韩国中风幸存者血管危险因素控制的国家趋势：从2010年到2021年的国家健康和营养检查调查

IF 3 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of Korean Medical Science Pub Date : 2025-05-26 DOI:10.3346/jkms.2025.40.e74

Eung-Joon Lee, Han-Yeong Jeong, Keun-Hwa Jung

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引用次数: 0

摘要

背景：为了预防卒中幸存者的卒中复发，有效管理血管危险因素（vrf），包括高血压、糖尿病、高脂血症和吸烟，是必不可少的。本研究旨在评估韩国脑卒中幸存者VRF控制状况和趋势。方法：本横断面研究分析了1261例年龄≥19岁的脑卒中幸存者(平均年龄：65.2岁；43.1%女性)，她们是2010年至2021年韩国国家健康和营养检查调查的一部分。采用标准化标准评估vrf的控制状况：高血压（血压< 140/90 mmHg）、糖尿病（血红蛋白A1c < 7%）、高脂血症（低密度脂蛋白胆固醇[LDL-C] < 70 mg/dL）和吸烟状况。进行多因素logistic回归分析以确定与未控制vrf相关的因素。结果：在整个观察期间，年龄调整高血压、糖尿病和吸烟控制的发生率保持一致。然而，总体LDL-C控制率从2010-2012年的30.1%提高到2019-2021年的40.4% (P = 0.015)，尤其是年龄≥65岁的人群。而在19 ~ 49岁年龄组，控制率由47.0%下降至15.8% （P = 0.048）。吸烟率没有明显改善（2019-2021年为70.2%，而2010-2012年为69.6%），尤其是男性。独居(调整后优势比[aOR]， 1.85；95%可信区间[CI]， 1.03-3.32)与未控制的高血压显著相关，而居住在城市地区与未控制的糖尿病相关(aOR, 2.75；95% ci, 1.06-7.17)。非健康筛查与未控制的高脂血症显著相关(aOR, 2.28；95% CI, 1.25-4.14)，男性更有可能继续吸烟(aOR, 4.47；95% ci, 3.12-6.72)。结论：这些发现强调需要有针对性的健康策略来加强危险因素管理和减少卒中复发。

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National Trends of Vascular Risk Factor Control Among Stroke Survivors in Korea: From the National Health and Nutrition Examination Survey 2010 to 2021.

Background: To prevent stroke recurrence in stroke survivors, effective management of vascular risk factors (VRFs), including hypertension, diabetes, hyperlipidemia, and smoking, is essential. This study aimed to assess the VRF control status and trends among stroke survivors in Korea.

Methods: This cross-sectional study analyzed data from 1,261 stroke survivors aged ≥ 19 years (mean age: 65.2 years; 43.1% female) who were part of the Korea National Health and Nutrition Examination Survey from 2010 to 2021. The control status of VRFs was evaluated using standardized criteria: hypertension (blood pressure < 140/90 mmHg), diabetes (hemoglobin A1c < 7%), hyperlipidemia (low-density lipoprotein cholesterol [LDL-C] < 70 mg/dL), and smoking status. Multivariate logistic regression analysis was conducted to identify factors associated with uncontrolled VRFs.

Results: The rates of age-adjusted hypertension, diabetes, and smoking control remained consistent throughout the observation period. However, overall LDL-C control improved from 30.1% in 2010-2012 to 40.4% in 2019-2021 (P = 0.015), particularly in those aged ≥ 65 years. However, in the 19-49 age group, the control rate decreased from 47.0% to 15.8% (P = 0.048). Smoking rates showed no significant improvement (70.2% in 2019-2021 compared to 69.6% in 2010-2012), particularly among men. Living alone (adjusted odds ratio [aOR], 1.85; 95% confidence interval [CI], 1.03-3.32) was significantly associated with uncontrolled hypertension, whereas living in urban areas was linked to uncontrolled diabetes (aOR, 2.75; 95% CI, 1.06-7.17). Non-health screening was significantly associated with uncontrolled hyperlipidemia (aOR, 2.28; 95% CI, 1.25-4.14), and men were more likely to continue smoking (aOR, 4.47; 95% CI, 3.12-6.72).

Conclusion: These findings highlight the need for targeted health strategies to enhance risk-factor management and reduce stroke recurrence.

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来源期刊

Journal of Korean Medical Science 医学-医学：内科

CiteScore

7.80

自引率

8.90%

发文量

320

审稿时长

3-6 weeks

期刊介绍： The Journal of Korean Medical Science (JKMS) is an international, peer-reviewed Open Access journal of medicine published weekly in English. The Journal’s publisher is the Korean Academy of Medical Sciences (KAMS), Korean Medical Association (KMA). JKMS aims to publish evidence-based, scientific research articles from various disciplines of the medical sciences. The Journal welcomes articles of general interest to medical researchers especially when they contain original information. Articles on the clinical evaluation of drugs and other therapies, epidemiologic studies of the general population, studies on pathogenic organisms and toxic materials, and the toxicities and adverse effects of therapeutics are welcome.