Background
Although breakfast provides essential nutrients and energy, skipping this meal has become increasingly common among young adults in Korea. In this study, we examine the relationship between breakfast consumption and body composition.
Methods
We analyzed data from 17,763 students aged 18–39 at Seoul National University (2018–2022). Participants were categorized based on their breakfast frequency: non-skippers, 1 to 3-day skippers, and 4 to 7-day skippers. Measurements included body mass index, waist circumference, body fat percentage, fat mass index (FMI), fat-free mass index (FFMI), and skeletal muscle mass index (SMI). Multivariable logistic and linear regression models adjusted for age, sex, alcohol use, smoking, physical activity, sleep, and food consumption frequencies were used.
Results
Obesity (17.4% vs. 14.8%) and abdominal obesity (10.0% vs. 7.8%) were higher in those skipping breakfast 4 to 7 d/wk compared with non-skippers. Skipping breakfast was not significantly associated with abdominal obesity in either sex. In women, the odds of obesity were higher (odds ratio, 1.57; 95% confidence interval, 1.14–2.15; P=0.006), whereas no significant difference was observed in men. Men who skipped breakfast had increased body fat percentage (coefficient, 0.87; P<0.001) and FMI (coefficient, 0.18; P=0.009) and decreased FFMI and SMI. Women showed increased body fat percentage (coefficient, 0.92; P<0.001) and FMI but no significant differences in FFMI or SMI.
Conclusion
Skipping breakfast adversely affects body composition by increasing body fat percentage and FMI. Further research is needed to confirm these findings and explore the underlying mechanisms.

Citations

• Cumulative circadian disruption factors and metabolic syndrome
  Jungun Lee
  Korean Journal of Family Medicine.2025; 46(3): 125.     CrossRef

Background
Establishing cost-effective informal care services for lonely older adults living at home in developing countries can be an innovative approach for improving their well-being. This study investigated the effectiveness of an informal home care support intervention program (HoSIP) reducing the loneliness and improving quality of life of lonely community-dwelling older adults.
Methods
This quasi-experimental pre-post study employed a non-randomized control group design with a 12-week intervention period and three follow-up points at the end of the HoSIP. Questionnaires were used to measure feelings of loneliness (20-item UCLA Loneliness Scale), quality of life (Control, Autonomy, Self‐Realization and Pleasure Scale), general health (12-item General Health Questionnaire), social network (six-item Lubben Social Network Scale), social support (12-item Multidimensional Scale of Perceived Social Support), and self-care ability (17-item Self-care Ability Scale for the Elderly). Repeated-measures analysis of variance was used to gauge the effect of the intervention program over time and in comparison to the control group. Data analyses were performed using the IBM SPSS Statistics software (IBM Corp.).
Results
We found a significant relationship between the outcome variables, including feelings of loneliness (P<0.001) and quality of life (P<0.001), at different stages of measurement. Despite the positive feasibility results, the implementation of the HoSIP faced challenges due to a lack of facilities (e.g., place restriction for holding educational classes, educational facilities like computers, video projector, and whiteboard at daycare center) and the absence of supporting organizations.
Conclusion
Utilizing the existing capabilities of older adults to provide online and face-to-face care services can be a cost-effective way to improve their quality of life and reduce loneliness. The process of facilitating such informal care services for lonely older adults should be managed by either governmental or non-governmental organizations to reduce the rate of social isolation among this vulnerable population.

Background
The increasing older adult population requires attention in terms of education and health, as higher education levels contribute to cognitive reserve and may protect against age-related cognitive impairment. Cognitive reserve is an individual’s cognitive flexibility in using cognitive functions affected by brain aging, neurological diseases, and injury. Indonesia has a high prevalence of low-educated older adults, which strongly correlates with progressive cognitive impairment. Identifying risk factors for cognitive decline in this population is crucial. This study determines the factors affecting cognitive impairment in low-educated older adults using cross-sectional data from the Indonesian Family Life Survey-5.
Methods
This descriptive study analyzed 2,313 low-educated older adults ≥60 years old. Univariate and bivariate analyses were used to describe the sample and identify the relationships between categorical variables. Logistic regression identified the most significant factor affecting cognitive impairment.
Results
The prevalence of cognitive impairment in low-educated older adults is 22.6%. The chi-square test revealed significant relationships between those who are aged 75 years, a status other than married, female, living in rural areas, and not participating in social activities. Age is the most prominent factor affecting cognitive impairment in such adults (P<0.001; adjusted odds ratio, 3.232; 95% confidence interval, 2.500–4.180).
Conclusion
Cognitive impairment in the aforementioned adults is associated with being ≥75 years old, being a status other than married, being female, living in rural areas, and not participating in social activities. After controlling other variables, low-educated older adults who participated in at least ≥1 social activity in the last 12 months experienced cognitive impairment 0.64 times compared to those who did not participate in social activities.

