Korean Journal of Family Medicine

"Jeong Gyu Lee"

Original Articles

Association between E-Cigarette Smoking and Insulin Resistance Using the Triglyceride-Glucose Index in Korean Adults: Korea National Health and Nutrition Examination Survey: Dahae Lim, Jung In Choi, Ryuk Jun Kwon, Sang Yeoup Lee, Young Hye Cho, Eun Ju Park, Youngin Lee, Sae Rom Lee, Soo Min Son, Yun Jin Kim, Jeong Gyu Lee, Yu Hyeon Yi, Young Jin Tak, Seung Hun Lee, Gyu Lee Kim, Young Jin Ra; Received August 21, 2023 Accepted April 22, 2024 Published online August 20, 2024; DOI: https://doi.org/10.4082/kjfm.23.0141 [Epub ahead of print]

Abstract
PDF

Background
Insulin resistance contributes to the development of cardiovascular disease and type 2 diabetes mellitus. Smoking leads to an increase in triglyceride levels, which, in turn, increases insulin resistance. Although the number of e-cigarette users has increased in recent years, few studies have investigated the association between ecigarette use and insulin resistance. Therefore, this study aimed to determine the association between e-cigarette use and insulin resistance using the triglyceride-glucose (TyG) index in Korean adults.
Methods
This study included 4,404 healthy adults aged ≥20 years who participated in the Korea National Health and Nutrition Examination Survey between 2019 and 2020. Participants were categorized as never-smokers or ecigarette users, and the TyG index was categorized into low- and high-TyG index groups according to the median value (9.22). A logistic regression analysis was performed to determine the association between e-cigarette smoking and insulin resistance.
Results
E-cigarette users had a higher TyG index than never smokers (e-cigarette: mean=3.95; never: mean=9.18; P<0.001). The e-cigarette users had a higher risk of being in the high TyG index group than never-smokers (odds ratio [OR], 1.38; 95% confidence interval [CI], 1.03–1.84). In the subgroup analysis stratified by sex, age, and body mass index, a higher OR for a high TyG index was observed in men (OR, 1.46; 95% CI, 1.03–2.08) and individuals aged 60 years or older (OR, 3.74; 95% CI, 1.14–12.30).
Conclusion
Our findings suggest that e-cigarette use is significantly associated with insulin resistance.

1,528 View
53 Download

Association between breakfast consumption frequency and chronic inflammation in Korean adult males: Korea National Health and Nutrition Examination Survey 2016–2018: Eun Ji Han, Eun Ju Park, Sae Rom Lee, Sang Yeoup Lee, Young Hye Cho, Young In Lee, Jung In Choi, Ryuk Jun Kwon, Soo Min Son, Yun Jin Kim, Jeong Gyu Lee, Yu Hyeon Yi, Young Jin Tak, Seung Hun Lee, Gyu Lee Kim, Young Jin Ra; Korean J Fam Med 2025;46(2):92-97. Published online July 5, 2024; DOI: https://doi.org/10.4082/kjfm.23.0151

Abstract
PDF

Background
Skipping breakfast is associated with an increased risk of chronic inflammatory diseases. This study aimed to examine the association between breakfast-eating habits and inflammation, using high-sensitivity C-reactive protein (hs-CRP) as a marker.
Methods
A total of 4,000 Korean adult males with no history of myocardial infarction, angina, stroke, diabetes, rheumatoid arthritis, cancer, or current smoking were included. Data from the 2016–2018 Korea National Health and Nutrition Examination Survey were used for analysis. The frequency of breakfast consumption was assessed through a questionnaire item in the dietary survey section asking participants about their weekly breakfast consumption routines over the past year. Participants were categorized into two groups, namely “0–2 breakfasts per week” and “3–7 breakfasts per week”; hs-CRP concentrations were measured through blood tests.
Results
Comparing between the “infrequent breakfast consumption (0–2 breakfasts per week)” and “frequent breakfast consumption (3–7 breakfasts per week)” groups, the mean hs-CRP was found to be significantly higher in the “infrequent breakfast consumption” group, even after adjusting for age, body mass index, physical activity, alcohol consumption, systolic blood pressure, blood pressure medication, fasting blood glucose, and triglycerides (mean hs-CRP: frequent breakfast consumption, 1.36±0.09 mg/L; infrequent breakfast consumption, 1.17±0.05 mg/L; P-value=0.036).
Conclusion
Less frequent breakfast consumption was associated with elevated hs-CRP levels. Further large-scale studies incorporating adjusted measures of daily eating patterns as well as food quality and quantity are required for a deeper understanding of the role of breakfast in the primary prevention of chronic inflammatory diseases.

1,574 View
63 Download

Association between Sleep Duration and Presbycusis in Korean Adults: Korea National Health and Nutrition Examination Survey: Min Ju Kang, Youngin Lee, Yun Jin Kim, Sang Yeoup Lee, Jeong Gyu Lee, Yu Hyeon Yi, Young Hye Cho, Young Jin Tak, Eun Ju Park, Seung Hun Lee, Gyu Lee Kim, Jung In Choi, Young Jin Ra, Sae Rom Lee, Ryuk Jun Kwon, Soo Min Son, Yea Ji Lee, Young Eun Choi; Korean J Fam Med 2023;44(2):117-123. Published online March 20, 2023; DOI: https://doi.org/10.4082/kjfm.22.0137

Abstract
PDF

Background
Sleep duration is associated with hearing loss, especially presbycusis, which is the most common type of hearing loss; however, there is limited evidence regarding this association among the Korean population. We aimed to determine the relationship between sleep duration and high-frequency hearing loss in Korean adults aged ≥40 years.
Methods
We examined 5,547 Korean adults aged ≥40 years who completed audiometric tests and questionnaires regarding sleep duration during the 2010–2012 cycle of the Korea National Health and Nutrition Examination Survey. Mild presbycusis was defined as >25 decibels (dB) and <40 dB, whereas moderate-to-severe presbycusis was defined as >40 dB pure tone averages at high frequencies (3,000, 4,000, and 6,000 Hz) for both ears. Additionally, the sleep duration was divided into quartiles. Odds ratios and 95% confidence intervals were estimated using multivariable logistic regression after adjusting for covariates.
Results
The prevalence of presbycusis in South Korean adults was 62.1%, of which 61.4% showed moderate to severe presbycusis. The incidence of moderate-to-severe, but not mild, presbycusis showed a significant positive correlation with sleep duration.
Conclusion
Our findings suggest that sleep duration is associated with the prevalence of presbycusis.

Citations

Citations to this article as recorded by

Joint association of sleep duration and depression with new-onset hearing loss: a national cohort study
Fang Wang, Yu-Jun Xiong, Da-Ming Shao, Tian Lv, Shiqin Chen, Qian-Yuan Zhu
Frontiers in Nutrition.2025;[Epub] CrossRef
Sleep characteristics and hearing loss in middle-aged and older adults: The National Health and Nutrition Examination Survey 2015–2018
Kening Jiang, Adam P. Spira, Nicholas S. Reed, Frank R. Lin, Jennifer A. Deal
Sleep Epidemiology.2024; 4: 100082. CrossRef
Age-related hearing loss and its potential drug candidates: a systematic review
Shiyu Hu, Qingru Sun, Fei Xu, Ninghua Jiang, Jianli Gao
Chinese Medicine.2023;[Epub] CrossRef

3,260 View
124 Download
2 Web of Science
3 Crossref

Association between Serum Folic Acid Levels and Asthma in the Korean Population: A Study Based on the 2016–2018 Korea National Health and Nutrition Examination Survey: So Ra Kim, Eun Ju Park, Young Hye Cho, Sang Yeoup Lee, Jung-In Choi, Young-In Lee, Sae Rom Lee, Yun Jin Kim, Jeong Gyu Lee, Yu Hyeon Yi, Young Jin Tak, Seung Hun Lee, Gyu Lee Kim, Young Jin Ra; Korean J Fam Med 2022;43(4):241-245. Published online July 19, 2022; DOI: https://doi.org/10.4082/kjfm.21.0143

Abstract
PDF

Background
Folic acid is involved in inflammatory reactions; however, the association between folic acid and allergic diseases, particularly asthma, remains unclear. Thus, this study aimed to evaluate the association between serum folic acid levels and asthma in Koreans.
Methods
This study analyzed the serum folic acid levels of 6,615 individuals included in the 2016–2018 Korea National Health and Nutrition Examination Survey. The prevalence of asthma was determined using a questionnaire that identified cases of physician-diagnosed asthma. The relationship between serum folic acid levels and asthma was analyzed using logistic regression analysis.
Results
Multiple logistic regression analysis showed that a 1 ng/mL increase in serum folic acid level significantly reduced the risk of asthma after adjusting for confounding factors including sex, age, household income, current smoking, current alcohol use, and body mass index (odds ratio [OR], 0.930; 95% confidence interval [CI], 0.876– 0.987; P=0.017). The relationship between the adjusted odds of asthma and serum folic acid levels were consistently inverse (OR, 2.266; 95% CI, 1.126–4.420; P for trend=0.038).
Conclusion
Serum folic acid levels are inversely associated with physician-diagnosed asthma in the Korean population.

