Hyo-Sun You, Yu-Jin Kwon, Sunyoung Kim, Yang-Hyun Kim, Ye-seul Kim, Yonghwan Kim, Yong-kyun Roh, Byoungjin Park, Young Kyu Park, Chang-Hae Park, Joung Sik Son, Jinyoung Shin, Hyun-Young Shin, Bumjo Oh, Jae-woo Lee, Jae Yong Shim, Chang Won Won, Ji Won Yoo, Sang-Hyun Lee, Hee-Taik Kang, Duk Chul Lee
Korean J Fam Med 2021;42(6):413-424. Published online November 20, 2021
Aging has become a global problem, and the interest in healthy aging is growing. Healthy aging involves a focus on the maintenance of the function and well-being of elderly adults, rather than a specific disease. Thus, the management of frailty, which is an accumulated decline in function, is important for healthy aging. The adaptation method was used to develop clinical practice guidelines on frailty management that are applicable in primary care settings. The guidelines were developed in three phases: preparation (organization of committees and establishment of the scope of development), literature screening and evaluation (selection of the clinical practice guidelines to be adapted and evaluation of the guidelines using the Korean Appraisal of Guidelines for Research and Evaluation II tool), and confirmation of recommendations (three rounds of Delphi consensus and internal and external reviews). A total of 16 recommendations (five recommendations for diagnosis and assessment, 11 recommendations for intervention of frailty) were made through the guideline development process. These clinical practice guidelines provide overall guidance on the identification, evaluation, intervention, and monitoring of frailty, making them applicable in primary care settings. As aging and “healthy aging” become more and more important, these guidelines are also expected to increase in clinical usefulness.
Citations
Citations to this article as recorded by
Summary of best evidence for prevention and management of frailty Yinning Guo, Xueyi Miao, Jieman Hu, Li Chen, Yimeng Chen, Kang Zhao, Ting Xu, Xiaoman Jiang, Hanfei Zhu, Xinyi Xu, Qin Xu Age and Ageing.2024;[Epub] CrossRef
Frailty: Assessment and Intervention Hana Moon, Geon Ho Lee, DaeHyun Kim Keimyung Medical Journal.2024; 43(2): 100. CrossRef
Clinical practice guidelines for frailty vary in quality but guide primary health care: a systematic review Huaxin Si, Jiaqi Yu, Qinqin Liu, Yanyan Li, Yaru Jin, Yanhui Bian, Xiaoxia Qiao, Wenyu Wang, Lili Ji, Yan Wang, Jian Du, Cuili Wang Journal of Clinical Epidemiology.2023; 161: 28. CrossRef
Yaşlılarda Kırılganlığın Önlenmesi ve Yönetiminde Kanıta Dayalı Yaklaşımlar Ayşe Buket DOĞAN, Özlem CANBOLAT Sağlık Bilimlerinde Değer.2023; 13(3): 501. CrossRef
Validation of the Korean Academy of Geriatric Dentistry screening questionnaire and oral frailty diagnostic criteria in community-dwelling older adults Jeong-Hyun Kang, Seong-Chan Park, Hoi-In Jung, Sun Jae Jung, Hye-Jin Park, Soo-Min Kim, Min-Ji Jo, Yun-Seon Lee, Sun-Young Han Epidemiology and Health.2023; 46: e2024008. CrossRef
Up-to-date knowledge of frailty Chang Won Won Journal of the Korean Medical Association.2022; 65(2): 108. CrossRef
Current status of nutrient intake in Korea: focused on macronutrients Seung-Won Oh Journal of the Korean Medical Association.2022; 65(12): 801. CrossRef
Background This study aimed to evaluate the association between the high risk of cardiovascular disease (CVD) and the consumption of sugar-sweetened beverages (SSBs) in Korean men.
Methods This cross-sectional study analyzed the data of 3,705 men (age 30–64 years) who participated in the 2014–2016 Korea National Health and Nutrition Examination Survey (KNHANES). SSB intake was defined as the sum of the intakes of carbonated beverages and fruit juices. Participants were categorized into study groups depending on their intake of SSBs: ≤2, 3–4, or ≥5 times per week. High CVD risk was defined as a 10-year risk of more than 10%, based on the Framingham Heart Study 10-year CVD Risk Calculator. The association between high CVD risk and SSB intake was evaluated using a multivariable-adjusted logistic regression model.
Results Korean men who consumed SSBs 3–4 and ≥5 times a week showed a multivariate-adjusted odds ratio of 1.49 (95% confidence interval [CI], 1.05–2.11) and 1.61 (95% CI, 0.97–2.67) for high CVD risk, respectively, compared with those who consumed SSBs ≤2 times per week. Additionally, the risk of CVD increased with the increase in the intake of SSBs (P-trend=0.01). In subgroup analysis, no association was observed between SSB intake and high CVD risk in the group with regular physical activity (P for interaction=0.01).
