2007-2023年韩国成年人基于生命要素8的心血管健康趋势

IF 5.9 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

American journal of preventive cardiology Pub Date : 2026-04-01 Epub Date: 2026-01-30 DOI:10.1016/j.ajpc.2026.101448

Dasom Son , Yeeun Seo , Kyoung Hwa Ha , Hyeok-Hee Lee , Hyeon Chang Kim , Hokyou Lee

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引用次数: 0

摘要

2022年，美国心脏协会推出了生命基本8 (LE8)，这是评估心血管健康（CVH）的最新框架。本研究调查了2007年至2023年韩国成年人总体LE8 CVH和个人指标得分的趋势。方法采用韩国国家健康与营养调查（KNHANES；波4-9）的数据，对年龄≥20岁的成年人进行了一项连续横断面研究。CVH采用LE8指标进行评估，每个指标的评分范围为0-100。总体得分是根据8个指标的平均值计算的，分为低（0- 50）、中（50- 80）、高（80 - 100）。结果共有76,255名参与者，代表35494,751名成年人。CVH平均分（95% CI）从2007-2009年的68.5（68.1-68.9）下降到2016-2018年的65.9(65.5-66.2)，并在2022-2023年恢复到68.5（68.1-69.0）。在最近一段时期，女性的平均得分高于男性（72.8 [95% CI: 72.2-73.3]对64.3 [95% CI: 63.7-64.8]）， 20-39岁的成年人得分高于≥70岁的成年人（72.5 [95% CI: 72.0-73.1]对64.5 [95% CI: 63.9-65.1]）。趋势因个体指标而异。睡眠健康和血糖得分仍然很高。尼古丁暴露、体重指数、血脂和血压得分保持在中等水平。饮食和体育活动得分仍然很低。这些模式也因性别和年龄而异。在过去的17年中，韩国成年人的CVH保持在中等范围内，到2018年下降，到2022-2023年完全恢复。年龄和性别的差异突出表明需要有针对性的预防战略。

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Trends in cardiovascular health based on Life’s Essential 8 among Korean adults, 2007–2023

Background

In 2022, the American Heart Association introduced Life’s Essential 8 (LE8), an updated framework for assessing cardiovascular health (CVH). This study examined trends in overall LE8 CVH and individual metric scores from 2007 to 2023 in the Korean adult population.

Methods

We conducted a serial, cross-sectional study using data from the Korea National Health and Nutrition Examination Survey (KNHANES; waves 4–9), adults aged ≥20 years. CVH was assessed using LE8 metrics, each scored range of 0–100. The overall score was calculated as the mean of the eight metrics and categorized as low (0-<50), moderate (50-<80), or high (80–100).

Results

There were 76,255 participants, representing 35,494,751 adults. The mean (95% CI) CVH score declined from 68.5 (68.1–68.9) in 2007–2009 to 65.9 (65.5–66.2) in 2016–2018, and returned to 68.5 (68.1–69.0) in 2022–2023. In the most recent period, women had higher mean scores than men (72.8 [95% CI: 72.2–73.3] vs. 64.3 [95% CI: 63.7–64.8]), and adults aged 20–39 years scored higher than those aged ≥70 years (72.5 [95% CI: 72.0–73.1] vs. 64.5 [95% CI: 63.9–65.1]). Trends varied by individual metrics. Sleep health and blood glucose scores remained high. Nicotine exposure, body mass index, blood lipids, and blood pressure scores remained moderate. Diet and physical activity scores remained low. These patterns also differed by sex and age.

Conclusions

Over the 17 years, CVH in Korean adults remained in the moderate range, with a decline through 2018 and full recovery by 2022–2023. Differences by age and sex underscore the need for tailored prevention strategies.

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