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Volume 40(2); March 2019

Editorial

Obesity, Sarcopenia, and Smoking: Landscape in the Mist
Seung-Won Oh
Korean J Fam Med 2019;40(2):61-62.   Published online March 20, 2019
DOI: https://doi.org/10.4082/kjfm.40.2E

Citations

Citations to this article as recorded by  
  • An Overlooked Bone Metabolic Disorder: Cigarette Smoking-Induced Osteoporosis
    Weidong Weng, Hongming Li, Sheng Zhu
    Genes.2022; 13(5): 806.     CrossRef
  • Risk Factors of Central Obesity in Indonesian Men: A Cross-Sectional Data Study of The Indonesia Family Life Survey 5 (IFLS 5)
    Dahlia, Gracia Satyawestri Pribadi, Santi Martini, Chung Yi-Li
    Folia Medica Indonesiana.2022; 58(3): 228.     CrossRef
  • Skeletal System Biology and Smoke Damage: From Basic Science to Medical Clinic
    Umberto Tarantino, Ida Cariati, Chiara Greggi, Elena Gasbarra, Alberto Belluati, Luigi Ciolli, Giulio Maccauro, Alberto Momoli, Simone Ripanti, Francesco Falez, Maria Luisa Brandi
    International Journal of Molecular Sciences.2021; 22(12): 6629.     CrossRef
  • 4,650 View
  • 77 Download
  • 2 Web of Science
  • 3 Crossref

Review Article

The Korean Ministry of Food and Drug Safety has approved three anti-obesity drugs for long-term management in the past decade. In addition, since 2019, bariatric surgery has been financially supported by National Health Insurance Service in Korea. In this review, the mechanisms of action and the clinical implications of the recently approved anti-obesity drugs, lorcaserin, naltrexone/bupropion, and liraglutide are explained. Lorcaserin stimulates proopiomelanocortin (POMC)/cocaine- and amphetamine-regulated transcript (CART) neurons and inhibits neuropeptide Y (NPY)/agouti-related peptide (AgRP) neurons, which results in the activation of melanocortin 3/4 receptors. Naltrexone/bupropion stimulates POMC neurons through bupropion; this stimulation is augmented by blocking the autoinhibitory mechanism of POMC with naltrexone. The hypophagic effect of liraglutide is mediated through the direct activation of POMC/CART neurons and the indirect suppression of NPY/AgRP neurons through γ-aminobutyric acid-dependent signaling, with adjunctive suppression of the mesolimbic dopamine reward system. In addition to liraglutide, another glucagon-like peptide-1 receptor agonist, semaglutide, is expected to be added to the list of anti-obesity drugs in the near future. In patients with obesity and high cardiovascular risk, lorcaserin was considered neutral and liraglutide was considered favorable, whereas inconclusive results were obtained for naltrexone/bupropion.