Citations

• Impact of social wellbeing on tooth loss and cognition: A scoping review
  Charlotte Cheuk Kwan Chan, Huimin Chen, Colman McGrath, Iven Klineberg, Gloria Hoi Yan Wong, Hui Chen
  Journal of Dentistry.2024; 150: 105376.     CrossRef

Background
Recent studies have reported that chronic mental health problems often emerge in young adulthood. This study elucidated the independent effects of smoking and drinking on depressed mood in young adults by sex.
Methods
We used Data from the Korea National Health and Nutrition Examination Surveys conducted in 2014, 2016, and 2018. A total of 3,391 participants aged 19–35 years, without serious chronic diseases, were recruited for this study. Depression was evaluated using the Patient Health Questionnaire (PHQ-9).
Results
Smoking behavior, current smoking, and number of days smoked were significantly associated with higher PHQ-9 scores in both men and women (all P<0.05). However, past and ever smoking were positively associated with PHQ-9 scores only in women (all P<0.001). Regarding alcohol consumption, the age at which drinking first began was negatively associated with PHQ-9 scores in both men and women (all P<0.001), but the amount of alcohol consumed at 1 time was positively associated with PHQ-9 scores only in women (P=0.013). Men who drank 2–4 times a month and women who had not drunk during the past year had the lowest PHQ-9 scores.
Conclusion
Smoking and alcohol consumption were independently associated with depressed mood in young Korean adults, which was more pronounced in women, and exhibited sex-specific characteristics.

Citations

• Women’s Health and Primary Care
  Seung-Won Oh
  Korean Journal of Family Medicine.2024; 45(1): 1.     CrossRef
• Pharmacotherapy guidelines for smoking cessation in primary healthcare clinics
  Cheol Min Lee, Yu Jin Paek, Yoo Bin Seo, Eon Sook Lee
  Journal of the Korean Medical Association.2024; 67(4): 230.     CrossRef

Background
Previous studies have shown a close relationship between skipping breakfast and nutritional deficiency. However, the impact of regular eating, including lunch and dinner, has not been studied well. We explored the correlation between regularity and frequency of daily meals and nutritional status.
Methods
We analyzed Korea National Health and Nutrition Examination Surveys between 2016 and 2018. A total of 7,725 adults aged 19–49 years were classified into four groups according to the regularity of meal intake: three-meal regular diet (3MRD), two-meal regular diet, one-meal regular diet, and irregular diet (IRD). Food and nutrient intake was assessed using the 24-hour recall method and estimated by a generalized linear model in complex sample weight variables.
Results
In IRD, there were relatively more females who were not married, lived alone, or reported low levels of education. As subjects ate more meals, more people felt thinner and healthier by themselves. Dietary intake of cereal, vegetables, seaweed, and fiber was directly proportional to the number of regular meals as well as essential components such as water, carbohydrates, protein, fat, and micronutrients. Contrarily, alcohol and beverage consumption was inversely proportional to the number of regular meals. Intake level of legumes, fish, fruits, seasonings, milk, oils, sugars, and cholesterol was consistent regardless of meal frequency.
Conclusion
Our findings suggest that 3MRD showed nutrient adequacy and a healthier profile on body weight, body mass index, waist circumference, blood pressure, serum fasting glucose, total cholesterol, and triglyceride.

Citations

• Eating patterns in Korean adults, 1998–2018: increased energy contribution of ultra-processed foods in main meals and snacks
  Sukyoung Jung, Jee Young Kim, Sohyun Park
  European Journal of Nutrition.2024; 63(1): 279.     CrossRef
• Analysis of dietary behavior and intake related to glycemic control in patients with type 2 diabetes aged 30 years or older in Korea: Utilizing the 8th Korea National Health and Nutrition Examination Survey (2019–2021)
  Jin-Ah Seok, Yeon-Kyung Lee
  Nutrition Research and Practice.2024; 18(2): 239.     CrossRef
• Guidelines for nutrition counseling in primary healthcare clinics
  Gyeongsil Lee, Seung-Won Oh
  Journal of the Korean Medical Association.2024; 67(4): 278.     CrossRef
• A national cross-sectional study on breakfast skipping-related factors and comparison of nutritional status according to breakfast skipping in older adults based on the 8th Korea National Health and Nutrition Examination Survey (KNHANES, 2020)
  Anna Han, Yean Jung Choi
  The Journal of nutrition, health and aging.2024; 28(9): 100335.     CrossRef
• The Association between Personality Factors and Metabolic Parameters among Patients with Non-Alcoholic-Fatty Liver Disease and Type 2 Diabetes Mellitus—A Cross-Sectional Study
  Marcin Kosmalski, Rafał Frankowski, Monika Różycka-Kosmalska, Kasper Sipowicz, Tadeusz Pietras, Łukasz Mokros
  Journal of Clinical Medicine.2023; 12(13): 4468.     CrossRef
• Nutrition fact label (NFL) use is related to meeting the requirements for vitamins and minerals not listed on NFLs: Data from the Korea National Health and Nutritional Examination Survey VIII (2019–2021) for the prepandemic and pandemic periods
  Jung Min Cho, Niravkumar Joshi
  PLOS ONE.2023; 18(12): e0296268.     CrossRef
• Association between Prediabetes and Meal Patterns Related to Meal Sharing among Korean Young Adults: Eighth Korean National Health and Nutrition Examination Survey, 2019–2020
  Saebom Kim, Sehee Kim, Youngmin Kim, Seonmi Seo, Yu Jin Chung, Sam Cheol Kim
  Korean Journal of Family Practice.2023; 13(3): 179.     CrossRef
• Meal Frequency, Metabolic Health, and Social Norms
  Young Gyu Cho
  Korean Journal of Family Medicine.2022; 43(5): 275.     CrossRef

