Browse > Article

Comparative Study of Risk Factors for Ischemic Stroke in Koreans : Multi-center Study  

Kim, Hye-Mi (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Lee, In-Whan (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Shin, Ae-Sook (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Kim, Na-Hee (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Shim, So-Ra (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Kim, Min-Kyung (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Na, Byung-Jo (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Cho, Seung-Yeon (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Park, Seong-Uk (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Jung, Woo-Sang (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Moon, Sang-Kwan (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Park, Jung-Mi (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Ko, Chang-Nam (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Cho, Ki-Ho (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Kim, Young-Suk (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Bae, Hyung-Sup (Dept. of cardiovascular and neurologic disorder(stroke center), Kyung-Hee university)
Publication Information
The Journal of Internal Korean Medicine / v.31, no.4, 2010 , pp. 870-879 More about this Journal
Abstract
Objective : This study is about stroke risk factors which may differ between countries. Methods : We recruited 1725 ischemic stroke patients from multiple-centers. We analyzed stroke risk factors: hypertension, diabetes mellitus, dyslipidemia, depression, cardiac source, smoking, waist-to hip ratio, alcohol intake, physical activity, and psychosocial stress. We then compared risk factor results from other countries (the INTERSTROKE study) with this study. Results : 10 risk factors are related to stroke incidence. They were somewhat different between this study and the INTERSTROKE study. Conclusions : Hypertension is the most important risk factor of stroke, and other 9 risk factors also should be managed to prevent stroke incidence. Frequency of risk factors were different from the INTERSTROKE study. I think it could be partly due to differences of ethnicity and age. More studies are needed to describe characteristics of risk factors of Koreans.
Keywords
Stroke; risk factor; hypertension; Korean;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Report on 2005 national health and nutrition survey. Gyenggi-do. Korea. Ministry of Health and Social Welfare. 2006.
2 주입산, 정현지, 유재연, 한창호, 신동은. 뇌혈관 질환환자에 대한 임상적 고찰. 대한한방내과학회지. 2000;21(5):791-7.
3 이태규 외. 사상체질에 따른 대사증후군의 유병률과 위험인자에 대한 연구. 대한한의학회지. 2006;27(2):14-22.   과학기술학회마을
4 Prospective Study Collaboration. Blood cholesterol and vascular mortality by age, sex, and blood pressure:a meta-analysis of individual data from 61 prospective studies with 55000 vascular deaths. Lancet. 2007;370:1829-39.   DOI   ScienceOn
5 이민수. 한국 어느 도시지역의 노인성 우울증 역학조사. 노인정신의학. 2000:4:154-63.
6 김태석, 김대진. 흡연과 우울증 간의 관련성. 대한정신약물학회지. 2007:18:393-8.
7 Bonita R, Duncan J, Truelsen T, et al. Passive smoking as well as active smoking increases the risk of acute stroke. Tob Control. 1999;8:156-60.   DOI   ScienceOn
8 Shimokata H, Muller DC, Andres R: Studies in the distribution of body fat, ill, effects of cigarette stmoking. JAMA. 1989;261:1169-73.   DOI   ScienceOn
9 Tatjana Rund다, Ralph L. Sacco Risk factor management to prevent first stroke. Neurol Clin. 2008;24(4):1007-41.
10 Shinton R, Sagar G. Lifelong exercise and stroke. BMJ. 1993;307:231-4.   DOI   ScienceOn
11 Sacco RL, Gan R, Boden-Albala B, Lin IF, Kargman DE, Hauser WA, Shea S, Paik MC. Leisure-time physical activity and ischemic stroke risk: the Northern Manhattan Stroke Study. Stroke. 1998;29(2):380-7.   DOI   ScienceOn
12 Hiroshi Yatsuya, Kazumasa Yamagishi, Kari E. Nroth, Frederick L. Brancati, June Stevens, Aaron R. Folsom. Associations of obesity measures with subtypes of ischemic stroke in the ARIC study. J Epidemiol. 2010;20(5):347-54.   DOI   ScienceOn
13 Seung-Han Suk, Ralph L.Sasso, Bernadette Boden-Albala, Jian F. Cheun, John G. Pittman, Mitchell S. Elkind, Myunghee C. Paik. Abdomeninal obesity and risk of ischemic stroke : The Northern Manhattan Stroke Study. Stroke. 2003;34:1586-92.   DOI   ScienceOn
14 용형순 외. 뇌졸중환자 96례에 대한 임상적 고찰. 대한한방내과학회지. 1998;19(1):85-96.
