Prevalence and trends of metabolic syndrome in Korea: Korean National Health and Nutrition Survey 1998-2001

H. S. Park, Seon Mee Kim, J. S. Lee, Juneyoung Lee, J. H. Han, D. K. Yoon, Sei-Hyun Baik, D. S. Choi, Kyung Mook Choi

Research output: Contribution to journalArticle

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Abstract

Background: Metabolic syndrome (MetS) is a major international health problem. Limited information is available about the prevalence of MetS in Asia, especially in Korea. Objective: To examine the prevalence and trends of MetS in a Korean population. In addition, we investigated the risk factors associated with MetS. Design and Participants: A total of 7445 participants aged ≥20 years from the Korean National Health and Nutrition Survey (KNHNS) 1998 and 5964 participants from the KNHNS 2001 were included in this analysis. The KNHNS is a cross-sectional health survey of a nationally representative sample of the Korean population. The prevalence of MetS was determined using the National Cholesterol Education Program Adult Treatment Panel III criteria and the Asia-Pacific criteria for obesity based on waist circumference (APC-WC). Results: Using the ATP III criteria, the age-adjusted prevalence of MetS among Korean adults was 15.7% (13.7% male, 17.8% female) in 1998 and 14.4% (13.0% male, 16.2% female) in 2001. Using the APC-WC criteria, the prevalence was 21.6% (19.4% male, 23.9% female) in 1998 and 21.4% (20.1% male, 23.4% female) in 2001. Of the five MetS components, increasing trends were found between 1998 and 2001 in the prevalence of hypertriglyceridaemia, low high-density lipoprotein cholesterol and central obesity for both men and women. Age, sex, body mass index and a family history of diabetes were associated with MetS. Conclusions: These results from a representative sample show that MetS is common in Korean adults. A systemic public health programme is required to prevent future increases in diabetes and cardiovascular complications.

Original languageEnglish
Pages (from-to)50-58
Number of pages9
JournalDiabetes, Obesity and Metabolism
Volume9
Issue number1
DOIs
Publication statusPublished - 2007 Jan 1

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Nutrition Surveys
Korea
Health Surveys
Abdominal Obesity
Hypertriglyceridemia
Waist Circumference
Diabetes Complications
LDL Cholesterol
HDL Cholesterol
Population
Body Mass Index
Public Health
Obesity
Cross-Sectional Studies
Adenosine Triphosphate
Cholesterol
Education

Keywords

  • Korea
  • Metabolic syndrome
  • Prevalence

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

Prevalence and trends of metabolic syndrome in Korea : Korean National Health and Nutrition Survey 1998-2001. / Park, H. S.; Kim, Seon Mee; Lee, J. S.; Lee, Juneyoung; Han, J. H.; Yoon, D. K.; Baik, Sei-Hyun; Choi, D. S.; Choi, Kyung Mook.

In: Diabetes, Obesity and Metabolism, Vol. 9, No. 1, 01.01.2007, p. 50-58.

Research output: Contribution to journalArticle

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abstract = "Background: Metabolic syndrome (MetS) is a major international health problem. Limited information is available about the prevalence of MetS in Asia, especially in Korea. Objective: To examine the prevalence and trends of MetS in a Korean population. In addition, we investigated the risk factors associated with MetS. Design and Participants: A total of 7445 participants aged ≥20 years from the Korean National Health and Nutrition Survey (KNHNS) 1998 and 5964 participants from the KNHNS 2001 were included in this analysis. The KNHNS is a cross-sectional health survey of a nationally representative sample of the Korean population. The prevalence of MetS was determined using the National Cholesterol Education Program Adult Treatment Panel III criteria and the Asia-Pacific criteria for obesity based on waist circumference (APC-WC). Results: Using the ATP III criteria, the age-adjusted prevalence of MetS among Korean adults was 15.7{\%} (13.7{\%} male, 17.8{\%} female) in 1998 and 14.4{\%} (13.0{\%} male, 16.2{\%} female) in 2001. Using the APC-WC criteria, the prevalence was 21.6{\%} (19.4{\%} male, 23.9{\%} female) in 1998 and 21.4{\%} (20.1{\%} male, 23.4{\%} female) in 2001. Of the five MetS components, increasing trends were found between 1998 and 2001 in the prevalence of hypertriglyceridaemia, low high-density lipoprotein cholesterol and central obesity for both men and women. Age, sex, body mass index and a family history of diabetes were associated with MetS. Conclusions: These results from a representative sample show that MetS is common in Korean adults. A systemic public health programme is required to prevent future increases in diabetes and cardiovascular complications.",
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AU - Kim, Seon Mee

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AU - Lee, Juneyoung

AU - Han, J. H.

AU - Yoon, D. K.

AU - Baik, Sei-Hyun

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AB - Background: Metabolic syndrome (MetS) is a major international health problem. Limited information is available about the prevalence of MetS in Asia, especially in Korea. Objective: To examine the prevalence and trends of MetS in a Korean population. In addition, we investigated the risk factors associated with MetS. Design and Participants: A total of 7445 participants aged ≥20 years from the Korean National Health and Nutrition Survey (KNHNS) 1998 and 5964 participants from the KNHNS 2001 were included in this analysis. The KNHNS is a cross-sectional health survey of a nationally representative sample of the Korean population. The prevalence of MetS was determined using the National Cholesterol Education Program Adult Treatment Panel III criteria and the Asia-Pacific criteria for obesity based on waist circumference (APC-WC). Results: Using the ATP III criteria, the age-adjusted prevalence of MetS among Korean adults was 15.7% (13.7% male, 17.8% female) in 1998 and 14.4% (13.0% male, 16.2% female) in 2001. Using the APC-WC criteria, the prevalence was 21.6% (19.4% male, 23.9% female) in 1998 and 21.4% (20.1% male, 23.4% female) in 2001. Of the five MetS components, increasing trends were found between 1998 and 2001 in the prevalence of hypertriglyceridaemia, low high-density lipoprotein cholesterol and central obesity for both men and women. Age, sex, body mass index and a family history of diabetes were associated with MetS. Conclusions: These results from a representative sample show that MetS is common in Korean adults. A systemic public health programme is required to prevent future increases in diabetes and cardiovascular complications.

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