J Korean Med Sci.  2021 Jan;36(3):e19. 10.3346/jkms.2021.36.e19.

Association of Participation in Health Check-ups with Risk Factors for Cardiovascular Diseases

  • 1Department of Environmental Health, Daejeon Health Institute of Technology, Daejeon, Korea
  • 2Department of Preventive Medicine, Soonchunhyang University, Asan, Korea
  • 3Department of Medical IT Engineering, College of Medical Sciences, Soonchunhyang University, Asan, Korea
  • 4Institute of Occupational and Environmental Medicine, Soonchunhyang University, Asan, Korea
  • 5Department of Occupational Health, Daegu Catholic University, Gyeongsan, Korea
  • 6Department of Occupational and Environmental Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea


We compared the risk factors for cardiovascular diseases (CVDs) among Koreans who did and did not participate in national periodic health check-ups, after adjustment for demographic factors, socioeconomic status, and lifestyle factors.
This cross-sectional study used data from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2007 to 2018. Study subjects were classified as participants or non-participants in health check-ups, based on attendance at national periodic health check-ups during the previous two years.
Comparison of participants and non-participants in health check-ups indicated statistically significant differences in age, gender, region, education level, monthly income, employment status, obesity, smoking, alcohol consumption, exercise, and marital status. After adjustment for demographic, socioeconomic factors, and health-related behaviors, woman non-participants were more likely to have metabolic syndrome, pre-hypertension, hypertension, prediabetes, and diabetes, and man non-participants were more likely to have pre-diabetes and diabetes.
Subjects who participated in periodic health check-ups had fewer CVD-related risk factors than non-participants. Thus, health care providers should encourage nonparticipants to attend periodic health check-ups so that appropriate interventions can be implemented and decrease the risk for CVDs in these individuals.


Public Health; Survey; Metabolic Syndrome; Hypertension; Diabetes
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