Citations

Citations to this article as recorded by

Association between serum folate levels and blood eosinophil counts in American adults with asthma: Results from NHANES 2011–2018
Jun Wen, Changfen Wang, Mohan Giri, Shuliang Guo
Frontiers in Immunology.2023;[Epub] CrossRef

3,989 View
96 Download
1 Web of Science
1 Crossref

Association between Near Work Time and Depression among Workers in South Korea: Na Rae Jeong, Seung Hun Lee, Yun Jin Kim, Jeong Gyu Lee, Yu Hyeon Yi, Yougn Jin Tak, Hye Rim Hwang, Gyu Lee Kim, Sang Yeoub Lee, Young Hye Cho, Eun Ju Park, Young In Lee, Jung In Choi; Korean J Fam Med 2021;42(5):390-394. Published online September 20, 2021; DOI: https://doi.org/10.4082/kjfm.20.0217

Abstract
PDF

Background
The aim of this study was to evaluate the association between near work time and depression.
Methods
Data of 1,551 workers aged 19–49 years from the sixth Korea National Health and Nutrition Examination Survey were examined. The Patient Health Questionaire-9 scores were used to screen for depression. Participants who scored a total of 10 or above, which is suggestive of the presence of depression, were classified as the depression group; the rest were classified as normal. The correlation between daily near work time and depression was analyzed using multivariate logistic analysis after adjusting for other sociodemographic and health behavior-related variables.
Results
Multivariate logistic analysis found that workers with 3 or more hours of near work were more likely to report depression compared to the reference group who had 2 or fewer hours per day of near work (adjusted odds ratio, 2.471; 95% confidence interval, 1.062–5.747).
Conclusion
Longer near work time was associated with depression among South Korea’s workers. Therefore, it is necessary to reduce near work time to prevent depression.

3,859 View
94 Download

Association between Time to First Cigarette and Health-Related Quality of Life of Middle-Aged Male Current Smokers: A Nationwide Representative Study in Korea: Sung Eun Jo, Hye Rim Hwang, Yun Jin Kim, Sang Yeoup Lee, Jeong Gyu Lee, Yu Hyeon Yi, Young Hye Cho, Young Jin Tak, Seung Hun Lee, Eun Ju Park, Youngin Lee; Korean J Fam Med 2021;42(3):225-231. Published online August 4, 2020; DOI: https://doi.org/10.4082/kjfm.19.0103

Abstract
PDF

Background
Although many studies have demonstrated that the first cigarette in the morning increases the prevalence of smoking-related morbidity, limited studies have examined the impact of time to first cigarette (TTFC) on the health-related quality of life (HRQoL). Thus, we assessed this relationship using nationally-representative data from the Korea National Health and Nutrition Examination Survey VII-1 (2016).
Methods
We conducted a cross-sectional study using data from 577 current male smokers aged 30–59 years, after excluding those with a certain disease. Participants were divided into four categories according to TTFC (≤5 min, 6–30 min, 31–60 min, >60 min). HRQoL was measured using self-reported EuroQol-5 (EQ-5D). The relationship between TTFC and EQ-5D index was analyzed using a multivariate-adjusted generalized linear model to assess how HRQoL varies according to TTFC. After adjusting for confounders, a multivariate-adjusted logistic regression analysis was performed to identify which of the five dimensions of the EQ-5D affected the HRQoL according to TTFC.
Results
The generalized linear analysis indicated that as TTFC decreased (6–30 min, 31–60 min vs. >60 min), the EQ-5D index score decreased significantly (P=0.037). Shorter TTFC (≤5 min vs. >60 min) was associated with higher pain/discomfort (odds ratio [OR], 3.82; 95% confidence interval [CI], 1.39–10.48) and anxiety/depression (OR, 7.58; 95% CI, 1.75–32.88).
Conclusion
Higher nicotine dependence was associated with impaired HRQoL. These results may be used to improve smoking cessation treatment outcomes.

Citations

Citations to this article as recorded by

Current status of tobacco use, cessation and control policy in Korea
Cheol Min Lee
Journal of the Korean Medical Association.2022; 65(12): 789. CrossRef

4,229 View
110 Download
1 Web of Science
1 Crossref

Association between Relative Handgrip Strength and Dyslipidemia in Korean Adults: Findings of the 2014–2015 Korea National Health and Nutrition Examination Survey: Bo Mi Kim, Yu Hyeon Yi, Yun Jin Kim, Sang Yeoup Lee, Jeong Gyu Lee, Young Hye Cho, Young Jin Tak, Hye Rim Hwang, Seung Hun Lee, Eun Ju Park, Youngin Lee; Korean J Fam Med 2020;41(6):404-411. Published online February 12, 2020; DOI: https://doi.org/10.4082/kjfm.19.0073

Abstract
PDF

Background
Grip strength is a convenient method to measure muscle strength. Recently, relative handgrip strength (HGS) was recommended as a clinical predictor of metabolic health and disease, such as dyslipidemia, which is considered a risk factor for cardiovascular disease. The purpose of this study was to characterize the association between relative HGS and dyslipidemia.
Methods
We included 6,027 adults (2,934 men, 3,093 women) aged 30–69 years who participated in the Korea National Health and Nutrition Examination Survey in 2014 and 2015. Relative HGS was obtained by dividing the HGS by body mass index. Complex sampling analysis was conducted to compare the general characteristics of participants according to the quartiles of relative HGS. Logistic regression analysis was used to examine the association between quartiles of relative HGS and dyslipidemia.
Results
After adjustment for age, prevalence of diabetes mellitus, prevalence of hypertension, alcohol consumption, smoking status, exercise, income, and education level, relative HGS was inversely associated with dyslipidemia in both men and women. In multivariable logistic regression analysis, the odds ratios (95% confidence intervals) for dyslipidemia in quartiles 1, 2, and 3 relative to quartile 4 were 1.36 (1.00–1.83), 1.29 (0.98–1.70), 1.23 (0.95– 1.60) in men and 1.81 (1.30–2.50), 1.81 (1.32–2.47), 1.39 (1.07–1.81) in women, respectively.
Conclusion
Relative HGS was inversely associated with dyslipidemia risk in Korean adults. Muscle-strengthening exercise is recommended to enhance health outcomes.

Citations

Citations to this article as recorded by

Association between handgrip strength and metabolic syndrome in relation to gender and adiposity among middle aged and older Saudi populations
Shaea A. Alkahtani, Ghedeir M. Alshammari, Aishah Alzuwaydi, Abdulaziz Alfuhaid, Abeer A. Al-Masri, Rizwan Qaisar, Syed Shahid Habib
The Aging Male.2024;[Epub] CrossRef
Association Between Typologies of Sedentary Behavior and Muscle Strength, Gait Speed, and Balance in Community-Dwelling Older Adults
Letícia Martins Cândido, Núbia Carelli Pereira de Avelar, Eleonora D’Orsi, Ana Cristina Rodrigues Lacerda, Vanessa Amaral Mendonça, Gabriella Tringali, Alessandro Sartorio, Ana Lúcia Danielewicz
Journal of Aging and Physical Activity.2024; 32(2): 225. CrossRef
Predictors of the onset of low handgrip strength in Europe: a longitudinal study of 42,183 older adults from 15 countries
Rizwan Qaisar, M. Azhar Hussain, Fabio Franzese, Asima Karim, Firdos Ahmad, Atif Awad, Abeer A. Al-Masri, Shaea A. Alkahtani
Aging Clinical and Experimental Research.2024;[Epub] CrossRef
Increasing muscular strength to improve cardiometabolic risk factors
Patricio Lopez-Jaramillo, Jose P. Lopez-Lopez, Maria Camila Tole, Daniel D. Cohen
Clínica e Investigación en Arteriosclerosis.2023; 35(3): 144. CrossRef
Association of absolute and relative hand grip strength with all-cause mortality among middle-aged and old-aged people
Wonjeong Jeong, Jong Youn Moon, Jae-Hyun Kim
BMC Geriatrics.2023;[Epub] 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
Increasing muscular strength to improve cardiometabolic risk factors
Patricio Lopez-Jaramillo, Jose P. Lopez-Lopez, Maria Camila Tole, Daniel D. Cohen
Clínica e Investigación en Arteriosclerosis (English Edition).2023; 35(3): 144. CrossRef
Association between Relative Handgrip Strength and Insulin Resistance in Korean Elderly Men without Diabetes: Findings of the 2015 Korea National Health Nutrition Examination Survey
Kwang-Chae Joo, Da-Hye Son, Jae-Min Park
Korean Journal of Family Medicine.2022; 43(3): 199. CrossRef
Association Between C-Reactive Protein and Relative Handgrip Strength in Postmenopausal Korean Women Aged 45–80 Years: A Cross-Sectional Study
Da-Hye Son, Seung-Ah Song, Yong-Jae Lee
Clinical Interventions in Aging.2022; Volume 17: 971. CrossRef
Relationship Between Relative Grip Strength and Serum Total Cholesterol, High-Density Lipoprotein Cholesterol, Low-Density Lipoprotein Cholesterol, and Triglyceride Levels in Korean Middle-Aged or Older Adults: A Panel Regression Model
DooYong Park, Duck-Chul Lee, YeonSoo Kim
Metabolic Syndrome and Related Disorders.2022; 20(9): 517. CrossRef
Stroke-Related Sarcopenia among Two Different Developing Countries with Diverse Ethnic Backgrounds (Cross-National Study in Egypt and China)
Marwa Mohammed, Jianan Li
Healthcare.2022; 10(11): 2336. CrossRef
Importance of Handgrip Strength as a Health Indicator in the Elderly
Soo Young Kim
Korean Journal of Family Medicine.2021; 42(1): 1. CrossRef
Handgrip Strength: An Irreplaceable Indicator of Muscle Function
Sang Yoon Lee
Annals of Rehabilitation Medicine.2021; 45(3): 167. CrossRef
Association between relative handgrip strength and abdominal obesity, type-2 diabetes and hypertension in a Mexican population
Iris Paola Guzmán-Guzmán, Pedro Delgado-Floody, Ilse Adriana Gutiérrez-Pérez, Felipe Caamaño-Navarrete, Daniel Jerez-Mayorga, Óscar Zaragoza-García, Isela Parra-Rojas
Nutrición Hospitalaria.2021;[Epub] CrossRef
Grip Strength as a Cardiometabolic Marker
Jungun Lee
Korean Journal of Family Medicine.2020; 41(5): 271. CrossRef

