Jee S H, Appel L J, Suh I, Whelton P K, Kim I S
Department of Epidemiology and Disease Control, Yonsei University Graduate School of Health Science and Management, Seoul, Korea.
Ann Epidemiol. 1998 Jan;8(1):14-21. doi: 10.1016/s1047-2797(97)00131-2.
To estimate the prevalence of cardiovascular risk factors in South Korea.
Data were obtained from the Korea Medical Insurance Corporation (KMIC) which provides insurance to civil servants and private school workers. The study sample included female workers, ages 35 to 59 (n = 67,861), and a systematic random sample of insured male workers, ages 35 to 59 (n = 115,200), who attended insurance examinations in 1990 and 1992. Prevalence estimates were age-adjusted to reflect the Korean population, ages 35 to 59, in 1990.
The prevalence of hypertension (systolic blood pressure > or = 140 mmHg and/or diastolic blood pressure > or = 90 mmHg) was 28.9% in men and 15.9% in women. The prevalence of hypercholesterolemia (total cholesterol > or = 240 mg/dl) was 8.9% and 10.4% in men and women, respectively. Smoking was highly prevalent in men (57.4%) and uncommon in women (0.6%). The prevalence of a fasting blood sugar > or = 126 mg/dl was 4.7% in men and 1.3% in women. Among men, 74.4% had one or more of the cardiovascular risk factors under study. Among women, 29.0% had one or more of the risk factors. With advancing age, the prevalence of risk factors became more numerous, for both men and women.
In order to avert the ongoing epidemic of cerebrovascular disease and the emerging problem of ischemic heart disease, prevention and treatment of modifiable risk factors must become an important health priority in South Korea.
评估韩国心血管危险因素的流行情况。
数据取自韩国医疗保险公团（KMIC），该机构为公务员和私立学校教职工提供保险。研究样本包括1990年和1992年参加保险检查的35至59岁女性职工（n = 67,861）以及35至59岁参保男性职工的系统随机样本（n = 115,200）。流行率估计值经年龄调整，以反映1990年韩国35至59岁的人口情况。
高血压（收缩压≥140 mmHg和/或舒张压≥90 mmHg）的患病率男性为28.9%，女性为15.9%。高胆固醇血症（总胆固醇≥240 mg/dl）的患病率男性为8.9%，女性为10.4%。吸烟在男性中非常普遍（57.4%），在女性中则不常见（0.6%）。空腹血糖≥126 mg/dl的患病率男性为4.7%，女性为1.3%。在男性中，74.4%有一项或多项所研究的心血管危险因素。在女性中，29.0%有一项或多项危险因素。随着年龄增长，男性和女性危险因素的患病率都更高。
为了避免脑血管疾病的持续流行和缺血性心脏病的新问题，可改变危险因素的预防和治疗必须成为韩国重要的健康优先事项。