Background
Evidence regarding the association between handgrip strength (HGS) and insulin resistance in a non-diabetic population is scarce. This study aimed to investigate the association between relative HGS and insulin resistance in older men without diabetes, using a representative sample of the Korean male population.
Methods
The study population comprised 206 participants aged 65–80 years, selected from the 2015 Korea National Health and Nutrition Examination Survey. Insulin resistance was defined as the upper tertile of the homeostatic model assessment of insulin resistance (HOMA-IR). Odds ratios and 95% confidence intervals for insulin resistance were assessed using multiple logistic regression analyses after adjusting for confounding variables.
Results
The prevalence of insulin resistance decreased with increasing relative HGS. The prevalence in the T1, T2, and T3 groups was 46.0%, 32.2%, and 26.4%, respectively. Compared with the individuals in the highest tertile of relative HGS, the odds ratio (95% confidence interval) for insulin resistance in individuals in the lowest quartile was 2.82 (1.10–7.21) after adjusting for age, smoking, alcohol consumption, aerobic exercise, resistance exercise, systolic blood pressure, total cholesterol, residential area, household income, and education level.
Conclusion
Lower relative HGS was inversely associated with an increased risk of insulin resistance in older Korean men without diabetes. In clinical practice, relative HGS, which is a simple and inexpensive tool, could be a useful measure for identifying older men with insulin resistance. Moreover, these findings suggest that muscle strengthening exercises should be considered to reduce insulin resistance and increase insulin sensitivity.

Citations

• Analysis of Handgrip Strength with Insulin Resistance in Male and Female Indonesian Adults
  Liong Boy Kurniawan, Sabilla Sheridan, Andi Wali Syafaat, Andi Ainun Zulkiah Surur, Naurah Nadhifah, Ichlas Nanang Afandi, Andi Ariyandy, Muhammad Iqbal Basri, Aminuddin Aminuddin
  INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY.2025; 31(2): 145.     CrossRef
• Guidelines for physical activity counseling in primary healthcare clinics
  Yun Jun Yang
  Journal of the Korean Medical Association.2024; 67(4): 265.     CrossRef
• Dietary patterns and the risk of diabetes in Korean adults: A cross-sectional and prospective cohort study
  Jiyoung Hwang, Hyesook Kim, Oran Kwon
  Nutrition.2024; 125: 112491.     CrossRef
• Correlation between low handgrip strength and metabolic syndrome in older adults: a systematic review
  Joana da Costa d'Avila, Talel Georges Moreira El Nabbout, Hayfa Georges Moreira El Nabbout, Aline dos Santos Silva, Antonio Carlos Barbosa Ramos, Eliana Rosa da Fonseca, Aluana Santana Carlos, Rodrigo de Azeredo Siqueira
  Archives of Endocrinology and Metabolism.2024;[Epub]     CrossRef
• Handgrip strength in type 2 diabetics and nondiabetics: A comparative cross-sectional study among adults in rural Mysore
  Deepak ANIL, M. RAKESH, Shabeena AKBAR, Vijaylakshmi Rao VADAGA, D. Sunil KUMAR
  Journal of Integrative Nursing.2024; 6(3): 150.     CrossRef
• Association of relative handgrip strength on the development of diabetes mellitus in elderly Koreans
  Yeo Ju Sohn, Hong Soo Lee, Hasuk Bae, Hee Cheol Kang, Hyejin Chun, Insun Ryou, Eun Jee Chang, Sungchan Kang, Sang Wha Lee, Kyung Won Shim, Mario Ulises Pérez-Zepeda
  PLOS ONE.2024; 19(10): e0309558.     CrossRef
• Association between handgrip strength and mortality risk among cardiovascular disease patients: A cohort study from the NHANES 2011–2014
  Zhengjie Qin, Youhua Guo, Weilin Yang, Zhuoran Kuang, Guoming Li
  Journal of the Formosan Medical Association.2024;[Epub]     CrossRef
• Sarcopenia and osteosarcopenia among patients undergoing hemodialysis
  Ting Xiang, Ping Fu, Li Zhou
  Frontiers in Endocrinology.2023;[Epub]     CrossRef
• Relationships of neck circumference and abdominal obesity with insulin resistance considering relative handgrip strength in middle-aged and older individuals
  Kayoung Lee
  Archives of Gerontology and Geriatrics.2023; 114: 105097.     CrossRef

Background
Milk consumption is associated with bone mineral density (BMD), but reports are limited in terms of participant age, sex, and number of study subjects. We investigated the association between milk consumption and BMD in South Korean adults (≥20 years).
Methods
We analyzed men and women aged ≥20 years who participated in the Korean National Health and Nutrition Examination Survey, 2008–2011. We used linear regression to calculate the mean BMD and 95% confidence interval (CI) based on the frequency of milk consumption. Multivariate logistic regression analysis was used to estimate the odds ratios (ORs) and 95% CI for T-scores ≤-2.5 (osteoporosis) in both men aged ≥50 years and postmenopausal women.
Results
In total 8,539 subjects were studied. Drinking milk more than once a day was associated with higher BMD in the total femur and femoral neck in men aged <50 years and lumbar spine in men aged ≥50 years, compared to less than once a week. It was also associated with lower ORs for osteoporosis of the femoral neck and lumbar spine in men aged ≥50 years (OR, 0.35; 95% CI, 0.125–0.979 and OR, 0.34; 95% CI, 0.143–0.804, respectively). In postmenopausal women who consumed milk 2–6 times weekly, higher BMD and lower OR for osteoporosis were observed in the total femur (OR, 0.23; 95% CI, 0.055–0.958).
Conclusion
This study suggests that frequent milk consumption could potentially reduce osteoporosis incidence in South Korean adults. Further prospective study is necessary to elucidate the effect of milk consumption on BMD.

