National and Regional Trends in the Prevalence of Hypertensionin South Korea Amid the Pandemic, 2009-2022:Nationwide Studyof Over 3 Million Individuals
Por:
Lee H, Kim M, Woo S, Park J, Kim HJ, Kwon R, Koyanagi A, Smith L, Kim MS, López Sánchez GF, Dragioti E, Lee J, Lee H, Rahmati M, Rhee SY, Lee JH, Woo HG and Yon DK
Publicada:
1 ene 2024
Ahead of Print:
30 jul 2024
Resumen:
Background: Understanding the association between hypertension prevalence and socioeconomic and behavioral variablesduring a pandemic is essential, and this analysis should extend beyond short-term trends.Objective: This study aims to examine long-term trends in the prevalence of participants diagnosed with and receiving treatmentfor hypertension, using data collected by a nationally representative survey from 2009 to 2022, which includes the COVID-19pandemic eraMethods: A nationwide, population-based, cross-sectional study used data collected from the South Korea Community HealthSurvey between 2009 and 2022. The study sample comprised 3,208,710 Korean adults over a period of 14 years. We aimed toassess trends in the prevalence of participants diagnosed with and receiving treatment for hypertension in the national populationfrom 2009 to 2022, with a specific focus on the COVID-19 pandemic, using weighted linear regression models.Results: Among the included 3,072,546 Korean adults, 794,239 (25.85%) were aged 19-39 years, 1,179,388 (38.38%) wereaged 40-59 years; 948,097 (30.86%) were aged 60-79 years, and 150,822 (4.91%) were aged 80 years or older. A total of 1,426,379(46.42%) were men; 761,896 (24.80%) and 712,264 (23.18%) were diagnosed with and received treatment for hypertension,respectively. Although the overall prevalence over the 14-year period increased, the upward trends of patients diagnosed withand receiving treatment for hypertension decreased during the COVID-19 pandemic era compared with the prepandemic era (beta difference for trend during vs before the pandemic -.101, 95% CI -0.107 to -0.094 vs -.133, 95% CI -0.140 to -0.127). Notably,the trends in prevalence during the pandemic were less pronounced in subgroups of older adults (>= 60 years old) and individualswith higher alcohol consumption (>= 5 days/month).Conclusions: This nationwide representative study found that the national prevalence of participants diagnosed with andreceiving treatment for hypertension increased during the prepandemic era. However, there was a marked decrease in these trendsduring the prepandemic era, compared with the pandemic era, particularly among specific subgroups at increased risk of negativeoutcomes. Future studies are needed to evaluate the factors associated with changes in the prevalence of hypertension during theCOVID-19 pandemic
Filiaciones:
Lee H:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Department of Regulatory Science, Kyung Hee University, Seoul, Republic of Korea
Kim M:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Department of Regulatory Science, Kyung Hee University, Seoul, Republic of Korea
Woo S:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Park J:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Department of Regulatory Science, Kyung Hee University, Seoul, Republic of Korea
Kim HJ:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Department of Regulatory Science, Kyung Hee University, Seoul, Republic of Korea
Kwon R:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Koyanagi A:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Barcelona, Spain
Smith L:
Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, United Kingdom
Kim MS:
Cardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA, United States
López Sánchez GF:
Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain
Dragioti E:
Pain and Rehabilitation Centre, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
Research Laboratory Psychology of Patients, Families & Health Professionals, Department of Nursing, School of Health Sciences, University of Ioannina, Ioannina, Greece
Lee J:
Department of Biomedical Engineering, Kyung Hee University, Yongin, Republic of Korea
Lee H:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Department of Biomedical Engineering, Kyung Hee University, Yongin, Republic of Korea
Rahmati M:
Department of Physical Education and Sport Sciences, Faculty of Literature and Humanities, Vali-E-Asr University of Rafsanjan, Rafsanjan, Iran
Department of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Iran
Research Centre on Health Services and Quality of Life, Aix Marseille University, Marseille, France
Rhee SY:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Department of Regulatory Science, Kyung Hee University, Seoul, Republic of Korea
Department of Endocrinology and Metabolism, Kyung Hee University School of Medicine, Seoul, Republic of Korea
Lee JH:
Health and Human Science, University of Southern California, Los Angeles, CA, United States
Woo HG:
Department of Neurology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Yon DK:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Department of Regulatory Science, Kyung Hee University, Seoul, Republic of Korea
Department of Pediatrics, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Green Submitted, gold
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