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"Tae-Heum Chung"

Original Article

Effect of Weight Changes on the Development of Erosive Esophagitis
Tae-Heum Chung, Jiho Lee, In-Du Jeong, Kun-Chul Lee
Korean J Fam Med 2020;41(1):14-19.   Published online January 9, 2020
DOI: https://doi.org/10.4082/kjfm.19.0003
Background
Gastroesophageal reflux disease is highly prevalent among overweight and obese individuals. This study aimed to investigate the effect of weight change on the development of erosive esophagitis (EE).
Methods
A retrospective review of medical records from a university hospital in South Korea identified 7,123 subjects who underwent routine health checkups in 2012 and 2014. We excluded participants with EE in 2012. Body mass index (BMI) changes were classified as loss, stable, mild gain, or moderate gain.
Results
Mild and moderate weight gain increased the odds of EE development (odds ratio [OR], 1.39; 95% confidence interval [CI], 1.06–1.84 and OR, 2.80; 95% CI, 1.87–4.21, respectively) relative to weight stability. Weight loss decreased the odds of EE development (OR, 0.58; 95% CI, 0.38–0.90) relative to weight stability. After stratifying subjects into three groups by baseline BMI, those with mild and moderate weight gain in the obese group and moderate gain in the overweight group showed increased odds of EE development relative to members of those groups whose weights remained stable (OR, 2.08; 95% CI, 1.29–3.36; OR, 3.92; 95% CI, 1.99–7.73 in obese group, and OR, 3.30; 95% CI, 1.64–6.64 in overweight group, respectively). In comparison, weight loss in the normal weight group decreased the odds of EE development relative to weight stability (OR, 0.38; 95% CI, 0.15–0.97).
Conclusion
Weight gain was positively associated with EE development in overweight or obese individuals. Weight loss was negatively associated with EE development in normal-weight individuals.

Citations

Citations to this article as recorded by  
  • Features of lipid metabolism in patients with erosive esophagitis during the period of martial law
    L.M. Mosiychuk, I.A. Klenina, O.P. Petishko
    GASTROENTEROLOGY.2025; 59(1): 8.     CrossRef
  • Nomogram for predicting reflux esophagitis with routine metabolic parameters: a retrospective study
    Tao He, Xiaoyu Sun, Zhijun Duan
    Archives of Medical Science.2024; 20(4): 1089.     CrossRef
  • Risk factors and 26-years worldwide prevalence of endoscopic erosive esophagitis from 1997 to 2022: a meta-analysis
    Andro Pramana Witarto, Bendix Samarta Witarto, Shidi Laras Pramudito, Lintang Cahyaning Ratri, Nabilah Azzah Putri Wairooy, Tiffany Konstantin, Achmad Januar Er Putra, Citrawati Dyah Kencono Wungu, Annisa Zahra Mufida, Arief Gusnanto
    Scientific Reports.2023;[Epub]     CrossRef
  • Increased risk of reflux esophagitis in non-obese individuals with nonalcoholic fatty liver disease: a cross-sectional study
    Peihong Qiu, Juan Du, Cheng Zhang, Mengting Li, Hongliang Li, Changxi Chen
    Annals of Medicine.2023;[Epub]     CrossRef
  • Abdominal obesity increases the risk of reflux esophagitis: a systematic review and meta-analysis
    Junyi Zhan, Mengqi Yuan, Yujie Zhao, Xin Zhang, Tianci Qiao, Tianshu Ji, Hui Gao, Zhiqun Cao, Dongli Wang, Nan Ding
    Scandinavian Journal of Gastroenterology.2022; 57(2): 131.     CrossRef
  • Current status of health promotion in Korea
    Soo Young Kim
    Journal of the Korean Medical Association.2022; 65(12): 776.     CrossRef
  • 5,938 View
  • 148 Download
  • 5 Web of Science
  • 6 Crossref