7,261 View
201 Download
14 Web of Science
15 Crossref

Association between Serum-Ferritin Levels and Sleep Duration, Stress, Depression, and Suicidal Ideation in Older Koreans: Fifth Korea National Health and Nutrition Examination Survey 2010–2012: Kyung Mi Kim, Hye Rim Hwang, Yun Jin Kim, Jeong Gyu Lee, Yu Hyeon Yi, Young Jin Tak, Seung Hun Lee, Sung In Chung; Korean J Fam Med 2019;40(6):380-387. Published online November 20, 2019; DOI: https://doi.org/10.4082/kjfm.18.0097

Abstract
PDF

Background
Serum-ferritin levels may be associated with psychiatric symptoms among the elderly; however, this association has not been extensively studied. The aim of this study was to evaluate the association between serumferritin levels and mental health issues in older Koreans.
Methods
This cross-sectional study included large-scale national data from the Korea National Health and Nutrition Examination Survey 2010–2012. In total, 1,802 older Koreans (≥65 years old) were included. The assessed psychiatric symptoms included short sleep duration, stress, depressed mood, and suicidal ideation. Any association between serum-ferritin levels and mental health issues according to sex was examined using logistic regression analysis.
Results
The prevalence of short sleep duration, stress, depressed mood, and suicidal ideation was 50.9%, 21.7%, 18.2%, and 22.5%, respectively. In men, suicidal ideation decreased with increased serum-ferritin levels after multivariate adjustment for sociodemographic and lifestyle factors and comorbidities. The odds ratios (OR) and 95% confidence interval (CI) of suicidal ideation by quartiles of serum-ferritin level were 1 (reference), 1.132 (95% CI, 0.569–2.252), 0.453 (95% CI, 0.217–0.945), and 0.608 (95% CI, 0.295–1.253), respectively, (P for trend=0.039). In women, no trend was observed. However, compared to the lowest quartile, short sleep duration (<7 h) and stress perception were significantly decreased in the third quartile, with odds ratios of 0.601 (95% CI, 0.461–0.888), and 0.606 (95% CI, 0.386–0.952), respectively.
Conclusion
Moderate serum-ferritin levels were associated with decreased risk for suicide ideation in men, and were associated with decreased short sleep duration and stress perception in women.

Citations

Citations to this article as recorded by

Association between suicide attempts and anemia in late-life depression inpatients
Jie Li, Lan Wang, Ziyi Wang, Fengxue Zhao, Yadi Sun, Ying Lu, Lei Yang
BMC Geriatrics.2024;[Epub] CrossRef
Sleep quality and Laboratory Findings in Patients with Varicose Vein Leg Pain
Acır Ibrahim, Atay Zeynep Vildan Okudan , Atay Mehmet , Yayla Vildan
Journal of Neuroscience and Neurological Disorders.2023; 7(1): 022. CrossRef
Alteration of Inflammatory Parameters and Psychological Post-Traumatic Syndrome in Long-COVID Patients
Irma Clemente, Gaia Sinatti, Antonio Cirella, Silvano Junior Santini, Clara Balsano
International Journal of Environmental Research and Public Health.2022; 19(12): 7103. CrossRef
Psychological and Cognitive Effects of Long COVID: A Narrative Review Focusing on the Assessment and Rehabilitative Approach
Rosaria De Luca, Mirjam Bonanno, Rocco Salvatore Calabrò
Journal of Clinical Medicine.2022; 11(21): 6554. CrossRef
Suicidal Ideation in Major Depressed Individuals: Role of Type D Personality
Mokhtar Abdelhakim Laoufi, Benjamin Wacquier, Tristan Lartigolle, Gwenolé Loas, Matthieu Hein
Journal of Clinical Medicine.2022; 11(22): 6611. CrossRef

10,440 View
129 Download
4 Web of Science
5 Crossref

The Association between Obesity Phenotypes and Early Renal Function Decline in Adults without Hypertension, Dyslipidemia, and Diabetes: Jung In Choi, Young Hye Cho, Sang Yeoup Lee, Dong Wook Jeong, Jeong Gyu Lee, Yu Hyeon Yi, Young Jin Tak, Seung Hun Lee, Hye Rim Hwang, Eun Ju Park; Korean J Fam Med 2019;40(3):176-181. Published online May 10, 2019; DOI: https://doi.org/10.4082/kjfm.18.0139

Abstract
PDF

Background
The prevalence of chronic kidney disease is increasing worldwide. Several studies have suggested that obesity is associated with early renal dysfunction. However, little is known about the relationship between obesity phenotypes and early renal function decline. Therefore, this study aimed to identify the relationship between obesity phenotypes and early renal function decline in adults without hypertension, dyslipidemia, and diabetes.
Methods
We conducted a cross-sectional analysis of clinical and anthropometric data from 1,219 patients who underwent a routine health checkup in 2014. We excluded adults with cardiovascular disease, renal disease, diabetes, hypertension, dyslipidemia, or low glomerular filtration rate (<60 mL/min/1.73 m2). Renal function was determined according to the estimated glomerular filtration rate calculated using the Chronic Kidney Disease Epidemiology Collaboration creatinine-cystatin C equation.
Results
Age, sex, body mass index, waist circumference, triglyceride, low-density lipoprotein, and fasting glucose had an association with the estimated glomerular filtration rate. After adjusting for age, sex, smoking status, and alcohol intake, the odds ratios of the metabolically abnormal normal weight and metabolically abnormal obese phenotypes for the presence of low estimated glomerular filtration rates were 1.807 (95% confidence interval, 1.009– 3.236) and 1.834 (95% confidence interval, 1.162–2.895), compared with the metabolically healthy normal weight phenotype. However, the metabolically healthy obese phenotype did not show a significant association with early renal function decline.
Conclusion
In this cross-sectional study, we confirmed the association between the metabolically abnormal normal weight and metabolically abnormal obese phenotypes and early kidney function decline in adults without hypertension, dyslipidemia, and diabetes.

Citations

Citations to this article as recorded by

Obesity as a Risk Factor for Hyperglycemia, Electrolyte Disturbances, and Acute Kidney Injury in the Emergency Department
Iulia Najette Crintea, Alexandru Cristian Cindrea, Ovidiu Alexandru Mederle, Teodor Florin Fulga, Adina Maria Marza, Alina Petrica, Cosmin Iosif Trebuian, Romulus Timar
Biomedicines.2025; 13(2): 349. CrossRef
Obesity Class and Severity of Metabolic Emergencies: A Single-Center Retrospective Five-Year Study
Iulia Najette Crintea, Alexandru Cristian Cindrea, Teodor Florin Fulga, Cosmin Iosif Trebuian, Adina Maria Marza, Alina Petrica, Ovidiu Alexandru Mederle, Romulus Timar
Healthcare.2025; 13(6): 617. CrossRef
Metabolically healthy obesity and chronic kidney disease risk: exploring the dynamics
Mustafa GULDAN, Lasin OZBEK, Ahmet U. TOPCU, Adrian COVIC, Mehmet KANBAY
Panminerva Medica.2024;[Epub] CrossRef
Visceral Adiposity Index and Lipid Accumulation Product as Effective Markers of Different Obesity Phenotypes in Korean Adults: A Cross-Sectional Analysis
Sung Ryul Yu, Kyung-A Shin
Diabetes, Metabolic Syndrome and Obesity.2023; Volume 16: 495. CrossRef
Metabolically healthy obesity is associated with higher risk of both hyperfiltration and mildly reduced estimated glomerular filtration rate: the role of serum uric acid in a cross-sectional study
Hong Zhang, Rui Chen, Xiaohong Xu, Minxing Yang, Wenrong Xu, Shoukui Xiang, Long Wang, Xiaohong Jiang, Fei Hua, Xiaolin Huang
Journal of Translational Medicine.2023;[Epub] CrossRef
Prevalence and associations of metabolic syndrome in patients with alcohol use disorder
Anna Hernández-Rubio, Arantza Sanvisens, Ferran Bolao, Isabel Cachón-Suárez, Carme Garcia-Martín, Antoni Short, Ramón Bataller, Roberto Muga
Scientific Reports.2022;[Epub] CrossRef
Effects of bariatric surgery on renal function and associated factors with bivariate analysis: a cohort study
Juliana Amaro Borborema Bezerra, Eduardo Pachu Raia dos Santos, Carlos Teixeira Brandt
F1000Research.2022; 11: 409. CrossRef
Metabolic obesity phenotypes and chronic kidney disease: a cross-sectional study from the RaNCD cohort study
Samira Arbabi Jam, Behrooz Moloudpour, Farid Najafi, Mitra Darbandi, Yahya Pasdar
BMC Nephrology.2022;[Epub] CrossRef
Abdominal obesity phenotypes and risk of kidney function decline: Tehran Lipid and Glucose Study
Asharf Shahali, Erfan Tasdighi, Maryam Barzin, Maryam Mahdavi, Majid Valizadeh, Mahtab Niroomand, Fereidoun Azizi, Farhad Hosseinpanah
Obesity Research & Clinical Practice.2020; 14(2): 168. CrossRef
Obese First degree relatives of hemodialysis patients are at Higher Risk for Developing Kidney Diseases: In a Cross-sectional Study
Abozaid Mohammed Elemam
Sudan Journal of Medical Sciences.2019;[Epub] CrossRef

