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Research Paper
Incidence and Risk Factors of Dyslipidemia after Menopause
Jeong, Ihn Sook , Yun, Hae Sun , Kim, Myo Sung , Hwang, Youn Sun
J Korean Acad Nurs 2022;52(2):214-227.   Published online April 30, 2022
DOI: https://doi.org/10.4040/jkan.21188
AbstractAbstract PDF
Purpose
This study was aimed at investigating the incidence and risk factors of dyslipidemia in menopausal women using a Korean community-based longitudinal study.
Methods
The subjects were 245 postmenopausal women without dyslipidemia who had participated in the Ansan-Ansung cohort study from 2001~2002 (baseline) to 2015~2016 (seventh follow-up visit). The dyslipidemia incidence was measured as incidence proportion (%) and incidence rate per 100 person-years. The predictors of developing dyslipidemia were analyzed with Cox’s proportional hazard model.
Results
The incidence of new dyslipidemia during the follow-up period was 78.4% (192 patients), and 11.9 per 100 person-years. Mean duration from menopause to developing dyslipidemia was 5.3 years in new dyslipidemia cases. The triglyceride/high density lipoprotein (TG/HDL-C) ratio at baseline (hazard ratio = 2.20; 95% confidence interval = 1.39~3.48) was independently associated with developing dyslipidemia.
Conclusion
Dyslipidemia occurs frequently in postmenopausal women, principally within five years after menopause. Therefore, steps must be taken to prevent dyslipidemia immediately after menopause, particularly in women with a high TG/HDL-C ratio at the start of menopause.

Citations

Citations to this article as recorded by  
  • Middle-aged women’s experiences of physical activity for managing menopausal symptoms: a phenomenological study
    Hee Jung Cho, Sukhee Ahn
    Korean Journal of Women Health Nursing.2023; 29(2): 104.     CrossRef
  • Relationship between sleep duration and prevalence of hypertension among Korean postmenopausal middle-aged women
    Eun Young Hong, Hye Ja Gu
    Korean Journal of Health Education and Promotion.2023; 40(5): 43.     CrossRef
  • Identification of subgroups with poor lipid control among patients with dyslipidemia using decision tree analysis: the Korean National Health and Nutrition Examination Survey from 2019 to 2021
    Hee Sun Kim, Seok Hee Jeong
    Journal of Korean Biological Nursing Science.2023; 25(2): 131.     CrossRef
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  • 1 Web of Science
  • 3 Crossref
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Original Articles
Effectiveness of Multi Interventional Package on Selected Parameters of Metabolic Syndrome among Women - A Pilot Study
Elizabeth, Attonassary Jose , Aruna, Swaminathan , Mercy, Parayidathil Joseph
J Korean Acad Nurs 2020;50(4):523-532.   Published online August 31, 2020
DOI: https://doi.org/10.4040/jkan.20012
AbstractAbstract PDF
Purpose
The purpose of the study was to compare the effectiveness of multi interventional package (MIP) and lifestyle interventions (LI) on physiological parameters of women with metabolic syndrome, to compare the effectiveness of MIP and LI on biochemical parameters of women with metabolic syndrome and to compare the effectiveness of MIP and LI on socio-psychological parameters of women with metabolic syndrome.
Methods
A quasi experimental nonequivalent control group design with two experimental groups and one control group was used to collect data from 60 self-help group women. Samples were selected by multistage sampling. Reflexology foot massage, dietary modification, moderate intensity exercise and structured education were given to MIP group and dietary modification, moderate intensity exercise and structured education were given to LI group for 12 weeks. Control group received routine care. Demographic and clinical data sheets were used to collect basic information. Knowledge was assessed by a knowledge questionnaire. Physiological (weight, body mass index, waist circumference and blood pressure) and biochemical parameters (HDL, triglycerides and FBS) were assessed before and after the intervention.
Results
The study found significant change in the physiological and biochemical parameters of metabolic syndrome as well as knowledge among the MIP group and LI group compared to the control group (p < .001).
Conclusion
MIP and LI are effective in controlling the parameters of metabolic syndrome. Hence the guidance may be provided to women with metabolic syndrome for adopting necessary lifestyle changes as well as reflexology foot massage to control the physiological and biochemical parameters of metabolic syndrome.
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The Effects of Brisk Walking versus Brisk Walking Plus Diet on Triglycerides and Apolipoprotein B Levels in Middle-aged Overweight/obese Women with High Triglyceride Levels
Mi Ra Lee, Wan Soo Kim
Journal of Korean Academy of Nursing 2006;36(8):1352-1358.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.8.1352
AbstractAbstract PDF
Purpose

The purpose of this study were to investigate the effects of a 12-week brisk walking program on triglycerides (TG) and apolipoprotein B (Apo B) and to compare these effects to those of a brisk walking plus diet program in middle-aged overweight/obese (BMI≥ or =23) Korean women with hypertriglyceridemia.