15 박태환, 김민기, 이경복, 박종무, 이수주, 정근화, 조용진, 이준영, 이지성, 배희준 한국인에서 허혈성 뇌졸중에 대한 주요 위험인자들의 인구기여위험도 Korean Journal of Stroke. 2008;10(2):125-33.
16 서창훈, 권정남, 김영균. 중풍환자의 예후에 관한 임상적 고찰. 대한한방내과학회지. 2000;21(1):146-55.
17 Goldstein LB, Adams R, Alberts MJ, Appel LJ, Brass LM, Bushnell CD, Culebras A, DeGraba TJ, Gorelick PB, Guyton JR, Hart RG, Howard G, Kelly-Hayes M, Nixon JV, Sacco RL; American Heart Association; American stroke association Stroke Council. Primary prevention of ischemic stroke : a guidline from the American Heart Association/American Stroke Association Stroke council:cosponsored by the Atherosclerotic peripheral vascular disease interdisciplinary working group; cardiovascular nursing council:clinical cardiology council;nutrition, physical activity and metabolic council:and the Quality of care and outcomes research interdisciplinary working group. Circulation. 2006 Jan 20;113(24):873-923.   DOI   ScienceOn
18 Harold P. Adams, Robert F. Woolson, William R.Clarke, Patricia H. Davis, Was다, and Karla J. Grimsman. Design of the trial of Org 10172 in Acute stroke Treatment (TOAST). Controlled Clinical Trials. 1997;17:358-77.
19 Report on 2005 national health and nutrition survey. Gyenggi-do. Korea. Ministry of Health and Social Welfare. 2006.
20 Neal B, Macmahon S, Champman N. Blood Pressure Lowering Treatment Trialists' Collaboration. Effects of ACE inhibitors, calcium antagonists, and other blood-pressure-lowering drugs: results of prospectively designed overviews of randomized trials. Blood pressure lowering treatment trialists' collaboration. Lancet 2000;356:1955-64.   DOI   ScienceOn
21 Cultler Dm, Long G, Berndt E, et al. The value of antihypertensive drugs : a perspective on medical innovation. Health Aff. 2007;26:97-110.   DOI   ScienceOn
22 Jo IH,Ahn YJ, Lee JB, Shin KR, Lee HK, Shin C. Prevalence, awareness, treatment, control and risk factors of hypertension in Korea: The Ansan study. J Hypertens. 2001;19:1523-32.   DOI   ScienceOn
23 Gray CS, Scott JF, et al. Prevalence and prediction of unrecognized diabetes mellitus and impaired glucose tolarence following acute stroke. Age and Ageing. 2004;33:71-7.   DOI   ScienceOn
24 Martin J O'donnell, Denis Xavier, Lisheng Liu, Houngye Zhang et al. Risk factores for ischaemic and intracerebral haemorrhagic stroke in 22 contries(the INTERSTROKE study):a case-control study. Lancet. 2010;376:112-23.   DOI   ScienceOn
25 정상욱. 노인 당뇨병환자의 동반질환 및 관리; 당뇨병환자에서 뇌졸중 예방과 치료. 대한당뇨병학회. 2007;8:38-43.
26 홍진우, 정우상, 선종주, 정재한, 문상관, 조기호, 고성규, 전찬용, 한창호 급성기 뇌경색 환자들의 고혈압, 당뇨, 고지혈증 인지여부에 관한 분석 : 3개 한방병원기반 전향적 자료등록연구. 대한한방내과학회지. 2007;28(2):284-93.   과학기술학회마을
27 한방재활의학과학회. 한방재활의학과학. 군자출판사; 2003, p. 349-62.
28 Seventh report of the Joint National Committee on the Prevention, Detection, Evaluation and Treatment of High Blood Pressure. 2003.
29 Executive summary of the third report of the national cholesterol education program(NCEP) expert panel on detection, evaluation and treatment of high blood cholesterol in adult(adult treatment panel III). JAMA. 2001;285:2486-97.   DOI   ScienceOn
30 American diabetes association report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care. 1997;20:1183-97.
31 Martin J O'donnell, Denis Xavier, Lisheng Liu, Houngye Zhang et al. Risk factores for ischaemic and intracerebral haemorrhagic stroke in 22 contries(the INTERSTROKE study):a casecontrol study. Lancet. 2010;376:112-23.   DOI   ScienceOn