Korean J Fam Med.  2017 Mar;38(2):64-74. 10.4082/kjfm.2017.38.2.64.

Association Between the Awareness of Dyslipidemia and Health Behavior for Control of Lipid Levels Among Korean Adults with Dyslipidemia

• Cho IY
• Park HY
• Lee K
• Bae WK
• Jung SY
• Ju HJ
• Song JK
• Han JS

• KMID: 2377477
• DOI: http://doi.org/10.4082/kjfm.2017.38.2.64

Abstract

BACKGROUND
Dyslipidemia is a major risk factor contributing to cardiovascular disease and its prevalence is steadily rising. Although screening tests are readily accessible, dyslipidemia remains undertreated. Evaluating health behavior 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 method to determine whether awareness of dyslipidemia was associated with health behavior. Health behavior was divided into two categories: behavioral factors (smoking, alcohol consumption, exercise) and nutritional factors (adequate intake of fiber, carbohydrate, fat, protein).
RESULTS
There were no significant differences in health behavior among dyslipidemia patients according to awareness after adjustment for covariates, diabetes and hypertension. Awareness in women was associated with decreased 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 adequate 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 dyslipidemia. Efforts including patient education and counseling through a multi-team approach may be required.

Keyword

Dyslipidemias; Health Behavior; Smoking; Exercise; Alcohol Drinking; Awareness

MeSH Terms

Adult*
Alcohol Drinking
Cardiovascular Diseases
Cholesterol
Counseling
Diagnosis
Dyslipidemias*
Education
Female
Health Behavior*
Humans
Hypertension
Life Style
Logistic Models
Male
Mass Screening
Methods
Nutrition Surveys
Patient Education as Topic
Prevalence
Risk Factors
Smoke
Smoking
Cholesterol
Smoke