Review Article

Korean Alcohol Guidelines for Moderate Drinking Based on Facial Flushing
Sami Lee, Jong-Sung Kim, Jin-Gyu Jung, Mi-Kyeong Oh, Tae-Heum Chung, Jihan Kim
Korean J Fam Med 2019;40(4):204-211.   Published online July 15, 2019
DOI: https://doi.org/10.4082/kjfm.19.0059
This study investigated advantages and potential risks associated with drinking alcohol in Koreans based on the alcohol flush reaction. Our investigation reviewed published studies and examined moderate-drinking levels for Koreans based on modified National Institute on Alcohol Abuse and Alcoholism guidelines. Fourteen articles out of a total 198 publications were searched using PubMed, EMBASE, KoreaMed, and RISS (Research Information Sharing Service) databases and selected for review. Individuals without alcohol flush reaction (non-flushers) exhibited lower risks associated with insulin resistance, metabolic syndrome, and hyperhomocysteinemia and their 10-year cardiovascular disease risk when alcohol consumption was ≤8 drinks/wk. Conversely, risks associated with insulin resistance, metabolic syndrome, high blood pressure, prediabetes or type-2 diabetes, and high intraocular pressure and increases in carbohydrate-deficient transferrin, gamma glutamyl transferase, and blood glucose levels were present when >8 drinks were consumed. For individuals with flushing reaction (flushers), advantages were reported in relation to risks of hyperhomocysteinemia when alcohol consumption was ≤4 drinks/wk, whereas consumption of >4 drinks/wk increased the risk of insulin resistance, metabolic syndrome, high blood pressure, pre-diabetes or type-2 diabetes, high-risk colorectal adenoma, and high intraocular pressure and increased carbohydrate-deficient transferrin, gamma glutamyl transferase, and blood glucose levels. The moderate drinking level for Koreans is ≤8 drinks/wk for men aged ≤65 years and ≤4 drinks/wk for men aged over 65. For women, these limits should be half of those for men. Furthermore, individuals with flushing reaction should maintain an alcohol consumption level half of that for non-flushers.