7,401 View
125 Download
9 Web of Science
10 Crossref

The Association of Body Fat and Arterial Stiffness Using the Brachial-Ankle Pulse Wave Velocity: Gyu Lee Kim, Hye Rim Hwang, Yun Jin Kim, Sang Yeoup Lee, Jeong Gyu Lee, Dong Wook Jeong, Yu Hyeon Yi, Young Jin Tak, Seung Hun Lee, A Rum Park; Korean J Fam Med 2018;39(6):347-354. Published online October 31, 2018; DOI: https://doi.org/10.4082/kjfm.17.0045

Abstract
PDF

Background
BMI alone may not serve as an index of obesity because it does not reflect body composition. The present study aimed to compare arterial stiffness as assessed by the brachial-ankle pulse wave velocity (ba-PWV) among groups defined by body fat percentage (pBF) and BMI.
Methods
This cross-sectional study was based on 1,700 participants (1,044 men and 656 women) who completed a health screening examination at a national hospital between January 2011 and February 2016. Participants were divided into four groups according to BMI and pBF: normal fat and normal weight (NFNW); excessive fat and normal weight (EFNW); normal fat and obese (NFO); and excessive fat and obese (EFO). The ba-PWV and other cardiometabolic factors were compared among the four groups in men and women separately.
Results
For both sexes, the NFNW group had a lower metabolic risk compared to that in the other groups (EFNW, NFO, and EFO). After adjusting for multiple variables, the NFO males had a significantly lower ba-PWV compared to those in the other groups, including NFNW males. The NFO group had significantly more skeletal muscle mass and muscle mass compared the other groups (P<0.05). Among women, the NFNW group had a significantly lower ba-PWV compared the other groups, even after adjusting for multiple variables.
Conclusion
Lower pBF in obese men may be associated with improved cardiovascular risk.

Citations

Citations to this article as recorded by

Improved fatty acid profile reduces body fat and arterial stiffness in obese adolescents upon combinatorial intervention with exercise and dietary restriction
Lei Xu, Xiaoyu Zou, Zhiqiang Gao, Caifeng Mao, Hang Su, Chunyan Li, Ning Chen
Journal of Exercise Science & Fitness.2021; 19(4): 234. CrossRef
Borderline-High Mean Corpuscular Volume Levels Are Associated with Arterial Stiffness among the Apparently Healthy Korean Individuals
Haneul Kwon, Byoungjin Park
Korean Journal of Family Medicine.2020; 41(6): 387. CrossRef

6,269 View
102 Download
2 Web of Science
2 Crossref

Shift Work Is Associated with Metabolic Syndrome in Young Female Korean Workers: Kyoung Hwa Yu, Yu Hyeon Yi, Yun Jin Kim, Byung Mann Cho, Sang Yeoup Lee, Jeong Gyu Lee, Dong Wook Jeong, So Yeon Ji; Korean J Fam Med 2017;38(2):51-56. Published online March 22, 2017; DOI: https://doi.org/10.4082/kjfm.2017.38.2.51

Abstract
PDF

Background

Shift work is associated with health problems, including metabolic syndrome. This study investigated the association between shift work and metabolic syndrome in young workers.

Methods

A total of 3,317 subjects aged 20–40 years enrolled in the 2011–2012 Korean National Health and Nutrition Examination Survey were divided into shift and day workers. We conducted a cross-sectional study and calculated odds ratios using multivariate logistic regression analysis in order to examine the association between shift work and metabolic syndrome.

Results

The prevalence of metabolic syndrome was 14.3% and 7.1% among male and female shift workers, respectively. After adjusting for confounding factors, shift work was associated with metabolic syndrome in female workers (odds ratio, 2.53; 95% confidence interval, 1.12 to 5.70).

Conclusion

Shift work was associated with metabolic syndrome in young women. Timely efforts are necessary to manage metabolic syndrome in the workplace.

Citations

Citations to this article as recorded by

Multimorbidity and its Associated Factors in Korean Shift Workers: Population-Based Cross-Sectional Study
Hye Chong Hong, Young Man Kim
JMIR Public Health and Surveillance.2024; 10: e55014. CrossRef
Association between Sleep Duration, Social Jetlag, and the Metabolic Syndrome by Shift Works
Minjung Kyung, Sungwon Park, Chang Gi Park, OiSaeng Hong
International Journal of Environmental Research and Public Health.2024; 21(6): 668. CrossRef
Association between Circadian Rhythm-Disturbing Factors and Metabolic Syndrome in Korean Adults: Korea National Health and Nutrition Examination Survey (2016–2020)
Sujin Lee, Junhee Park, Hyunjin Cho, Jun Hyun Yoo
Korean Journal of Family Medicine.2024;[Epub] CrossRef
Association between Shift Work and Metabolic Syndrome: A 4-Year Retrospective Cohort Study
Byeong-Jin Ye
Healthcare.2023; 11(6): 802. CrossRef
Sexual dimorphism in the response to chronic circadian misalignment on a high-fat diet
Seán T. Anderson, Hu Meng, Thomas G. Brooks, Soon Yew Tang, Ronan Lordan, Arjun Sengupta, Soumyashant Nayak, Antonijo Mřela, Dimitra Sarantopoulou, Nicholas F. Lahens, Aalim Weljie, Gregory R. Grant, Frederic D. Bushman, Garret A. FitzGerald
Science Translational Medicine.2023;[Epub] CrossRef
Relationship between rotating shift work and white blood cell count, white blood cell differential count, obesity, and metabolic syndrome of nurses
Wen-Pei Chang, Yen-Kuang Lin
Chronobiology International.2022; 39(2): 159. CrossRef
Metabolic syndrome and its relationship with shift work in petrochemical workers
Payam Rashnuodi, Davood Afshari, Gholam Abbas Shirali, Arman Amiri, Marziye Raesi Zadeh, Ali Sahraneshin Samani
Work.2022; 71(4): 1175. CrossRef
The association between long-term night shift work and metabolic syndrome: a cross-sectional study of male railway workers in southwest China
Chaohui Dong, Honglian Zeng, Bo Yang, Yi Zhang, Zhitao Li
BMC Cardiovascular Disorders.2022;[Epub] CrossRef
A systematic review and meta-analysis of the association between shift work and metabolic syndrome: The roles of sleep, gender, and type of shift work
Masoud Khosravipour, Payam Khanlari, Sepideh Khazaie, Hadis Khosravipour, Habibolah Khazaie
Sleep Medicine Reviews.2021; 57: 101427. CrossRef
Association between shift work or long working hours with metabolic syndrome: a systematic review and dose–response meta-analysis of observational studies
Yihui Wang, Li Yu, Yinyan Gao, Lili Jiang, Lin Yuan, Pengju Wang, Yanwen Cao, Xuping Song, Long Ge, Guowu Ding
Chronobiology International.2021; 38(3): 318. CrossRef
Association between shift work and risk of metabolic syndrome: A systematic review and meta-analysis
Xingjin Yang, Wencheng Di, Yunhong Zeng, Dechen Liu, Minghui Han, Ranran Qie, Shengbing Huang, Yang Zhao, Yifei Feng, Dongsheng Hu, Liang Sun
Nutrition, Metabolism and Cardiovascular Diseases.2021; 31(10): 2792. CrossRef
Association between metabolic syndrome and shift work in chemical plant workers
Seong-Ryol Chai, Soon-Chan Kwon, Yong-Jin Lee, Eun-Chul Jang, Young-Sun Min, Su-yeon Lee
Annals of Occupational and Environmental Medicine.2021;[Epub] CrossRef
Is Shift Work Sleep Disorder a Risk Factor for Metabolic Syndrome and Its Components? A Systematic Review of Cross-Sectional Studies
Arpita Shah, Arifa Turkistani, Kanita Luenam, Sayma Yaqub, Patricia Ananias, Arunima Mariya Jose, Joao Pedro Melo, Lubna Mohammed
Metabolic Syndrome and Related Disorders.2021;[Epub] CrossRef
Metabolic syndrome: Association between prevalence and risk at worksites
Michiru Kakinuma, Hiroo Ide, Kyoko Nakao, Daisuke Ichikawa, Ryozo Nagai, Yuji Furui
Archives of Environmental & Occupational Health.2020; 75(4): 226. CrossRef
Association between Dietary Habits, Shift Work, and the Metabolic Syndrome: The Korea Nurses’ Health Study
Heeja Jung, Hyunju Dan, Yanghee Pang, Bohye Kim, Hyunseon Jeong, Jung Eun Lee, Oksoo Kim
International Journal of Environmental Research and Public Health.2020; 17(20): 7697. CrossRef
Shift work and metabolic syndrome: A multi‑center cross‑sectional study on females of reproductive age
Maryam Nikpour, Aram Tirgar, Mahmod Hajiahmadi, Akram Hosseini, Behzad Heidari, Fatemeh Ghaffari, Abbas Ebadi, Fatemh Nasiri, Mojgan Firouzbakht
Biomedical Reports.2019;[Epub] CrossRef
Association between Metabolic Syndrome and Job Rank
Ramin Mehrdad, Gholamreza Pouryaghoub, Mahboubeh Moradi
The International Journal of Occupational and Environmental Medicine.2018; 9(1): 45. CrossRef
The Relationship between Workplace Environment and Metabolic Syndrome
Hwee-Soo Jeong
The International Journal of Occupational and Environmental Medicine.2018; 9(4): 176. CrossRef
Circadian and Metabolic Effects of Light: Implications in Weight Homeostasis and Health
Santiago A. Plano, Leandro P. Casiraghi, Paula García Moro, Natalia Paladino, Diego A. Golombek, Juan J. Chiesa
Frontiers in Neurology.2017;[Epub] CrossRef
Shift Work and Health Problems
Jungun Lee
Korean Journal of Family Medicine.2017; 38(2): 49. CrossRef