Citations

Citations to this article as recorded by  
  • Phytoactives for Obesity Management: Integrating Nanomedicine for Its Effective Delivery
    Ashok Kumar Mandal, Ankit Sahoo, Waleed H Almalki, Salem Salman Almujri, Abdulrahman Alhamyani, Alhussain Aodah, Nabil K Alruwaili, Sharifah Zamiah Binti Syed Abdul Kadir, Rambha Kumari Mandal, Rami A Almalki, Jonathan A Lal, Mahfoozur Rahman
    Nutrition Reviews.2025; 83(6): 1152.     CrossRef
  • Comparison of the Efficacy of Anti-Obesity Medications in Real-World Practice
    Ji-Eun Song, Hae-Jin Ko, A-Sol Kim
    Drug Design, Development and Therapy.2024; Volume 18: 845.     CrossRef
  • Pharmacological Treatment of Obesity in Older Adults
    Ondřej Žižka, Martin Haluzík, Edward B. Jude
    Drugs & Aging.2024; 41(11): 881.     CrossRef
  • 360-Degree Perspectives on Obesity
    Magdalena Cuciureanu, Cătălin-Cezar Caratașu, Levon Gabrielian, Otilia Elena Frăsinariu, Laura Elisabeta Checheriță, Laura Mihaela Trandafir, Gabriela Dumitrița Stanciu, Andrei Szilagyi, Ina Pogonea, Gabriela Bordeianu, Radu Petru Soroceanu, Călin Vasile
    Medicina.2023; 59(6): 1119.     CrossRef
  • Visceral adipose tissue and residual cardiovascular risk: a pathological link and new therapeutic options
    Arturo Cesaro, Gianantonio De Michele, Fabio Fimiani, Vincenzo Acerbo, Gianmaria Scherillo, Giovanni Signore, Francesco Paolo Rotolo, Francesco Scialla, Giuseppe Raucci, Domenico Panico, Felice Gragnano, Elisabetta Moscarella, Olga Scudiero, Cristina Menn
    Frontiers in Cardiovascular Medicine.2023;[Epub]     CrossRef
  • AgRP/NPY and POMC neurons in the arcuate nucleus and their potential role in treatment of obesity
    Muhammad Sufyan Vohra, Khaled Benchoula, Christopher J. Serpell, Wong Eng Hwa
    European Journal of Pharmacology.2022; 915: 174611.     CrossRef
  • Efficacy of subcutaneous semaglutide compared to placebo for weight loss in obese, non-diabetic adults: a systematic review & meta-analysis
    Naazneen Arastu, Olivia Cummins, Wanda Uribe, Eric C. Nemec
    International Journal of Clinical Pharmacy.2022; 44(4): 852.     CrossRef
  • Pharmacotherapy in obesity: the current state and the near future
    Yoon Jeong Cho, Kyoung-Kon Kim
    Journal of the Korean Medical Association.2022; 65(8): 514.     CrossRef
  • FDA-Approved Pharmacotherapy for Weight Loss Over the Last Decade
    Zarwa Idrees, Ivan Cancarevic, Li Huang
    Cureus.2022;[Epub]     CrossRef
  • Pregnancy outcomes after inadvertent exposure of anti-obesity drugs during pregnancy
    Eun Jeong Choi, Jung Yeol Han
    Clinical and Experimental Obstetrics & Gynecology.2021;[Epub]     CrossRef
  • Computational Drug Repurposing Approach to Identify Potential Fatty Acid-Binding Protein-4 Inhibitors to Develop Novel Antiobesity Therapy
    Somdutt Mujwar, Vivek Kumar
    ASSAY and Drug Development Technologies.2020; 18(7): 318.     CrossRef
  • Managing obesity through natural polyphenols: A review
    Manisha Singh, Thilini Thrimawithana, Ravi Shukla, Benu Adhikari
    Future Foods.2020; 1-2: 100002.     CrossRef
  • Reducing Effect of Farnesylquinone on Lipid Mass in C. elegans by Modulating Lipid Metabolism
    Xihua Jia, Manglin Xu, Aigang Yang, Yan Zhao, Dong Liu, Jian Huang, Peter Proksch, Wenhan Lin
    Marine Drugs.2019; 17(6): 336.     CrossRef
  • Mechanisms of action and clinical applications of anti-obesity drugs currently available in Korea
    Kyoung Kon Kim
    Journal of the Korean Medical Association.2019; 62(11): 588.     CrossRef
  • 11,170 View
  • 295 Download
  • 14 Web of Science
  • 14 Crossref