Citations

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  • The impact of alcohol consumption on hearing loss in male workers with a focus on alcohol flushing reaction: the Kangbuk Samsung Cohort Study
    Jaehong Lee, Youshik Jeong, Jihoon Kim, Seonghyeon Kwon, Eunhye Seo, Jinsook Jeong, Woncheol Lee
    Annals of Occupational and Environmental Medicine.2024;[Epub]     CrossRef
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    Seung Yeon Cho, Jiwon Jeong, Sangah Shin
    Alcohol.2024; 121: 133.     CrossRef
  • Guidelines for an alcohol clinic in primary healthcare clinics
    Jin-Gyu Jung, Jong-Sung Kim, Seok-Joon Yoon, Jang-Hee Hong, Jung Sunwoo
    Journal of the Korean Medical Association.2024; 67(4): 256.     CrossRef
  • Trends in alcohol use and alcoholic liver disease in South Korea: a nationwide cohort study
    Jeong-Ju Yoo, Dong Hyeon Lee, Young Chang, Hoongil Jo, Young Youn Cho, Sangheun Lee, Log Young Kim, Jae Young Jang
    BMC Public Health.2024;[Epub]     CrossRef
  • Impacts of smoking on alcoholic liver disease: a nationwide cohort study
    Jeong-Ju Yoo, Dong Hyeon Lee, Sang Gyune Kim, Jae Young Jang, Young Seok Kim, Log Young Kim
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Clinical characteristics of seizure recurrence and epilepsy development in patients with alcohol‐related seizures
    Min Young Chun, Hyungmi An, Hye Ah Lee, Sungeun Hwang, Seungwon Chung, Na‐Young Kim, Hyang Woon Lee
    Alcohol, Clinical and Experimental Research.2024; 48(11): 2113.     CrossRef
  • Mind The Gap: Differences in Alcohol Use Screening And Discussions Among Adults Comparing Asian American And Other Racial And Ethnic Subgroups in the United States, 2015–2019
    Pia M Mauro, Jeremy C Kane, Melanie S Askari, Derek Iwamoto, Silvia S Martins
    Alcohol and Alcoholism.2023; 58(1): 31.     CrossRef
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    Jae-wook Chung, So-Ryoung Lee, Eue-Keun Choi, Sang-Hyeon Park, HuiJin Lee, JungMin Choi, Minju Han, Hyo-Jeong Ahn, Soonil Kwon, SeungWoo Lee, Kyungdo Han, Sunhwa Kim, Seil Oh, Gregory Y. H. Lip
    Neurology.2023;[Epub]     CrossRef
  • Current Status of Korean Alcohol Drinking in Accordance with the Korean Alcohol Guidelines for Moderate Drinking Based on Facial Flushing
    Sami Lee, Jihan Kim, Jong Sung Kim
    Korean Journal of Family Medicine.2023; 44(3): 129.     CrossRef
  • Risk of loss to follow-up among tuberculosis patients in South Korea: whom should we focus on?
    Hyung Woo Kim, Jinsoo Min, Yousang Ko, Jee Youn Oh, Yun-Jeong Jeong, Eun Hye Lee, Bumhee Yang, Hyeon-Kyoung Koo, Sung-Soon Lee, Jae Seuk Park, Kwang Joo Park, Jung Hyun Chang, Joonsung Joh, Min Ki Lee, Ju Sang Kim
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Development of a tool to estimate sugar and caloric contents in alcoholic beverages for a diabetes self-management program in Thailand
    Thin Nyein Nyein Aung, Kanittha Thaikla, Nutchar Wiwatkunupakarn, Chanchanok Aramrat, Kanokporn Pinyopornpanish, Wichuda Jiraporncharoen, Orawan Quansri, Iliatha Papachristou Nadal, Sanjay Kinra, Chaisiri Angkurawaranon
    Heliyon.2023; 9(11): e21162.     CrossRef
  • Body mass index and prevalence of metabolic syndrome among Korean adults before and after the COVID-19 outbreak: a retrospective longitudinal study
    Joo-Eun Jeong, Hoon-Ki Park, Hwan-Sik Hwang, Kye-Yeung Park, Myoung-Hye Lee, Seon-Hi Shin, Nayeon Choi
    Epidemiology and Health.2023; 45: e2023081.     CrossRef
  • Anticipated Stigma and Self-Racialization: From Alcohol Flush Reaction to Panethnic Asian Glow
    Alexandra Hamada, Han Guel Jung, Karl Orozco, Greggor Mattson
    Deviant Behavior.2022; 43(8): 976.     CrossRef
  • Factors related to the success of smoking cessation: A retrospective cohort study in Korea
    Yoon Hee Eum, Ho Jun Kim, Seolah Bak, Sung-Ha Lee, Jinri Kim, Su Hyeon Park, Seo Eun Hwang, Bumjo Oh
    Tobacco Induced Diseases.2022; 20(February): 1.     CrossRef
  • c-Met and EPHA7 Receptor Tyrosine Kinases Are Related to Prognosis in Clear Cell Renal Cell Carcinoma: Focusing on the Association with Myoferlin Expression
    Minsun Jung, Seokhyeon Lee, Kyung Moon
    Cancers.2022; 14(4): 1095.     CrossRef
  • The Effect of Alcohol Drinking on Metabolic Syndrome and Obesity in Koreans: Big Data Analysis
    Eun Jung Park, Hye Jung Shin, Sung Soo Kim, Ki Eun Kim, Sun Hyun Kim, Youl Ri Kim, Kyong Mee Chung, Kyung Do Han
    International Journal of Environmental Research and Public Health.2022; 19(9): 4949.     CrossRef