Method

This analysis was done with nineteen middle-aged overweight/obese Korean women who completed either the brisk walking program (9 women) or the brisk walking plus diet program (10 women) for 12 weeks. The brisk walking consisted of walking for 20 to 50 minutes/day at an intensity of 40 to 70% of heart rate reserve (HRR) for 3 to 6 days/week. The diet consisted of 60 minutes of group education and 20 to 30 minutes of individual counseling every week. TG and Apo B were assessed pre- and post-intervention.

Results

TG and Apo B decreased significantly after the brisk walking program (Z = -2.31, p = 0.021; Z = -2.59, p = 0.009). TG and Apo B lowering effects of the brisk walking program were not significantly different from those of the brisk walking plus diet program (U = 37.0, p = 0.549; U = 42.0, p = 0.842).

Conclusion

walking can be an effective intervention for overweight/obese middle-aged women with hypertriglyceridemia in reducing cardiovascular risk by lowering TG and Apo B levels. Adding diet to brisk walking may have no additional significant effects on changes in TG and Apo B.

Citations

Citations to this article as recorded by  
  • The Effects of Urban Forest-walking Program on Health Promotion Behavior, Physical Health, Depression, and Quality of Life: A Randomized Controlled Trial of Office-workers
    Kyung-Sook Bang, In-sook Lee, Sung-Jae Kim, Min Kyung Song, Se-Eun Park
    Journal of Korean Academy of Nursing.2016; 46(1): 140.     CrossRef
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Identifying Latent Classes of Risk Factors for Coronary Artery Disease
Eunsil Ju, JiSun Choi
J Korean Acad Nurs 2017;47(6):817-827.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.6.817
AbstractAbstract PDF
Abstract Purpose

This study aimed to identify latent classes based on major modifiable risk factors for coronary artery disease.

Methods

This was a secondary analysis using data from the electronic medical records of 2,022 patients, who were newly diagnosed with coronary artery disease at a university medical center, from January 2010 to December 2015. Data were analyzed using SPSS version 20.0 for descriptive analysis and Mplus version 7.4 for latent class analysis.

Results

Four latent classes of risk factors for coronary artery disease were identified in the final model: ‘smoking-drinking’, ‘high-risk for dyslipidemia’, ‘high-risk for metabolic syndrome’, and ‘high-risk for diabetes and malnutrition’. The likelihood of these latent classes varied significantly based on socio-demographic characteristics, including age, gender, educational level, and occupation.

Conclusion

The results showed significant heterogeneity in the pattern of risk factors for coronary artery disease. These findings provide helpful data to develop intervention strategies for the effective prevention of coronary artery disease. Specific characteristics depending on the subpopulation should be considered during the development of interventions.

Citations

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  • Usefulness Evaluation of Laplacian Filter and Fast Non-Local Means Algorithm in Coronary Angiographic Images
    Kyeongsoo Jeon, Jiwon Song, Jiwon Hur, Chaeeon Lee, Kang-Hyeon Seo, Youngjin Lee
    Journal of Radiological Science and Technology.2025; 48(1): 93.     CrossRef
  • The effect of preoperative training provided to patients undergoing coronary artery bypass graft surgery on postoperative comfort
    Ayşe Şahin, Figen Dığın
    Journal of Surgery and Medicine.2024; 8(6): 00.     CrossRef
  • Profiling the socioeconomic characteristics, dietary intake, and health status of Korean older adults for nutrition plan customization: a comparison of principal component, factor, and cluster analyses
    Kyungsook Woo, Kirang Kim
    Epidemiology and Health.2024; 46: e2024043.     CrossRef
  • Analysis of the Types and Affecting Factors of Older People's Health-related Quality of Life, Using Latent Class Analysis
    Sun-Hee Jang, Dong-Moon Yeum
    Journal of Korean Academy of Community Health Nursing.2020; 31(2): 212.     CrossRef
  • Diagnosis and risk stratification of coronary artery disease in Yemeni patients using treadmill test
    NouraddenN Aljaber, ShaneiA Shanei, SultanAbdulwadoud Alshoabi, KamalD Alsultan, MoawiaB Gameraddin, KhaledM Al-Sayaghi
    Journal of Family Medicine and Primary Care.2020; 9(5): 2375.     CrossRef
  • Latent Class Analysis for Health-Related Quality of Life in the Middle-Aged Male in South Korea
    Youngsuk Cho, Dong Moon Yeum
    Journal of Korean Academy of Nursing.2019; 49(1): 104.     CrossRef
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Quality of Sleep and Serum Lipid Profile in Patients with Restless Legs Syndrome
Yeon-Gyung Bak, Hyoung-Sook Park
J Korean Acad Nurs 2011;41(3):344-353.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.344
AbstractAbstract PDF
Purpose