5,732 View
69 Download
20 Web of Science
20 Crossref

Vitamin-Mineral Supplement Use Patterns in Elderly Koreans: Data from the 2007–2008 Korean National Health and Nutrition Examination Survey: So Young Park, Yun Jin Kim, Sang Yeoup Lee, Jeong Gyu Lee, Hye Rim Hwang, Dong Wook Jeong, Young Hye Cho, Eun Jung Choi, Yu Hyeon Yi, Young Jin Tak, A Ra Jo, Seung Hoon Lee, Jeong Suk Jeon, Bo Wha Lee; Korean J Fam Med 2016;37(2):123-129. Published online March 25, 2016; DOI: https://doi.org/10.4082/kjfm.2016.37.2.123

Abstract
PDF

Background

Vitamin-mineral supplements are the most popular dietary supplements in Korea. However, few studies have assessed the relationship between vitamin-mineral supplementation and associated factors among the Korean elderly. The purpose of this study was to assess the use of vitamin-mineral supplements among elderly in Korea as well as its association with sociodemographic factors, health-related behaviors, medical conditions, and nutrient intake.

Methods

This study was based on data from the Korean National Health and Nutrition Examination Survey, conducted by the Korean Ministry of Health and Welfare from 2008 to 2009. Data from 3,294 elderly men and women (65 years of age and older) were analyzed. Multivariable-weighted logistic regression model analysis was used to evaluate the association between vitamin-mineral supplement use and sociodemographic factors, health-related habits, and medical conditions.

Results

Vitamin-mineral supplementation was reported by 16.3% of the participants. The most common reason for using dietary supplements was recommendations from friends and acquaintances. Highly educated person, female participants had a greater likelihood of taking vitamin-mineral supplements. In addition, analysis of nutrient intake from food sources alone revealed a lower proportion of vitamin-mineral supplement users with nutrient intakes below the estimated average requirements for vitamin A, vitamin C, thiamine, riboflavin, niacin, calcium, iron, and phosphorus, compared to nonusers. However, vitamin-mineral supplementation was not associated with health-related behaviors or medical conditions.

Conclusion

Highly educated person, elderly Korean women had a greater likelihood of using vitamin-mineral supplements. In addition, nutrient intakes from food sources alone were significantly higher among vitamin-mineral supplement users. Finally, vitamin-mineral supplementation may be an indicator of healthier diet in elderly Koreans.

Citations

Citations to this article as recorded by

Effect of a Single Multi-Vitamin and Mineral Supplement on Nutritional Intake in Korean Elderly: Korean National Health and Nutrition Examination Survey 2018–2020
Hyoeun Kim, Seung Guk Park
Nutrients.2023; 15(7): 1561. CrossRef
The Reason for Vitamin–Mineral Supplement Intake among Secondary School Adolescents in Malaysia and its Association with Nutritional Status and Dietary Practice
Azli Baharudin, Fatimah Othman, Syafinaz Mohd Sallehuddin, Suhaila Abd Ghafar, Khairul Hasnan Amali, Norazizah Ibrahim Wong, Ahmad Ali Zainuddin
Matrix Science Pharma.2023; 7(2): 52. CrossRef
Prevalence of and Factors Associated With Nutritional Supplement Use Among Older Chinese Adults: A Nationwide Cross-Sectional Study in China
Wanyue Dong, Zhonghe Sun, Ruhai Bai
Frontiers in Public Health.2022;[Epub] CrossRef
Vitamin, micronutrients and supplement prescribing patterns in a group of ambulatory colombian patients, 2016
Manuel Enrique Machado-Duque, Juan Daniel Ayala-Torres, Jorge Enrique Machado-Alba
Revista Médicas UIS.2020;[Epub] CrossRef
Impact of diet-derived signaling molecules on human cognition: exploring the food–brain axis
Raymond L. Rodriguez, John G. Albeck, Ameer Y. Taha, Kassandra M. Ori-McKenney, Gregg H. Recanzone, Tyler W. Stradleigh, Bronte C. Hernandez, Feng-Yao Vincent Tang, En-Pei Isabel Chiang, Lillian Cruz-Orengo
npj Science of Food.2017;[Epub] CrossRef
Impact of Frequency of Multi-Vitamin/Multi-Mineral Supplement Intake on Nutritional Adequacy and Nutrient Deficiencies in U.S. Adults
Jeffrey Blumberg, Balz Frei, Victor Fulgoni, Connie Weaver, Steven Zeisel
Nutrients.2017; 9(8): 849. CrossRef
AVALIAÇÃO DA ROTULAGEM DE SUPLEMENTOS VITAMÍNICOS E/OU MINERAIS
Andressa Barros Ibiapina, Monalisa de Alencar Lucena, Camila dos Reis Oliveira, Lucas Vaz de Castro Oliveira, Alessandra Braga Ribeiro
Infarma - Ciências Farmacêuticas.2017; 29(1): 21. CrossRef

5,095 View
38 Download
4 Web of Science
7 Crossref

Case Reports

Pyogenic Liver Abscess Following Acupuncture and Moxibustion Treatment: Eun Jung Choi, Sangyeoup Lee, Dong Wook Jeong, Young Hye Cho, Su Jin Lee, Jeong Gyu Lee, Yun Jin Kim, Yu Hyun Yi, Ji Yong Lim; Korean J Fam Med 2013;34(5):364-368. Published online September 26, 2013; DOI: https://doi.org/10.4082/kjfm.2013.34.5.364

Abstract
PDF

Acupuncture treatment is generally regarded as a relatively safe procedure. However, most procedures have some complications and acupuncture treatment is no exception. Reported complications of acupuncture treatment were mostly mild or temporary symptoms, but certain severe adverse effects were also observed. We report here for the first time a case of liver abscess following acupuncture and moxibustion treatment.

Citations

Citations to this article as recorded by

Giant liver abscess with Streptococcus intermedius bacteremia treated without any drainage
Yo Ishihara, Sayaka Kaneshiro, Yasukazu Ikehara
IDCases.2023; 31: e01662. CrossRef
Publication status and reporting quality of case reports on acupuncture-related adverse events: A systematic reviews of case studies
Tae-Hun Kim, Myeong Soo Lee, Stephen Birch, Terje Alræk, Arne Johan Norheim, Jung Won Kang
Heliyon.2023; 9(10): e20577. CrossRef
A Case of Multiple Abscesses with Methicillin-resistant Staphylococcus Aureus Bacteremia following Acupuncture
Yoshiyuki SHIROUZU, Shozo FUJIWARA, Katsuhiro ANAMI, Fumihiko FUJITA, Yoshito AKAGI
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2021; 82(2): 478. CrossRef
Liver Abscess due to Streptococcus constellatus in an Immunocompetent Adult: A Less Known Entity
Srujana Mohanty, Manas Kumar Panigrahi, Jyotirmayee Turuk, Sagarika Dhal
Journal of the National Medical Association.2018; 110(6): 591. CrossRef
Literature Review on Adverse Events (2012-2015) associated with Acupuncture and Moxibustion
Nobutatsu FURUSE, Akihito UEHARA, Masaaki SUGAWARA, Toshiya YAMAZAKI, Hisashi SHINBARA, Hitoshi YAMASHITA
Zen Nihon Shinkyu Gakkai zasshi (Journal of the Japan Society of Acupuncture and Moxibustion).2017; 67(1): 29. CrossRef
The Reporting Quality of Acupuncture-Related Infections in Korean Literature: A Systematic Review of Case Studies
Tae-Hun Kim, Jung Won Kang, Wan-Soo Park
Evidence-Based Complementary and Alternative Medicine.2015; 2015: 1. CrossRef
Safety of Moxibustion: A Systematic Review of Case Reports
Ji Xu, Hongyong Deng, Xueyong Shen, Cheng Ke
Evidence-Based Complementary and Alternative Medicine.2014;[Epub] CrossRef

