Association Between the Awareness of Dyslipidemia and Health Behavior for Control of Lipid Levels Among Korean Adults with Dyslipidemia

Cho, In Young; Park, Hwa Yeon; Lee, Kiheon; Bae, Woo Kyung; Jung, Sung Il; Ju, Hye Jin; Song, Jae Kyeong; Han, Junhee

doi:10.4082/kjfm.2017.38.2.64

Cited by 5 publications

(4 citation statements)

References 29 publications

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“…A mother’s perception of lipid levels could affect her children’s lipids through efforts related to lifestyle and diet changes 30. A recent Korean study highlighted education and counselling in order to change health behaviour in addition to awareness of dyslipidaemia 31. Our results from subgroup analyses support these previous studies and highlight the influence of the mother’s perception of dyslipidaemia and resultant lifestyle changes.…”

Section: Discussionsupporting

confidence: 85%

Associations between lipid profiles of adolescents and their mothers based on a nationwide health and nutrition survey in South Korea

et al. 2019

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ObjectivesDyslipidaemia is a metabolic disease influenced by environmental and genetic factors. Especially, family history related to genetic background is a strong risk factor of lipid abnormality. The aim of this study is to evaluate the association between the lipid profiles of adolescents and their mothers.DesignA cross-sectional study.SettingThe data were derived from the Korea National Health and Nutrition Examination Survey (IV-VI) between 2009 and 2015.Participants2884 adolescents aged 12–18 years and their mothers were included.Primary outcome measuresOutcome variables were adolescents’ lipid levels. Mothers’ lipid levels were the interesting variables. The lipid profiles included total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C). We identified partial correlation coefficients (r) between the lipids. Multiple linear regressions were performed to identify the amount of change in adolescents’ lipid levels for each unit increase of their mothers’ lipids. The regression models included various clinical characteristics and health behavioural factors of both adolescents and mothers.ResultsThe mean levels of adolescents’ lipids were 156.6, 83.6, 50.4 and 89.4 mg/dL, respectively for TC, TG, HDL-C and LDL-C. Positive correlations between lipid levels of adolescents and mothers were observed for TC, TG, HDL-C and LDL-C (r,95% CI: 0.271, 0.236 to 0.304; 0.204, 0.169 to 0.239; 0.289, 0.255 to 0.322; and 0.286, 0.252 to 0.319). The adolescent TC level was increased by 0.23 mg/dL for each unit increase of the mother’s TC (SE, 0.02; p<0.001). The beta coefficients were 0.16 (SE, 0.01), 0.24 (SE, 0.02) and 0.24 (SE, 0.02), respectively, in each model of TG, HDL-C and LDL-C (all p<0.001). The linear relationships were significant regardless of sex and mother’s characteristics.ConclusionsMothers’ lipid levels are associated with adolescents’ lipids; therefore, they can serve as a reference for the screening of adolescent’s dyslipidaemia.

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Section: Discussionsupporting

confidence: 85%

Associations between lipid profiles of adolescents and their mothers based on a nationwide health and nutrition survey in South Korea

et al. 2019

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“…Many individuals are unaware that they have dyslipidemia. Although the awareness rate of dyslipidemia varies according to prior studies, one recent Korean study reported that only approximately 17% of adults with dyslipidemia over 20 years old were aware of their dyslipidemia status [33]. Effective medical therapy, such as administration of statin drugs, helps to prevent CVD [34,35].…”