The purpose of this study was to compare the quality of sleep with the serum lipid profile in patients who have restless legs syndrome (RLS).

Methods

The data were obtained from 116 patients with RLS through questionnaires and blood sampling.

Results

The results of this study showed correlations between lower quality of sleep and serum lipid profile (LDL Cholesterol) in patients with RLS (r=.19, p=.040). There were correlations for scores of quality of sleep from the, Pittsburgh Sleep Quality Index (PSQI) sub-region between lower subjective sleep quality and serum lipid profile (LDL Cholesterol) (r=.20, p=.026), between fewer hours of sleep duration and serum lipid profile (Total Cholesterol) (r=-.21, p=.024), and, between higher daytime dysfunction and serum lipid profile (LDL Cholesterol) (r=.42, p<.001) of patients with RLS.

Conclusion

Patients with RLS have sleep disorders with lower quality of sleep and changes in the serum lipid profile for total cholesterol and LDL cholesterol. That is, patients with RLS have lower quality of sleep and dyslipidemia compared to persons without RLS. Further research is needed to monitor serum the lipid profile in early stage symptoms of midlife adult patients with RLS and especially older women.

Citations

Citations to this article as recorded by  
  • Relationship of Restless Legs Syndrome Symptom, Sleep Disturbance and Depression in Middle-aged Women
    Yeon Ok Suh, Sun-Sook Moon, Kyung-Woo Lee
    The Korean Journal of Rehabilitation Nursing.2018; 21(2): 91.     CrossRef
  • Sleep Duration and Risk of Atrial Fibrillation (from the Physicians' Health Study)
    Owais Khawaja, Akmal Sarwar, Christine M. Albert, John Michael Gaziano, Luc Djoussé
    The American Journal of Cardiology.2013; 111(4): 547.     CrossRef
  • Factors related to the Quality of Sleep in the Elderly Women
    Young-Hee Kim, Jin-Sook Han
    Journal of the Korea Academia-Industrial cooperation Society.2011; 12(10): 4467.     CrossRef
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Comparison of Cardiovascular Health Status and Health Behaviors in Korean Women based on Household Income
Young-Joo Park, Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Sook-Ja Lee
J Korean Acad Nurs 2010;40(6):831-843.   Published online December 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.6.831
AbstractAbstract PDF
Purpose

In this study cardiovascular health status and health behavior of Korean women based on their household income were explored.

Methods

For this cross-sectional study, 91 women residing in the community were recruited to complete survey questionnaires and biophysical tests including blood pressure (BP), body mass index (BMI), body fat rate, waist circumference (WC), and blood chemistry tests.

Results

Compared to non-low income women (NLIW), low income women (LIW) were more likely to be older, less educated, and jobless, and further more LIW were postmenopause and reported having been diagnosed with hypertension or hypercholesterolemia. Significant differences were found in systolic BP, triglyceride level, BMI, body fat rate, and WC between the groups. Two fifths of the LIW had indications for metabolic syndrome. Their 10-yr risk estimate of myocardioal infarction or coronary death demonstrated a higher probability than that of NLIW. Although these significant differences were due to age gap between the groups, advanced age is known to be one of the key characteristics of LIW as well as a non-modifiable risk factor.

Conclusion

Effective community programs for vulnerable women at risk of cardiovascular disease should be based on strategies targeting unhealthy behaviors and modifiable risk factors.