4,353 View
33 Download
7 Crossref

A Case of Scrub Typhus Complicated by Acute Calculous Cholecystitis: Su Jin Lee, Young Hye Cho, Sang Yeoup Lee, Dong Wook Jeong, Eun Jung Choi, Yun Jin Kim, Jeong Gyu Lee, Yu Hyun Lee; Korean J Fam Med 2012;33(4):243-246. Published online July 25, 2012; DOI: https://doi.org/10.4082/kjfm.2012.33.4.243

Abstract
PDF

We report a case of acute calculous cholecystitis through scrub typhus. A 69-year-old woman presented with a history of general myalgia, fever, and right abdominal pain. She referred to our hospital for surgical treatment of clinically suspected acute cholecystitis. Physicians concluded the cause of cholecystitis as gall bladder (GB) stone and proper antibiotics treatment of scrub typhus was started later. The patient developed acute respiratory distress syndrome and multi organ failure through scrub typhus. Five days after admission, the patient was treated with proper antibiotics and discharged on the 13th day after starting doxycycline treatment without any sequelae. In areas endemic for tsutsugamushi disease, even though a patient with GB stone presents with symptoms of acute cholecystitis, careful history and physical examination are required to reveal the existence of eschars or skin eruptions.

Citations

Citations to this article as recorded by

Acalculous Cholecystitis in a Young Adult with Scrub Typhus: A Case Report and Epidemiology of Scrub Typhus in the Maldives
Hisham Ahmed Imad, Aishath Azna Ali, Mariyam Nahuza, Rajan Gurung, Abdulla Ubaid, Aishath Maeesha, Sariu Ali Didi, Rajib Kumar Dey, Abdullah Isneen Hilmy, Aishath Hareera, Ibrahim Afzal, Wasin Matsee, Wang Nguitragool, Emi. E. Nakayama, Tatsuo Shioda
Tropical Medicine and Infectious Disease.2021; 6(4): 208. CrossRef
Acute Cholangitis Caused by Boryong Strain of Orientia tsutsugamushi
Keun Hwa Lee, Sang Taek Heo, Seung Uk Jeong, Mi-yeon Kim, Woo Seong Jeong, Chang Lim Hyun, Young-Kyu Kim, Jeong Rae Yoo
Infection & Chemotherapy.2020; 52(4): 621. CrossRef
Acute Severe Calculous Cholecystitis with Multiorgan Failure Complicated by Scrub Typhus
Suman Acharya, Jayant Kumar Yadav, Nischal Khanal, Raju Bhandari, Bikal Ghimire
Case Reports in Surgery.2019; 2019: 1. CrossRef
Clinical manifestations of scrub typhus
Senaka Rajapakse, Praveen Weeratunga, Sriharan Sivayoganathan, Sumadhya Deepika Fernando
Transactions of The Royal Society of Tropical Medicine and Hygiene.2017; 111(2): 43. CrossRef
Acute Cholecystitis in Patients with Scrub Typhus
Hyun Lee, Misuk Ji, Jeong-Hwan Hwang, Ja-Yeon Lee, Ju-Hyung Lee, Kyung Min Chung, Chang-Seop Lee
Journal of Korean Medical Science.2015; 30(11): 1698. CrossRef
Outcome of Intravenous Azithromycin Therapy in Patients with Complicated Scrub Typhus Compared with That of Doxycycline Therapy Using Propensity-Matched Analysis
Mi-Ok Jang, Hee-Chang Jang, Uh Jin Kim, Joon Hwan Ahn, Seung-Ji Kang, Sook-In Jung, Hee-Young Shin, Kyung-Hwa Park
Antimicrobial Agents and Chemotherapy.2014; 58(3): 1488. CrossRef

3,828 View
24 Download
6 Crossref

Brief Communications

Changes in Skin Color after Smoking Cessation: Young Hye Cho, Dong Wook Jeong, Sang Hee Seo, Sang Yeoup Lee, Eun Jung Choi, Yun Jin Kim, Jeong Gyu Lee, Yu-Hyun Lee, Mi Jin Bae, Hyun Woo Chin; Korean J Fam Med 2012;33(2):105-109. Published online March 30, 2012; DOI: https://doi.org/10.4082/kjfm.2012.33.2.105

Abstract
PDF

This study was performed to assess changes in skin color over 1 month after smoking cessation. The study population consisted of 49 men who participated in a smoking cessation program from March 2010 to June 2010 at a public health centre in Yangsan, South Korea. Thirty-four men who stop smoking completely were included in our study. Instrumental evaluations of skin color were performed using Mexameter (MX 18; Courage and Khazaka Electronic GmbH) at the beginning of the study and at 1-week and 4-week follow-up visits. Skin color was evaluated by measurement of 2 main color bases-melanin and haemoglobin-with the results expressed as melanin index (MI) and erythema index (EI). Both MI and EI were significantly reduced at the 4-week follow-up visit on all 7 sites measured. We anticipate that desirable effects on skin color after smoking cessation will play a positive role in maintaining smoking abstinence in routine clinical practice.

Citations

Citations to this article as recorded by

Melanin levels in relation to vitamin D among first-generation immigrants from different ethnic groups and origins: A comparative national Canadian cross-sectional study
Said Yousef, Manny Papadimitropoulos, MoezAlIslam Faris, Hayder Hasan, Alomgir Hossain, Ian Colman, Douglas Manuel, George A. Wells
Frontiers in Medicine.2023;[Epub] CrossRef
Promoting New Approach Methodologies (NAMs) for research on skin color changes in response to environmental stress factors: tobacco and air pollution
Katherine Virginia Bouchard, Gertrude-Emilia Costin
Frontiers in Toxicology.2023;[Epub] CrossRef
Engaging with still-smokers

Dental Nursing.2022; 18(3): 134. CrossRef
The relationship between Korean university students’ suicidal ideation and risk factors: a meta-analysis
Hyerim Han, Jimin Lee
International Journal of Adolescence and Youth.2021; 26(1): 405. CrossRef
The systemic influence of chronic smoking on skin structure and mechanical function
Abigail K Langton, Evridiki Tsoureli‐Nikita, Holly Merrick, Xuegen Zhao, Christina Antoniou, Alexander Stratigos, Riaz Akhtar, Brian Derby, Michael J Sherratt, Rachel EB Watson, Christopher EM Griffiths
The Journal of Pathology.2020; 251(4): 420. CrossRef
Clinicopathological features of melanotic and non-melanotic oncocytic lesions of the nasopharynx
Joshua J.X. Li, Joanna K.M. Ng, Amy B.W. Chan
Pathology.2019; 51(6): 600. CrossRef
The influence of shape and colour cue classes on facial health perception
Alex L. Jones
Evolution and Human Behavior.2018; 39(1): 19. CrossRef
Constitutive melanin density is associated with higher 25-hydroxyvitamin D and potentially total body BMD in older Caucasian adults via increased sun tolerance and exposure
M.J.W. Thompson, G. Jones, D.A. Aitken
Osteoporosis International.2018; 29(8): 1887. CrossRef
Linking Vitamin D Deficiency to Inflammatory Bowel Disease
Matthew T. Palmer, Casey T. Weaver
Inflammatory Bowel Diseases.2013; 19(10): 2245. CrossRef

8,385 View
37 Download
9 Crossref

The Impact of Bladder Distension on Blood Pressure in Middle Aged Women: Eun Jung Choi, Dong Wook Jeong, Jeong Gyu Lee, Sangyeoup Lee, Yun Jin Kim, Yu Hyone Yi, Young Hye Cho, Sun Ju Im, Mi Jin Bae; Korean J Fam Med 2011;32(5):306-310. Published online July 28, 2011; DOI: https://doi.org/10.4082/kjfm.2011.32.5.306

Abstract
PDF

Background

The purpose of the present study was to investigate the relation between the extent of bladder distention and the rise of blood pressure in middle aged women.

Methods

In a cross-sectional, descriptive observational study, we obtained data from 172 middle aged women at a health promotion center of Pusan National University Hospital. We measured duration of urine-holding as the degree of the extension of bladder distention. Blood pressure was measured twice while holding urine and immediately after urination. Urine holding with full bladder was confirmed by abdominal ultrasound.

Results

Difference in systolic blood pressure was 4.2 ± 10.7 (P < 0.001), and that in diastolic blood pressure was 2.8 ± 7.7 mm Hg (P < 0.001) between holding urine and immediately after urination. There was no significant correlation between the urine-holding duration and differences in systolic and diastolic blood pressure.

Conclusion

Our findings suggest that systolic and diastolic blood pressure is increased by urine-holding at least 3 hours after the last urination in middle aged women. Thus in practice, blood pressure should be measured after the bladder is emptied.

