Prevalence of Chronic Obstructive Pulmonary Disease in Korea: The Result of Forth Korean National Health and Nutrition Examination Survey.

Tuberculosis and Respiratory Diseases

article

Hwang, Yong Il¹  Yoo, Kwang Ha²  Sheen, Seung Soo³  Park, Joo Hun³  Kim, Sang Ha⁴  Yoon, Ho Il⁵  Lim, Sung Chul⁶  Lee, Shin Yup⁷  Park, Jae Yong⁷  Park, Seoung Ju⁷  Seo, Ki Hyun⁸  Kim, Ki Uk⁸  Lee, Sang Yeub⁹  Park, In Won^1,10  Lee, Sang Do^1,11  Kim, Se Kyu^1,12  Kim, Young Kyoon^1,13  Lee, Sang Min^1,14  Han, Sung Koo^1,14  Kim, Yuna^1,15  Cho, Yu Mi^1,15  Park, Hye Jin^1,15  Oh, Kyung Won^1,15  Kim, Young Sam^1,12  Oh, Yeon Mok^1,11 

[1] Department of Pulmonary, Hallym University College of Medicine;Department of Internal Medicine, Konkuk University School of Medicine;Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Department of Internal Medicine;Yonsei University Wonju College of Medicine;Seoul National University Bundang Hospital, Seoul National University College of Medicine;Chonnam National University Medical School;Kyungpook National University School of Medicine, 8 Chonbuk National University Medical School;Soonchunhyang University College of Medicine, 10 Pusan National University School of Medicine;Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine;Department of Internal Medicine, Chung-Ang University College of Medicine;Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Department of Internal Medicine;Yonsei University College of Medicine;The Catholic University of Korea College of Medicine;Seoul National University Hospital, Seoul National University College of Medicine;Korea Centers for Disease Control & Prevention, Division of Health and Nutrition Survey

关键词: Pulmonary Disease;    Chronic Obstructive;    Korea;    Prevalence;    Spirometry;    survey;   

DOI  :  10.4046/trd.2011.71.5.328

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

BACKGROUND Chronic obstructive pulmonary disease (COPD) is a major cause of chronic morbidity and mortality throughout the world and is the only major disease that is continuing to increase in both prevalence and mortality. The second Korean National Health and Nutrition Survey revealed that the prevalence of COPD in Korean subjects aged > or =45 years was 17.2% in 2001. Further surveys on the prevalence of COPD were not available until 2007. Here, we report the prevalence of spirometrically detected COPD in Korea, using data from the fourth Korean National Health and Nutrition Survey (KNHANES IV) which was conducted in 2007~2009. METHODS: Based on the Korean Statistical Office census that used nationwide stratified random sampling, 10,523 subjects aged > or =40 years underwent spirometry. Place of residence, levels of education, income, and smoking status, as well as other results from a COPD survey questionnaire were also assessed. RESULTS: The prevalence of COPD (defined as forced expiratory volume in 1 sec/forced vital capacity or =40 years) was 12.9% (men, 18.7%; women, 7.5%). In total, 96.5% of patients with COPD had mild-to-moderate disease; only 2.5% had been diagnosed by physicians, and only 1.7% had been treated. The independent risk factors for COPD were smoking, advanced age, and male gender. CONCLUSION: The prevalence of COPD was 12.9% in the KNHANES IV data. Most patients with COPD were undiagnosed and untreated. Based on these results, a strategy for early COPD intervention is warranted in high risk subjects.

【 授权许可】

CC BY-NC