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Health statistics Changes in the management of hypertension, diabetes mellitus, and hypercholesterolemia in Korean adults before and during the coronavirus disease 2019 pandemic: data from the 2010–2020 Korea National Health and Nutrition Examination Survey
Yoonjung Kim2orcid , Suyeon Park2orcid , Kyungwon Oh2orcid , Hongseok Choi3orcid , Eun Kyeong Jeong1orcid
Epidemiol Health 2023;e2023014
DOI: https://doi.org/10.4178/epih.e2023014 [Accepted]
Published online: February 1, 2023
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1Seoul National University Bundang Hospital, Public Health Care Headquarters, Seongnam-si, Korea
2Division of Health and Nutrition Survey and Analysis, Bureau of Chronic Disease Prevention and Control, Korea Disease Control and Prevention Agency, Cheongju, Korea, Cheongju, Korea
3Bureau of Chronic Disease Prevention and Control, Korea Disease Control and Prevention Agency, Cheongju, Korea, Cheongju, Korea
Corresponding author:  Eun Kyeong Jeong,
Email: jeong68@hanmail.net
Received: 29 September 2022   • Revised: 16 November 2022   • Accepted: 28 November 2022

OBJECTIVES
This study aimed to analyze the changes in chronic disease management indicators, including hypertension, diabetes mellitus, and hypercholesteremia, from 2010–2020 and before (2019) and during (2020) the coronavirus disease 2019 (COVID-19) pandemic.
METHODS
This study included 58,504 individuals aged ≥30 years who participated in the Korea National Health and Nutrition Examination Survey 2010–2020. Trends in the prevalence of chronic diseases and awareness, treatment, and control in persons treated for chronic diseases and the difference in those between before and during the COVID-19 pandemic were analyzed using the SAS program PROC SURVEYREG.
RESULTS
From 2010–2020, the awareness, treatment, and control in adults aged ≥30 years for hypertension and hypercholesterolemia continuously improved, whereas no significant change in the management indicators of diabetes mellitus was observed. The prevalence of hypertension, diabetes mellitus, and hypercholesterolemia in men increased from before to during the COVID-19 pandemic. However, there was no significant change in the management indicators of hypertension and diabetes mellitus in men and women, and the awareness, treatment, and control rates for hypercholesterolemia increased by 5.5%, 6.9%, and 4.1%, respectively.
CONCLUSIONS
In 2020, the first year of the COVID-19 pandemic, the prevalence of hypertension, diabetes mellitus, and hypercholesterolemia increased, but the management indicators of the chronic diseases did not significantly deteriorate. Considering the ongoing COVID-19 pandemic, it is necessary to monitor changes in chronic disease management indicators and to develop efficient and accessible chronic disease prevention and management programs.


Epidemiol Health : Epidemiology and Health