Citations

Citations to this article as recorded by  
  • Cardiometabolic Risk of Visceral Fat Obesity and Factors Influencing Visceral Fat in Overweight or Obese Middle-Aged Korean Women: A Cross-Sectional Study
    Sujin Kim, Nah-Mee Shin, Jiwon Choi
    Korean Journal of Adult Nursing.2024; 36(4): 320.     CrossRef
  • Health promoting behaviors in low-income overweight and obese women in Korea: an exploratory qualitative study
    Ju-Hee Nho, Eun Jin Kim
    Korean Journal of Women Health Nursing.2021; 27(4): 348.     CrossRef
  • Socioeconomic Disparities in Cardiovascular Health in South Korea
    Chi-Young Lee, Eun-Ok Im
    Journal of Cardiovascular Nursing.2021; 36(1): 8.     CrossRef
  • Measurement of Socioeconomic Position in Research on Cardiovascular Health Disparities in Korea: A Systematic Review
    Chi-Young Lee, Yong-Hwan Lee
    Journal of Preventive Medicine and Public Health.2019; 52(5): 281.     CrossRef
  • A Pilot Study of APN-led Self-management Program to Improve Cardiovascular Health Status among Korean Women with Risk Factors
    Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Younghee Park, Songi Jeon
    Korean Journal of Adult Nursing.2016; 28(2): 237.     CrossRef
  • A Study on the Health and Nutritional Characteristics according to Household Income and Obesity in Korean Adults Aged over 50 -Based on 2005 KNHANES-
    So Hyun Ahn, Sook Mee Son, Hye Kyeong Kim
    Korean Journal of Community Nutrition.2012; 17(4): 463.     CrossRef
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Effects of Biophysical Index, Knowledge, and Self Management Compliance of Patients with Primary Hypertension by a Self Management Compliance Promotion Program
Bok Seon Jeong, Hui Gyeong Gang, Mi Yeol Gwak, Eun Suk Kim, Hyeon Yeong Kim, Eun Suk Bak, Gye Yong Song, Hyang Su Sin, Bok Hui Yun, Eun Gyeong Lee, Jeong Sun Im, Sun Ok Pi, Eun Yeong Jeong, Sang Ju Choe, Mi Yang Jeon
Journal of Korean Academy of Nursing 2006;36(3):551-560.   Published online June 30, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.3.551
AbstractAbstract PDF
Purpose

This study was to develop and prove the effects of aself management compliance promotion program for primary hypertension patients who reside in rural communities.

Method

The content of the self management compliance promotion program developed by this study was as follows: A leader trains patients as a group or individually, in walking, education and green tea therapy from the first to twelfth week. From the thirteenth to twenty fourth week, the patients should perform walking and green tea therapy by themselves. One hundred twenty subjects volunteered to participate in the study, who were among those registered as hypertension patients in the 14 community health clinics located in Chungcheongbuk-do.

Result

Systolic blood pressure, total cholesterol, low-density lipoprotein cholesterol, triglyceride, step width, and degree of obesity decreased significantly. High-density lipoprotein cholesterol, step length, knowledge of hypertension, and self management compliance significantly increased.

Conclusion

A self management compliance promotion program for primary hypertensive patients enhances biophysical index and knowledge on hypertension, thus ultimately suggesting a nursing intervention for promoting self management compliance.

Citations

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  • Development and effectiveness of an integrated medication management program centered on senior welfare centers for older adults with hypertension: A cross-sectional study
    Heuijeong Moon, Dukyoo Jung
    Journal of Korean Gerontological Nursing.2023; 25(3): 297.     CrossRef
  • The Effects of a Secondary Stroke Prevention Program on the Health Risk Indicators and Self-Care Compliance of Stroke Patients
    Ji Yeon Kim, Yeon Kyung Na, Hae Sook Hong
    Journal of Korean Biological Nursing Science.2016; 18(2): 69.     CrossRef
  • Historical Overview of Community Health Practitioners in Korea
    Changyeong Kwak, Young Ko
    Public Health Nursing.2015; 32(2): 161.     CrossRef
  • The Effect of Case Management Program for Hypertensive Patient
    Jung-Soon Chung, Sun-Ock Lee
    The Journal of Korean Academic Society of Nursing Education.2014; 20(2): 321.     CrossRef
  • Effects of a hypertension management program by Seongcheon primary health care post in South Korea: an analysis of changes in the level of knowledge of hypertension in the period from 2004 to 2009
    I. H. Song, S.-A. Kim, W.-S. Park
    Health Education Research.2012; 27(3): 411.     CrossRef
  • Evaluation of a cardiovascular health promotion programme offered to low‐income women in Korea
    Kyung Ok Ham, Bong Jeong Kim
    Journal of Clinical Nursing.2011; 20(9-10): 1245.     CrossRef
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