Citations

• Dietary riboflavin (vitamin B2) intake and osteoporosis in U.S. female adults: unveiling of association and exploration of potential molecular mechanisms
  QianKun Yang, Li Zhang, Dong Sun, Shen Jie, XiaoLiang Tao, Qing Meng, Fei Luo
  Nutrition Journal.2025;[Epub]     CrossRef
• Graphene-based biosensors in milk analysis: A review of recent developments
  Sule Bayrak, Hazal Gergeroglu
  Food Chemistry.2024; 440: 138257.     CrossRef
• New insights into dairy management and the prevention and treatment of osteoporosis: The shift from single nutrient to dairy matrix effects—A review
  Kaili Wang, Xu Zhao, Sijia Yang, Xiaoxi Qi, Aili Li, Wei Yu
  Comprehensive Reviews in Food Science and Food Safety.2024;[Epub]     CrossRef
• Does Changing the Ratio of Dietary Sodium-to-Potassium Intake Affect Bone Mineral Density?
  Soo Young Kim
  Korean Journal of Family Medicine.2023; 44(1): 1.     CrossRef
• Evaluation of the Association between Amount and Type of Milk Consumption and Periodontitis: Data from the Korea National Health and Nutrition Examination Survey (2016–2018)
  Eun Jeong Min, Siseong Jeong, Jun-Beom Park
  Nutrients.2023; 15(4): 914.     CrossRef

Background
Recently, single-person households have increased in Korea and this trend may have potential public health implications and affect various health behaviors. This study investigated the associations between living alone and health behaviors such as smoking and alcohol consumption among Korean adults.
Methods
We used data from the 6th Korea National Health and Nutrition Examination Survey between 2013 and 2015 and a total of 17,088 adults were included. We performed a multivariable logistic regression analysis and calculated odds ratios (ORs) with 95% confidence intervals (CIs).
Results
Single-person households accounted for about 10% of the total participants. The proportions of currently smoking and heavy alcohol consumption were higher among individuals living alone than those living together among younger women and middle-aged and elderly men and women. In the multivariable logistic regression analysis, living alone was associated with increased odds of currently smoking compared to living together among middle-aged men and women (OR, 7.37; 95% CI, 2.33–23.32 in men and OR, 2.36; 95% CI, 1.04–5.36 in women) after adjusting for confounding variables.
Conclusion
From this nationwide, population-based study, we found that living alone is associated with increased odds of currently smoking, especially in middle-aged people. Public health concerns may be warranted for middle-aged single-person households to reduce health risks related to smoking.

Citations

• Associations of social isolation with sleep duration and sleep quality in the elderly: Mediating influence of depression
  Hong-Ying Yang, Lian Li, Lu-Jie Yu, Guo-Lin Bian
  World Journal of Psychiatry.2025;[Epub]     CrossRef
• Early-term heterogeneous trajectories of patient-reported outcome undergoing percutaneous coronary intervention: a multicenter and prospective longitudinal study
  Jinbo Zhao, Yongchao Hou, Yuan Chu, Min He, Renting Xie, Hui Liu, Yahui Wang, Li Li
  European Journal of Cardiovascular Nursing.2025;[Epub]     CrossRef
• Living alone and cancer mortality by race/ethnicity and socioeconomic status among US working‐age adults
  Hyunjung Lee, Gopal K. Singh, Ahmedin Jemal, Farhad Islami
  Cancer.2024; 130(1): 86.     CrossRef
• Association between living alone and all-cause mortality of young and middle-aged patients with acute myocardial infarction: analysis of the China Acute Myocardial Infarction (CAMI) registry
  Yu Jiang, Jin-Gang Yang, Hai-Yan Qian, Yue-Jin Yang
  BMC Public Health.2024;[Epub]     CrossRef
• Smaller household size and higher prevalence of serious psychological distress in younger people and never-married people: a nationwide cross-sectional survey in Japan
  Kimiko Tomioka, Midori Shima, Keigo Saeki
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Longitudinal associations between living alone, childlessness and mental health and mortality in ageing adults in Thailand
  Supa Pengpid, Karl Peltzer, Dararatt Anantanasuwong, Wasin Kaewchankha
  Global Transitions.2024; 6: 145.     CrossRef
• The influencing factors of health status among low-income individuals living alone in Wuxi, China
  Shiming Li, Yue Wu, Queping Yang, Ying Jiang, Haohao Zhu
  Scientific Reports.2024;[Epub]     CrossRef
• Стресові стани українців, які проживають соло, під час війни
  Дар’я Яшкіна
  Sociological Studios.2024; (2(25)): 34.     CrossRef
• Determinants of Problem Drinking by Regional Variation among Adult Males in Single-Person Households: Geographically Weighted Regression Model Analysis
  Junggeun Ahn, Heeseung Choi, Jiu Kim
  Journal of Korean Academy of Nursing.2023; 53(1): 101.     CrossRef
• Six-year mortality associated with living alone and loneliness in Swedish men and women born in 1930
  Masuma Novak, Margda Waern, Lena Johansson, Anna Zettergren, Lina Ryden, Hanna Wetterberg, Therese Rydberg Sterner, Madeleine Mellqvist Fässberg, Pia Gudmundsson, Ingmar Skoog
  BMC Geriatrics.2023;[Epub]     CrossRef
• Association between Increasing Social Capital and Decreasing Prevalence of Smoking at the Municipality Level: Repeated Cross-Sectional Study from the JAGES
  Hiroki Takeuchi, Kazushige Ide, Ryota Watanabe, Yasuhiro Miyaguni, Katsunori Kondo
  International Journal of Environmental Research and Public Health.2022; 19(8): 4472.     CrossRef
• Living Alone Is Not Associated With Cardiovascular Events and Hypoglycemia in Patients With Type 2 Diabetes Mellitus
  Zhaowei Zhu, Zhenyu Peng, Zhenhua Xing
  Frontiers in Public Health.2022;[Epub]     CrossRef
• Living alone and all-cause mortality in community-dwelling adults: A systematic review and meta-analysis
  Yunli Zhao, Gordon Guyatt, Ya Gao, Qiukui Hao, Ream Abdullah, John Basmaji, Farid Foroutan
  eClinicalMedicine.2022; 54: 101677.     CrossRef
• Current status of health promotion in Korea
  Soo Young Kim
  Journal of the Korean Medical Association.2022; 65(12): 776.     CrossRef