Citations

Citations to this article as recorded by

Blood pressure can be seriously elevated during botulinum toxin A detrusor injection
Heinrich Schulte-Baukloh, Catarina Weiss, Burkert Pieske, Thorsten Schlomm, Bernhard Ralla, Hendrik Borgmann, Dirk Höppner, Sarah Weinberger
World Journal of Urology.2025;[Epub] CrossRef
How should we assess the cardiovascular system in patients presenting with bothersome nocturia? ICI‐RS 2023
Irina Verbakel, Jason Lazar, Sanjay Sinha, Hashim Hashim, Jeffrey P. Weiss, Paul Abrams, Karel Everaert
Neurourology and Urodynamics.2024; 43(6): 1391. CrossRef
Obesity and hypertension: Obesity medicine association (OMA) clinical practice statement (CPS) 2023
Tiffany Lowe Clayton, Angela Fitch, Harold Edward Bays
Obesity Pillars.2023; 8: 100083. CrossRef
Knowledge of Home Blood Pressure Monitoring among Medical Students in Malaysia
Siew Mooi Ching, Man Jun Soo, Shen Horng Chong, Navin Kumar Devaraj, Jun Ying Ng, Yong Jian Leong, Kai Wei Lee, Mansi Patil, Hooi Min Lim, Hooi Chin Beh, Subapriya Suppiah, Abdul Hanif Khan Yusof Khan
Malaysian Journal of Medicine and Health Sciences.2023; 19(s17): 41. CrossRef
Important blood pressure changes in clinical practice: narrative literature review
Maria Cristina PEDRAZINI, Luciane Francischini Gottschall ODONE, Mônica Feresini GROPPO, Francisco Carlos GROPPO
RGO - Revista Gaúcha de Odontologia.2022;[Epub] CrossRef
Sources of automatic office blood pressure measurement error: a systematic review
Jian Liu, Yumin Li, Jianqing Li, Dingchang Zheng, Chengyu Liu
Physiological Measurement.2022; 43(9): 09TR02. CrossRef
Nutritive and Phytochemical Composition of Aromatic Microgreen Herbs and Spices Belonging to the Apiaceae Family
Maria Giordano, Spyridon A. Petropoulos, Marios C. Kyriacou, Giulia Graziani, Armando Zarrelli, Youssef Rouphael, Christophe El-Nakhel
Plants.2022; 11(22): 3057. CrossRef
How Should We Measure and Deal with Office Blood Pressure in 2021?
Annina S. Vischer, Thilo Burkard
Diagnostics.2021; 11(2): 235. CrossRef
Measuring blood pressure and monitoring patterns
Sally Thompson
Journal of Paramedic Practice.2018; 10(8): 351. CrossRef
Sources of inaccuracy in the measurement of adult patients’ resting blood pressure in clinical settings
Noa Kallioinen, Andrew Hill, Mark S. Horswill, Helen E. Ward, Marcus O. Watson
Journal of Hypertension.2017; 35(3): 421. CrossRef

5,550 View
36 Download
10 Crossref

Original Articles

Usefulness of Sagittal Abdominal Diameter for Evaluation of Metabolic Syndrome and Insulin Resistance.: Yu Hyeon Yi, Dong Wook Jung, Jeong Gyu Lee, Yun Jin Kim, Sang Yeoup Lee, Yeong Joo Kim, Han Chul Son, Ha Lin Lee, Young Hye Cho; Korean J Fam Med 2011;32(1):46-55. Published online January 20, 2011; DOI: https://doi.org/10.4082/kjfm.2011.32.1.46

Abstract
PDF

Background
We studied the association of sagittal abdominal diameter (SAD) and metabolic syndrome and insulin resistance in Korean adults.Methods: This is a cross-sectional study by 190 patients who visited a Health Promotion Center of National University of Pusan from 11 November to 14 November, 2008. We analyzed the association of anthropometry (waist circumference, BMI, SAD), insulin resistance (homeostatic model assessment-insulin resistance, HOMA-IR), insulin sensitivity (quantitative insulin sensitivity check index, QUICKI), and plasma concentrations of glucose, insulin, total cholesterol, LDL, HDL, triglyceride. SAD was categorized into quartiles and assessed odds ratio of metabolic syndrome adjusted for age, sex, lifestyle factors.Results: SAD showed significance correlation to HOMA-IR than BMI. Quartiles of SAD showed a positive trend with metabolic risk factors including abdominal obesity, high blood pressure, HOMA-IR and obesity but hypertriglyceridemia, low HDL-cholesterolemia did not show signifi cant association. In men QUICKI was signifi cantly high. A multivariate model, adjusted for age, sex, smoking status, physical activity, heavy drinking, HOMA-IR and QUICKI, revealed a progressively increased odds ratio of metabolic syndrome, 3rd quartile (odds ratio [OR]; 9.467; 95% confi dence interval [CI], 3.225 to 27.789; P < 0.001) and 4th quartile (OR, 7.253; 95% CI, 2.437 to 21.586; P < 0.001), with increasing SAD.Conclusion: As shown above, SAD was a strong anthropometric marker of insulin resistance, risk of metabolic syndrome and decreased insulin sensitivity in Korean adults.

Citations

Citations to this article as recorded by

Comparison of health-related habits and metabolic syndrome risk factors according to obesity type in Korean postmenopausal women
Han-Gyo Choi, Hye-Jin Kim
Menopause.2020; 27(9): 1022. CrossRef
Biomarkers and their relative contributions to identifying coronary artery stenosis based on coronary computed tomography angiography in asymptomatic adults
A. Ra Cho, Sang Yeoup Lee
Clinica Chimica Acta.2019; 499: 128. CrossRef
The Differences of Metabolic Syndrome Risk Factors according to Obesity and Abdominal Obesity in Elderly Korean Women
Kyung-A Shin
The Korean Journal of Clinical Laboratory Science.2016; 48(4): 304. CrossRef
The Correlation between the Triglyceride to High Density Lipoprotein Cholesterol Ratio and Computed Tomography-Measured Visceral Fat and Cardiovascular Disease Risk Factors in Local Adult Male Subjects
Hye-Rin Park, Sae-Ron Shin, A Lum Han, Yong Joon Jeong
Korean Journal of Family Medicine.2015; 36(6): 335. CrossRef
Association between Metabolic Components and Subclinical Atherosclerosis in Korean Adults
In Cheol Hwang, Sang-Yeon Suh, Ah-Ram Seo, Hong Yup Ahn, Eunji Yim
Korean Journal of Family Medicine.2012; 33(4): 229. CrossRef

3,317 View
16 Download
5 Crossref

The Relationship between Self-Efficacy and Body Weight Reduction after Educational Program for Health Care.: Seung Jun Lee, Yun Jin Kim, Sangyeoup Lee, Jeong Gyu Lee, Young Joo Kim; Korean J Fam Med 2010;31(4):294-301. Published online April 20, 2010; DOI: https://doi.org/10.4082/kjfm.2010.31.4.294

Abstract
PDF

Background
Obesity is one of the health problems with high risk of metabolic and physiologic morbidity worldwide. Obesity increases cardiovascular disease risk and death as well as psychological and emotional health problems. Self-efficacy and physical self-efficacy are important evaluation tools for successful diet and exercise in obesity diet practice and it is directly associated with health behaviors. This study conducted to evaluate the effect of weight loss on self-efficacy and life quality.Methods: The 39 adults who joined in weight control program in one public health center were recruited into this study. Quality of life, depression scale, anxiety scale, self-efficacy and physical self-efficacy were examined. Also physical performance ability and weight and lipid profile were examined. Statistical analysis obtained by SPSS.Results: Quality of life and anxiety scale were significantly diminished in obese subjects than non-obese subjects. Quality of life was increased after weight control program in obese subjects. Physical self-efficacy was improved in weight reduction group with much more than 5% of initial weight.Conclusion: Weight reduction has positive impact on psychological aspects in obese subjects. Therefore, we should be more concerned about psychological and functional aspect of obese individuals during weight control treatment.

Citations

Citations to this article as recorded by

The Effect of Pre-operative Information through Audiovisual Media on Self-Care Knowledge, Self-Efficacy, and State Anxiety of Patients before Bariatric Surgery
Ho Im Lee, Jung Suk Park
Korean Journal of Adult Nursing.2020; 32(4): 421. CrossRef

2,791 View
35 Download
1 Crossref

The Role of C-reactive Protein as a Inflammation-related Factor in Metabolic Syndrome.: Jeon Su Park, Yun Jin Kim, Jeong Gyu Lee, Young Joo Kim, Sangyeoup Lee, Hong Gi Min, Byung Mann Cho; Korean J Fam Med 2009;30(6):449-456. Published online June 20, 2009; DOI: https://doi.org/10.4082/kjfm.2009.30.6.449

Abstract
PDF

Background
The metabolic syndrome has been known as the cluster of insulin resistance, dyslipidemia, hypertension, and abdominal obesity. There have been many studies about the infl ammatory role in atherosclerosis and cardiovascular diseases, also. We aimed to elucidate the role of high sensitivity C-reactive protein (hs-CRP) as a infl ammation-related factor in metabolic syndrome in Korean adults by correlation and factor analysis. Methods: A cross sectional study was carried out in 1,512 men and 1,836 women (over 20 years old) who had an examination at a center for health promotion of an university hospital from May 2004 through March 2005. The NCEP-ATP III definition and Asian-Pacific adjusted criteria were used to obtain the metabolic syndrome group. And we evaluated the role and gender difference of hs-CRP in metabolic syndrome by correlation and factor analysis.Results: In women, hs-CRP was statistically correlated with most metabolic variables, especially insulin resistance. In factor analysis, 3 factors (obesity, blood pressure, and insulin resistance) were obtained in men and 4 factors (obesity, blood pressure, insulin resistance, and dyslipidemia) in women, respectively. In women, hs-CRP was a part of dyslipidemia factor.Conclusion: In factor anaylsis of metabolic syndrome factors with hs-CRP, hs-CRP was not a signifi cant factor in men, but was included as a part of dyslipidemia factor in women.

