Current Status of Cardiovascular Disease According to the Duration of Hypertension in Korean Adults
Background: Today, medical technology and healthcare advances have led to an increased life expectancy; however, the prevalence of chronic diseases such as hypertension, diabetes mellitus, stroke, and cardiovascular events is continuously rising. In particular, hypertension is a crucial factor in ca...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2023-05-01
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| Series: | Global Heart |
| Subjects: | |
| Online Access: | https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1201 |
| _version_ | 1827926283506417664 |
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| author | Byoung Geol Choi Jung Boone Kim Seung-Woon Rha Min Woo Lee Michael S. Lee Suhng Wook Kim Sunghoi Hong |
| author_facet | Byoung Geol Choi Jung Boone Kim Seung-Woon Rha Min Woo Lee Michael S. Lee Suhng Wook Kim Sunghoi Hong |
| author_sort | Byoung Geol Choi |
| collection | DOAJ |
| description | Background: Today, medical technology and healthcare advances have led to an increased life expectancy; however, the prevalence of chronic diseases such as hypertension, diabetes mellitus, stroke, and cardiovascular events is continuously rising. In particular, hypertension is a crucial factor in cardiovascular and cerebrovascular diseases, and it is known that prevention and management are essential. Objectives: This study investigates the prevalence and management of hypertension in Korean adults and evaluates its correlation with the risk of cardiovascular disease (CVD) and stroke. Method: The Korean National Health and Nutritional Examination Survey (KNHANES) database was utilized for this study (https://knhanes.cdc.go.kr). The subjects of this survey were sampled to represent the entire population of Korea. The study aims to assess the risk of CVD and stroke according to the duration of hypertension. We also examined the impact of hypertension control on the risk of CVD and stroke. This study is a retrospective cross-sectional study, so future risks cannot be assessed, but only the disease status at the same time point. Results: A total of 61,379 subjects were enrolled in the KNHANES database, representing Korea’s population of 49,068,178 subjects. The prevalence of hypertension was 25.7% (9,965,618 subjects) of the total population. The prevalence of hypertension increased rapidly with the age of the population. As the duration of hypertension increased, the risks of CVD and stroke also increased. When hypertension lasts longer than 20 years, ischemic heart disease, myocardial infarction, and stroke prevalence were 14.6%, 5.0%, and 12.2%, respectively. However, achieving a target blood pressure (BP) goal below 140/90 mmHg reduced the risk of all CVD and stroke by nearly half. Nevertheless, fewer than two-thirds of patients in Korea with hypertension achieved this targeted blood pressure goal. Conclusions: Our study confirmed that the prevalence of hypertension in Korean adults was higher than a quarter but also showed that the risk of CVD and stroke was significantly reduced by achieving optimal blood pressure control. Based on these results, policy efforts are needed to reach the target BP and improve the treatment rates for hypertension in Korea. |
| first_indexed | 2024-03-13T05:36:55Z |
| format | Article |
| id | doaj.art-cf530a0b5fd2439cac5139f02e9281d3 |
| institution | Directory Open Access Journal |
| issn | 2211-8179 |
| language | English |
| last_indexed | 2024-03-13T05:36:55Z |
| publishDate | 2023-05-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Global Heart |
| spelling | doaj.art-cf530a0b5fd2439cac5139f02e9281d32023-06-14T07:22:06ZengUbiquity PressGlobal Heart2211-81792023-05-01181252510.5334/gh.12011182Current Status of Cardiovascular Disease According to the Duration of Hypertension in Korean AdultsByoung Geol Choi0https://orcid.org/0000-0002-6090-869XJung Boone Kim1https://orcid.org/0009-0003-2290-5564Seung-Woon Rha2https://orcid.org/0000-0001-9456-9852Min Woo Lee3https://orcid.org/0000-0003-1703-0284Michael S. Lee4https://orcid.org/0000-0003-3211-6166Suhng Wook Kim5https://orcid.org/0000-0001-5522-0447Sunghoi Hong6https://orcid.org/0000-0003-4926-1044Cardiovascular Research Institute, Korea University, SeoulDepartment of Integrated Biomedical and Life Sciences, Korea University Graduate School, SeoulCardiovascular Center, Korea University Guro Hospital, SeoulResearch Institute of Health Science, Korea University, SeoulUCLA Medical Center, Los Angeles, CaliforniaSchool of Health and Environmental Science, College of Health Sciences, Korea University, SeoulSchool of Biosystems and Biomedical Sciences, Korea University Graduate School, SeoulBackground: Today, medical technology and healthcare advances have led to an increased life expectancy; however, the prevalence of chronic diseases such as hypertension, diabetes mellitus, stroke, and cardiovascular events is continuously rising. In particular, hypertension is a crucial factor in cardiovascular and cerebrovascular diseases, and it is known that prevention and management are essential. Objectives: This study investigates the prevalence and management of hypertension in Korean adults and evaluates its correlation with the risk of cardiovascular disease (CVD) and stroke. Method: The Korean National Health and Nutritional Examination Survey (KNHANES) database was utilized for this study (https://knhanes.cdc.go.kr). The subjects of this survey were sampled to represent the entire population of Korea. The study aims to assess the risk of CVD and stroke according to the duration of hypertension. We also examined the impact of hypertension control on the risk of CVD and stroke. This study is a retrospective cross-sectional study, so future risks cannot be assessed, but only the disease status at the same time point. Results: A total of 61,379 subjects were enrolled in the KNHANES database, representing Korea’s population of 49,068,178 subjects. The prevalence of hypertension was 25.7% (9,965,618 subjects) of the total population. The prevalence of hypertension increased rapidly with the age of the population. As the duration of hypertension increased, the risks of CVD and stroke also increased. When hypertension lasts longer than 20 years, ischemic heart disease, myocardial infarction, and stroke prevalence were 14.6%, 5.0%, and 12.2%, respectively. However, achieving a target blood pressure (BP) goal below 140/90 mmHg reduced the risk of all CVD and stroke by nearly half. Nevertheless, fewer than two-thirds of patients in Korea with hypertension achieved this targeted blood pressure goal. Conclusions: Our study confirmed that the prevalence of hypertension in Korean adults was higher than a quarter but also showed that the risk of CVD and stroke was significantly reduced by achieving optimal blood pressure control. Based on these results, policy efforts are needed to reach the target BP and improve the treatment rates for hypertension in Korea.https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1201hypertensionblood pressureprevalencetarget blood pressure |
| spellingShingle | Byoung Geol Choi Jung Boone Kim Seung-Woon Rha Min Woo Lee Michael S. Lee Suhng Wook Kim Sunghoi Hong Current Status of Cardiovascular Disease According to the Duration of Hypertension in Korean Adults Global Heart hypertension blood pressure prevalence target blood pressure |
| title | Current Status of Cardiovascular Disease According to the Duration of Hypertension in Korean Adults |
| title_full | Current Status of Cardiovascular Disease According to the Duration of Hypertension in Korean Adults |
| title_fullStr | Current Status of Cardiovascular Disease According to the Duration of Hypertension in Korean Adults |
| title_full_unstemmed | Current Status of Cardiovascular Disease According to the Duration of Hypertension in Korean Adults |
| title_short | Current Status of Cardiovascular Disease According to the Duration of Hypertension in Korean Adults |
| title_sort | current status of cardiovascular disease according to the duration of hypertension in korean adults |
| topic | hypertension blood pressure prevalence target blood pressure |
| url | https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1201 |
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