Korean J Fam Pract. 2018; 8(6): 808-819  https://doi.org/10.21215/kjfp.2018.8.6.808
The Association between Lifestyle Therapy and Dyslipidemia Control in Korean Adults: The Fourth to Sixth Korean National Health and Nutrition Examination Survey (2007-2015)
Su Hwan Cho1, Jong-Soo Han2,*, In Young Cho2, Oh Deok Kwon1, Sun Young Park1, Ho Jun Kim1
1Department of Family Medicine, Seoul National University Hospital, Seoul; 2Department of Family Medicine, Health Promotion Center, Seoul National University Bundang Hospital, Seongnam, Korea
Jong-Soo Han
Tel: +82-31-787-7807, Fax: +82-31-787-4834
E-mail: flindt@snubh.org
ORCID: http://orcid.org/0000-0001-9248-9998
Received: August 16, 2017; Revised: October 11, 2017; Accepted: October 12, 2017; Published online: December 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: Dyslipidemia is a major risk factor for cardiovascular disease, and its prevalence is steadily rising. In addition to medication, lifestyle therapy is also important for the control of dyslipidemia.
Methods: We utilized data from the Fourth to Sixth Korean National Health and Nutrition Examination Survey and included a total of 4,384 patients with dyslipidemia. Further, we employed logistic regression analysis using a weighted method to determine whether the control of dyslipidemia was associated with lifestyle therapy as is suggested in clinical dyslipidemia guidelines. Lifestyle therapy includes both behavioral factors (smoking, alcohol consumption and exercise level) and nutritional factors (adequate intake and regulation of fiber, carbohydrates, fats, saturated fats, sodium, and cholesterol).
Results: The control of dyslipidemia in men was associated with excessive alcohol consumption (OR 1.38, [95% CI 1.03?1.86]) and adequate physical activity (1.42, [1.02?1.98]). There were no significant differences with regards to the nutritional factor variables in men and any of the variables in women. In our subgroup analyses, control of dyslipidemia in the high-risk group taking medication was associated with a higher smoking rate (1.91, [1.10?3.30]) and an adequate sodium intake (1.76, [1.07?2.91]). In the low-risk group taking medication, the control of dyslipidemia was associated with a lower smoking rate (0.36, [0.14?0.93]) and adequate physical activity (4.20, [1.22?14.47]).
Conclusion: Adequate physical activity may be a key factor in the control of dyslipidemia. For the better control of dyslipidemia, the importance of lifestyle therapy should be emphasized.
Keywords: Dyslipidemia; Life Style; Behavior; Smoking; Alcohol Drinking; Exercise; Guideline; Diet
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