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      Dyslipidemia Fact Sheet in South Korea, 2022

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          Abstract

          Objective

          This study aimed to investigate the prevalence and status of dyslipidemia management among South Korean adults, as performed by the Korean Society of Lipid and Atherosclerosis under the name Dyslipidemia Fact Sheet 2022.

          Methods

          We analyzed the lipid profiles, age-standardized and crude prevalence, management status of hypercholesterolemia and dyslipidemia, and health behaviors among Korean adults aged ≥20 years, using the Korea National Health and Nutrition Examination Survey data between 2007 and 2020.

          Results

          In South Korea, the crude prevalence of hypercholesterolemia (total cholesterol ≥240 mg/dL or use of a lipid-lowering drug) in 2020 was 24%, and the age-standardized prevalence of hypercholesterolemia more than doubled from 2007 to 2020. The crude treatment rate was 55.2%, and the control rate was 47.7%. The crude prevalence of dyslipidemia (more than one out of three conditions [low-density lipoprotein-cholesterol ≥160 or the use of a lipid-lowering drug, triglycerides ≥200, or high-density lipoprotein-cholesterol (men and women) <40 mg/dL]) was 40.2% between 2016 and 2020. However, it increased to 48.2% when the definition of hypo-high-density lipoprotein-cholesterolemia in women changed from <40 to <50 mg/dL.

          Conclusion

          Although the prevalence of hypercholesterolemia and dyslipidemia has steadily increased in South Korea, the treatment rate remains low. Therefore, continuous efforts are needed to manage dyslipidemia through cooperation between the national healthcare system, patients, and healthcare providers.

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          Most cited references14

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          2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk

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            Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge.

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              Data Resource Profile: The Korea National Health and Nutrition Examination Survey (KNHANES)

              The Korea National Health and Nutrition Examination Survey (KNHANES) is a national surveillance system that has been assessing the health and nutritional status of Koreans since 1998. Based on the National Health Promotion Act, the surveys have been conducted by the Korea Centers for Disease Control and Prevention (KCDC). This nationally representative cross-sectional survey includes approximately 10 000 individuals each year as a survey sample and collects information on socioeconomic status, health-related behaviours, quality of life, healthcare utilization, anthropometric measures, biochemical and clinical profiles for non-communicable diseases and dietary intakes with three component surveys: health interview, health examination and nutrition survey. The health interview and health examination are conducted by trained staff members, including physicians, medical technicians and health interviewers, at a mobile examination centre, and dieticians’ visits to the homes of the study participants are followed up. KNHANES provides statistics for health-related policies in Korea, which also serve as the research infrastructure for studies on risk factors and diseases by supporting over 500 publications. KCDC has also supported researchers in Korea by providing annual workshops for data users. KCDC has published the Korea Health Statistics each year, and microdata are publicly available through the KNHANES website (http://knhanes.cdc.go.kr).
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                Author and article information

                Journal
                J Lipid Atheroscler
                J Lipid Atheroscler
                JLA
                Journal of Lipid and Atherosclerosis
                Korean Society of Lipidology and Atherosclerosis
                2287-2892
                2288-2561
                September 2023
                31 July 2023
                : 12
                : 3
                : 237-251
                Affiliations
                [1 ]Department of Cardiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea.
                [2 ]Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.
                [3 ]Division of Cardiology, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
                [4 ]Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
                [5 ]Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Yonsei University, Seoul, Korea.
                [6 ]Department of Internal Medicine, Sanggye Paik Hospital, Inje University School of Medicine, Seoul, Korea.
                [7 ]School of Biosystem and Biomedical Science, Korea University, Seoul, Korea.
                [8 ]Division of Endocrinology and Metabolism, Department of Internal Medicine, Medical School, Jeonbuk National University, Jeonju, Korea.
                [9 ]Department of Public Health, Yonsei University Graduate School, Seoul, Korea.
                [10 ]Department of Endocrinology and Metabolism, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea.
                Author notes
                Correspondence to In-Kyung Jeong. Department of Endocrinology and Metabolism, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, 892 Dongnam-ro, Gangdong-gu, Seoul 05278, Korea. jik1016@ 123456naver.com
                Correspondence to Hyeon Chang Kim. Department of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea. hckim@ 123456yuhs.ac

                *Eun-Sun Jin and Jee-Seon Shim contributed equally to this study as a first author.

                This manuscript is simultaneously published in the Diabetes & Metabolism Journal and the Journal of Lipid and Atherosclerosis by the Korean Diabetes Association and the Korean Society of Lipid and Atherosclerosis.

                Author information
                https://orcid.org/0000-0003-1182-8244
                https://orcid.org/0000-0002-8671-3153
                https://orcid.org/0000-0001-8546-897X
                https://orcid.org/0000-0002-1384-6123
                https://orcid.org/0000-0002-9719-4774
                https://orcid.org/0000-0002-2219-4083
                https://orcid.org/0000-0002-8952-4008
                https://orcid.org/0000-0002-1841-2092
                https://orcid.org/0000-0002-6305-3033
                https://orcid.org/0000-0002-5034-8422
                https://orcid.org/0000-0001-7867-1240
                https://orcid.org/0000-0001-7857-546X
                Article
                10.12997/jla.2023.12.3.237
                10548191
                37800108
                99128f29-afa4-4f61-b0a4-6eba22cf5a48
                Copyright © 2023 The Korean Society of Lipid and Atherosclerosis.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 01 May 2023
                : 28 June 2023
                : 06 July 2023
                Categories
                Original Article

                dyslipidemias,cholesterol,prevalence,disease management,health behavior,republic of korea

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