Ten-year trends of hypertension treatment and control rate in Korea

Kim, Kwang Il; Ji, Eun Kyung; Choi, Jung Yeon; Kim, Sun Wook; Ahn, Soyeon; Kim, Cheol Ho

doi:10.1038/s41598-021-86199-x

Cited by 15 publications

(17 citation statements)

References 20 publications

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“…Although the role of cholesterol in dementia remains unclear, previous reports have demonstrated that high total cholesterol level is a risk factor for dementia [27]. The prevalence of diabetes, hypertension, dyslipidemia, and depression are increasing in Korea [28,29], showing a plateaued control rate. In this study, dementia patients with diabetes and hypertension showed a decrease from 2011 and 2006, respectively.…”

Section: Discussionmentioning

confidence: 97%

Annual Incidence of Dementia from 2003 to 2018 in Metropolitan Seoul, Korea: A Population-Based Study

Kwon

Jeong

Kim

et al. 2022

JCM

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National dementia plans were applied in dementia support centers established in Seoul, Korea between 2007 and 2009. However, the annual incidence rates of dementia in Seoul have not been reported. We investigated this annual incidence and the characteristics of incident cases from 2003 to 2018. The customized research database of the Korean National Health Insurance Services was used. The annual crude and age-standardized incidence of dementia patients and their characteristics were analyzed. This study analyzed 108,596 incident dementia cases aged ≥60 years. The incidence rate increased from 2003 to 2011, including a rapid increment from 2007 to 2011. From 2011 to 2018, the crude (age-standardized) incidence per 105 person-years decreased from 641.51 (577.12) to 448.26 (361.23). The proportion of incident dementia cases was highest in the highest income group every year. However, the proportion of incident dementia cases in the lowest income group increased from 10.4% in 2003 to 25.8% in 2011. The annual incidence rate of dementia showed a sharp increase immediately after 2007, the year dementia support centers began to be introduced, and then stabilized after 2011. The characteristics of incident dementia cases have changed, including the proportion in the low-income group.

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Section: Discussionmentioning

confidence: 97%

Annual Incidence of Dementia from 2003 to 2018 in Metropolitan Seoul, Korea: A Population-Based Study

Kwon

Jeong

Kim

et al. 2022

JCM

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“…The increase in metabolic syndrome in the general population is an increasing problem worldwide and metabolic risks, including hypertension, diabetes, hypercholesterolemia, and obesity, are gradually increasing in Korea [ 18 ]. This indicates that potential kidney donors also have increased metabolic risks.…”

Section: Discussionmentioning

confidence: 99%

Metabolic risks in living kidney donors in South Korea

Kang

Park

Kim

et al. 2021

Kidney Res Clin Pract

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Background: Considering the growing prevalence of Western lifestyles and related chronic diseases occurring in South Korea, this study aimed to explore the progression of metabolic risk factors in living kidney donors. Methods: This study enrolled living kidney donors from seven hospitals from 1982 to 2016. The controls were individuals that voluntarily received health check-ups from 1995 to 2016 that were matched with donors according to age, sex, diabetes status, baseline estimated glomerular filtration rate, and date of the medical record. Data on hyperuricemia, hypertension, hypercholesterolemia, and overweight/obesity were collected to determine metabolic risks. Logistic regressions with interaction terms between the medical record date and donor status were used to compare the trends in metabolic risks over time in the two groups. Results: A total of 2,018 living kidney donors and matched non-donors were included. The median age was 44.0 years and 54.0% were women. The living kidney donors showed a lower absolute prevalence for all metabolic risk factors, except for those that were overweight/obese, than the non-donors. The proportion of subjects that were overweight/obese was consistently higher over time in the donor group. The changes over time in the prevalence of each metabolic risk were not significantly different between groups, except for a lower prevalence of metabolic risk factors ≥ 3 in donors.

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“…Active screening and treatment of NCDs, such as hypertension and diabetes, may affect their prevalence and control rates [ 20 - 22 ]. The agestandardized prevalence of hypertension and the mean blood pressure decreased [ 21 ].…”

Section: General Health Check-upmentioning

confidence: 99%

Current Status of the National Health Screening Programs in South Korea

Kang

2022

Korean J Fam Med

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A health check-up is one of the best ways to prevent diseases and maintain health by screening for risk factors and diagnosing diseases early. As the burden of illness shifts from infectious to chronic diseases, the importance of health check-ups is emphasized. Korean health authorities began the National Health Screening Programs (NHSPs) for public servants and private school staff in 1980. The NHSP is composed of the National Cancer Screening Programs (NCSPs) and general health checkups. NCSPs, started in 1999, included screenings for stomach, liver, colorectal, breast, and uterine cervical cancers, and they may have contributed to the improved cancer survival rate from 42.9% in 1993–1995 to 77.5% in 2013–2017 in Korea. General health check-ups included lifestyle questionnaires, anthropometric measurements; blood pressure measurement; visual acuity test; hearing test; laboratory tests including fasting glucose, lipid profile, liver function tests, creatinine, and urinalysis; and, chest radiography. Additionally, bone density, cognitive function, and depression were assessed. Testing for non-communicable diseases has improved the control rates of chronic diseases such as hypertension and diabetes mellitus. Favorable changes in the risk factors for cardio-cerebrovascular diseases may lead to a decline in age-standardized mortality and heart disease over several decades. However, many areas of the programs need to be improved. NHSPs should be designed on the basis of individual health conditions, medical needs, and scientific evidence. Greater opportunities to receive NHSPs should be provided to socioeconomically vulnerable individuals. In addition, stricter quality control of NHSPs is required. Follow-up management after the NHSPs should be systematized. In conclusion, NHSPs have contributed to the improvement of public health; however, several aspects of these programs must be addressed.

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Ten-year trends of hypertension treatment and control rate in Korea

Cited by 15 publications

References 20 publications

Annual Incidence of Dementia from 2003 to 2018 in Metropolitan Seoul, Korea: A Population-Based Study

Annual Incidence of Dementia from 2003 to 2018 in Metropolitan Seoul, Korea: A Population-Based Study

Metabolic risks in living kidney donors in South Korea

Current Status of the National Health Screening Programs in South Korea

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