Association Between the Awareness of Dyslipidemia and Health Behavior for Control of Lipid Levels Among Korean Adults with Dyslipidemia
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Background: Dyslipidemia is a major risk factor contributing to cardiovascular disease and its prevalence is steadi-ly rising. Although screening tests are readily accessible, dyslipidemia remains undertreated. Evaluating health be-havior patterns after diagnosis may help improve lifestyle interventions for the management of dyslipidemia.Methods: Data from the fifth Korean National Health and Nutrition Examination Survey 2010–2012 were used. A total of 6,624 dyslipidemia patients over 20 years old were included according to National Cholesterol Education Program-Adult Treatment Panel III guidelines. Logistic regression analysis was completed using a weighted meth-od to determine whether awareness of dyslipidemia was associated with health behavior. Health behavior was di-vided into two categories: behavioral factors (smoking, alcohol consumption, exercise) and nutritional factors (ad-equate intake of fiber, carbohydrate, fat, protein).Results: There were no significant differences in health behavior among dyslipidemia patients according to aware-ness after adjustment for covariates, diabetes and hypertension. Awareness in women was associated with de-creased smoking (odds ratio [OR], 0.55; 95% confidence interval [CI], 0.32 to 0.94), but when adjusted for diabetes and hypertension the result was not significant (OR, 0.61; 95% CI, 0.35 to 1.06). The same pattern applied to intake of carbohydrate in men (OR, 1.28; 95% CI, 0.99 to 1.67) and protein in women (OR, 1.22; 95% CI, 0.98 to 1.50). In subgroup analysis, awareness of dyslipidemia in men without hypertension or diabetes was associated with ade-quate intake of carbohydrate (OR, 1.70; 95% CI, 1.06 to 2.72).Conclusion: Increasing awareness alone may not be enough to improve healthy behavior in patients with dyslipid-emia. Efforts including patient education and counseling through a multi-team approach may be required.
Abstract
Background: Dyslipidemia is a major risk factor contributing to cardiovascular disease and its prevalence is steadi-ly rising. Although screening tests are readily accessible, dyslipidemia remains undertreated. Evaluating health be-havior patterns after diagnosis may help improve lifestyle interventions for the management of dyslipidemia.Methods: Data from the fifth Korean National Health and Nutrition Examination Survey 2010–2012 were used. A total of 6,624 dyslipidemia patients over 20 years old were included according to National Cholesterol Education Program-Adult Treatment Panel III guidelines. Logistic regression analysis was completed using a weighted meth-od to determine whether awareness of dyslipidemia was associated with health behavior. Health behavior was di-vided into two categories: behavioral factors (smoking, alcohol consumption, exercise) and nutritional factors (ad-equate intake of fiber, carbohydrate, fat, protein).Results: There were no significant differences in health behavior among dyslipidemia patients according to aware-ness after adjustment for covariates, diabetes and hypertension. Awareness in women was associated with de-creased smoking (odds ratio [OR], 0.55; 95% confidence interval [CI], 0.32 to 0.94), but when adjusted for diabetes and hypertension the result was not significant (OR, 0.61; 95% CI, 0.35 to 1.06). The same pattern applied to intake of carbohydrate in men (OR, 1.28; 95% CI, 0.99 to 1.67) and protein in women (OR, 1.22; 95% CI, 0.98 to 1.50). In subgroup analysis, awareness of dyslipidemia in men without hypertension or diabetes was associated with ade-quate intake of carbohydrate (OR, 1.70; 95% CI, 1.06 to 2.72).Conclusion: Increasing awareness alone may not be enough to improve healthy behavior in patients with dyslipid-emia. Efforts including patient education and counseling through a multi-team approach may be required.
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