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부선주 ( Boo Sun-Joo ) - 인하대학교 간호학과
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Abstract
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Purpose: The purposes of this secondary data analysis study were first to identify the number of Korean adults achieving goals set by the American Diabetes Association for hemoglobin A1c (HbA1c), blood pressure (BP), and low-density lipoprotein cholesterol (LDL-C), and secondly to identify the characteristics associated with lack of goals attainment.
Methods: The sample was 413 Koreans with diagnosed diabetes aged thirty years or older who participated in the Fourth Korea National Health and Nutrition Examination Survey. Goals attainment for HbA1c, BP, and LDL-C were presented in percentages. Logistic regressions were used to examine associations between participants’ characteristics and lack of goals attainment.
Results: About 48% had HbA1c<7%, 48.2% had BP<130/80mmHg, and 34.1% had LDL-C<100mg/dL. Only 8.7% of the sample achieved all three parameters. In multivariate analysis, younger age, longer diabetes duration, insulin use, and abdominal obesity were associated with not meeting HbAlC goal. Smoking and use of antihypertensive medication were associated with BP≥130/80 mmHg. No use of lipid lowering agents was associated with LDL-C≥100 mg/dL.
Conclusion: Many Koreans with diabetes were not at goals for HbA1c, BP, and LDL-C. For optimal control, appropriateness of therapy and poor lifestyle habits should be assessed periodically and managed accordingly.
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KeyWords
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당뇨병, 당화혈색소, 혈압, 저밀도 지단백 콜레스테롤
Blood pressure, Cholesterol, LDL Diabetes mellitus, Hemoglobin A, Glycosylated
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원문 및 링크아웃 정보
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등재저널 정보
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