Background
Geriatric syndromes are associated with morbidity and poor quality of life (QOL). Urinary incontinence (UI) is one of the most prevalent geriatric syndromes. However, there is little research on the association of UI and UI-related QOL with other geriatric syndromes. We investigated the relationship between geriatric syndromes and UI according to gender and UI-related QOL among older inpatients.
Methods
This study was conducted among 444 older inpatients (aged 65 years and older) between October 2016 and July 2017. We examined geriatric syndromes and related factors involving cognitive impairment, delirium, depression, mobility decline, polypharmacy, undernutrition, pain, and fecal incontinence. UI-related QOL was assessed using the International Consultation on Incontinence Questionnaire-Short Form. Multiple logistic regression analysis was used to evaluate these associations.
Results
Geriatric syndromes and related factors were associated with UI. Mobility decline (odds ratio [OR], 4.16; 95% confidence interval [CI], 2.29–7.56), polypharmacy (OR, 3.35; 95% CI, 1.89–5.92), and pain (OR, 6.80; 95% CI, 3.53–13.09) were related to UI in both genders. Especially, delirium (OR, 7.55; 95% CI, 1.61–35.44) and fecal incontinence (OR, 10.15; 95% CI, 2.50–41.17) were associated with UI in men, while cognitive impairment (OR, 4.19; 95% CI, 1.14–15.44) was significantly associated with UI in women. Patients with depression were more likely to have poor UI-related QOL (OR, 8.54; 95% CI, 1.43–51.15).
Conclusion
UI was associated with different geriatric syndromes and related factors according to gender. Care for patients with depression, related to poor UI-related QOL, should be considered in primary care to improve the UI-related QOL of these individuals.

Citations

• SCREENING FOR SARCOPENIA IN OLDER ADULTS LIVING IN KIRIKKALE PROVINCE: A PILOT STUDY
  Şeyma Akdağli, Meral Sertel
  Kırıkkale Üniversitesi Tıp Fakültesi Dergisi.2025; 27(1): 14.     CrossRef
• Impact of Polypharmacy and Risk Factors for Exacerbation of Lower Urinary Tract Symptoms in Patients with Urological Conditions: A Retrospective Study in a Japanese Municipal Hospital
  Shunsuke Yoshizawa, Tomoya Tachi, Yuta Takahashi, Satoshi Aoyama, Yoshihiro Noguchi, Kazuhide Tanaka, Masahiro Yasuda, Takashi Mizui, Hisao Komeda, Tomoaki Yoshimura, Hitomi Teramachi
  Biological and Pharmaceutical Bulletin.2024; 47(4): 818.     CrossRef
• PREVALÊNCIA DA POLIFARMÁCIA ASSOCIADA A FUNCIONALIDADE EM PESSOAS IDOSAS HOSPITALIZADAS
  Danielle Bordin, Laurieli Pereira de Oliveira, Lara Simone Messias Floriano, Carla Luiza Da Silva, Everson Augusto Krum, Clóris Regina Blanski Grden
  Revista Enfermagem Atual In Derme.2024; 98(3): e024347.     CrossRef
• Prevalence of urinary incontinence and its associated predictor and Self-care behavior among the elderly females in Chaiyaphum Province, Thailand: Cross-sectional study
  Patchareepon Chompoowisate, Sumattana Glangkarn, Chaloemporn Namyota
  Journal of Education and Health Promotion.2024;[Epub]     CrossRef
• Identification of Factors Affecting the Increased Percentage of CGA Recommendations among Patients on Geriatric Ward
  Justyna Gołębiowska, Małgorzata Szymala-Pędzik, Joanna Żórawska, Małgorzata Sobieszczańska, Siddarth Agrawal
  International Journal of Environmental Research and Public Health.2023; 20(3): 2065.     CrossRef
• Factors Affecting Urinary Incontinence-related Quality of Life in Geriatric Patients: An observational Cross-Sectional Study in a Tertiary Hospital Urology Clinic in Turkey
  Reha Girgin, Engin Denizhan Demirkıran
  Iberoamerican Journal of Medicine.2022; 4(4): 177.     CrossRef
• The effect of incontinence on depression among older adults: a longitudinal study in China
  Y. Zhang
  Public Health.2022; 212: 58.     CrossRef
• Urinary incontinence and related quality of life among elderly women in Tabas, South Khorasan, Iran
  Zahra Najafi, Mohammad Ali Morowatisharifabad, Sara Jambarsang, Hassan Rezaeipandari, Roya Hemayati
  BMC Urology.2022;[Epub]     CrossRef
• Urinary incontinence and the association with depression, stress, and self-esteem in older Korean Women
  Hoo-yeon Lee, Yumie Rhee, Kui Son Choi
  Scientific Reports.2021;[Epub]     CrossRef
• Prevalence of sarcopenia in older women with pelvic floor dysfunction
  Rávida R.L. Silva, Janaína F.V. Coutinho, Camila T.M. Vasconcelos, José Ananias Vasconcelos Neto, Rachel Gabriel B. Barbosa, Marília B. Marques, Dayana M. Saboia, Juliana C. Maia
  European Journal of Obstetrics & Gynecology and Reproductive Biology.2021; 263: 159.     CrossRef
• Kontinenz und Mobilität – zwei Seiten einer Medaille?
  Sigrid Ege
  DMW - Deutsche Medizinische Wochenschrift.2021; 146(15): 959.     CrossRef
• An Exergame Solution for Personalized Multicomponent Training in Older Adults
  Vânia Guimarães, Elsa Oliveira, Alberto Carvalho, Nuno Cardoso, Johannes Emerich, Chantale Dumoulin, Nathalie Swinnen, Jacqueline De Jong, Eling D. de Bruin
  Applied Sciences.2021; 11(17): 7986.     CrossRef
• The prevalence and risk factors for urinary incontinence among inpatients, a multicenter study from Turkey
  Sumru Savas, Bülent Saka, Sibel Akın, Ilker Tasci, Pinar Tosun Tasar, Asli Tufan, Hakan Yavuzer, Cafer Balci, Gülbüz Sezgin, Mehmet Akif Karan, Fatma Ozge Kayhan Kocak, Zeynel Abidin Ozturk, Murat Varli, Deniz Suna Erdinçler, Mert Esme, Selim Nalbant, Mus
  Archives of Gerontology and Geriatrics.2020; 90: 104122.     CrossRef
• Possible relationship between prescription medications and urinary dysfunction in elderly home health care patients
  Sayaka Miyazaki, Shizuo Yamada, Sadanori Higashino, Yoriko Watanabe, Katsuyoshi Mizukami
  Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics.2019; 56(3): 301.     CrossRef

