Gender differences in the age-stratified prevalence of risk factors in Korean ischemic stroke patients: A nationwide stroke registry-based cross-sectional study

Tai Hwan Park, Youngchai Ko, Soo Joo Lee, Kyung Bok Lee, Jun Lee, Moon Ku Han, Jong Moo Park, Dong Eog Kim, Yong Jin Cho, Keun Sik Hong, Joon Tae Kim, Ki Hyun Cho, Dae Hyun Kim, Jae Kwan Cha, Kyung Ho Yu, Byung Chul Lee, Byung Woo Yoon, Ji Sung Lee, Juneyoung Lee, Philip B. GorelickHee Joon Bae

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background: Although ethnic or cultural differences affect prevalence of cardiovascular risk factors, limited information is available about the age- and gender-stratified prevalence of the risk factors in Asian stroke population. Aims and hypothesis: We assessed gender- and age-stratified prevalences of major risk factors in Korean stroke patients, and assumed that the gender differences are attenuated by adjustment with lifestyle factors. Methods: Using the nationwide hospital-based stroke registry, we identified 9417 ischemic stroke patients admitted between April 2008 and January 2011. Prevalence of hypertension, diabetes, hyperlipidemia, atrial fibrillation, prior stroke, and coronary heart disease was assessed in both genders by age groups. We analyzed gender differences of the prevalence among the age groups by calculating prevalence ratio, and further explored the influence of lifestyle factors on the gender difference in multivariable analyses. Results: Hypertension and hyperlipidemia were more common in men until middle age, but after that more common in women, whereas diabetes was more common in women after 65 years of age. Atrial fibrillation increased steadily with age in both genders but was more common in women through all age groups. Prior stroke and coronary heart disease showed inconsistent gender differences. Gender differences in hypertension and diabetes among the age groups were attenuated by adjustment with accompanying risk factors including lifestyle factors. Conclusion: Korean women with stroke had more hypertension and hyperlipidemia after middle age, more diabetes after 65 years, and more atrial fibrillation throughout all ages. Strategies to control risk factors in women at risk for stroke are eagerly needed.

Original languageEnglish
Pages (from-to)759-765
Number of pages7
JournalInternational Journal of Stroke
Volume9
Issue number6
DOIs
Publication statusPublished - 2014 Jan 1

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Registries
Cross-Sectional Studies
Stroke
Age Groups
Hyperlipidemias
Atrial Fibrillation
Hypertension
Social Adjustment
Life Style
Coronary Disease
Population

Keywords

  • Asia
  • Epidemiology
  • Ischemic stroke
  • Prevention
  • Risk factors
  • Stroke

ASJC Scopus subject areas

  • Neurology

Cite this

Gender differences in the age-stratified prevalence of risk factors in Korean ischemic stroke patients : A nationwide stroke registry-based cross-sectional study. / Park, Tai Hwan; Ko, Youngchai; Lee, Soo Joo; Lee, Kyung Bok; Lee, Jun; Han, Moon Ku; Park, Jong Moo; Kim, Dong Eog; Cho, Yong Jin; Hong, Keun Sik; Kim, Joon Tae; Cho, Ki Hyun; Kim, Dae Hyun; Cha, Jae Kwan; Yu, Kyung Ho; Lee, Byung Chul; Yoon, Byung Woo; Lee, Ji Sung; Lee, Juneyoung; Gorelick, Philip B.; Bae, Hee Joon.

In: International Journal of Stroke, Vol. 9, No. 6, 01.01.2014, p. 759-765.

Research output: Contribution to journalArticle

Park, TH, Ko, Y, Lee, SJ, Lee, KB, Lee, J, Han, MK, Park, JM, Kim, DE, Cho, YJ, Hong, KS, Kim, JT, Cho, KH, Kim, DH, Cha, JK, Yu, KH, Lee, BC, Yoon, BW, Lee, JS, Lee, J, Gorelick, PB & Bae, HJ 2014, 'Gender differences in the age-stratified prevalence of risk factors in Korean ischemic stroke patients: A nationwide stroke registry-based cross-sectional study', International Journal of Stroke, vol. 9, no. 6, pp. 759-765. https://doi.org/10.1111/ijs.12146
Park, Tai Hwan ; Ko, Youngchai ; Lee, Soo Joo ; Lee, Kyung Bok ; Lee, Jun ; Han, Moon Ku ; Park, Jong Moo ; Kim, Dong Eog ; Cho, Yong Jin ; Hong, Keun Sik ; Kim, Joon Tae ; Cho, Ki Hyun ; Kim, Dae Hyun ; Cha, Jae Kwan ; Yu, Kyung Ho ; Lee, Byung Chul ; Yoon, Byung Woo ; Lee, Ji Sung ; Lee, Juneyoung ; Gorelick, Philip B. ; Bae, Hee Joon. / Gender differences in the age-stratified prevalence of risk factors in Korean ischemic stroke patients : A nationwide stroke registry-based cross-sectional study. In: International Journal of Stroke. 2014 ; Vol. 9, No. 6. pp. 759-765.
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abstract = "Background: Although ethnic or cultural differences affect prevalence of cardiovascular risk factors, limited information is available about the age- and gender-stratified prevalence of the risk factors in Asian stroke population. Aims and hypothesis: We assessed gender- and age-stratified prevalences of major risk factors in Korean stroke patients, and assumed that the gender differences are attenuated by adjustment with lifestyle factors. Methods: Using the nationwide hospital-based stroke registry, we identified 9417 ischemic stroke patients admitted between April 2008 and January 2011. Prevalence of hypertension, diabetes, hyperlipidemia, atrial fibrillation, prior stroke, and coronary heart disease was assessed in both genders by age groups. We analyzed gender differences of the prevalence among the age groups by calculating prevalence ratio, and further explored the influence of lifestyle factors on the gender difference in multivariable analyses. Results: Hypertension and hyperlipidemia were more common in men until middle age, but after that more common in women, whereas diabetes was more common in women after 65 years of age. Atrial fibrillation increased steadily with age in both genders but was more common in women through all age groups. Prior stroke and coronary heart disease showed inconsistent gender differences. Gender differences in hypertension and diabetes among the age groups were attenuated by adjustment with accompanying risk factors including lifestyle factors. Conclusion: Korean women with stroke had more hypertension and hyperlipidemia after middle age, more diabetes after 65 years, and more atrial fibrillation throughout all ages. Strategies to control risk factors in women at risk for stroke are eagerly needed.",
keywords = "Asia, Epidemiology, Ischemic stroke, Prevention, Risk factors, Stroke",
author = "Park, {Tai Hwan} and Youngchai Ko and Lee, {Soo Joo} and Lee, {Kyung Bok} and Jun Lee and Han, {Moon Ku} and Park, {Jong Moo} and Kim, {Dong Eog} and Cho, {Yong Jin} and Hong, {Keun Sik} and Kim, {Joon Tae} and Cho, {Ki Hyun} and Kim, {Dae Hyun} and Cha, {Jae Kwan} and Yu, {Kyung Ho} and Lee, {Byung Chul} and Yoon, {Byung Woo} and Lee, {Ji Sung} and Juneyoung Lee and Gorelick, {Philip B.} and Bae, {Hee Joon}",
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TY - JOUR

