National trends in thyroid disease and COVID-19 pandemic-related factors, 1998-2021: A nationwide representative study in South Korea.
Por:
Lee K, Park J, Lee M, Lee H, Son Y, Kim H, Kang J, Choi Y, Rhee SY, Rahmati M, Koyanagi A, Smith L, López Sánchez GF, Dragioti E, Woo S and Yon DK
Publicada:
30 oct 2024
Ahead of Print:
15 oct 2024
Resumen:
OBJECTIVE: Although thyroid disease is a common condition, there is limited research examining the prevalence of thyroid disease over a long period of time, including both before and during the COVID-19 pandemic. Therefore, we aimed to investigate sociodemographic aspects that might be associated with thyroid disease and how its prevalence has varied during the pandemic. METHODS: We assessed the prevalence of thyroid disease among Korean adults by using data from the Korea National Health and Nutrition Examination Survey from 1998 to 2021. We evaluated weighted prevalence and ß-coefficients with 95 % CI for factors such as age, sex, residential area, education level, household income, perceived stress level, weight change, occupation category, and body mass index groups. RESULTS: From 1998 to 2021, the prevalence of thyroid disease among 159,896 Korean adults (88,120 females [55.1 %]) aged 20 years and older exhibited an overall increasing trend. The weighted prevalence in the general population rose from 1.52 % (95 % CI, 1.41-1.64) in 1998-2005 to 3.84 % (3.30-4.39) in 2021, with a higher likelihood of thyroid disease exposure as age increased. In addition, females, individuals with lower education levels, those with high levels of perceived stress, those who gained weight, and those classified as overweight or obese emerged as vulnerable groups for thyroid disease. For the majority of subgroups, the change amid the effect of the pandemic on prevalence was minimal. However, the aged =60 years group showed a greater increase in prevalence during the pandemic than before the pandemic (ß(diff): 0.52 [95 % CI, 0.37-0.68]). CONCLUSIONS: A nationwide representative study in South Korea revealed an increasing trend in the prevalence of thyroid disease over 24 years, particularly among the older population. Despite the minimal variation during the pandemic, our findings emphasize the need for targeted thyroid disease policies and further research, especially for specific subgroups such as the older population.
Filiaciones:
Lee K:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Department of Regulatory Science, Kyung Hee University, Seoul, South Korea
Park J:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Department of Regulatory Science, Kyung Hee University, Seoul, South Korea
Lee M:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Department of Regulatory Science, Kyung Hee University, Seoul, South Korea
Lee H:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Department of Regulatory Science, Kyung Hee University, Seoul, South Korea
Son Y:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Kim H:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Department of Applied Information Engineering, Yonsei University, Seoul, South Korea
Kang J:
Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA
Choi Y:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Department of Korean Medicine, Kyung Hee University College of Korean Medicine, Seoul, South Korea
Rhee SY:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Department of Regulatory Science, Kyung Hee University, Seoul, South Korea
Department of Endocrinology and Metabolism, Kyung Hee University School of Medicine, Seoul, South Korea
Rahmati M:
CEReSS-Health Service Research and Quality of Life Center, Assistance Publique-Hôpitaux de Marseille, Aix-Marseille University, Marseille, France
Department of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Iran
Department of Physical Education and Sport Sciences, Faculty of Literature and Humanities, Vali-E-Asr University of Rafsanjan, Rafsanjan, Iran
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, UK
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:
Research Laboratory Psychology of Patients, Families, and Health Professionals, Department of Nursing, School of Health Sciences, University of Ioannina, Ioannina, Greece
Woo S:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Yon DK:
Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea
Department of Regulatory Science, Kyung Hee University, Seoul, South Korea
Department of Pediatrics, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, South Korea
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