Citations

• Unilateral Exercise and Bilateral Vascular Health in Female Tennis Players and Active Controls
  Chanhtel E. Thongphok, Abena O. Gyampo, Elisa Fioraso, Anneli O. Ramolins, Elianna G. Hills, Claire E. Coates, Stephen J. Ives
  Sports.2025; 13(4): 107.     CrossRef
• Simultaneously measured inter-arm blood pressure difference is not associated with pulse wave velocity in a clinical dataset of at-risk hypertensive patients
  Janis M. Nolde, Leslie Marisol Lugo-Gavidia, Dennis Kannenkeril, Justine Chan, Sandi Robinson, Ancy Jose, Anu Joyson, Luca Schlaich, Revathy Carnagarin, Omar Azzam, Márcio Galindo Kiuchi, Markus P. Schlaich
  Journal of Human Hypertension.2022; 36(9): 811.     CrossRef
• A new approach for daily life Blood-Pressure estimation using smart watch
  Jiayu He, Jianlin Ou, An He, Lin Shu, Tao Liu, Ruowen Qu, Xiangmin Xu, Zhuoming Chen, Yifeng Yan
  Biomedical Signal Processing and Control.2022; 75: 103616.     CrossRef
• Prevalence of inter-arm blood pressure difference among young healthy adults: Results from a large cross-sectional study on 3235 participants
  Rawand Abdulrahman Essa, Sirwan Khalid Ahmed
  Annals of Medicine & Surgery.2022;[Epub]     CrossRef
• Characteristics of Inter-Arm Difference in Blood Pressure in Acute Aortic Dissection
  Nozomi Sasamoto, Koichi Akutsu, Takeshi Yamamoto, Toshiaki Otsuka, Hideto Sangen, Hiroshi Hayashi, Hiroshige Murata, Hideki Miyachi, Yusuke Hosokawa, Shuhei Tara, Yukichi Tokita, Satoshi Miyata, Tetsuro Morota, Takashi Nitta, Wataru Shimizu
  Journal of Nippon Medical School.2021; 88(5): 467.     CrossRef
• The Future Alert of Inter-Arm Blood Pressure Difference Among Young Healthy Population: A Cross-Sectional Study. (Preprint)
  Rawand Essa, Sirwan K. Ahmed, Sanaa Hassan Abdul-Sahib, Rozhgar Mohammed Qadir, Zhala Khdir Miire
  Journal of Medical Internet Research.2020;[Epub]     CrossRef
• Inter‐arm systolic blood pressure dependence on hand dominance
  Harvey N. Mayrovitz
  Clinical Physiology and Functional Imaging.2019; 39(1): 35.     CrossRef
• Inter-arm Systolic Blood Pressure Difference in Physically Active, Adult Subjects
  Daniel Neunhäuserer, Andrea Gasperetti, Sara Ortolan, Francesca Battista, Pietro Pettenella, Marco Zaccaria, Marco Bergamin, Andrea Ermolao
  High Blood Pressure & Cardiovascular Prevention.2018; 25(3): 303.     CrossRef
• The interarm blood pressure difference: Do we know enough yet?
  Christopher E. Clark
  The Journal of Clinical Hypertension.2017; 19(5): 462.     CrossRef
• Monitorización de la presión arterial en esfuerzo. ¿Brazo dominante, no dominante o ambos? / Monitoring of the Arterial Pressure in Effort. Dominant, not Dominant Arm or Both?
  C.E. Polo-Portes, M.J. Del Castillo-Campos, J.J. Ramos-Álvarez, M.T. Lara-Hernández
  Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte.2017;[Epub]     CrossRef
• Interarm Difference in Systolic Blood Pressure in Different Ethnic Groups and Relationship to the “White Coat Effect”: A Cross-Sectional Study
  Claire Lorraine Schwartz, Christopher Clark, Constantinos Koshiaris, Paramjit S Gill, Shelia M Greenfield, Sayeed M Haque, Gurdip Heer, Amanpreet Johal, Ramandeep Kaur, Jonathan Mant, Una Martin, Mohamed A Mohammed, Sally Wood, Richard J McManus
  American Journal of Hypertension.2017; 30(9): 884.     CrossRef
• Interarm blood pressure difference in a post-stroke population
  Eva Gaynor, Linda Brewer, Lisa Mellon, Patricia Hall, Frances Horgan, Emer Shelley, Eamonn Dolan, Anne Hickey, Kathleen Bennett, David J. Williams
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• Prevalence of systolic inter-arm differences in blood pressure for different primary care populations: systematic review and meta-analysis
  Christopher E Clark, Rod S Taylor, Angela C Shore, John L Campbell
  British Journal of General Practice.2016; 66(652): e838.     CrossRef
• Gender differences in the relationship between adiposity and systolic inter-arm blood pressure difference in Korea adults
  Gwang-Seok Kim
  Journal of the Korea Society of Computer and Information.2016; 21(11): 113.     CrossRef
• The Relationship Between the Metabolic Syndrome and Systolic Inter-Arm Systolic Blood Pressure Difference in Korean Adults
  Hyun Yoon, Seong Woo Choi, Jong Park, So Yeon Ryu, Mi Ah Han, Gwang Seok Kim, Sung Gil Kim, Hye Jong Oh, Cheol Won Choi
  Metabolic Syndrome and Related Disorders.2015; 13(8): 329.     CrossRef
• Association of Inter-arm Blood Pressure Difference with Atherosclerosis in Patients without Cardiovascular Diseases
  Young-Jin Tak, Yun-Jin Kim, Sang-Yeoup Lee, Jeong-Gyu Lee, Dong-Wook Jeong, Yu-Hyeon Yi, Young-Hye Cho, Eun-Jung Choi, Kyung-Jee Nam, Hye-Rim Hwang
  Journal of the Korean Society of Hypertension.2013; 19(3): 71.     CrossRef

