Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

The Characteristics of Risk Factors in Korean CAD Patients Comparing to American Counterpart and Its Implications to Prevention of CAD

  • Kim, Wan-Soo (Dept. of Health Promotion, College of Rehabilitation Science, Daegu University)
  • Received : 2016.12.20
  • Accepted : 2017.02.13
  • Published : 2017.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: The purpose of this study is to understand the difference in the risk factors of coronary artery disease (CAD) between Korean and American CAD patients to determine the discriminant factor for each group, as well as to provide useful information to be reflected in the national concern of health. METHODS: Data were collected from 248 Korean and 107 American CAD patients who underwent either percutaneous coronary intervention or coronary artery bypass grafting. By using t-test and $X^2$-test, risk factors were compared between the Koreans and Americans. To elucidate which risk factor was the most discriminant for each group, logistic regression analysis was performed. RESULTS: All risk factors, except diastolic blood pressure, showed a significant difference between the two groups. $X^2$-test showed statistical significance with respect to the smoking rate between the female groups. Moreover, there was a statistically significant difference between the two groups regarding blood total cholesterol (TC) and triglyceride, and between the male groups, here was a statistically significant difference with respect to blood high-density lipoprotein cholesterol (HDL). Diabetes mellitus (DM) was the most discriminant factor for Korean patients while TC/HDL is the most discriminant for the Americans. CONCLUSION: The characteristics of CAD risk factors were determined to be different between Koreans and Americans in this study. TC/HDL was a discriminant factor for Americans while DM was a discriminant factor for Koreans. This result implies that DM should primarily be given attention to prevent CAD in Korean adults.

Keywords

References

  1. American Heart Association. Diabetes Mellitus: A Major Risk Factor for Cardiovascular Disease. Circulation. 1999;100:1132-3. https://doi.org/10.1161/01.CIR.100.10.1132
  2. Cheon BR. Diabetes as a risk factor of Ischemic Heart Disease. Korean J Prev Med. 1995;28(2):282-6.
  3. Cho JY, Park JY, Han CH. Evaluation of Obesity from BMI and Waist Circumference, and Its Relation with Cardiovascular Risk Factors. Korean J Health Educ Promot. 2008;25(2):47-59.
  4. Dey SK, Ghosh C, Debray P, et al. Coronary artery disease risk factors & their association with physical activity in older athletes. J Cardiovasc Risk. 2002;9:383-92.
  5. Eckel RH, Krauss RM. American Heart Association call to action: Obesity as a major risk factor for coronary heart disease. Circulation. 1998;97:2099-100. https://doi.org/10.1161/01.CIR.97.21.2099
  6. Gordon NF. Conceptual basis for coronary artery disease risk factor assessment in ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription (3rd ed). USA. Lippincott Williams & Wilkins. 1998.
  7. Kang JH, Kim KA, Han JS. Korean Diet and Obesity. J Korean Soc Study Obes. 2004;13(1):34-41.
  8. Kim HB, Han KH, Jung JY, et al. Clinical Study on Coronary Risk Factors In NIDDM. Korean J Intern Med. 1992;43(6):770-5.
  9. Lamarche B, Despres JP, Mooriani S, et al. Prevalence of dyslipidemic phenotypes in ischemic heart disease (prospective results from the Quebec cardiovascular study). Am J Cardiol. 1995;75(17):1189-95. https://doi.org/10.1016/S0002-9149(99)80760-7
  10. Lee BW, Kang BH, Kang HW, et al. Diabetes monitor : Clinical and Angiographic Review of Diabetes Mellitus in Coronary Artery Disease. J Korean Diabetes. 2002;3(2):253-69.
  11. Lee KS, Kim JA, Park CY. Association of Hypertension with Cluster of Obesity, Abnormal glucose and Dyslipidemia in Korean Urban Population. J Prev Med Public Health. 1998;31(1):59-71.
  12. Lee SK, Cho BS, Yoo YC. Effects of regular exercise on blood tumor marker and lipid factor in elderly women with for 52 weeks. The Korea Journal of Sports Science. 2011;20(4):879-88.
  13. Moyer VA. Screening for coronary heart disease: recommendation statement from the U.S Preventive Services Task Force. Ann Intern Med. 2004;140(7):569-72. https://doi.org/10.7326/0003-4819-140-7-200404060-00001
  14. Organization for Economic Co-operation and Development. Non-Medical Determinants of Health : Alcohol consumption. 2016a.
  15. Organization for Economic Co-operation and Development. Non-Medical Determinants of Health : Tobacco consumption. 2016b.
  16. Paik YH, Choi KD. A study on the effect of smoking, alcohol intake and obesity on the serum levels of lipid and uric acid in male adult. The Ulsan University Medical Journal. 1995;4(1):71-8.
  17. Roger VL, Go AS, Llod-Jones DM, et al. Heart Disease and Stroke Statistics-2012 Update: a report from the American Heart Association. Circulation. 2012;125(1):e2-e220. https://doi.org/10.1161/CIR.0b013e31823ac046
  18. Song DY, Park JE, Shim JE, et al. Trends in the major dish groups and food groups contributing to sodium intake in the Korea National Health and Nutrition Examination Survey 1998-2010. Journal of Nutrition and Health. 2013;46(1):72-85. https://doi.org/10.4163/kjn.2013.46.1.72
  19. Statistics Korea. Cause-specific death rate. 2016.

Cited by

  1. Exercise Intervention on Blood Glucose Control of Type 2 Diabetes with Obesity : A Systematic Review vol.13, pp.1, 2018, https://doi.org/10.13066/kspm.2018.13.1.11