Conclusion In Korean men, except those with regular physical activity, SSB intake ≥3 times a week is associated with a high risk for CVD (10-year CVD risk ≥10%).
Citations
Citations to this article as recorded by
The Burden of Cardiovascular Diseases Attributed to Diet High in Sugar-Sweetened Beverages in 204 Countries and Territories From 1990 to 2019 Donglei Shi, Yujia Tao, Li Wei, Dongqing Yan, Hongsen Liang, Junhang Zhang, Zhaojun Wang Current Problems in Cardiology.2024; 49(1): 102043. CrossRef
Factors affecting sugar intake in adults based on the social cognitive theory Kilye Kim, Yeon-Kyung Lee Journal of Nutrition and Health.2024; 57(1): 120. CrossRef
Association of Urine (pH < 5.5) with Community Periodontal Index (CPI) and the Number of Remaining Teeth in Korean Adults: A Cross-Sectional Study Using Data from Korea National Health and Nutrition Examination Survey 2016–2018 Su-Yeon Hwang, Jung-Eun Park Healthcare.2024; 12(7): 740. CrossRef
Health-Related Behaviors and Perceived Health Status According to Water and Sugar-Sweetened Beverage Intake in Korean Adolescents Yoon Sun Kim, Hyun Ja Kim Nutrients.2024; 16(17): 3038. CrossRef
A Study on the Relationship between Food Security and the Number of Remaining Teeth in Korean Adults: The Korea National Health and Nutrition Examination Survey (KNHANES VII), 2016–2018 Su-Yeon Hwang, Jung-Eun Park International Journal of Environmental Research and Public Health.2023; 20(4): 2964. CrossRef
A machine learning based decision tree analysis of influential factor for the number of remaining teeth in Korean adults Su-Yeon Hwang, Jung-Eun Park Journal of Korean Academy of Oral Health.2023; 47(1): 26. CrossRef
High intake of sweet foods and low life satisfaction can act as risk factors for acute coronary syndrome through synergistic interaction Jisun So, Kyong-Mee Chung, Jihyeon Seo, Byungmi Kim, Hyejin Chun, Sung Nim Han, Ick-Mo Chung Frontiers in Nutrition.2023;[Epub] CrossRef
A study on the relationship between food insecurity and periodontitis in Korean adults: the Korea National Health and Nutrition Examination Survey (KNHANES VII) from 2016-2018 Soo-Jin Kang, Jung-Eun Park, Jong-Hwa Jang Journal of Korean Academy of Oral Health.2023; 47(3): 106. CrossRef
Association between Healthy Lifestyle (Diet Quality, Physical Activity, Normal Body Weight) and Periodontal Diseases in Korean Adults Su-Yeon Hwang, Jong-Hwa Jang, Jung-Eun Park International Journal of Environmental Research and Public Health.2022; 19(7): 3871. CrossRef
Association between Stroke and Abdominal Obesity in the Middle-Aged and Elderly Korean Population: KNHANES Data from 2011–2019 Jong Yeon Kim, Sung Min Cho, Youngmin Yoo, Taesic Lee, Jong Koo Kim International Journal of Environmental Research and Public Health.2022; 19(10): 6140. CrossRef
Association of Sugar-Sweetened Beverages and Cardiovascular Diseases Mortality in a Large Young Cohort of Nearly 300,000 Adults (Age 20–39) Chien-Hua Chen, Min-Kuang Tsai, June-Han Lee, Christopher Wen, Chi-Pang Wen Nutrients.2022; 14(13): 2720. CrossRef
The Perception of Overweight and Obesity among South African Adults: Implications for Intervention Strategies Mashudu Manafe, Paul Kiprono Chelule, Sphiwe Madiba International Journal of Environmental Research and Public Health.2022; 19(19): 12335. CrossRef
Current status of nutrient intake in Korea: focused on macronutrients Seung-Won Oh Journal of the Korean Medical Association.2022; 65(12): 801. CrossRef
Current status of health promotion in Korea Soo Young Kim Journal of the Korean Medical Association.2022; 65(12): 776. CrossRef
Association between Sugar-Sweetened Beverage Intake and Dietary Quality using Nutritional Quotient among Adults in Daegu, Korea Kilye Kim, Yeon-Kyung Lee Korean Journal of Community Nutrition.2021; 26(5): 350. CrossRef
Background Sedentary behavior is associated with increased cardiovascular disease (CVD) risk. We investigated this association of sedentary time and physical activity with increased 10-year CVD risk in Korean adults.
