Prevalence of Cardiovascular-Kidney-Metabolic Syndrome Stages by Social Determinants of Health

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(11), P. e2445309 - e2445309

Published: Nov. 18, 2024

Importance Cardiovascular-kidney-metabolic (CKM) syndrome—a novel, multistage, multisystem disorder as defined by the American Heart Association—is highly prevalent in US. However, prevalence of CKM stages social determinants health (SDOH) remains unclear. Objective To investigate whether varies SDOH US adults. Design, Setting, and Participants This cross-sectional study used data from National Health Nutrition Examination Survey (1999-2018) included a nationally representative sample adults aged 30 to 79 years through complex, multistage probability sampling. Data were analyzed April 1 June 15, 2024. Exposures The exposures 5 (ie, 0-4) reflecting progressive pathophysiology, with advanced (stages 3 or 4) nonadvanced 0, 1, 2) disease. based on risk factors for metabolic syndrome, cardiovascular disease, chronic kidney Main Outcome Measures main outcome was age-standardized across SDOH, including education, marital status, family income, food security, insurance, employment, home ownership, care access. Results Among 29 722 participants (weighted mean [SE] age, 50.8 [0.1] years; weighted 50.7% male), 0 4 13.6% (95% CI, 13.0%-14.3%), 29.9% 29.1%-30.7%), 43.7% 42.9%-44.5%), 4.7% 4.4%-5.0%), 8.1% 7.6%-8.5%), respectively. Significant differences observed all unfavorable interest compared their favorable counterparts, unemployment (18.8% [95% 17.7%-20.1%] vs 11.4% 11.0%-11.9%]), low income (16.1% 15.4%-16.8%] 10.1% 9.5%-10.7%]), insecurity (18.3% 17.1%-19.6%] 11.7% 11.2%-12.2%]) associated an increased likelihood stages. 2 more likely have (age-standardized prevalence, 15.8% 15.2%-16.5%] 10.5% 9.9%-11.1%] <2 SDOH). Living rented (15.9% 14.7%-17.0%] 9.3% 8.7%-9.9%] owning home) not living partner (13.2% 12.3%-14.3%] 9.2% 8.5%-9.8%] partner) female but male participants. Conclusions Relevance In this study, disparities particularly notable sex differences, These findings highlight need address inequities syndrome targeted interventions.

Language: Английский

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Big Data Research for Diabetes-Related Diseases Using the Korean National Health Information Database

Diabetes & Metabolism Journal, Journal Year: 2025, Volume and Issue: 49(1), P. 13 - 21

Published: Jan. 1, 2025

The Korean National Health Information Database (NHID), which contains nationwide real-world claims data including sociodemographic data, health care utilization screening and healthcare provider information, is a powerful resource to test various hypotheses. It also longitudinal in nature due the recommended checkup every 2 years appropriate for long-term follow-up study as well evaluating relationships between outcomes changes parameters such lifestyle factors, anthropometric measurements, laboratory results. However, because these are not collected research purposes, precise operational definitions of diseases required facilitate big analysis using NHID. In this review, we describe characteristics NHID, used related diabetes, introduce representative diabetes-related

Language: Английский

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Longitudinal Income Dynamics and Risk of End-Stage Kidney Disease in Type 2 Diabetes: A South Korean Population–Based Cohort Study

American Journal of Kidney Diseases, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Language: Английский

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Low household income increases risks for chronic obstructive pulmonary disease in young population: a nationwide retrospective cohort study in South Korea

BMJ Open Respiratory Research, Journal Year: 2024, Volume and Issue: 11(1), P. e002444 - e002444

Published: July 1, 2024

Background Low socioeconomic status is a risk factor for chronic obstructive pulmonary disease (COPD); however, the association between low household income and COPD in young populations remains unclear. Methods We screened individuals aged 20–39 years who underwent national health examination 2009 2012 using Korean National Health Information Database, which was searched until December 2019. identified 5 965 366 eligible individuals, 13 296 had newly developed based on insurance claims. evaluated levels premiums, categorised them into quartiles ‘Medical aid’ (the lowest 3% group), assessed annual from preceding 4 years. Multivariate Cox proportional hazard models were used to estimate adjusted HR (aHR) of factors COPD. Results In Medical aid group, incidence rate developing 0.56/1000 person-years, with an aHR 2.45 (95% CI 1.91 3.13) compared that highest quartile group. This prominent consecutive recipients (aHR 2.37, 95% 1.80 3.11) those never been beneficiaries. Those experienced decline previous (preceding years) baseline time points increased COPD, regardless status. Conclusion associated population. augmented by sustained declining

Language: Английский

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All-cause and cause-specific mortality risks in individuals with diabetes living alone: A large-scale population-based cohort study

Diabetes Research and Clinical Practice, Journal Year: 2024, Volume and Issue: 217, P. 111876 - 111876

Published: Sept. 27, 2024

Language: Английский

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Insights into the influence of income variability on cardiovascular risk in non-elderly adults with type 2 diabetes

European Heart Journal, Journal Year: 2024, Volume and Issue: 45(21), P. 1934 - 1936