  • Correlation between shift work and non-alcoholic fatty liver disease among male workers in the steel manufacturing company of Korea: a cross-sectional study
    Kiseok Kim, Yong-Jin Lee, Soon-Chan Kwon, Young-Sun Min, Hyun Kyo Lee, Gwangin Baek, Sang Hyeon Kim, Eun-Chul Jang
    Annals of Occupational and Environmental Medicine.2022;[Epub]     CrossRef
  • Relationship between Alcohol Consumption and Testosterone Deficiency according to Facial Flushes among Middle-Aged and Older Korean Men
    Kyungmi Koh, Sung Soo Kim, Jong-Sung Kim, Jin-Gyu Jung, Seok-Joon Yoon, Won Yoon Suh, Hyun Gu Kim, Namhee Kim
    Korean Journal of Family Medicine.2022; 43(6): 381.     CrossRef
  • Alcohol and Testosterone Deficiency in People Who Experience Facial Flushes
    Jungun Lee
    Korean Journal of Family Medicine.2022; 43(6): 345.     CrossRef
  • Association of the inflammatory balance of diet and lifestyle with colorectal cancer among Korean adults: a case-control study
    Shinyoung Jun, Jeonghee Lee, Jae Hwan Oh, Hee Jin Chang, Dae Kyung Sohn, Aesun Shin, Jeongseon Kim
    Epidemiology and Health.2022; 44: e2022084.     CrossRef
  • Increasing Individual Target Glucose Levels to Prevent Hypoglycemia in Patients with Diabetes
    Juyoung Shin, Hyunah Kim, Hun-Sung Kim, Churlmin Kim, Whan-Seok Choi
    Korean Journal of Family Medicine.2021; 42(4): 269.     CrossRef
  • Association between Alcohol Consumption and Metabolic Syndrome Determined by Facial Flushing in Korean Women
    Yu Ri Seo, Jong Sung Kim, Sung Soo Kim, Jin Gyu Jung, Seok Jun Yoon
    Korean Journal of Family Medicine.2021; 42(1): 24.     CrossRef
  • Association between body mass index and fragility fracture in postmenopausal women: a cross-sectional study using Korean National Health and Nutrition Examination Survey 2008–2009 (KNHANES IV)
    Jihan Kim, Sami Lee, Sung Soo Kim, Jong-Pyo Lee, Jong Sung Kim, Jin Gyu Jung, Seok Jun Yoon, Kyu Pil Kim, Chan-Keol Park, Yong-Hwan Kim
    BMC Women's Health.2021;[Epub]     CrossRef
  • Relationship Between Shift Intensity and Insomnia Among Hospital Nurses in Korea: A Cross-sectional Study
    Yuhjin Chung, Hyunjoo Kim, Dong-Hee Koh, Ju-Hyun Park, Seohyun Yoon
    Journal of Preventive Medicine and Public Health.2021; 54(1): 46.     CrossRef
  • Trends in Alcohol Consumption for Korean Adults from 1998 to 2018: Korea National Health and Nutritional Examination Survey
    Sang Young Kim, Hyun Ja Kim
    Nutrients.2021; 13(2): 609.     CrossRef
  • Incidence Hypertension and Fasting Blood Glucose from Real-World Data: Retrospective Cohort for 7-Years Follow-Up
    Soon-Ki Ahn, Ju-Mi Lee, Seon Mi Ji, Kyoung Hoon Kim, Jong-Heon Park, Min Kyung Hyun
    International Journal of Environmental Research and Public Health.2021; 18(4): 2085.     CrossRef
  • Korean Alcohol Guidelines for Primary Care Physician
    Jin-Gyu Jung, Jong-Sung Kim, Seok-Joon Yoon, Sami Lee, Soon-Ki Ahn
    Korean Journal of Family Practice.2021; 11(1): 14.     CrossRef
  • Alcohol, cardiovascular disease and industry funding: A co-authorship network analysis of systematic reviews
    Su Golder, Jim McCambridge
    Social Science & Medicine.2021; 289: 114450.     CrossRef
  • Comparison of risk profiles for new-onset atrial fibrillation between patients aged <60 and ≥60 years
    In-Soo Kim, Yeon-Jik Choi, Eui-Young Choi, Pil-Ki Min, Young Won Yoon, Byoung Kwon Lee, Bum-Kee Hong, Se-Joong Rim, Hyuck Moon Kwon, Jong-Youn Kim, Luigi Sciarra
    PLOS ONE.2021; 16(11): e0258770.     CrossRef
  • Incidence and Risk Factors for Progression to Diabetes Mellitus: A Retrospective Cohort Study
    Min Kyung Hyun, Jong Heon Park, Kyoung Hoon Kim, Soon-Ki Ahn, Seon Mi Ji
    International Journal of Environmental Research and Public Health.2021; 19(1): 123.     CrossRef
  • Relationship between alcohol consumption and rheumatoid factor (RF) with alcohol-induced facial flushing response
    Jihan Kim, Chan Keol Park, Jong Sung Kim, Sami Lee
    Alcohol.2020; 84: 43.     CrossRef
  • Does the Risk for Diabetes Related with Alcohol Drinking Depend on Facial Flushing?
    Soo Young Kim
    Korean Journal of Family Medicine.2020; 41(3): 137.     CrossRef
  • 11,000 View
  • 321 Download
  • 33 Web of Science
  • 32 Crossref
Original Articles
The Impact of Weight Changes on Nonalcoholic Fatty Liver Disease in Adult Men with Normal Weight
Ji-Young Cho, Tae-Heum Chung, Kyoung-Mo Lim, Hee-Jin Park, Jung-Mi Jang
Korean J Fam Med 2014;35(5):243-250.   Published online September 24, 2014
DOI: https://doi.org/10.4082/kjfm.2014.35.5.243
Background

