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Prevalence of Comorbidity among People with Hypertension: The Korea National Health and Nutrition Examination Survey 2007-2013

  • Noh, Juhwan (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Kim, Hyeon Chang (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Shin, Anna (Department of Public Health, Yonsei University College of Medicine) ;
  • Yeom, Hyungseon (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Jang, Suk-Yong (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Lee, Jung Hyun (Department of Preventive Medicine, Graduate School of Public Health) ;
  • Kim, Changsoo (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Suh, Il (Department of Preventive Medicine, Yonsei University College of Medicine)
  • Received : 2016.01.11
  • Accepted : 2016.05.03
  • Published : 2016.09.30

Abstract

Background and Objectives: Joint National Committee guidelines attempt to vary treatment recommendations for patients based on considerations of their comorbidities. The aim of the present study is to estimate the age-standardized prevalence of common comorbidities among Korean hypertension patients. Subjects and Methods: We analyzed the Korea National Health and Nutrition Examination Survey from 2007 to 2013. Among the 58423 participants, 30092 adults, aged ${\geq}30$ yrs who completed a health examination and interview survey, were selected. The survey procedures were used to estimate weighted prevalence and odds ratios for 8 comorbidities, including obesity, diabetes mellitus, dyslipidemia, cardiovascular disease, chronic kidney disease, and thyroid disease. Results: Most chronic conditions were more prevalent in adults with hypertension than in those without hypertension. Common comorbidities were obesity (60.1%), dyslipidemia (57.6%), and impaired fasting glucose (45.1%). Hypertensive patients with two or more comorbid diseases were 42.2% and those with three or more diseases were 17.7%. The age- and sex-specific prevalence of three or more comorbid diseases among male hypertension patients was significantly higher than those patients in the 30-59 (p<0.05) age group. Conclusion: Comorbidity is highly prevalent in Korean patients with hypertension.

