Suboptimal Attainment of Cardiovascular Disease Prevention Guideline Goals in Korean Women

ABSTRACT

PURPOSE: The purposes of this study were to estimate the distribution of three levels of risk for developing coronary heart disease (CHD; low, moderate, and high risk) and to evaluate the attainment of cardiovascular disease prevention guideline goals by the American Heart Association in a nationally representative sample of Korean women. METHODS: This is a secondary data analysis study using the data set from the 2008 Korea National Health and Nutrition Examination Survey IV. The sample was 3,301 Korean women (representing 15,600,514 women) older than 20 years without cardiovascular disease. Distribution of CHD risk and level of goal attainment were calculated using sampling weights and presented in percentages. RESULTS: Among Korean women without established cardiovascular disease, 7.9% were at high risk for CHD, 20.5% were at moderate risk, and 71.6% were at low risk. The proportion of Korean women who did not meet their goals was substantial, and most women at high risk remained unmanaged for their high blood lipids. CONCLUSION: Korean women at risk for developing CHD need to be managed as soon as possible to attain the guideline goals and to lower their risk for future CHD. Aggressive risk reduction efforts are urgently needed to reduce the public burden of CHD in Korean women.