Korea hypertension fact sheet 2022: analysis of nationwide population-based data with a special focus on hypertension in the elderly
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Background The Korean Society of Hypertension has published the Korea Hypertension Fact Sheet 2022 to provide an overview of the magnitude and management status of hypertension and their recent trends. Methods The Fact Sheets were based on the analyses of Korean adults aged 20 years or older of the 1998–2020 Korea National Health and Nutrition Examination Survey and the 2002–2020 National Health Insurance Big Data. Results As of 2020, 29.4% of the adult population aged 20 or older in Korea, about 12.6 million people, have high blood pressure, of which 5.0 million (40%) are 65 years of age or older and 1.2 million (10%) are 80 years of age or older. Among those with hypertension, the awareness rate is 69%, the treatment rate is 65%, and the control rate is 47%. The number of people diagnosed with hypertension increased from 3.0 million in 2002 to 10.5 million in 2020. During the same period, the number of people using antihypertensive medication increased from 2.5 million to 9.9 million, and the number of people adherent to treatment increased from 0.6 million to 7.4 million. Among those treated for hypertension in 2020, 74% used angiotensin blockers, 61% used calcium channel blockers, 24% used diuretics, and 15% used beta blockers. Combination therapy with at least two classes of antihypertensive medication consisted of 60% of all antihypertensive prescriptions. The number of people with hypertension aged 65 or older is increasing very rapidly compared to those aged 20–64. Awareness and treatment rates of hypertension improved rapidly, especially in those aged 65 or older, but the rate of improvement slowed since 2012. Conclusions In Korea, the level of hypertension management is improving, but the absolute number of people with hypertension, especially elderly hypertension, is increasing due to the rapid aging of the population. It is necessary to develop more efficient and target-specific policies to control blood pressure and prevent cardiovascular disease.
Abstract
Background The Korean Society of Hypertension has published the Korea Hypertension Fact Sheet 2022 to provide an overview of the magnitude and management status of hypertension and their recent trends. Methods The Fact Sheets were based on the analyses of Korean adults aged 20 years or older of the 1998–2020 Korea National Health and Nutrition Examination Survey and the 2002–2020 National Health Insurance Big Data. Results As of 2020, 29.4% of the adult population aged 20 or older in Korea, about 12.6 million people, have high blood pressure, of which 5.0 million (40%) are 65 years of age or older and 1.2 million (10%) are 80 years of age or older. Among those with hypertension, the awareness rate is 69%, the treatment rate is 65%, and the control rate is 47%. The number of people diagnosed with hypertension increased from 3.0 million in 2002 to 10.5 million in 2020. During the same period, the number of people using antihypertensive medication increased from 2.5 million to 9.9 million, and the number of people adherent to treatment increased from 0.6 million to 7.4 million. Among those treated for hypertension in 2020, 74% used angiotensin blockers, 61% used calcium channel blockers, 24% used diuretics, and 15% used beta blockers. Combination therapy with at least two classes of antihypertensive medication consisted of 60% of all antihypertensive prescriptions. The number of people with hypertension aged 65 or older is increasing very rapidly compared to those aged 20–64. Awareness and treatment rates of hypertension improved rapidly, especially in those aged 65 or older, but the rate of improvement slowed since 2012. Conclusions In Korea, the level of hypertension management is improving, but the absolute number of people with hypertension, especially elderly hypertension, is increasing due to the rapid aging of the population. It is necessary to develop more efficient and target-specific policies to control blood pressure and prevent cardiovascular disease.
참고문헌 (13)
- Lopez AD, "Global and regional burden of disease and risk factors, 2001 : systematic analysis of population health data", Lancet, 367(9524), pp.1747~1757 (2006)
- Feigin VL, "Global burden of stroke and risk factors in 188 countries, during 1990–2013 : a systematic analysis for the global burden of Disease Study 2013", Lancet Neurol, 15(9), pp.913~924 (2016)
- Zhou B, "Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019 : a pooled analysis of 1201 population-representative studies with 104 million participants", Lancet, 398(10304), pp.957~980 (2021)
- Jongmin Baek, "Thirty-six Year Trends in Mortality from Diseases of Circulatory System in Korea", Korean Circulation Journal, 51(4), pp.320~332 (2021), 대한심장학회[DOI]
- Hyeok-Hee Lee, "Korea Heart Disease Fact Sheet 2020: Analysis of Nationwide Data", Korean Circulation Journal, 51(6), pp.495~503 (2021), 대한심장학회[DOI]
- Kim SM, "2021 National Health Insurance Statistical Yearbook" (2022)
- 김현창, "Korea hypertension fact sheet 2018", Clinical Hypertension, 24(4), pp.11~14 (2018), 대한고혈압학회[DOI]
- 김현창, "Korea hypertension fact sheet 2020: analysis of nationwide population-based data", Clinical Hypertension, 27(2), pp.66~69 (2021), 대한고혈압학회[DOI]
- Kim Hyeon Chang, "Korea hypertension fact sheet 2021: analysis of nationwide population-based data with special focus on hypertension in women", Clinical Hypertension, 28, pp.1~1 (2022), 대한고혈압학회[DOI]
- 오경원, "Korea National Health and Nutrition Examination Survey, 20th Anniversary: Accomplishments and future directions", Epidemiology and Health, 43, pp.1~10 (2021), 한국역학회[DOI]
- 이가빈, "Obesity, hypertension, diabetes mellitus, and hypercholesterolemia in Korean adults before and during the COVID-19 pandemic: a special report of the 2020 Korea National Health and Nutrition Examination Survey", Epidemiology and Health, 44, pp.1~8 (2022), 한국역학회[DOI]
- Seong SC, "Data Resource Profile : the National Health Information Database of the National Health Insurance Service in South Korea", Int J Epidemiol, 46(3), pp.799~800 (2017)
- 김현창, "2018 Korean Society of Hypertension guidelines for the management of hypertension: part I-epidemiology of hypertension", Clinical Hypertension, 25(4), pp.45~50 (2019), 대한고혈압학회[DOI]