T1 - Gender differences in the age-stratified prevalence of risk factors in Korean ischemic stroke patients

T2 - A nationwide stroke registry-based cross-sectional study

AU - Park, Tai Hwan

AU - Ko, Youngchai

AU - Lee, Soo Joo

AU - Lee, Kyung Bok

AU - Lee, Jun

AU - Han, Moon Ku

AU - Park, Jong Moo

AU - Kim, Dong Eog

AU - Cho, Yong Jin

AU - Hong, Keun Sik

AU - Kim, Joon Tae

AU - Cho, Ki Hyun

AU - Kim, Dae Hyun

AU - Cha, Jae Kwan

AU - Yu, Kyung Ho

AU - Lee, Byung Chul

AU - Yoon, Byung Woo

AU - Lee, Ji Sung

AU - Lee, Juneyoung

AU - Gorelick, Philip B.

AU - Bae, Hee Joon

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: Although ethnic or cultural differences affect prevalence of cardiovascular risk factors, limited information is available about the age- and gender-stratified prevalence of the risk factors in Asian stroke population. Aims and hypothesis: We assessed gender- and age-stratified prevalences of major risk factors in Korean stroke patients, and assumed that the gender differences are attenuated by adjustment with lifestyle factors. Methods: Using the nationwide hospital-based stroke registry, we identified 9417 ischemic stroke patients admitted between April 2008 and January 2011. Prevalence of hypertension, diabetes, hyperlipidemia, atrial fibrillation, prior stroke, and coronary heart disease was assessed in both genders by age groups. We analyzed gender differences of the prevalence among the age groups by calculating prevalence ratio, and further explored the influence of lifestyle factors on the gender difference in multivariable analyses. Results: Hypertension and hyperlipidemia were more common in men until middle age, but after that more common in women, whereas diabetes was more common in women after 65 years of age. Atrial fibrillation increased steadily with age in both genders but was more common in women through all age groups. Prior stroke and coronary heart disease showed inconsistent gender differences. Gender differences in hypertension and diabetes among the age groups were attenuated by adjustment with accompanying risk factors including lifestyle factors. Conclusion: Korean women with stroke had more hypertension and hyperlipidemia after middle age, more diabetes after 65 years, and more atrial fibrillation throughout all ages. Strategies to control risk factors in women at risk for stroke are eagerly needed.

AB - Background: Although ethnic or cultural differences affect prevalence of cardiovascular risk factors, limited information is available about the age- and gender-stratified prevalence of the risk factors in Asian stroke population. Aims and hypothesis: We assessed gender- and age-stratified prevalences of major risk factors in Korean stroke patients, and assumed that the gender differences are attenuated by adjustment with lifestyle factors. Methods: Using the nationwide hospital-based stroke registry, we identified 9417 ischemic stroke patients admitted between April 2008 and January 2011. Prevalence of hypertension, diabetes, hyperlipidemia, atrial fibrillation, prior stroke, and coronary heart disease was assessed in both genders by age groups. We analyzed gender differences of the prevalence among the age groups by calculating prevalence ratio, and further explored the influence of lifestyle factors on the gender difference in multivariable analyses. Results: Hypertension and hyperlipidemia were more common in men until middle age, but after that more common in women, whereas diabetes was more common in women after 65 years of age. Atrial fibrillation increased steadily with age in both genders but was more common in women through all age groups. Prior stroke and coronary heart disease showed inconsistent gender differences. Gender differences in hypertension and diabetes among the age groups were attenuated by adjustment with accompanying risk factors including lifestyle factors. Conclusion: Korean women with stroke had more hypertension and hyperlipidemia after middle age, more diabetes after 65 years, and more atrial fibrillation throughout all ages. Strategies to control risk factors in women at risk for stroke are eagerly needed.

KW - Asia

KW - Epidemiology

KW - Ischemic stroke

KW - Prevention

KW - Risk factors

KW - Stroke

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