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Journal of the Korean Neurological Association 2009;27(1): 19-27.
한국인에서 허혈성 뇌졸중 위험 인자의 유병률에 대한 체계적 문헌 고찰
박태환, 김민기 이경복a 박종무b 이수주c 정근화d 조용진e 이지성f 이준영f 배희준g
서울의료원 신경과, 순천향대학교 의과대학 신경과학교실a, 을지대학교 의과대학 노원을지병원 신경과b, 을지대학교 의과대학 을지대학병원 신경과c, 서울대학교 의과대학 서울대학병원 신경과d, 인제대학교 의과대학 일산백병원 신경과e, 고려대학교 의과대학 의학통계학
Prevalence of Risk Factors for Ischemic Stroke in Korean: A Systematic Review
Tai Hwan Park
Department of Neurology, Seoul Medical Center; Department of Neurology, Soonchunhyang University College of Medicinea; Department of Neurology, Nowon Eulji General Hospital, Eulji Universityb; Department of Neurology, Eulji University Hospital, Eulji Universityc; Department of Neurology, Seoul National University College of Medicined; Seoul; Department of Neurology, Ilsan Paik Hospital, Inje Universitye, Goyang; Department of Biostatistics, Korea University College of Medicinef; Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospitalg, Seongnam, Korea
Background: This study examined the prevalence of the major risk factors of ischemic stroke in a Korean population.
Methods: Two investigators conducted an independent literature search of previously published reports on the prevalence of hypertension, diabetes, hypercholesterolemia, smoking, atrial fibrillation, obesity, ischemic heart disease, and history of stroke in Koreans. A study was considered eligible for inclusion if it was a population-based cross-sectional survey published between January 1996 and June 2007.
Results: The inclusion criteria were satisfied by 14 publications on hypertension, 7 on diabetes, 4 on hypercholesterolemia, 3 on smoking, 3 on obesity, 2 on atrial fibrillation, 3 on ischemic heart disease, and 3 on stroke. The prevalence of risk factors varied between studies, but it increased with age in most studies. Applying the estimates to the projected population in 2030 revealed a large increase in the prevalence of risk factors.
Conclusions: Considering the rapid increase in the elderly population, in which major risk factors for ischemic stroke are prevalent, there is an urgent need to develop strategies for preventing this condition among Koreans.Key Words: Ischemic stroke, Risk factor, Prevalence