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KMID : 0363320010220030423
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Journal of Korean Oriental Internal Medicine
2001 Volume.22 No. 3 p.423 ~ p.430
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The Case-Control Study on the Risk Factors of Stroke in Korean Adults -Past Medical History, Life-Style Factors, Serum Lipid Level, Anthropometric Indices-
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Bu Song-Ah
Ko Seong-Gyu
Jeong Yong-Su
Park Kyoung-Hoon
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Abstract
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Objects: The purpose of this case-control study was done to examine the relationship between stroke prevalence and the anthropometric indices(body mass index(BMI), modified Broca’s method(Broca’s index), waist circumference(WC), waist-hip ratio(WHR)), dyslipidemia, past medical history(heart disease, hypertension, diabetes mellitus(DM)), life-style factors(smoking, drinking) in Korean adults.
Methods : The study group consisted of neurologically confirmed 116 stroke patients as the case group and 116 non-stroke patients as control group. Obesity were defined as , WC >94cm in male and WC >80cm in female, in male and in female. Oyslipidemia were defined as total . Information on life-style factors and past medical history was obtained from personal interview. The analysis of the data was done by means of chi-square test(Pearson’s chi-square test, Fisher’s exact test) and student t-test.
Results: The results were as follow. In the study group: Hypertension had a 4:05 odds ratio, Broca’s had a 1.98 odds ratio, WC >94cm in male had a 2.17 odds ratio, WC >80cm in female had a 2.80 odds ratio, in male had a 4.66 odds ratio, in female had a 5.35 odds ratio, but heart disease, DM, life-style factors, serum lipid and 8MI had no direct relationship with odds ratio(nonsignificant). By student t-test, risk factors for stroke were found to be total cholesterol(p=0,025), LDL-cholesterol(p=0.013), WC(p=0.000) and WHR(p=0.000).
Conclusions: This study suggests that people should be advised to control hyperlitension, hyperlipidemia and obesity since these carry a risk of stroke.
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KEYWORD
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stroke, anthropometric indices, dyslipidemia, past medical history, life-style factors, case-control study
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