Published: April 26, 2024

diabetic patients Mediators Obesity Smoking Alcohol Sedentary lifestyle Cardiovascular risk Sustained low income over 5 years 1 2 3 4 Income decline high variability to lowest status (regardless of initial status) Increased Decreased Highest increased Year

Language: Английский

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Optimizing the treatment of severe aortic stenosis

European Heart Journal, Journal Year: 2024, Volume and Issue: 45(21), P. 1861 - 1865

Published: June 1, 2024

][4][5][6][7][8][9][10][11] Reported secular trends of AS incidence remain contradictory and lack quantitative Doppler echocardiographic ascertainment.All adult residents in Olmsted County (MN, USA) diagnosed over 20 years (1997-2016) with incident severe (first diagnosis) based on quantitatively defined measures (aortic valve area ≤1 cm 2 , aortic index ≤0.6 /m mean gradient ≥40 mmHg, peak velocity ≥4 m/s, ≤0.25)were counted to define incidence, presentation, treatment, outcome.Incident was 1069 community residents.The rate 52 per 100 000 patient-years, slightly higher males vs. females, almost unchanged after age sex adjustment for the US population, 53 residents/year.Over years, remained stable (P = .2) but absolute burden cases markedly increased .0004)due population growth.Incidence trend differed by sex, being men (incidence ratio 0.99, P .7)but declining women 0.93, .02).Over study period, clinical characteristics remarkably AVR performance grew more prompt, undertreatment prominent (>40%).Early associated survival benefit [adjusted hazard (HR) 0.55, 95% confidence interval (CI) 0.42-0.71,P < .0001].Despite these improvements, overall mortality (3-month 8% 3-year 36%) swift, considerable, unabated (all ≥ .4)throughout study.Benfari et al. conclude that remains case related growth.Despite has grown notably; however, while declining,

Language: Английский

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Income dynamics and risk of colorectal cancer in individuals with type 2 diabetes: a nationwide population-based cohort study

Journal of Epidemiology, Journal Year: 2024, Volume and Issue: unknown

Published: Jan. 1, 2024

Background: Individuals with type 2 diabetes (T2D) have increased colorectal cancer (CRC) risk, but it is unknown whether income dynamics are associated CRC risk in these individuals. We examined persistent low- or high-income and changes non-elderly adults T2D.

Language: Английский

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Disparities in Overall Survival Rates for Cancers across Income Levels in the Republic of Korea

Cancers, Journal Year: 2024, Volume and Issue: 16(16), P. 2923 - 2923

Published: Aug. 22, 2024

The overall survival rates among cancer patients have been improving. However, the increase in is not uniform across socioeconomic status. Thus, we investigated income disparities 5-year rate (5YSR) and temporal trends. This study used a national cohort from 2002 to 2018 that was established by linking Korea Central Cancer Registry National Health Insurance Service (NHIS) claim database calculate level Republic of Korea. Survival data were available onward, analysis based on actuarial method. We compared earliest period 2002-2006 latest 2014-2018, observing until 31 December 2021. Income classified into six categories: Medical Aid beneficiaries five NHIS subtypes according insurance premium. slope index inequality (SII) relative measure absolute differences 5YSR income, respectively. between 2014-2018 periods for all cancers improved. A significant improvement over observed lung, liver, stomach cancer. SII lung (17.5, 95% confidence interval (CI) 7.0-28.1), liver (15.1, CI 10.9-19.2), (13.9, 3.2-24.7), colorectal (11.4, 0.9-22.0), prostate (10.7, 2.5-18.8) significantly higher, implying higher as levels increased. increased, while thyroid, breast, cervical, prostate, decreased period. Although substantial types 2018, this uniformly distributed levels. Our revealed persistent patients, particularly

Language: Английский

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Depression and risk of stroke and mortality after percutaneous coronary intervention: A nationwide population study

Journal of Internal Medicine, Journal Year: 2024, Volume and Issue: 296(6), P. 468 - 480

Published: Oct. 6, 2024

Abstract Background Limited evidence exists on the role of depression in risk developing stroke and other cardiovascular outcomes patients who have undergone percutaneous coronary interventions (PCI). We investigated this relationship with data from Korean National Health Insurance Service database. Methods Our nationwide retrospective cohort study included 164,198 had PCI between 2010 2017. Depression was defined ICD‐10 codes recorded prior to PCI. The primary outcome a new‐onset following Secondary myocardial infarction (MI), revascularization (PCI or artery bypass grafting), all‐cause mortality. A multivariable Cox proportional hazards regression analysis used calculate adjusted hazard ratios (aHR) 95% confidence intervals (CI), adjusting for potential confounders, including sociodemographic lifestyle factors, comorbidities, MI at index Results Over median follow‐up 5.0 years, acute occurred 5.7% pre‐existing (17.4% population), compared 3.5% those without depression. associated 27% increased (aHR 1.27, CI 1.20–1.35). Additionally, linked 25% elevated death 1.25, CI, 1.21–1.29) an 8% 1.08, 1.04–1.11). associations mortality were stronger under 65 years. Conclusions findings suggest that may increase PCI, particularly significantly need revascularization. This underscores benefits managing reduce overall

Language: Английский

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