Keywords

Acknowledgement

Supported by : Ministry of Health and Welfare

References

  1. Guiding principles for the care of older adults with multimorbidity: an approach for clinicians. Guiding principles for the care of older adults with multimorbidity: an approach for clinicians: American Geriatrics Society Expert Panel on the Care of Older Adults with Multimorbidity. J Am Geriatr Soc 2012;60:E1-25. https://doi.org/10.1111/j.1532-5415.2012.04188.x
  2. Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 2012;380:37-43. https://doi.org/10.1016/S0140-6736(12)60240-2
  3. Fortin M, Stewart M, Poitras M-E, Almirall J, Maddocks H. A systematic review of prevalence studies on multimorbidity: toward a more uniform methodology. Ann Fam Med 2012;10:142-51. https://doi.org/10.1370/afm.1337
  4. Marengoni A, Angleman S, Melis R, et al. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev 2011;10:430-9. https://doi.org/10.1016/j.arr.2011.03.003
  5. Sung YN, Jang SM, Lim DH, Shin SY, Song HJ, Lee SH. Prescribing patterns of antihypertensive drugs by outpatients with hypertension in 2007. Kor J Clin Pharm 2009;19:167-79.
  6. Violan C, Foguet-Boreu Q, Hermosilla-Perez E, et al. Comparison of the information provided by electronic health records data and a population health survey to estimate prevalence of selected health conditions and multimorbidity. BMC Public Health 2013;13:251. https://doi.org/10.1186/1471-2458-13-251
  7. Kim HJ, Kim Y, Cho Y, Jun B, Oh KW. Trends in the prevalence of major cardiovascular disease risk factors among Korean adults: results from the Korea National Health and Nutrition Examination Survey, 1998-2012. Int J Cardiol 2014;174:64-72. https://doi.org/10.1016/j.ijcard.2014.03.163
  8. Lewis SA, Weiss ST, Platts-Mills TA, Burge H, Gold DR. The role of indoor allergen sensitization and exposure in causing morbidity in women with asthma. Am J Respir Crit Care Med 2002;165:961-6. https://doi.org/10.1164/ajrccm.165.7.2103044
  9. Bassett J. International Diabetes Institute. World Health Organization Regional Office for the Western Pacific. International Association for the Study of Obesity. International Obesity Task Force. In: The Asia-Pacific perspective: redefining obesity and its treatment. Melbourne: Health Communications Australia; 2000.
  10. Benoist Bd, McLean E, Cogswell IEaM. Worldwide prevalence of anaemia 1993-2005 of WHO: Global Database of anaemia. Geneva: World Health Organization; 2008.
  11. Altman DG, Bland JM. Interaction revisited: the difference between two estimates. BMJ 2003;326:219. https://doi.org/10.1136/bmj.326.7382.219
  12. Tocci G, Muiesan ML, Parati G, et al. Trends in prevalence, awareness, treatment, and control of blood pressure recorded from 2004 to 2014 during world hypertension day in Italy. J Clin Hypertens (Greenwich) 2016;18:551-6. https://doi.org/10.1111/jch.12711
  13. Giampaoli S, Palmieri L, Donfrancesco C, Lo Noce C, Pilotto L, Vanuzzo D. Cardiovascular health in Italy. Ten-year surveillance of cardiovascular diseases and risk factors: Osservatorio Epidemiologico Cardiovascolare/Health Examination Survey 1998-2012. Eur J Prev Cardiol 2015;22(2 Suppl):9-37. https://doi.org/10.1177/2047487315589011
  14. Steinman MA, Lee SJ, Boscardin WJ, et al. Patterns of multimorbidity in elderly veterans. J Am Geriatr Soc 2012;60:1872-80. https://doi.org/10.1111/j.1532-5415.2012.04158.x
  15. Fryar CD, Hirsch R, Eberhardt MS, Yoon SS, Wright JD. Hypertension, high serum total cholesterol, and diabetes: racial and ethnic prevalence differences in US adults, 1999-2006. NCHS Data Brief 2010;(36):1-8.
  16. Davila EP, Hlaing WM. Co-Morbidities of Emergency Department Patients Admitted with Essential Hypertension in Florida. Ann Epidemiol 17:726-7.
  17. Strandberg AY, Strandberg TE, Stenholm S, Salomaa VV, Pitkala KH, Tilvis RS. Low midlife blood pressure, survival, comorbidity, and health-related quality of life in old age: the Helsinki Businessmen Study. J Hypertens 2014;32:1797-804. https://doi.org/10.1097/HJH.0000000000000265
  18. Abad-Diez JM, Calderon-Larranaga A, Poncel-Falco A, et al. Age and gender differences in the prevalence and patterns of multimorbidity in the older population. BMC Geriatr 2014;14:75. https://doi.org/10.1186/1471-2318-14-75
  19. Perelman J, Mateus C, Fernandes A. Gender equity in treatment for cardiac heart disease in Portugal. Soc Sci Med 2010;71:25-9. https://doi.org/10.1016/j.socscimed.2010.03.026
  20. Bowling A, Bond M, McKee D, et al. Equity in access to exercise tolerance testing, coronary angiography, and coronary artery bypass grafting by age, sex and clinical indications. Heart 2001;85:680-6. https://doi.org/10.1136/heart.85.6.680
  21. Garcia-Olmos L, Salvador CH, Alberquilla A, et al. Comorbidity patterns in patients with chronic diseases in general practice. PLoS One 2012;7:e32141. https://doi.org/10.1371/journal.pone.0032141
  22. Violan C, Foguet-Boreu Q, Roso-Llorach A, et al. Burden of multimorbidity, socioeconomic status and use of health services across stages of life in urban areas: a cross-sectional study. BMC Public Health 2014;14:530. https://doi.org/10.1186/1471-2458-14-530
  23. Jung YH, Ko SJ, Kim EJ. A study on the effective chronic disease management: Policy directions for chronic diseases management. Seoul: Korea Institute for Health and Social Affairs Press; 2013.
  24. Ministry of Health and Welfare. Korea Centers for Disease Control and Prevention. Korea health statistics 2013: Korea National Health and Nutrition Examination Survey (KNHANES VI-1). Cheongju: Korea Centers for Disease Control and Prevention; 2014.

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