Prevalence and Management of Dyslipidemia in Korea: Korea National Health and Nutrition Examination Survey during 1998 to 2010

• Published in: Diabetes & metabolism journal Vol. 37; no. 6; pp. 433 - 449
• Main Authors: Roh, Eun, Ko, Seung-Hyun, Kwon, Hyuk-Sang, Kim, Nan Hee, Kim, Jae Hyeon, Kim, Chul Sik, Song, Kee-Ho, Won, Jong Chul, Kim, Dae Jung, Choi, Sung Hee, Lim, Soo, Cha, Bong-Yun
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Diabetes Association / Daehan Dangnyobyeong Hakoe 01.12.2013; Korean Diabetes Association; 대한당뇨병학회
• Subjects: Adults; Age; Cardiovascular disease; Cholesterol; Coronary vessels; Diabetes; Disease control; Drugs; Dyslipidemia, Korea; High density lipoprotein; Lipids; Metabolic disorders; Metabolic syndrome; Nutrition; Original; Prevalence; Review boards; Risk factors; Triglycerides; Vein & artery diseases; Womens health; 내과학; United States > US; Dyslipidemia, Korea; Prevalence
• ISSN: 2233-6079; 2233-6087
• DOI: 10.4093/dmj.2013.37.6.433

Dyslipidemia is a major risk factor of cardiovascular disease. The aim of this study was to investigate the changing trends in the prevalence and management status of dyslipidemia among Korean adults. The prevalence of dyslipidemia and the rates of awareness, treatment, and control of dyslipidemia were investigated in adults aged ≥20 years from the Korea National Health and Nutrition Surveys (KNHANES) 1998 to 2010. The updated National Cholesterol Education Program criteria was used, which define dyslipidemia as having one or more of the following lipid abnormalities: hypercholesterolemia (total cholesterol ≥240 mg/dL or diagnosis of dyslipidemia or use of lipid-lowering drugs), hypertriglyceridemia (≥150 mg/dL), hyper-low density lipoprotein (LDL) cholesterolemia (≥160 mg/dL or diagnosis of dyslipidemia or use of lipid-lowering drugs), and hypo-high density lipoprotein (HDL)-cholesterolemia (<40 mg/dL in men and <50 mg/dL in women). The number of participants was 6,921, 4,894, 5,312, 2,733, 6,295, 6,900, and 5,738 in KNHANES 1998, 2001, 2005, 2007, 2008, 2009, and 2010, respectively. Age-standardized prevalence rates of dyslipidemia were 54.0%, 65.8%, 66.5%, 60.6%, 58.7%, 58.9%, and 59.0% in 1998, 2001, 2005, 2007, 2008, 2009, and 2010, respectively. Hypertriglyceridemia and hypo-HDL-cholesterolemia were the two most frequent lipid abnormalities. The overall prevalence of hypercholesterolemia and hyper-LDL-cholesterolemia increased by 1.36- and 1.35-fold in 2010 compared with 2007, respectively. Awareness, treatment, and control rates of dyslipidemia improved over the period of surveys in both sexes. In 2010, about 30% of dyslipidemic patients who received lipid-lowering treatment reached target levels. Although the management status of dyslipidemia has improved during recent years, effective strategy is required for achieving better prevention, treatment, and control of dyslipidemia.