Methods This cross-sectional study used data from the Korea National Health and Nutrition Examination Survey (2014–2017). In total, 14,551 participants aged 30–74 years (6,323 men, 8,228 women) were analyzed. The usual length of sedentary time per day was categorized into three groups (<6, 6–<9, or ≥9 h/d), and physical activity (metabolic equivalents [METs]∙min/wk) was categorized into two groups (low, <600 METs∙min/wk; moderate/high, ≥600 METs∙min/wk). Logistic regression analysis was performed to assess the association between sedentary time and increased CVD risk (predicted 10-year risk ≥10%). Adjusted variables were age, sex, body mass index, marital status, employment, household income, alcohol use, family history of CVD, and comorbidity (hypertension, diabetes, and dyslipidemia).
Results The average sedentary time for the 14,551 participants was 7.49 h/d, with an average 10-year CVD risk of 9.58%. There was no significant association between sedentary time and increased 10-year CVD risk in the moderate/ high physical activity group. In the low physical activity group, sedentary time ≥9 h/d had a significant association with increased CVD risk (odds ratio [OR], 1.29; 95% confidence interval [CI], 1.04–1.62). However, when the sedentary time was <6 h/d, no significant associations were found (OR, 1.17; 95% CI, 0.92–1.49).
Conclusion In the low physical activity group, reduction of sedentary time might be important for preventing increased CVD risk.
Citations
Citations to this article as recorded by
Is the Time Right for Preventive Cardiology Guidelines on Sedentary Behaviours and Sitting Time? Julie Riopel-Meunier, Paul Poirier, Jean-Pierre Després, Marie-Eve Piché Canadian Journal of Cardiology.2025; 41(3): 412. CrossRef
Accelerometer-Based Estimates of Physical Activity and Sedentary Time Among Samoan Adults Nicola L. Hawley, Parmida Zarei, Scott E. Crouter, Mayur M. Desai, Alysa Pomer, Anna C. Rivara, Take Naseri, Muagututia Sefuiva Reupena, Satupaitea Viali, Rachel L. Duckham, Stephen T. McGarvey Journal of Physical Activity and Health.2024; 21(7): 636. CrossRef
Association between physical activity changes and incident myocardial infarction after ischemic stroke: a nationwide population-based study Dae Young Cheon, Kyung do Han, Yeon Jung Lee, Jeen Hwa Lee, Myung Soo Park, Do Young Kim, Jae Hyuk Choi, Sook Jin Lee, Kyung-Ho Yu, Seongwoo Han, Sunki Lee, Minwoo Lee BMC Public Health.2024;[Epub] CrossRef
Sex Differences in the Association between Prolonged Sitting Time and Anxiety Prevalence among Korean Adults Eunsoo Kim, Chul-Hyun Park, Hyun-Seung Lee, Mi Yeon Lee, Sung Joon Cho Brain Sciences.2024; 14(7): 729. CrossRef
Lifelog-based daily step counts, walking speed, and metabolically healthy status Ga-Young Lim, Eunkyo Park, Ji-Young Song, Ria Kwon, Jeonggyu Kang, Yoosun Cho, Se Young Jung, Yoosoo Chang, Seungho Ryu DIGITAL HEALTH.2024;[Epub] CrossRef
Physical activity, sedentary behavior, and cardiovascular disease risk in Korea: a trajectory analysis
Jina Han, Yeong Jun Ju, Soon Young Lee Epidemiology and Health.2023; 45: e2023028. CrossRef
The Influence of Socio-Economic Factors on Diet and Active Lifestyle in the Spanish Female Population Elena Sandri, Eva Cantín Larumbe, Germán Cerdá Olmedo Nutrients.2023; 15(15): 3319. CrossRef
Is Sedentary Behavior a Novel Risk Factor for Cardiovascular Disease? Andrea T. Duran, Emily Romero, Keith M. Diaz Current Cardiology Reports.2022; 24(4): 393. CrossRef
Associations of occupational and leisure-time physical activity with self-rated health in Korea Sungjin Park, June-Hee Lee Preventive Medicine.2022; 158: 107022. CrossRef
Association of Physical Activity and Sedentary Behavior With the Risk of Colorectal Cancer Sanghyun An, Sungjin Park Journal of Korean Medical Science.2022;[Epub] CrossRef
The Association Between Lifestyle and Abdominal Obesity Among Postmenopausal Women: A Cross-Sectional Study Yoonjung Kim, Heemin Chae Journal of Women's Health.2022; 31(11): 1567. CrossRef
Secular trends and related factors in leisure-time sedentary behavior among Koreans: an analysis of data from the 2011-2017 Korea Community Health Survey Hyun-Ju Seo, Min-Jung Choi, Soon-Ki Ahn Epidemiology and Health.2022; 44: e2022023. CrossRef
Current status of health promotion in Korea Soo Young Kim Journal of the Korean Medical Association.2022; 65(12): 776. CrossRef
When Much Is Too Much—Compared to Light Exercisers, Heavy Exercisers Report More Mental Health Issues and Stress, but Less Sleep Complaints Sanobar Golshani, Ali Najafpour, Seyed Sepehr Hashemian, Nasser Goudarzi, Fatemeh Shahmari, Sanam Golshani, Masthaneh Babaei, Kimia Firoozabadi, Kenneth M. Dürsteler, Annette Beatrix Brühl, Jalal Shakeri, Serge Brand, Dena Sadeghi-Bahmani Healthcare.2021; 9(10): 1289. CrossRef
Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks Jung Ha Park, Ji Hyun Moon, Hyeon Ju Kim, Mi Hee Kong, Yun Hwan Oh Korean Journal of Family Medicine.2020; 41(6): 365. CrossRef
Background While hypothyroidism is associated with negative health effects in the general population, older adults with hypothyroidism have better physical function and comparable rates of depression and cognitive impairment relative to their euthyroid counterparts. The aim of this study was to investigate the association between thyroid status and health-related quality of life in Korean older adults.
