title: Association Between the Awareness of Dyslipidemia and Health Behavior for Control of Lipid Levels Among Korean Adults with Dyslipidemia.
abstract: BACKGROUND
  Dyslipidemia is a major risk factor contributing to cardiovascular disease and its prevalence is steadily rising. Although screening tests are readily accessible, dyslipidemia remains undertreated. Evaluating health behavior patterns after diagnosis may help improve lifestyle interventions for the management of dyslipidemia.
  
  
  METHODS
  Data from the fifth Korean National Health and Nutrition Examination Survey 2010-2012 were used. A total of 6,624 dyslipidemia patients over 20 years old were included according to National Cholesterol Education Program-Adult Treatment Panel III guidelines. Logistic regression analysis was completed using a weighted method to determine whether awareness of dyslipidemia was associated with health behavior. Health behavior was divided into two categories: behavioral factors (smoking, alcohol consumption, exercise) and nutritional factors (adequate intake of fiber, carbohydrate, fat, protein).
  
  
  RESULTS
  There were no significant differences in health behavior among dyslipidemia patients according to awareness after adjustment for covariates, diabetes and hypertension. Awareness in women was associated with decreased smoking (odds ratio [OR], 0.55; 95% confidence interval [CI], 0.32 to 0.94), but when adjusted for diabetes and hypertension the result was not significant (OR, 0.61; 95% CI, 0.35 to 1.06). The same pattern applied to intake of carbohydrate in men (OR, 1.28; 95% CI, 0.99 to 1.67) and protein in women (OR, 1.22; 95% CI, 0.98 to 1.50). In subgroup analysis, awareness of dyslipidemia in men without hypertension or diabetes was associated with adequate intake of carbohydrate (OR, 1.70; 95% CI, 1.06 to 2.72).
  
  
  CONCLUSIONS
  Increasing awareness alone may not be enough to improve healthy behavior in patients with dyslipidemia. Efforts including patient education and counseling through a multi-team approach may be required.
authors.affiliation: Department of Family Medicine, Seoul National University Hospital, Seoul, Korea.
authors.forename: In Young
authors.initials: IY
authors.lastname: Cho
authors.affiliation: Department of Family Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
authors.forename: Hwa Yeon
authors.initials: HY
authors.lastname: Park
authors.affiliation: Department of Family Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
authors.forename: Kiheon
authors.initials: K
authors.lastname: Lee
authors.affiliation: Department of Family Medicine, Health Promotion Center, Seoul National University Bundang Hospital, Seongnam, Korea.
authors.forename: Woo Kyung
authors.initials: WK
authors.lastname: Bae
authors.affiliation: Department of Family Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
authors.forename: Se Young
authors.initials: SY
authors.lastname: Jung
authors.affiliation: Department of Family Medicine, Seoul National University Hospital, Seoul, Korea.
authors.forename: Hye Jin
authors.initials: HJ
authors.lastname: Ju
authors.affiliation: Department of Family Medicine, Seoul National University Hospital, Seoul, Korea.
authors.forename: Jae Kyeong
authors.initials: JK
authors.lastname: Song
authors.affiliation: Department of Family Medicine, Health Promotion Center, Seoul National University Bundang Hospital, Seongnam, Korea.
authors.forename: Jong Soo
authors.initials: JS
authors.lastname: Han
keywords: Alcohol Drinking; Awareness; Dyslipidemias; Exercise; Health Behavior; Smoking