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

• 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

Background
Many clinical measures have been used to assess fall risk in elderly adults. The purpose of this study was to assess the interrelationship of maximal step length (MSL) measurement as protective strategies and risk factors of falls. Methods: The study population consisted of 149 community-dwelling people (≥60 yrs). Demographic data, depression degree (GDS-short form), fatigue degree (revised Chalder's fatigue scale) were reviewed by self-recorded questionnaire. K-MMSE, MSL, US and TUG were done when they visited our clinic. We examined whether MSL was correlated with the six leg-directions and was related to other measures to evaluate fall risk. To examine the association between MSL and other variables, we analyzed data by T-test, ANOVA and multiple regressions. Results: The MSL_mean correlated highly with each leg- direction MSL (correlation coefficient, r=0.771∼0.941, P＜0.01), US (r=0.392, P＜0.01) and TUG (r=⁣0.608, P＜0.01). The MSL_mean/L (MSLmean, leg length adjusted) correlated strongly with frequent fall (P=0.005). Also, the MSL_mean/L had a tendency to be low in the elderly, females, in those with regular exercise, widowed or divorced, DM, stroke, dementia suspicion, inclination toward depression, arthritis and frequent falls, but higher score on fatigue groups. Age (P＜.001), sex (P=0.001), DM (P＜.001), frequent falls (P= 0.017), dementia suspicion (P=0.016), and arthritis (P= 0.024) variables were related with MSL_mean/L when we examined these variables by multiple regression analysis. Conclusion: MSL was correlated highly with other functional performance test and DM, age, sex, frequent fall, dementia suspicion, and arthritis variables for fall risk. (J Korean Acad Fam Med 2007;28:263-270)

Background
: There is a significant amount of evidence to indicate that some of the changes attributed to aging process can be partially reversed by GH replacement. But the GH replacement for somatopause with functional GH deficiency is still controversial. The aim of this study was to explore whether the short term GH replacement improved physical, emotional and sexual function as well as body composition.

Methods : A total of 31 adults with functional growth hormone deficiency were assigned to receive rhGH with an initial daily dose of 1.05 IU, six times a week. For evaluating physical change a 25-item questionnaire was administered to patients at initial visit and 6 months later. Body composition was determined by bioimpedence analysis at initial visit and 6 months later as well. We compared the changes for each variable using Wilcoxon's rank and Friedman's test.

Results : Serum IGF-1 level at 3 and 6 months were increased significantly by 31% and 43%, respectively, compared to baseline (P＜0.0001). Lean body mass and percent body fat at 6 months of treatment showed a 2.2% increase and a 7.6% decrease with statistical significance. The score of the questionnaire at 6 months of treatment increased significantly in physical changes (P＜0.0005), sexual function (P＜0.001), self perception of physical appearances (P＜0.02), chronic fatigue & immunity (P＜0.03), and vitality (P＜0.05).