Methods In this population-based cross-sectional study, 1,060 adults aged over 60 years were classified by thyroid status into four groups based on their thyroid stimulating hormone (TSH) and free T4 values: overt hypothyroid, subclinical hypothyroid, euthyroid, and subclinical hyperthyroid. The main outcome measure was self-reported health-related quality of life based on the three-level version of the EuroQol-5 dimension (EQ-5D), with utility values of -0.171 and 1.000 corresponding to the worst and best health statuses, respectively. The adjusted means of the EQ-5D three-level version utility values according to thyroid status were determined using a linear regression analysis.
Results In the adjusted analysis, the overt hypothyroid group showed significantly higher EQ-5D three-level version utility values than did the euthyroid group (0.998 vs. 0.908, P=0.000). In the subgroup analyses by sex, the overt hypothyroid group also showed significantly higher EQ-5D three-level version utility values for both men and women than did the euthyroid group (0.998 vs. 0.940, P=0.008; 0.983 vs. 0.882, P=0.001).
Conclusion Asymptomatic Korean older adults aged over 60 years with TSH and free T4 values corresponding to overt hypothyroidism have better health-related quality of life than their euthyroid counterparts.
Citations
Citations to this article as recorded by
Cost-effectiveness Analysis Comparing Conventional and Digital Software Supported Management for Hypothyroidism Jung Hyun Kim, Jaeyong Shin, Man S Kim, Jae Hoon Moon The Journal of Clinical Endocrinology & Metabolism.2024;[Epub] CrossRef
The enigma of persistent symptoms in hypothyroid patients treated with levothyroxine: A narrative review Petros Perros, Christina Van Der Feltz‐Cornelis, Enrico Papini, Endre V. Nagy, Anthony P. Weetman, Laszlo Hegedüs Clinical Endocrinology.2023; 98(4): 461. CrossRef
The Impact of Subclinical Hypothyroidism on the Quality of Life During Pregnancy: Mapping 5-Level Version of EQ-5D and ThyPRO-39 Jan Tuzil, Barbora Filkova Pilnackova, Torquil Watt, Jan Jiskra, Marcela Koudelkova, Eva Novotna, Klara Tuzilova, Tomas Dolezal, Jana Bartakova Value in Health.2023; 26(7): 1085. CrossRef
The Impact of Hypothyroidism on the Quality of Life of Adults in Riyadh, Saudi Arabia May I AlAwaji, Rana H Alhamwy Cureus.2023;[Epub] CrossRef
Assessment of Quality of Life Among Patients With Primary Hypothyroidism: A Case-Control Study Ranya Ghamri, Raghad Babaker, Salwan Ezzat, Haya Alsaedi, Muruj Alkhamisi, Ragad Arbaein, Rahaf Alyahya, Shahad Fayraq, Sultan Alamri Cureus.2022;[Epub] CrossRef
Association between Subclinical Thyroidism and Health Related Quality of Life: Based on the 6th Korea National Health and Nutrition Examination Survey Ho Soo Nam, Yeong Sook Yoon, Yun Jun Yang, Eon Sook Lee, Jun Hyung Lee, Hyo Sang Kook, Hyuk Jin Kwon Korean Journal of Family Practice.2022; 12(5): 333. CrossRef
Cost-Effectiveness of Dronedarone and Amiodarone for the Treatment of Chinese Patients With Atrial Fibrillation Mengran Zhang, Yu Ren, Luying Wang, Jianhao Jia, Lei Tian Frontiers in Public Health.2021;[Epub] CrossRef
First
Prev
