还试图调查慢性疾病对高血压管理的影响。我们调查了 2008 年至 2017 年的高血压患病率、知晓率、治疗率和控制率。KNHANES 采用分层多阶段抽样设计，是韩国政府进行的一项横断面、全国代表性调查。共有 59282 名成年人（≥20 岁）被纳入，代表每年约 4000 万韩国总人口的代表性。平均年龄为 50.7±16.4 岁，其中 42.6%为男性。高血压、高胆固醇血症、糖尿病和肥胖的患病率在 10 年内显著增加。在此期间，高血压的治疗和控制率显著提高。与年龄较大的组相比，年轻组的高血压治疗率明显较低，但治疗患者的控制率在年龄组之间没有显著差异。患有多种合并症的患者的高血压治疗和控制率更高，这意味着它对高血压的治疗和控制有积极影响。过去 10 年来，高血压的治疗和控制率有所提高。患有多种合并症的患者的治疗和控制率更高，这表明更积极的监测可能与韩国高血压治疗和控制率的提高有关。