Original Articles

Diabetes Care of Non-obese Korean Americans: Considerable Room for Improvement
Keith Tsz-Kit Chan, Karen M. Kobayashi, Adity Roy, Esme Fuller-Thomson
Korean J Fam Med 2019;40(2):72-79.   Published online December 19, 2018
DOI: https://doi.org/10.4082/kjfm.18.0002
Background
Family doctors are increasingly managing the diabetes care of Korean-Americans. Little is known about the prevalence of diabetes among non-obese Korean-Americans, or the extent to which they receive timely and appropriate diabetes care. The purpose of this investigation is to: (1) identify the prevalence of diabetes and to determine the adjusted odds of diabetes among non-obese Korean-Americans compared to non-Hispanic White (NHW) Americans, (2) examine the factors associated with having diabetes in a large sample of non-obese KoreanAmericans, and (3) determine the prevalence and adjusted odds of optimal frequency of eye care, foot care and A1C blood glucose level monitoring among non-obese Korean-Americans with diabetes in comparison to NHWs with diabetes.
Methods
Secondary analysis of population-based data from the combined 2007, 2009, and 2011 adult California Health Interview Survey. The sample included 74,361 respondents with body mass index (BMI) <30 kg/m2 (referred to as ‘non-obese BMI’), of whom 2,289 were Korean-Americans and 72,072 were NHWs, and 4,576 had diabetes.
Results
The prevalence and adjusted odds of diabetes among non-obese Korean-Americans are significantly higher than among their NHW peers. More than 90% of Korean-Americans with diabetes were non-obese. NHWs had substantially higher odds of having optimal frequency of eye care, foot care and A1C glucose level monitoring, even after adjusting for insulin dependence, sex, age, education, income, and BMI.
Conclusion
Non-obese Korean-Americans are at higher risk for diabetes and are much less likely to receive optimal diabetes care in comparison to NHWs. Targeted outreach is necessary.

Citations

Citations to this article as recorded by  
  • Adapting the NIMHD Research Framework for Type 2 Diabetes-Related Disparities
    Monica Diaz, Morgan E. Braxton, Eyitayo O. Owolabi, Timian M. Godfrey, Mantej Singh, Aliria M. Rascón, Gabriel Q. Shaibi
    Current Diabetes Reports.2025;[Epub]     CrossRef
  • The interplay of social support and education on diabetes knowledge: a focus on Korean American women
    Young Ji Yoon, Soonok An, Y. Joon Choi, Hee Yun Lee
    Ethnicity & Health.2024; 29(7): 793.     CrossRef
  • The prevalence and management of diabetes among Vietnamese Americans: A population-based survey of an understudied ethnic group
    Leanne R De Souza, Keith T Chan, Karen Kobayashi, Alexis Karasiuk, Esme Fuller-Thomson
    Chronic Illness.2022; 18(2): 306.     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
  • 7,423 View
  • 89 Download
  • 5 Web of Science
  • 4 Crossref
Unintentional Injuries among the Elderly in Rural Areas and Their Related Behaviors
Forouzan Rezapur-Shahkolai, Nasrin Sayfian, Babak Moeini, Ghodratollah Roshanaei
Korean J Fam Med 2019;40(2):80-86.   Published online February 28, 2019
DOI: https://doi.org/10.4082/kjfm.17.0124
Background
Although the role of unintentional injuries as a cause of death in adults is known, there is limited knowledge about such adults’ behaviors. This study aims to investigate the frequency of and factors affecting unintentional injuries among the elderly living in rural areas and their related behaviors.
Methods
A cross-sectional study was carried out in the rural areas of Hamadan County, Iran, in 2016. The sample consists of randomly selected 445 adults aged 60–75 years. Data collection was conducted through face-to-face interviews, using questionnaires.
Results
One hundred and forty-three participants (34.7%) experienced 166 injury occurrences. The injuries occurred more in females than in males. There were more mild and severe injuries (48.2% and 31.3%, respectively) than moderate ones (20.5%). The most frequent mechanism of injuries was accidental falls (64.5%). There was a significant relationship between using aid devices and injuries (P=0.001). Among the most applied injury preventive measures as reported by the elderly, crossing streets safely and the use of proper lighting at night had the highest percentages (81.5% and 69.7%, respectively). However, the use of protective handles and plastic flooring in bathrooms in order to prevent slipping had the lowest percentages (less than 1.0%).
Conclusion
The injuries among the elderly in this study were important health concerns. Injury-related factors should be considered in the development of injury prevention programs.

