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Prevalence and Factors Associated with Dyslipidemia Among Older Adults in Korea

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2025, 20(3), pp.121~129
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : April 16, 2025
  • Accepted : June 16, 2025
  • Published : August 31, 2025

Lee Do-Youn 1

1국민대학교

Accredited

ABSTRACT

PURPOSE: This study aimed to analyze the prevalence of dyslipidemia and factors associated with it, among older adults aged 65 years and overusing data from the 2022–2023 Korea National Health and Nutrition Examination Survey (KNHANES). METHODS: A cross-sectional study was conducted using nationally representative data from the KNHANES 2022– 2023. Among the 13,194 participants surveyed during the study period, 2,876 individuals aged 65 years and older with complete lipid profile data and health-related survey responses were included in the final analysis. Dyslipidemia was defined based on one or more of the following: total cholesterol ≥ 240 mg/dL, triglycerides ≥ 200 mg/dL, low-density lipoprotein cholesterol (LDL-C) ≥ 160 mg/dL, or high-density lipoprotein cholesterol (HDL-C) < 40 mg/dL in men and < 50 mg/dL in women. Complex sample design factors (strata, clusters, and weights) were applied in all analyses. Adjusted odds ratios (ORs) with 95% confidence intervals (CIs) were calculated, and statistical significance was set at p < .05. RESULTS: The overall prevalence of dyslipidemia was 25.5%, with 29.5% in men and 22.3% in women. After adjusting for covariates, abdominal obesity (OR = 1.506, 95% CI: 1.245–1.821) and current smoking (OR = 1.933, 95% CI: 1.363–2.741) were positively associated with dyslipidemia. Conversely, increasing age was marginally associated with a lower likelihood of dyslipidemia (OR = .979, 95% CI: .958 –.999). CONCLUSION: Dyslipidemia in Korean older adults is significantly influenced by abdominal obesity and smoking. These findings highlight the importance of targeted interventions focusing on weight control and smoking cessation to prevent dyslipidemia in aging populations.

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