Prevalence of Cardiovascular Risk Factors in South Korean Adults: Results from the Korea Medical Insurance Corporation (KMIC) Study

Jee, Sun Ha; Appel, Lawrence J.; Suh, Il; Whelton, Paul K.; Kim, Il Soon

doi:10.1016/s1047-2797(97)00131-2

Cited by 76 publications

(80 citation statements)

References 15 publications

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“…A similar observation was also documented in the Korea Medical Insurance Corporation Study. 24 In the present study, lipid disorder was the most prominent risk factor in men and overweight=obesity was the most prevalent risk factor in women. …”

Section: Discussionmentioning

confidence: 46%

Prevalence and clustering of cardiovascular risk factors among healthy adults in a Chinese population: the MJ Health Screening Center Study in Taiwan

Wu¹,

Pai²,

Chu

et al. 2001

Int J Obes

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OBJECTIVE:To gain insight into the prevalence and clustering of multiple cardiovascular risk factors in a healthy Chinese adult population in Taiwan. DESIGN: A cross-sectional study was carried out in 1996. SUBJECTS: A total of 46 603 subjects (23 485 men and 23 118 women) who were aged 20 -59 y and attended a private health screening center for health examination of their own volition. MEASUREMENTS: Multiple cardiovascular risk factors including cigarette smoking, overweight (23 kg=m 2 body mass index (BMI) < 25 kg=m 2 ) and obesity (BMI ! 25 kg=m 2 ), lipid disorder (a ratio of total cholesterol level to the level of high density lipoprotein cholesterol > 5 or use of lipid-lowering drugs), hypertension (systolic blood pressure ! 140 mmHg or diastolic blood pressure ! 90 mmHg or use of anti-hypertensive medications), and diabetes mellitus (fasting serum plasma glucose level ! 126 mg=dl or use of anti-diabetic medications) were determined. RESULTS: In comparison to women, men had a higher prevalence of current smoking (42.1 vs 5.6%), overweight (25.1 vs 17.1%) and obesity (33.1 vs 21.5%), lipid disorder (45.1 vs 19.6%), hypertension (17.4 vs 13.2%), as well as diabetes mellitus (4.1 vs 3.4%). The prevalence of men or women having two or more of the cardiovascular risk factors of interest was 54.3 and 21.7%, respectively. With advancing age, the prevalence of risk factors became greater for both genders. More importantly, the clustering of risk factors increased monotonically with increasing BMI levels for men and women. CONCLUSIONS: The prevalence and clustering of cardiovascular risk factors are commonplace in this healthy Chinese adult population. Considering the significant association between clustering of risk factors under study and BMI levels, this study gives an indication that population-based multifactorial interventions may work out favorably for specific groups.

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Section: Discussionmentioning

confidence: 46%

Prevalence and clustering of cardiovascular risk factors among healthy adults in a Chinese population: the MJ Health Screening Center Study in Taiwan

Wu¹,

Pai²,

Chu

et al. 2001

Int J Obes

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“…A systematic meta-analysis based primarily on community-based cohort studies [6][7][8][9][10] (shown in Table 1) confirmed the effect of smoking on CKD development. 11 The increased risk of developing CKD among smokers vs. non-smokers was reported to be associated with smoking 420 cigarettes per day (odds ratio, 1.51; 95% CI, 1.06-2.15), male (odds ratio, 2.4; 95% CI, 1.2-4.5) and smoking for over 40 years (odds ratio, 2.3; 95% CI, 1.2-4.3).…”

Section: Smoking and Ckd In The General Populationmentioning

confidence: 91%

Cigarette smoking and chronic kidney diseases

et al. 2011

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Observational studies have suggested that different chronic kidney diseases (CKDs) have differing relationships to smoking, but no randomized controlled trial has been conducted to examine this topic. In this article, we review available evidence concerning the relationship between smoking and each type of CKD in the general population as well as in patients with diabetes mellitus (DM), hypertension (HT), primary glomerulonephritis and kidney transplants. There is good evidence of a relationship between smoking and CKD in patients with IgA nephropathy and kidney transplant recipients, but not in patients with DM or HT. Interestingly, it has been reported that the effect of smoking on CKD progression varies depending on the CKD stage. This variation might indicate a cumulative effect of smoking, possibly through oxidative stress. A better understanding of the relationship between smoking and CKD would be useful for nephrologists.

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“…[3][4][5][6][7] Some epidemiological studies have focused on which blood pressure (BP) components are superior as predictors of cardiovascular diseases, including systolic BP (SBP), diastolic BP (DBP), pulse pressure (PP) and mean arterial pressure (MAP). [8][9][10][11][12][13][14][15][16][17] However, the BP components that are the most important risks factor for CKD are currently unknown.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5][6][7] BP is also divided into two other components: MAP, which reflects a steady component, and PP, which reflects a pulsatile component. [18][19][20][21] PP is mainly determined by ventricular ejection, arterial stiffness and the timing of the reflected waves, and it increases with advancing age.…”

Section: Introductionmentioning

confidence: 99%

Blood pressure components and risk for chronic kidney disease in middle-aged Japanese men: The Kansai Healthcare Study

et al. 2011

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It is unclear which blood pressure (BP) components (that is, systolic BP (SBP), diastolic BP (DBP), pulse pressure (PP) and mean arterial pressure (MAP)) are superior predictors of chronic kidney disease (CKD). Furthermore it is unclear whether the combination of SBP+DBP or PP+MAP is superior to any of these four individual BP components in predicting CKD. We enrolled 9928 Japanese men aged 40-55 years who had a normal estimated glomerular filtration rate (eGFR), no proteinuria and no history of cardiovascular disease and were not taking any antihypertensive medications at baseline. CKD was defined as an eGFR of o60 ml min À1 per 1.73 m 2 using the modified diet in renal disease equation. DAkaike's information criterion (DAIC) was used to compare the BP components-added model to the model without them in a Cox proportional hazards model. During the 52 428 person-years of follow-up, there were 434 cases of CKD. Of all four BP components, the model including DBP-or MAP-alone had the highest values of DAIC (10.2 and 9.85, respectively). The PP-alone model had the lowest DAIC value (À1.48). The combination models including SBP+DBP (DAIC 8.42) or PP+MAP (8.42) were not superior to the models including DBP-or MAP-alone. These findings suggested that, of the four BP components, both DBP and MAP were the most useful predictors for subsequent incidence of CKD, but PP was not an important predictor. The combination model, including SBP+DBP or PP+MAP, was not superior to the models including DBP-or MAP-alone for predicting CKD.

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Prevalence of Cardiovascular Risk Factors in South Korean Adults: Results from the Korea Medical Insurance Corporation (KMIC) Study

Cited by 76 publications

References 15 publications

Prevalence and clustering of cardiovascular risk factors among healthy adults in a Chinese population: the MJ Health Screening Center Study in Taiwan

Prevalence and clustering of cardiovascular risk factors among healthy adults in a Chinese population: the MJ Health Screening Center Study in Taiwan

Cigarette smoking and chronic kidney diseases

Blood pressure components and risk for chronic kidney disease in middle-aged Japanese men: The Kansai Healthcare Study

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