Soon Hee Jeong | 2 Articles |
Background
: Hypercholesterolemia is a well known risk factor of coronary heart disease. In Korea, coronary heart disease is increasing according to the change of dietary patterns and other causes such as economic growth. In order to make more appropriated our therapeutic guidelines and to analyse about characteristics of patients with hyperlipidemia, we carried out this study. Methods : We examed therapeutic compliance and results according to therapeutic methods and change of serum lipid levels after termination of treatment to 58 hyperlipidemias who were diagnosed and treated due to hyperlipidemia. This 58 hyperlipidemic patients were visited family medicine out-patient department at Seoul Christian General Hospital during period from Sep.1.1991 to Aug. 31. 1992. Results : Among patients with hyperlipidemia, only 29.3% terminated their treatment, and only 58.6% had follow-up checks. The incidence of termination of treatment was higher in the group using lipid-lowing medication than in groups not using lipid-lowing medication than in groups not rsing lipid-lowing drugs. The duration of treatment was shorter in the group using lipid-lowing medication than in groups not using lipid-lowing drugs. After treatment, mean serum levels of total cholesterol and triglyceride decreased regardless of therpeutic methods. Mean serum levels of total cholesterol and triglyceride after termination of treatment increased, and the increase in total cholesterol level was statistically significant. Conclusion : The compliance and self recognition of hyperlipidemic patients about their disease were very low and life styles and dietary patterns were not maintained after termination of the treatment. Therefore, it is necessary to educate and propagate our people about the significances of complications caused by hyperlipidemia at National Health Provoking level, because it may cause significant public health problems.
Background
: In recent years, the incidence of diseases that related to hyperlipidemia is increased among Korean because of socioeconomic state and diet change. Then, in order to determine the factors affecting serum lipid levels and the cut off value of serum lipid levels by age, we carried out this study. Methods : Data were gathered through mail questionnaire from 147 adults over the age of thirty who participated in adult health examination from march 1992 to August 1992. The serum lipid levels were analyzed by sex, age, BMI, income, occupation, education, smoking, drinking, diet, exercise, stress and menopause. Results : The serum total cholesterol was increased with age in both sex and triglyceride was increased with age in women but not in me. The total cholesterol and triglyceride were more increased in those whose BMI were above 25 than those below 25. Age was more significantly associated with the serum lipid levels than BMI(P<0.01). There is no significant association between age and BMI. Total cholesterol and triglyceride were more decreased in the group of exercise above 3 times/week than below 3 times/week. The total cholesterol was more increased in the group of no-occupation than profession. The total cholesterol and triglyceride were more increased in postmenopausal women than premenopausal women. Conclusion : Results of this study may not sufficient to apply affecting factors of serum lipid levels and cut off value because this study group was limited and small. But to know the normal value of total cholesterol and triglyceride, several factors were considered, and further study should be performed.
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