Department of Cardiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea.
Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.
Diabetes Metab J. 2023 Sep;47(5):632-642. doi: 10.4093/dmj.2023.0135. Epub 2023 Aug 2.
This study aimed to investigate the prevalence and status of dyslipidemia management among South Korean adults, as performed by the Korean Society of Lipid and Atherosclerosis under the name Dyslipidemia Fact Sheet 2022.
We analyzed the lipid profiles, age-standardized and crude prevalence, management status of hypercholesterolemia and dyslipidemia, and health behaviors among Korean adults aged ≥20 years, using the Korea National Health and Nutrition Examination Survey data between 2007 and 2020.
In South Korea, the crude prevalence of hypercholesterolemia (total cholesterol ≥240 mg/dL or use of a lipid-lowering drug) in 2020 was 24%, and the age-standardized prevalence of hypercholesterolemia more than doubled from 2007 to 2020. The crude treatment rate was 55.2%, and the control rate was 47.7%. The crude prevalence of dyslipidemia-more than one out of three conditions (low-density lipoprotein cholesterol ≥160 or the use of a lipid-lowering drug, triglycerides ≥200, or high-density lipoprotein cholesterol [HDL-C] [men and women] <40 mg/dL)-was 40.2% between 2016 and 2020. However, it increased to 48.2% when the definition of hypo-HDL-cholesterolemia in women changed from <40 to <50 mg/dL.
Although the prevalence of hypercholesterolemia and dyslipidemia has steadily increased in South Korea, the treatment rate remains low. Therefore, continuous efforts are needed to manage dyslipidemia through cooperation between the national healthcare system, patients, and healthcare providers.
本研究旨在调查韩国成年人血脂异常管理的流行率和现状,这是由韩国脂质和动脉粥样硬化学会在 2022 年血脂异常事实表下进行的。
我们分析了韩国≥20 岁成年人的血脂谱、年龄标准化和总患病率、高胆固醇血症和血脂异常的管理状况以及健康行为,使用了 2007 年至 2020 年韩国国家健康和营养检查调查的数据。
在韩国,2020 年高胆固醇血症(总胆固醇≥240mg/dL 或使用降脂药物)的粗患病率为 24%,2007 年至 2020 年,高胆固醇血症的年龄标准化患病率翻了一番多。粗治疗率为 55.2%,控制率为 47.7%。血脂异常的粗患病率——三种情况中的一种以上(低密度脂蛋白胆固醇≥160 或使用降脂药物、三酰甘油≥200 或高密度脂蛋白胆固醇[HDL-C] [男性和女性]<40mg/dL)——在 2016 年至 2020 年期间为 40.2%。然而,当女性低 HDL-胆固醇血症的定义从<40 更改为<50mg/dL 时,这一比例增加到 48.2%。
尽管韩国高胆固醇血症和血脂异常的患病率稳步上升,但治疗率仍然很低。因此,需要通过国家医疗保健系统、患者和医疗保健提供者之间的合作,持续努力管理血脂异常。