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Relationship Between Food Insecurity and Poor Cardiovascular Health in Korean Adults
년도 2026년 2월
카테고리 이달의 kcj Hot Article
저자 Danbi Ku,1 Youn Huh, MD, PhD,1,2 Wonsock Kim, MD, PhD,1,2 Jae-Min Park, MD,1,2 Jung Yeon Chin, MD, PhD,1,3 Jung Hwan Kim, MD, PhD,4 Young Sik Kim, MD, MPH, PhD,5 and Seo Young Kang, MD, PhD1,2
소속 1Eulji University School of Medicine, Daejeon, Korea.
2Department of Family Medicine, Uijeongbu Eulji Medical Center, Uijeongbu, Korea.
3Division of Cardiology, Department of Internal Medicine, Uijeongbu Eulji Medical Center, Uijeongbu, Korea.
4Department of Family Medicine, Gangnam Eulji Medical Center, Seoul, Korea.
5Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
첨부파일 1 kcj-56-144-abf001.jpg
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  • 등록일 : 2026.02.12
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Background and Objectives

The association between food insecurity and cardiovascular health (CVH) in Korean adults remains unclear. This study aimed to investigate the association between food insecurity and CVH in Korean adults.

Methods

This study included 14,034 adults aged ≥19 years in the Korea National Health and Nutrition Examination Survey 2019–2021. CVH was defined using the American Heart Association’s Life’s Simple 7 framework, including smoking status, physical activity, diet, body mass index, total cholesterol, blood pressure, and fasting glucose. Participants were categorized into the food secure or food insecure group based on their survey scores. Multivariate logistic regression analysis was performed to calculate the association between food insecurity and poor CVH.

Results

Among the participants, 4.0% belonged to the food insecure group and 96.0% belonged to the food secure group, and 15.3%, 61.4%, and 23.3% of the participants had ideal, intermediate, and poor CVH, respectively. In the multivariate analysis, the odds ratio (95% confidence interval) for poor CVH was 1.32 (1.06–1.64) in food insecure group compared to food secure group. The odds for poor CVH increased as food security status aggravated (p for trend <0.05). Moreover, food insecure group had higher odds of poor status in the following CVH components: smoking and blood pressure.

Conclusions

Food insecurity is associated with poor CVH in Korean adults. Specifically, it is associated with current smoking and high blood pressure. Improving food insecurity may help prevent poor CVH in Korea.

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