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Metabolic syndrome awareness in the general Korean population: results from a nationwide survey

  • Hyun-Jin Kim (Division of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital) ;
  • Mi-Seung Shin (Division of Cardiology, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine) ;
  • Kyung-Hee Kim (Division of Cardiology. Incheon Sejong Hospital) ;
  • Mi-Hyang Jung (Division of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, Catholic Research Institute for Intractable Cardiovascular Disease, College of Medicine, The Catholic University of Korea) ;
  • Dong-Hyuk Cho (Division of Cardiology, Department of Internal Medicine, Korea University Anam Hospital) ;
  • Ju-Hee Lee (Division of Cardiology, Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine) ;
  • Kwang Kon Koh (K-Heart Clinic & Lab)
  • Received : 2023.08.27
  • Accepted : 2023.10.05
  • Published : 2024.03.01

Abstract

Background/Aims: Metabolic syndrome (MetS) raises the risk of cardiovascular disease and type 2 diabetes. An awareness of MetS is vital for early detection and proactive management, which can mitigate the risks associated with MetS. Therefore, our study aimed to investigate the level of awareness of MetS among the Korean population. Methods: We conducted a nationwide survey between January and February 2023 among a representative sample of the Korean population using an online survey. Information regarding the awareness of MetS and its risk, the importance of lifestyle modification, and health behavior were collected. The question about the awareness of MetS was "How much do you think you know about MetS?" and there were five answers: 1) I know very well, 2) I know well, 3) I know a little, 4) I do not know, and 5) I have no idea. The high-awareness group was defined as those who answered that they knew very well or well. Results: Among 1,000 participants (mean age, 45.7 ± 13.2 yr), 29% were unaware of MetS, and only 20.8% had high awareness. The high-awareness group was significantly more knowledgeable about lifestyle modifications and demonstrated better health behaviors. After adjustment for possible confounding factors, younger age, low household income, and absence of comorbidity were independently associated with a lack of awareness regarding MetS. Conclusions: The high-awareness group showed greater knowledge of the importance of lifestyle modifications and better health behaviors regarding MetS. The findings highlight the need for improved public education and awareness programs regarding MetS.

Keywords

Acknowledgement

The authors thank the Korean Society of CardioMetabolic Syndrome for providing the funds for this online survey.

References

  1. Alberti KG, Eckel RH, Grundy SM, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 2009;120:1640-1645.  https://doi.org/10.1161/CIRCULATIONAHA.109.192644
  2. Jang YN, Lee JH, Moon JS, et al. Metabolic syndrome severity score for predicting cardiovascular events: a nationwide population-based study from Korea. Diabetes Metab J 2021;45:569-577.  https://doi.org/10.4093/dmj.2020.0103
  3. Huh JH, Kang DR, Kim JY, Koh KK. Metabolic syndrome fact sheet 2021: executive report. Cardiometab Syndr J 2021;1:125-134.  https://doi.org/10.51789/cmsj.2021.1.e15
  4. Ko SH, Kim DJ, Park JH, et al.; Task Force Team for Diabetes Fact Sheet of the Korean Diabetes Association. Trends of antidiabetic drug use in adult type 2 diabetes in Korea in 2002-2013: nationwide population-based cohort study. Medicine (Baltimore) 2016;95:e4018. 
  5. Scuteri A, Laurent S, Cucca F, et al.; Metabolic Syndrome and Arteries Research (MARE) Consortium. Metabolic syndrome across Europe: different clusters of risk factors. Eur J Prev Cardiol 2015;22:486-491.  https://doi.org/10.1177/2047487314525529
  6. Jahangiry L, Farhangi MA, Rezaei F. Framingham risk score for estimation of 10-years of cardiovascular diseases risk in patients with metabolic syndrome. J Health Popul Nutr 2017;36:36. 
  7. Moore SE, Harris C, Wimberly Y. Perception of weight and threat to health. J Natl Med Assoc 2010;102:119-124.  https://doi.org/10.1016/S0027-9684(15)30499-5
  8. Saklayen MG. The Global Epidemic of the Metabolic Syndrome. Curr Hypertens Rep 2018;20:12. 
  9. Lobene AJ. The increasing prevalence of metabolic syndrome in Korea: a multifarious disease with a multifactorial etiology. JACC Asia 2023;3:503-505.  https://doi.org/10.1016/j.jacasi.2023.05.004
  10. Lee SH, Park SY, Choi CS. Insulin resistance: from mechanisms to therapeutic strategies. Diabetes Metab J 2022;46:15-37.  https://doi.org/10.4093/dmj.2021.0280
  11. Hirode G, Wong RJ. Trends in the prevalence of metabolic syndrome in the United States, 2011-2016. JAMA 2020;323:2526-2528.  https://doi.org/10.1001/jama.2020.4501
  12. Ranasinghe P, Mathangasinghe Y, Jayawardena R, Hills AP, Misra A. Prevalence and trends of metabolic syndrome among adults in the asia-pacific region: a systematic review. BMC Public Health 2017;17:101. 
  13. Isomaa B, Almgren P, Tuomi T, et al. Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care 2001;24:683-689.  https://doi.org/10.2337/diacare.24.4.683
  14. Guembe MJ, Fernandez-Lazaro CI, Sayon-Orea C, Toledo E, Moreno-Iribas C; RIVANA Study Investigators. Risk for cardiovascular disease associated with metabolic syndrome and its components: a 13-year prospective study in the RIVANA cohort. Cardiovasc Diabetol 2020;19:195. 
  15. Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev 2012;70:3-21.  https://doi.org/10.1111/j.1753-4887.2011.00456.x
  16. Kim S, Moon S, Popkin BM. The nutrition transition in South Korea. Am J Clin Nutr 2000;71:44-53.  https://doi.org/10.1093/ajcn/71.1.44
  17. Lim S, Shin H, Song JH, et al. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care 2011;34:1323-1328.  https://doi.org/10.2337/dc10-2109
  18. Lee SE, Han K, Kang YM, et al.; Taskforce Team of Diabetes Fact Sheet of the Korean Diabetes Association. Trends in the prevalence of metabolic syndrome and its components in South Korea: Findings from the Korean National Health Insurance Service Database (2009-2013). PLoS One 2018;13:e0194490. 
  19. Park D, Shin MJ, Despres JP, Eckel RH, Tuomilehto J, Lim S. 20-year trends in metabolic syndrome among Korean adults from 2001 to 2020. JACC Asia 2023;3:491-502.  https://doi.org/10.1016/j.jacasi.2023.02.007
  20. Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA 2002;287:356-359.  https://doi.org/10.1001/jama.287.3.356
  21. Aekplakorn W, Abbott-Klafter J, Premgamone A, et al. Prevalence and management of diabetes and associated risk factors by regions of Thailand: third National Health Examination Survey 2004. Diabetes Care 2007;30:2007-2012.  https://doi.org/10.2337/dc06-2319
  22. Yu S, Guo X, Yang H, Zheng L, Sun Y. An update on the prevalence of metabolic syndrome and its associated factors in rural northeast China. BMC Public Health 2014;14:877.s 
  23. Krakauer NY, Krakauer JC. A new body shape index predicts mortality hazard independently of body mass index. PLoS One 2012;7:e39504. 
  24. Choi B, Schnall PL, Yang H, et al. Sedentary work, low physical job demand, and obesity in US workers. Am J Ind Med 2010;53:1088-1101. https://doi.org/10.1002/ajim.20886