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Sci Rep. 2021;11(1):6966.

Ten-year trends of hypertension treatment and control rate in Korea.

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제1저자 김광일 · 교신저자 김철호

PMID 33772056 PMC7997987 DOI 10.1038/s41598-021-86199-x IF 4.9 노인병내과
소속 (5)
  1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
  2. Department of Internal Medicine, Seoul National University Bundang Hospital, Gumi-ro 173-82, Bundang-gu, Seongnam, Kyeongi, 463-707, Republic of Korea.
  3. Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
  4. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. cheolkim@snu.ac.kr.
  5. Department of Internal Medicine, Seoul National University Bundang Hospital, Gumi-ro 173-82, Bundang-gu, Seongnam, Kyeongi, 463-707, Republic of Korea. cheolkim@snu.ac.kr.

Abstract

We analyzed the Korean National Health and Nutrition Examination Survey (KNHANES) database to determine the trends of hypertension treatment and control rate in Korea over the past 10 years. In addition, we tried to investigate the effect of chronic medical conditions on hypertension management. We investigated the hypertension prevalence, awareness, treatment, and control rate from 2008 to 2017. KNHANES, which uses a stratified multistage sampling design, is a cross-sectional, nationally representative survey conducted by the Korean government. A total of 59,282 adults (≥ 20 years) were included, which was representative of the total population of around 40 million Koreans per year. The mean age was 50.7 ± 16.4 years and 42.6% were male. The prevalence of hypertension, hypercholesterolemia, diabetes mellitus, and obesity significantly increased over the 10 years. During this period, the hypertension treatment and control rate significantly improved. Hypertension treatment rate was significantly lower in the younger age group compared to the older age group, but the control rate among the treated patients was not significantly different between age groups. The treatment and control rates of hypertension were higher in patients with multimorbidity, which implies that it has a favorable effect on the treatment and control of hypertension. Hypertension treatment and control rate have improved over the past 10 years. The higher treatment and control rate in patients with multimorbidity suggest that the more aggressive surveillance might be associated with the improvement of hypertension treatment and control rate in Korea.

Figures

Figure 1
Figure 1 Trends of hypertension, diabetes mellitus, hypercholesterolemia, obesity, and impaired GFR prevalence from 2008 to 2017 in Korea. Prevalence of hypertension, diabetes mellitus, hypercholesterolemia, and obesity is significantly increased from 2008 to 2017. HT hypertension, DM diabetes mellitus, HC hypercholesterolemia, GFR glomerular filtration rate, *p < 0.05 compared with 2008–2009. Trend analysis was performed by regression analysis and age-adjusted P values are presented.
Figure 2
Figure 2 Trends of hypertension awareness, treatment, and control rate from 2008 to 2017. Hypertension treatment and control rate have been significantly improved from 2008–2009 to 2014–2017. *p < 0.05 compared with 2008–2009. Trend analysis was performed by regression analysis and age-adjusted P values are presented.
Figure 3
Figure 3 Hypertension control rate according to age group. The hypertension control rate is higher in middle age (40–60 years) and older age (≥ 60 years) group compared with younger age (< 40 years) group. However, among the treated patients, there was no significant difference according to age group. Hypertension control rate has been improved among the older age (≥ 60 years) group; however, there was no significant improvement in other age group. *p < 0.05 compared with 2008–2009. Trend analysis was performed by regression analysis and age-adjusted P values are presented.
Figure 4
Figure 4 Hypertension control rate according to number of accompanying chronic medical conditions. The hypertension control rate is higher in patients with other medical condition than hypertension only patients. Number of co-morbidities represents the sum of diabetes mellitus, hypercholesterolemia, obesity, and impaired GFR (range; 0–4). HT hypertension, OD other disease. Trend analysis was performed by regression analysis and age-adjusted P values are presented.
Figure 5
Figure 5 Trends of systolic and diastolic blood pressure in patients with hypertension according to accompanying other medical conditions. Systolic and diastolic blood pressures are inversely correlated with the number of chronic medical conditions among the middle age (40–60 years) and older age (> = 60 years) group. OD other disease, *p < 0.05 by ANOVA.

그림 출처: PubMed Central 공개 논문 (PMC7997987)

Conflict of interest statement

The authors declare no competing interests.

그 밖의 정보
출판 형태
Journal Article, Research Support, Non-U.S. Gov't
저널
Scientific reports · eISSN 2045-2322
전자 출판
2021-03-26
MeSH
Blood Pressure / physiology · Chronic Disease / epidemiology · Cross-Sectional Studies · Diabetes Mellitus / epidemiology · Female · Health Surveys · Humans · Hypercholesterolemia / epidemiology · Hypertension / epidemiology / therapy · Male · Middle Aged · Nutrition Surveys · Obesity / epidemiology · Republic of Korea / epidemiology
참고문헌
22편