Although it is known that losing weight has an effect on the treatment of non-alcoholic fatty liver disease, the studies that show how losing weight affects the non-alcoholic fatty liver disease for the normal weight male adults are limited so far. In this study, we set body mass index as criteria and investigated how the weight changes for 4 years makes an impact on the risk of non-alcoholic fatty liver disease for the male adults who have the normal body mass index.

Methods

From January to December of 2004, among the normal weight male adults who had general check-up at the Health Promotion Center of Ulsan University Hospital, 180 people (average age, 47.4 ± 4.61 years) who were diagnosed with fatty liver through abdominal ultrasonography were included in this study and were observed according to the variety of data and ultrasonography after 4 years (2008). People who had a history of drinking more than 140 g of alcohol per week or who had a past medical history were excluded from the analysis. The weight change of subjects was calculated using the formula 'weight change = weight of 2008 (kg) - weight of 2004 (kg)' and classified into three groups, loss group (≤-3.0 kg), stable group (-2.9 to 2.9 kg), and gain group (≥3.0 kg). The odds for disappearance of non-alcoholic fatty liver disease in those three different groups were compared.

Results

Among 180 subjects, compared with stable group (67.2%, 121 subjects), loss group (11.7%, 21 subjects) showed 18.37-fold increase in the odds of disappearance of non-alcoholic fatty liver disease (95% confidence interval [CI], 4.34 to 77.80) and gain group (21.1%, 38 subjects) showed 0.28-fold decrease in the odds of disappearance of non-alcoholic fatty liver disease (95% CI, 0.10 to 0.83).

Conclusion

Even for the normal weight people, losing weight has an effect on the improvement of non-alcoholic fatty liver disease.

Citations

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  • Comparative Burden of Metabolic Dysfunction in Lean NAFLD vs Non-lean NAFLD - A Systematic Review and Meta-analysis
    Ansel Tang, Cheng Han Ng, Poh Hui Phang, Kai En Chan, Yip Han Chin, Clarissa Elysia Fu, Rebecca Wenling Zeng, Jieling Xiao, Darren Jun Hao Tan, Jingxuan Quek, Wen Hui Lim, Lung Yi Mak, Jiong-wei Wang, Nicholas W.S. Chew, Nicholas Syn, Daniel Q. Huang, Moh
    Clinical Gastroenterology and Hepatology.2023; 21(7): 1750.     CrossRef
  • Possibilities of improving the effectiveness of treatment of manifestations of metabolic syndrome in the elderly (on the example of taurine)
    E. V. Golovanova
    Experimental and Clinical Gastroenterology.2023; (8): 171.     CrossRef
  • The Effect of Sira Vedha (Phlebotomy) at Right Elbow Joint in the Management of Non-alcoholic Fatty Liver Disease - Randomized Controlled Clinical Trial
    Gaurav Sawarkar, Priti Desai, Punam Sawarkar
    Journal of Natural Remedies.2023; : 879.     CrossRef
  • Joint effect of changes in physical activity and weight on incident non-alcoholic fatty liver disease
    Yi-Lin Tsai, Sean Chun-Chang Chen
    Journal of Epidemiology and Community Health.2021; 75(12): 1215.     CrossRef
  • Natural history of NASH and HCC
    Francesco Negro
    Liver International.2020; 40(S1): 72.     CrossRef
  • Global prevalence, incidence, and outcomes of non-obese or lean non-alcoholic fatty liver disease: a systematic review and meta-analysis
    Qing Ye, Biyao Zou, Yee Hui Yeo, Jie Li, Daniel Q Huang, Yuankai Wu, Hongli Yang, Chuanli Liu, Leslie Y Kam, Xiang Xuan Eunice Tan, Nicholas Chien, Sam Trinh, Linda Henry, Christopher Donald Stave, Tetsuya Hosaka, Ramsey C Cheung, Mindie H Nguyen
    The Lancet Gastroenterology & Hepatology.2020; 5(8): 739.     CrossRef
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    Igor V Maev, Aleksey A Samsonov, Liudmila K Palgova, Chavdar S Pavlov, Elena Shirokova, Kirill M Starostin
    BMJ Open Gastroenterology.2019; 6(1): e000307.     CrossRef
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    M. A. Osadchuk, E. D. Mironova
    Medical alphabet.2019; 3(20): 30.     CrossRef
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    Vincent Wai‐Sun Wong, Wah‐Kheong Chan, Shiv Chitturi, Yogesh Chawla, Yock Young Dan, Ajay Duseja, Jiangao Fan, Khean‐Lee Goh, Masahide Hamaguchi, Etsuko Hashimoto, Seung Up Kim, Laurentius Adrianto Lesmana, Yu‐Cheng Lin, Chun‐Jen Liu, Yen‐Hsuan Ni, Jose S
    Journal of Gastroenterology and Hepatology.2018; 33(1): 70.     CrossRef
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    Mark Benedict, Xuchen Zhang
    World Journal of Hepatology.2017; 9(16): 715.     CrossRef
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    Hyong-Hu Park, Jin-Soo Lee
    Journal of the Korean Society of Radiology.2016; 10(6): 443.     CrossRef
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    Dimitrios Papandreou
    World Journal of Hepatology.2015; 7(3): 575.     CrossRef
  • Health Benefits of Long-Term Weight-Loss Maintenance
    Christian F. Rueda-Clausen, Ayodele A. Ogunleye, Arya M. Sharma
    Annual Review of Nutrition.2015; 35(1): 475.     CrossRef
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  • 34 Download
  • 8 Web of Science
  • 13 Crossref
Relationship of Simple Renal Cyst to Hypertension
Su-Mi Kim, Tae-Heum Chung, Myoung-Soon Oh, Sung-Gul Kwon, Sung-Jin Bae
Korean J Fam Med 2014;35(5):237-242.   Published online September 24, 2014
DOI: https://doi.org/10.4082/kjfm.2014.35.5.237
Background