Citations

Citations to this article as recorded by

The Relationship between Metabolic Syndrome Risk Factors and High Sensitive C-reactive Protein in Abdominal Obesity Elderly Women
Kyung-A Shin
The Korean Journal of Clinical Laboratory Science.2017; 49(2): 121. CrossRef
Clinical Outcomes after Modified Fasting Therapy Supplied with Gamrosu: A Retrospective Observational Study
Seung-Uoo Shin, Dong-Hwan Kim, Hyun-Taeg Shin, Dal-Seok Oh
Journal of Korean Medicine for Obesity Research.2016; 16(1): 36. CrossRef

2,122 View
25 Download
2 Crossref

Health Behavior and Metabolic Syndrome.: Jeong Dae Oh, Sangyeoup Lee, Jeong Gyu Lee, Young Joo Kim, Yun Jin Kim, Byung Mann Cho; Korean J Fam Med 2009;30(2):120-128. Published online February 10, 2009; DOI: https://doi.org/10.4082/kjfm.2009.30.2.120

Abstract
PDF

Background
Life style has been shown to improve risk factor comprising the metabolic syndrome. Metabolic syndrome is prime candidate for lifestyle modification utilizing the tools of exercise, nutritional therapy so on. Therefore, we examined the prevalence of metabolic syndrome according to health behaviors. Methods: The 1,240 adults were recruited into this cross-sectional study. Subjects examined body mass index, waist circumference, blood pressure, lipid profile. Medical history was reviewed and daily calorie intake examined by food frequency questionnaire. Six healthy behavior-sleeping hours, smoking, drinking, exercise, calorie intake and boey weight of subjects were examined. Each heathy behaviors were categorized as a three groups. Metabolic syndrome were diagnosed by ATP III criteria. Results: The study subjects were consisted of 57.1% men and 42.9% women. The prevalence of metabolic syndrome was 14.3%. The prevalence of metabolic syndrome was lower in group with good healthy behaviors. Subjects with more good healthy behaviors had lower prevalence of metabolic syndrome than with less good healthy behaviors(0, 50.0%; 1, 41.0%; 2, 30.6%; 3, 13.8%; 4, 8.5%; 5, 5.3%; and 6, 4.3%). Relative to subjects with high good health behavior score, those with low good health behavior score were at significantly increased risk of metabolic syndrome (odds ratio=4.25, 95% CI 2.97-6.08). Conclusion: Subjects with greater good healthy behaviors had a substantially lower risk of being diagnosed with the metabolic syndrome compared those with lower good healthy behaviors. This finding suggests that lifestyle modification may be appropriate as a first-line intervention to metabolic syndrome.

Citations

Citations to this article as recorded by

Metabolic Syndrome Prevalence Change Before and After the COVID-19 Epidemic: Using Data from the National Health and Nutrition Examination Survey 2018-2021
Jung-Hwa Kim, Kyung-Hee Kim, Gyu Bin Park, Won Kee Lee
Journal of Health Informatics and Statistics.2024; 49(4): 315. CrossRef
Health Behavior Profiles Among Midlife Women: Identifying At-Risk Subgroups for Metabolic Syndrome Using Latent Class Analysis
Se Hee Min, Sharron L Docherty, Eun-Ok Im, Qing Yang
Annals of Behavioral Medicine.2022; 56(9): 946. CrossRef
Does Metabolic Syndrome Affect the Incidence and Prognosis of Sudden Sensorineural Hearing Loss?
Joong Su Park, Seung Ho Kim, Ikhee Kim, Hantai Kim, Ji Hyun Kim, Jong Bin Lee
Life.2022; 12(7): 930. CrossRef
Fruit Intake to Prevent and Control Hypertension and Diabetes
Hyun Ah Park
Korean Journal of Family Medicine.2021; 42(1): 9. CrossRef
Difference in health status of Korean farmers according to gender
Ho Lee, Seong-yong Cho, Jin-seok Kim, Seong-yong Yoon, Bu-il Kim, Jong-min An, Ki-beom Kim
Annals of Occupational and Environmental Medicine.2019;[Epub] CrossRef
Analysis of the association between health-related and work-related factors among workers and metabolic syndrome using data from the Korean National Health and Nutrition Examination Survey (2016)
Kyoung Yun Kim, Jung-Mi Yun
Nutrition Research and Practice.2019; 13(5): 444. CrossRef
Infuence of Metabolic Syndrome on Hearing Outcome in Sudden Sensorineural Hearing Loss
Jong Joong Choi, Myeong Hee Kim, Jong Won Lee, Do Young Jung, Jong Bin Lee
Korean Journal of Otorhinolaryngology-Head and Neck Surgery.2018; 61(10): 514. CrossRef
Field Application and Evaluation of Health Status Assessment Tool based on Dietary Patterns for Middle-Aged Women
Hye-Jin Lee, Kyung-Hea Lee
Korean Journal of Community Nutrition.2018; 23(4): 277. CrossRef
Effectiveness of lifestyle interventions to prevent diabetes and cardiovascular diseases in a health promoting hospital
Hyekyeong Kim, Eunhee Nah
Korean Journal of Health Education and Promotion.2015; 32(4): 37. CrossRef
Relationship between Physical Activity Level, Amount of Alcohol Consumption and Metabolic Syndrome in Korean Male Drinkers
Byung-Sung Kim, Myeong-Jin Kim, Hyun-Rim Choi, Cahng-Won Won, Sun-Young Kim
The Korean Journal of Sports Medicine.2014; 32(2): 97. CrossRef
An Investigation on the Metabolic Syndromes and Health-Related Risk Factors among Male Workers
Sun-Young Choi, Na-Eun Kang, Sung-Hee Kim
The Korean Journal of Food And Nutrition.2013; 26(4): 975. CrossRef
Relation of Health Promotion Behaviors and Metabolic Syndrome in Daytime Workers
Dae-Sik Ko, Bu-Yeon Park, Gyeong-Hyu Seok
The Journal of the Korea institute of electronic communication sciences.2013; 8(12): 1941. CrossRef
The Association between Helicobacter Pylori Infection and Metabolic Syndrome in Korean Men and Women
Tae-Heum Chung, Moon-Chan Kim, Chung-Hun Choi, Chang-Sup Kim
Korean Journal of Family Medicine.2010; 31(2): 124. CrossRef
High Risk Groups in Health Behavior Defined by Clustering of Smoking, Alcohol, and Exercise Habits: National Heath and Nutrition Examination Survey
Kiwon Kang, Joohon Sung, Chang-yup Kim
Journal of Preventive Medicine and Public Health.2010; 43(1): 73. CrossRef
Lifestyle and Metabolic Syndrome among Male Workers in an Electronics Research and Development Company
Jun Pyo Myong, Hyoung Ryoul Kim, Yong Kyu Kim, Jung-Wan Koo, Chung Yill Park
Journal of Preventive Medicine and Public Health.2009; 42(5): 331. CrossRef

2,464 View
41 Download
15 Crossref

Relations of Serum gamma-glutamyltransferase Levels to Incidence of the Metabolic Syndrome.: Shin Woong Oh, Jeong Gyu Lee, Min Seok Kim, Dong Wook Jung, Young Joo Kim, Sangyeoup Lee, Yun Jin Kim; J Korean Acad Fam Med 2008;29(11):838-843. Published online November 10, 2008

Abstract
PDF

Background: The metabolic syndrome is a cluster of risk factors for cardiovascular diseases. Recently, serum gamma-glutamyltransferase (GGT) has been suggested as a predictor for development of the metabolic syndrome. Therefore, we investigated the association between serum GGT levels and the incidence of the metabolic syndrome in the Korean healthy adults with normal serum GGT with a 3 year follow-up. Methods: The study subjects consisted of 741 individuals who visited the Center for Health Promotion in Pusan National University Hospital for a medical checkup in 2002 to 2005. Among 741 subjects, 312 were excluded: 71 were positive for HBsAg, 17 were positive for Anti-HCV Ab, 40 showed GGT higher levels than limit of reference range, and 224 had metabolic syndrome. The final subjects were 429 individuals. We measured serum GGT levels, lipid profiles, fasting glucose, blood pressure and their metabolic components. Results: As the quartile of serum GGT increased, 3 year follow-up incidence of the metabolic syndrome was increased. Logistic regression analysis adjusting for sex, age, and alcohol drinking status showed that the odds ratio (95% confidence Interval, P-value) of each GGT quartile was 2.28 (0.58∼9.01, P=0.240), 1.53 (0.36∼6.66, P=0.564), 4.56 (1.08∼19.32, P=0.040), respectively. Conclusion: These results showed that the serum GGT was closely related to the metabolic syndrome. In Korean adults without the metabolic syndrome, the serum GGT levels within normal limit were associated with an increased risk of incident, metabolic syndrome. (J Korean Acad Fam Med 2008;29:838-843)