Section: Discussionmentioning

confidence: 99%

Secular Trends in Lipid Profiles in Korean Adults Based on the 2005–2015 KNHANES

Kwon

Lee

Kang

2019

IJERPH

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Dyslipidemia is a primary, critical risk factor for cardiovascular disease. Therefore, evaluating the trends in lipid profiles is crucial for the development of health policies and programs. We studied trends in lipid profiles in Korean adults over an 11-year period according to the use of lipid-lowering medications through age-specific analysis. A total of 73,890 participants were included in the Korean National Health and Nutrition Examination Survey III (2005)-VI (2013–2015). The proportion of participants on lipid-lowering medications has increased. This trend was apparent in age groups of over 40 years in both men and women. Lipid-lowering medications successfully reduced mean total cholesterol (TC), but there was no favorable trend in TC in participants not taking lipid-lowering medication in both men and women. Unlike men, triglyceride and non-high-density lipoprotein cholesterol (HDL) decreased in women without lipid-lowering medications. In age-specific hypercholesterolemia, the prevalence of hypercholesterolemia significantly increased in the age groups of 30–59 and 30–49 years in men and women without lipid-lowering medications, respectively. Meanwhile, mean HDL-C levels increased over the 11-year period regardless of lipid-lowering drug use in both men and women. These analyses identified an upward trend in TC and HDL-C over the 11-year period.

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“…Furthermore, participants taking medication for DM were more engaged in exercise in the fully adjusted model, whereas those who were taking medication for DLP did not engage in exercise compared with those who were not taking medication. These findings suggested that the intention of lifestyle modification may differ among patients with noncommunicable diseases (NCDs), such as DM, DLP, and HTN 26,27 . Since health education would be useful to encourage lifestyle modification, further understanding of the intention and readiness for exercise among patients with different NCDs is required to facilitate better health education in clinical settings 6,25 …”

Section: Discussionmentioning

confidence: 99%

“…These findings suggested that the intention of lifestyle modification may differ among patients with noncommunicable diseases (NCDs), such as DM, DLP, and HTN. 26,27 Since health education would be useful to encourage lifestyle modification, further understanding of the intention and readiness for exercise among patients with different NCDs is required to facilitate better health education in clinical settings. 6,25 We observed that 31.8% of Japanese participants with HTN exercised regularly to meet the HTN management guidelines.…”

Section: Ta B L E 1 (Continued)mentioning

confidence: 99%

Descriptive epidemiology of prevalence of exercise habits among participants with hypertension: The National Health and Nutrition Survey 2013–2018

Fukushima,

Amagasa,

Kikuchi

et al. 2024

J of Gen and Family Med

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BackgroundThe current Japanese hypertension management guidelines (2019) recommend regular exercise for all patients with hypertension. However, limited evidence is available regarding the prevalence of exercise habits in these patients. Therefore, we examined the proportion of participants who met the recommendations on exercise in the Japanese hypertension management guidelines (2019) using a nationally representative sample.MethodsParticipants aged ≥20 years from the Japanese National Health and Nutrition Examination Survey conducted from 2013 to 2018 were included. Participants with hypertension were defined as those with blood pressure level ≥140/90 mmHg or those who used antihypertensive drugs. Adherence to the guideline recommendations, stratified by gender, age category, blood pressure level, and medication status, was examined.ResultsThis study included 13,414 participants with hypertension (age 68.2 ± 11.7 years, 48.1% men). Among them, 31.8% of participants with hypertension (36.8% of men and 27.3% of women) met the guidelines. Regarding age, the 20–64 years age group had the lowest proportion of patients who met the guidelines (22.4%), followed by those in the 65–74 (37.7%) and ≥75 years age groups (34.5%). Adherence to the guidelines did not significantly differ according to blood pressure levels (<120/<80, 120–129/<80, 130–139/80–89, 140–159/90–99, and 160–179/100–109 mmHg) and presence of antihypertensive medications.ConclusionOne‐third of participants with hypertension engaged in exercise as recommended by the current hypertension management guidelines. Promotion of exercise therapy and monitoring exercise habits among participants with hypertension is warranted.

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Association Between the Awareness of Dyslipidemia and Health Behavior for Control of Lipid Levels Among Korean Adults with Dyslipidemia

Cited by 5 publications

References 29 publications

Associations between lipid profiles of adolescents and their mothers based on a nationwide health and nutrition survey in South Korea

Associations between lipid profiles of adolescents and their mothers based on a nationwide health and nutrition survey in South Korea

Secular Trends in Lipid Profiles in Korean Adults Based on the 2005–2015 KNHANES

Descriptive epidemiology of prevalence of exercise habits among participants with hypertension: The National Health and Nutrition Survey 2013–2018

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