Conclusion : Adults with functional growth hormone deficiency showed improvements in not only body composition, but also physical function and appearances and sexual function after 6 months of treatment with rhHGH.

Background
: Pharmacological stress tests for the diagnosis of GH deficiency are unpleasant, labor intensive and potentially dangerous. Reports on urinary GH measurement for the assessment of GH have been published after highly sensitive immunoassaies were developed. The aim of this study was to determine whether a 24- hour urine GH as an alternative method for GH assessment were reliable in predicting GH deficiency defined by L-dopa stimulation test.

Methods : Thirty women, ages 45 to 67, were studied. L-dopa stimulation tests were performed with an ingestion of 500 mg of L-dopa. Serum GH and IGF-1 were measured by a radioimmunoassay using commercially available reagents and uGH was estimated from the 24-hour urine. Then, the mean and its distribution of uGH values were compared according to the GH status defined by L-dopa stimulation test.

Results : The correlation between the uGH and the peak values after L-dopa stimulation test was significant (r=0.46; P＜0.01). The mean value of uGH in the GH deficiency group was significantly lower than that of the normal group (P＜0.05). But because of the broad overlap of uGH in the two groups uGH showed no good separation GH deficiency from normal group although uGH reflects GH status significantly.

Conclusion : uGH reflects GH status significantly, but because of broad overalp uGH couldn't separate GH deficiency form normal group defined by L-dopa stimulation test.

Background
: Coronary artery disease are increasing in recent years among Korean due to change of dietary pattern. We conducted a cross-sectional study to analyze various factors for low HDL-cholesterol knowns as a independent fisk factor for coronary artery disease.

Methods : At the health care center of Asan Medical Center in 1999, 7259 people without cardiovascular disease, cerebrovascular disease, hyperlipidemia were selected. They were exmined wight, health blood pressure. Other data was drawn from questionnaire, blood chemistry. SPSS(version 7.5) was used for analysis of this data.

Results : 1) The means of HDL, cholesterol level was higher in women than men. 2) The means of HDL cholesterol of men was lower in subgroup of age below 45 years-old, obesity, lower total cholesterol(< 240 mg/dL), higher triglyceride (≥ 200 mg/dL) than others. By multiple logistic analysis, obesity, triglyceride, current smoking, moderate alcohol drinking were significant factors associated with low HDL, cholesterol ( < 42 mg/dL, 25 percentile of study paricipants).

Conclusion : These resluts suggest that obesity, high triglyceride. current smoking are indepen-dent risk factors and moderate alcoholic drinking is negative risk factor of low HDL-cholesterol in this study participants.

Background
: There are different opinions on whether the percentage of dietary fat is associated with the development of obesity and on it's treatment. In this country, dietary fat intake has been smaller compared to the Western countries. The purpose of this study was to find whether intake of dietary fat is related to percentage body fat in obese adults cross-sectionally.

Methods : Nutrient intake form 24-hour dietary recall and percent body fat from bioelectrical impedance method were measured in 51 obese adults. Total energy intake was associated with intake of dietary fat and body size. Thus, the association of intake of dietary fat and three types of fat with percentage body fat were examined after adjustment for total energy intake by using 4 statistical models (standard multivariate model, and nutrient residual model, energy-partition model, and multivariate nutrient density model).

Results : In all of these models, the results for types of fat and total fat showed similar results. Higher intake of total fat, saturated and polyunsaturated fat was associated with increased percentage body fat, while higher intake of monounsaturated fat was associated with decreased percentage body fat.

Conclusion : We found positive association between dietary intake of fat and percentage body fat in obese adults. Our results suggest that reducing fat intake would be a helpful way to prevent and treat obesity in adults.

Background
: Diseases related with cardiovascular risk factors such as hypertension, diabetes mellitus, coronary artery disease, hyperlipidemia and cerebrovascular disease are increasing according to the change of dietary patterns with economy growth and other causes such as low physical activity. Many studies showed the effects and benefits of exercise in people who had diseases related to cardiovascular risk factors, but there are few studies on the effects of exercise in healthy people. Therefore this study investigated the influence of exercise on cardiovascular risk factors in healthy adults.

Methods : 2,413 people who participated in periodic health examinations at Taegu medical center from May to July, in 1998 were assessed with respect to height, weight, blood pressure, fasting blood glucose, serum total cholesterol and subjects responded to the self-administered questionnaires. We reviewed 881 subjects. Subjects were classified as exercise group if they reported exercising for at least 30 minutes, 5 or more days of the week, and as control group if they reported exercising once a week or less. We observed the difference in Body Mass Index(BMI), fasting blood glucose, systolic and diastolic blood pressure, serum total cholesterol and the prevalence of overweight, hypertension, hypercholesterolemia, hyperglycemia between study groups.

Results : There were no differences in sex, age, education, economic status, occupation between the study groups. Serum total cholesterol, systolic and diastolic blood pressure, fasting blood glucose and BMI were significantly lower for the exercise group. The prevalence of overweight, hypertension, and hyperlipidemia were significantly lower for the exercise group. The prevalence of diabetes mellitus was lower for the exercise group, but was not statistically significant.

Conclusion : In healthy peoples, they who were regularly exercised were significantly lowered in cardiovascular risk factors and diseases related with cardiovascular risk factors than non-exercising peoples. It is considered that regular exercise may be reducing cardiovascular risk factors and may be effective in prevention of cardiovascular risk related diseases.