Korean J Fam Pract. 2018; 8(1): 8-14  https://doi.org/10.21215/kjfp.2018.8.1.8
Cardiovascular Risk of One-Person Households
Seung-Bum Shim1, Kyung-Moo Lee1, Kwang-Won Lee1, Jae-Min Jeong1,*, Yun-Soo Park1, Seung-Yong Shin2
1Department of Family Medicine, Yeosu Chonnam Hospital, Yeosu; 2Department of Occupational and Environmental Medicine, Chosun University Hospital, Gwangju, Korea
Jae-Min Jeong
Tel: +82-61-640-7575, Fax: +82-61-643-2628
E-mail: mdjjm@naver.com
ORCID: http://orcid.org/0000-0001-5482-7036
Received: February 28, 2017; Revised: August 12, 2017; Accepted: August 21, 2017; Published online: February 20, 2018.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Cardiovascular disease is a leading cause of death among Koreans. This study hypothesized that one-person households would have a higher risk of cardiovascular disease.
Methods: Data were obtained from the 6th Korea National Health and Nutrition Examination Survey (2013). Study subjects were divided into two groups: one-person households and others. Patients with a history of stroke, myocardial infarction, angina, kidney disease, or age less than 19 years were excluded. Cardiovascular risk assessment was performed using a combination of Framingham risk and metabolic syndrome scores. We estimated cardiovascular risk as low in the absence of metabolic syndrome and low Framingham risk (below 10%); otherwise, we estimated cardiovascular risk as high. We used multivariate logistic regression analysis to investigate the correlation between one-person households and cardiovascular risk.
Results: There was a statistically significant correlation between one-person households and high cardiovascular risk (odds ratio, 1.465; 95% confidence interval, 1.044−2.057; P=0.028).
Conclusion: There was a statistically significant association between one-person households and higher cardiovascular risk. The causal relationship must be determined with follow-up studies.
Keywords: One-Person Household; Metabolic Syndome; Cardiovascular Disease; Risk Factors
References
  1. Byun MR. Single person household and urban policy in Seoul. Korean Journal of Culture and Social Issues 2015; 21: 551-73.
    CrossRef
  2. Joung SH, Lim EJ. A study on the life experiences of employed youth-singlehouseholds. Financial Planning Review 2014; 7: 1-19.
  3. Gang EN, Lee MH. Single-person households in South Korea and their policy implications. Health and Welfare Policy Forum 2016; 47-56.
  4. Mainous AG 3rd, Koopman RJ, Diaz VA, Everett CJ, Wilson PW, Tilley BC. A coronary heart disease risk score based on patient-reported information. Am J Cardiol 2007; 99: 1236-41.
    Pubmed KoreaMed CrossRef
  5. Goff DC Jr, Lloyd-Jones DM, Bennett G, Coady S, D’Agostino RB Sr, Gibbons R, et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014; 63:2935-59.
    KoreaMed CrossRef
  6. Hyre AD, Fox CS, Astor BC, Cohen AJ, Muntner P. The impact of reclassifying moderate CKD as a coronary heart disease risk equivalent on the number of US adults recommended lipid-lowering treatment. Am J Kidney Dis 2007; 49: 37-45.
    Pubmed CrossRef
  7. Malhotra A, Loscalzo J. Sleep and cardiovascular disease: an overview. Prog Cardiovasc Dis 2009; 51: 279-84.
    Pubmed KoreaMed CrossRef
  8. Tobaldini E, Costantino G, Solbiati M, Cogliati C, Kara T, Nobili L, et al. Sleep, sleep deprivation, autonomic nervous system and cardiovascular diseases. Neurosci Biobehav Rev 2017; 74: 321-9.
    Pubmed CrossRef
  9. Bradley SM, Rumsfeld JS. Depression and cardiovascular disease. Trends Cardiovasc Med 2015; 25: 614-22.
    Pubmed CrossRef
  10. Cho JJ. Stress and cardiovascular disease. J Korean Med Assoc 2013; 56: 46270.
    CrossRef
  11. Song HR, Woo YS, Bahk WM. Depression as an inflammatory disease. Korean J Psychopharmacol 2013; 24: 5-10.
  12. Wilson PW, D’Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk factor categories. Circulation 1998; 97: 1837-47.
    Pubmed CrossRef
  13. D’Agostino RB Sr, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation 2008; 117: 743-53.
    Pubmed CrossRef
  14. Splansky GL, Corey D, Yang Q, Atwood LD, Cupples LA, Benjamin EJ, et al. The third generation cohort of the national heart, lung, and blood institute’s framingham heart study: design, recruitment, and initial examination. Am J Epidemiol 2007; 165: 1328-35.
    Pubmed CrossRef
  15. Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention;National Heart, Lung, and Blood Institute; American Heart Association;World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 2009; 120:1640-5.
    Pubmed CrossRef
  16. Lee SY, Park HS, Kim DJ, Han JH, Kim SM, Cho GJ, et al. Appropriate waist circumference cutoff points for central obesity in Korean adults. Diabetes Res Clin Pract 2007; 75: 72-80.
    Pubmed CrossRef
  17. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. Audit: the alcohol use disorders identification test: guidelines for use in primary health care. 2nd ed. Geneva: World Health Organization, Department of Mental Health and Substance Dependence; 2001. p. 1-39.
  18. Kim JS, Oh MK, Park BK, Lee MK, Kim GJ. Screening criteria of alcoholism by alcohol use disorders identification test(AUDIT) in Korea. J Korean Acad Fam Med 1999; 20: 1152-9.
  19. Kim CG, Kim JS, Jung JG, Kim SS, Yoon SJ, Suh HS. Reliability and validity of alcohol use disorder dentification test-Korean revised version for screening at-risk drinking and alcohol use disorders. Korean J Fam Med 2014; 35:2-10.
    Pubmed KoreaMed CrossRef
  20. Kim DJ. The association of socioeconomic status with diabetes, and cardiovascular disease. Korean J Med 2008; 74: 349-57.
  21. Kaplan GA, Keil JE. Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation 1993; 88: 1973-98.
    CrossRef
  22. Dallongeville J, Cottel D, Ferrières J, Arveiler D, Bingham A, Ruidavets JB, et al. Household income is associated with the risk of metabolic syndrome in a sex-specific manner. Diabetes Care 2005; 28: 409-15.
    Pubmed CrossRef
  23. Kitamura T, Sakata Y, Nakatani D, Suna S, Usami M, Matsumoto S, et al. Living alone and risk of cardiovascular events following discharge after acute myocardial infarction in Japan. J Cardiol 2013; 62: 257-62.
    Pubmed CrossRef
  24. Inoue N. Living alone, an important risk factor for cardiovascular disease. J Cardiol 2013; 62: 263-4.
    Pubmed CrossRef
  25. Bansal M, Shrivastava S, Mehrotra R, Agarwal V, Kasliwal RR. Low Framingham risk score despite high prevalence of metabolic syndrome in asymptomatic North-Indian population. J Assoc Physicians India 2009; 57:17-22.
    Pubmed

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