Browse > Article
http://dx.doi.org/10.5762/KAIS.2020.21.6.592

Assessment of the Contribution of Risk Factors that Cause Cardiovascular Disease in Koreans  

Cho, Sang-Ok (Department of Medical Record, Samsung Medical Center)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.6, 2020 , pp. 592-602 More about this Journal
Abstract
This study examined the contribution of the risk factors that cause cardiovascular disease in Koreans. The subjects were 20,012 adults aged 30~74 years who were enrolled from the 2005~2013 Korean National Health and Nutrition Examination Survey, had filled the risk factors data, and had no cardiovascular disease history. Data analysis was conducted using SAS 9.3, and a weighted composite sample design analysis was performed. The contribution was obtained by applying a squared semi-partial correlation. As a result, they were higher in the order of age (63.9%), smoking (17.3%), systolic blood pressure (7.9%), diabetes (6.9%), antihypertensive medication use (3.0%), and BMI (0.9%) in men. In women, the contributions were in the order of age (54.1%), systolic blood pressure (23.5%), diabetes (13.6%), antihypertensive medication use (5.1%), smoking (3.1%), and BMI (0.6%%). According to age bracket analysis, smoking (51.8~33.7%) was the biggest risk factor, followed in order by age (26.6%) in their 30s and systolic blood pressure (17.3~21.0%) in those older than 40 years in men. In women, the systolic blood pressure (56.2~40.5%) was the main contributor to the risk factors, followed by age (24.0%) in their 30s and diabetes (13.6~32.6%) in those older than 40 years. The contribution of the income level was similar. Therefore, to prevent cardiovascular disease, various programs that reflect the contributions of the risk factors should be developed. Moreover, it is recommended to use the results shown in this study as basic data.
Keywords
Contribution; Risk factor; Cardiovascular disease; Assessment; Korean;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 H. J. Han, "If the heart age is 10 years older than the chronological age, the incidence of cardiovascular disease increases by 75%.", chosunilbo, 16:A27, Sep. 2015. Available From: http://health.chosun.com/site/data/html_dir/2015/09/16/2015091600217.htm (accessed Apr. 21, 2020)
2 S. O. Cho, "Change Pattern of Heart Age in Korean Population Using Heart Age Predictor of Framingham Heart Study", Journal of the Korea Academia-Industrial cooperation Society, Vol.20, No. 8 pp.331-343, 2019. DOI: https://doi.org/10.5762/KAIS.2019.20.8.331   DOI
3 Mensah G.A., Mokdad A.H., Ford E.S, et al, "State of disparities in cardiovascular health in United states", Circulation, Vol.111, pp. 1233-1241, 2005. DOI:http://dx.doi.org/10.1161/01.CIR.0000158136.76824.04   DOI
4 S. H. Jee, "Genetic and environmental effects of cardiovascular risk factors", Journal of lipid and atherosclerosis, Vol.11, No.3, pp.387-390, 2001.
5 J. Y. Choi, M. Y. Jeon, Y. M. Seo, S. Y. Choi, "Risk assessment for Cardiovascular Disease in Middle Age Women Workers", Journal of the Korea Convergence Society, Vol.8, No.8, pp.137-145, 2017. DOI:https://doi.org/10.15207/JKCS.2017.8.8.137   DOI
6 J. W. Yoon, K. G. Yi, J. G. Oh, S. Y. Lee, "The relationship between metabolic syndrome and Krean Cardiovasculaar Risk Assessmnetfor Male Researchers in a Workplace", Journal of Preventive Medicine Public Health, Vol.40, No.5, pp397-403, 2007. DOI: http://dx.doi.org/10.3961/jpmph.2007.40.5.397   DOI
7 I. Y. UM, W. J. Choi, D. Lee, J. S. Oh, M. K. Yi, et al, "Risk Assessment for Cardiovascular diseases in Male Workers: Comparing KOSHA Guidelines and the Framingham Risk Score system", Korean J Occup Environ Med., Vol.24, No.4, pp.365-374, 2012. http://www.ndsl.kr/ndsl/search/detail/article/articleSearchResultDetail.do?cn=ART001736113   DOI
8 W. B. Pyun, "Primary Prevention of Cardiovascular Disease", KJFM, Vol.23, No.12, pp.1405-1411, 2002. http://www.ndsl.kr/ndsl/search/detail/article/articleSearchResultDetail.do?cn=ART000869557
9 E. Y. Kim, S. Y. Hwang, "Incidence Risk of Cardiocerebrovascular Disease, Preventive Knowledge, Stage of Change and Health Behavior among Male Bus Drivers", Korean Journal of Adult Nursing, Vol.23, No.4, pp.321-331, 2011.
