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KMID : 0368120210510110922
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Korean Circulation Journal
2021 Volume.51 No. 11 p.922 ~ p.935
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Sex- and Age-Specific Trends in Cardiovascular Health in Korea, 2007?2018
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Cho So-Mi Jemma
Lee Ho-Kyou
Kim Hyeon-Chang
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Abstract
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Background and Objectives: We illustrated sex- and age-specific temporal trends in cardiovascular health among Korean adults.
Methods: From the Korean National Health and Nutrition Examination Survey 2007?2018, we included 61,408 participants aged 20 years or older. The ideal levels of 6 components of cardiovascular health metrics were defined as never-smoking, ≥75 min/week of vigorous or ≥150 min/week of moderate-to-vigorous physical activity, body mass index (BMI) <23 kg/m2, total cholesterol <200 mg/dL, blood pressure (BP) <120/80 mmHg, and fasting glucose <100 mg/dL. Temporal trends in the number of ideal cardiovascular health components and distribution of each component were assessed by sex and age.
Results: The average number of ideal cardiovascular health components decreased from 3.37 in 2007?2009 to 2.86 in 2016?2018. Never smoking increased from 56.0% to 59.2%, largely contributed by young men. Ideal physical activity halved (41.4?21.3%); such decline was more pronounced in women and with older age. Ideal BMI decreased from 44.3% to 42.2%, more apparently in young and elderly men. In contrast, ideal BMI increased in middle-aged and elderly women. Ideal cholesterol decreased from 65.5% to 50.3%, profoundly in young adults and relatively greater in men. Ideal BP declined from 55.1% to 46.9%, more evidently in men. However, ideal BP discernibly increased in middle-aged women. Ideal glucose decreased from 74.6% to 66.0%, comparatively greater and earlier in men.
Conclusions: The proportion of Korean adults with ideal cardiovascular health decreased between 2007 and 2018, but the course of responsible factors differed across sex and age groups.
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KEYWORD
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Cardiovascular diseases, Risk factors, Primary prevention
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