Simple renal cyst is the most common cystic deformation found in adults. However, there were a few systematic Korean reports for the clinical symptoms and complications of simple renal cysts. The author's purpose was to determine the relationship between simple renal cysts diagnosed by abdominal ultrasonography and hypertension.

Methods

Among 13,482 persons who took a routine physical examination at Ulsan University Hospital in 2002, 5,127 persons who took medical examinations again in 2010 were selected. We excluded persons who had renal cyst, hypertension, diabetes, liver cirrhosis, kidney disease, thyroid disease, and cancer in 2002. Analysis was conducted for 505 subjects with newly diagnosed simple renal cyst and 2,744 subjects without renal cyst in 2010. The simple renal cyst group was compared to a control group without renal cyst.

Results

Among 3,249 subjects, simple renal cyst and hypertension were newly diagnosed in 505 subjects and 503 subjects. The subjects who had simple renal cysts had significantly higher hypertension incidence (odds ratio [OR], 1.53; 95% confidence interval [CI], 1.20 to 1.94). Significant hypertension incidence was observed especially when the subjects had cysts located on both kidneys (OR, 3.48; 95% CI, 2.12 to 5.71), two (OR, 3.08; 95% CI, 1.84 to 5.15) or more cysts (OR, 3.12; 95% CI, 1.38 to 7.04), and larger cysts more than 1 cm in diameter (OR, 1.55; 95% CI, 1.16 to 2.07).

Conclusion

The presence of simple renal cysts was significantly positively related to the incidence of hypertension. Bilateral distribution, two or more number, and larger size than 1 cm diameter were the characteristics of simple renal cyst related to hypertension.

Citations

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    Frontiers in Molecular Biosciences.2025;[Epub]     CrossRef
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    Yaqing Zhou, Limei Jia, Baojin Lu, Long Bai, Wei Cui
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    Shaogang WANG
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  • 12 Web of Science
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Association between Hepatitis B Surface Antigen Seropositivity and Metabolic Syndrome
Tae-Heum Chung, Moon-Chan Kim, Chang-Sup Kim
Korean J Fam Med 2014;35(2):81-89.   Published online March 24, 2014
DOI: https://doi.org/10.4082/kjfm.2014.35.2.81
Background

Infection with hepatitis B virus (HBV) may be a risk factor for cardiovascular disease. We investigated the relationship between HBV infection and metabolic syndrome.

Methods

We performed a cross-sectional study of 9,474 Korean men and women who were at least 20 years old and who underwent a routine health check-up at Ulsan University Hospital in Ulsan, South Korea between March 2008 and February 2009. The associations of hepatitis B surface antigen (HBsAg) seropositivity with the presence of metabolic syndrome and its components were investigated by logistic regression analysis. Data were analyzed separately for males and females.

Results

HBsAg seropositivity was significantly negatively associated with hypertriglyceridemia and metabolic syndrome in men (odds ratio [OR], 0.39; 95% confidence interval [CI], 0.29 to 0.50; P < 0.001 and OR, 0.75; 95% CI, 0.57 to 0.98, P = 0.033). In women, HBsAg seropositivity was also significantly negatively associated with hypertriglyceridemia, but not with metabolic syndrome (OR, 0.40; 95% CI, 0.17 to 0.91; P = 0.029 and OR, 0.80; 95% CI, 0.38 to 1.66, P = 0.545).

Conclusion

HBV infection was significantly negatively associated with hypertriglyceridemia and metabolic syndrome in men and hypertriglyceridemia in women.

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