10 D. W. Sun, B. W. Kim, J. C. Park, J. G. Lee, "Effects of Carcass Traits on Auction Price in Hanwoo", Journal of Animal Science and Technology, Vol.54, No.2, pp. 77-82, 2012. DOI:http://dx.doi.org/10.5187/JAST.2012.54.2.77   DOI
11 John A. Ambrose, Rajat S. Barua, "The Pathophysiology of Cigarette Smoking and Cardiovascular Disease", Journal of the American College of Cardiology, Vol.43, No.10, pp1731-1737, 2004. DOI:http://dx.doi.org/10.1016/j.jacc.2003.12.047   DOI
12 http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_2KAAC04_OECD&vw_cd=MT_RTITLE&list_id=UTIT_OECD_L&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=A4
13 https://www.framinghamheartstudy.org
14 N. H. Cho, "Prevalence of diabetes and management status in Korean population", Korean Journal of Medicine , vol.68, No.1, pp.1-3, 2005.
15 S. G. Kim, D. S. Choi, "The Present State of Diabetes Mellitus in Korea", J Korean Med Assoc, Vol.51, No.9, pp.791-798, 2008. DOI: http://dx.doi.org/10.5124/jkma.2008.51.9.791   DOI
16 S. G. Yeoum. "The Investigation on The Risk Factors of Cardiovascular Disease for Postmenopausal Women Over 50 Years", Journal of menopausal medicine, Vol.9, No.3, pp.266-272, 2003.
17 D'Agostino RB. Sr, Vasan RS, Pencina MJ, et al,"General Cardiovascular risk profile for use in primary care: the Framingham Heart Study", Circulation, Vol.117, pp.743-753, 2008. DOI: http://dx.doi.org/10.1161/CIRCULATIONAHA.107.699579   DOI
18 KOSIS. Statistical Database. "Cause of death" From : http://kosis.kr/search/search.do
19 KM. Anderson, Patricia M. Odell, Peter WF .Wilson, William B. Kannel, "Cardiovascular disease risk profile". Am Heart J, Vol.121, pp.293-8, 1990. DOI: http://dx.doi.org/10.1016/0002-8703(91)90861-B   DOI
20 D'Agostino RB. Sr, Scott Grundy, Lisa M. Sullivan, et al. "Validation of the Framingham coronary heart disease prediction scores", JAMA, Vol.286, No.2, pp.180-189, 2001. DOI: http://dx.doi.org/10.1001/jama.286.2.180   DOI
21 Assmann G, Cullen P, Schulte H, "Simple scoring scheme for calculating the risk of acute coronary events base on the 10-year follow up of the Prospective Cardiovascular Monster (PROCAM) study", Circulation, Vol.105, pp.301-315, 2002. DOI: http://dx.doi.org/10.1161/hc0302.102575
22 Quanhe Yang, Yuna Zhong, Matthew Ritchet, Fleetwood loustalot,, Yuling Hong, et al, "Predictor 10-year risk of developing cardiovascular disease at the state level in the U.S.", Am J Prev Med , Vol.48, No.1, pp.58-69, 2015. DOI: http://dx.doi.org/10.1016/j.amepre.2014.09.014   DOI
23 Thomas A.P., Steven N.B., Stephen R.D., Robert HE, Joan M.F., et al, "AHA Guidelines for primary Prevention of Cardiovascular Disease and Stroke: 2002 Update Consensus Panel Guide to Comprehensive Risk Reduction for Adults patients without coronary or other Atherosclerotic Vascular Diseases", Circulation, Vol.106, pp.388-391, 2002. DOI: http://dx.doi.org/10.1161/01.CIR.0000020190.45892.75   DOI
24 WHO, The top 10 causes of death [cited 2018 May 24], Available From: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death (accessed April 19, 2020)