Citations

Citations to this article as recorded by  
  • Prevalence and Risk Factors of Unintentional In-Home Injuries in Older Adults
    Ok-Hee Cho, Hyekyung Kim
    Medicina.2025; 61(7): 1235.     CrossRef
  • Factors Affecting Home Injuries in Older Adults: An Analysis Using Binary Logistic Regression
    Mehdi Abbasian, Homayoun Sadeghi‐bazargani, Hossein Matlabi, Naser Havaei, Mina Hashemiparast, Hamid Allahverdipour
    Health Science Reports.2025;[Epub]     CrossRef
  • 5,443 View
  • 98 Download
  • 2 Crossref
Association between Cigarette Smoking and Sarcopenia according to Obesity in the Middle-Aged and Elderly Korean Population: The Korea National Health and Nutrition Examination Survey (2008–2011)
Yoonjoo Jo, John Alderman Linton, Junho Choi, Junghae Moon, Jungeun Kim, Jiyoung Lee, Sinae Oh
Korean J Fam Med 2019;40(2):87-92.   Published online March 20, 2019
DOI: https://doi.org/10.4082/kjfm.17.0078
Background
The definition of sarcopenia focuses on muscle mass and function. Sarcopenic obesity is the relative excess of fat tissue with decreased muscle mass. We examined the association between cigarette smoking and sarcopenia according to obesity in middle-aged and elderly Koreans.
Methods
We conducted a cross-sectional study of 9,385 subjects (age ≥50 years) based on data from the fourth and fifth Korea National Health and Nutrition Examination Surveys (2008–2011). Smoking groups were categorized by smoking status and the number of cigarettes smoked daily. Sarcopenia was defined as weight-adjusted appendicular skeletal muscle mass of 2 standard deviations below the sex-specific mean for young adults. Obesity was defined as fat mass ≥30% for men and ≥40% for women. Subjects were categorized into three groups: sarcopenic obese (SO), sarcopenic non-obese (SNO), and normal. Multiple logistic regression analysis was performed to assess the association between smoking and SNO and SO.
Results
Among men, current smokers were more associated with SNO than never-smokers (adjusted odds ratio [OR], 3.34; 95% confidence interval [CI], 1.09–10.26). However, there was no significant association between smoking status and SNO in women or SO in either sex. Among current smokers, moderate smokers (11–20 cigarettes/d) were more likely to be SNO (adjusted OR, 5.81; 95% CI, 1.12–30.31) and heavy smokers (>20 cigarettes/d) were more likely to be SO (adjusted OR, 9.53; 95% CI, 1.65–55.01) than light smokers (<11 cigarettes/d).
Conclusion
In men, smoking was positively associated with SNO, and heavy smokers were more likely to be SO than light smokers.

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  • Prevalence of and risk factors for sarcopenia in patients with epilepsy
    Yu-Shiue Chen, Hung-Ling Huang, Huai-Hsien Huang, Tzu-Hsin Huang, Ming-Chi Lai, Chin-Wei Huang
    Seizure: European Journal of Epilepsy.2025; 125: 162.     CrossRef
  • Reliability and Clinical Validity of the SARC-Global Questionnaire for Sarcopenia and Sarcopenic Obesity in Spanish Older Adults
    Juan Manuel Guardia-Baena, María del Carmen Carcelén-Fraile, Fidel Hita-Contreras, Agustín Aibar-Almazán, María de los Ángeles Arévalo-Ruíz, María Aurora Mesas-Aróstegui, Raquel Fábrega-Cuadros
    Nutrients.2025; 17(7): 1206.     CrossRef
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    Zhengmei Zhao, Ruiting Cai, Lili Tao, Yuxiao Sun, Keping Sun
    Frontiers in Nutrition.2025;[Epub]     CrossRef
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    Weiliang Kong, Jiayuan Ye, Shuaiqin Dai, Xiaowei Xia, Jingjing Hu, Weiping Ding, Hui Li, Yilian Xie, Chao Cao
    BMC Musculoskeletal Disorders.2025;[Epub]     CrossRef
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    Moonkyoung Park, ThiThu-Huyen Do, Jinsun Park
    Nutrients.2025; 17(9): 1477.     CrossRef
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    Chunlin Hu, Xin Bao
    Journal of Contemporary Medical Practice.2024; 6(10): 42.     CrossRef
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    Amy H. Attaway, Annette Bellar, Nicole Welch, Jinendiran Sekar, Avinash Kumar, Saurabh Mishra, Umur Hatipoğlu, Merry‐Lynn McDonald, Elizabeth A. Regan, Jonathan D. Smith, George Washko, Raúl San José Estépar, Peter Bazeley, Joe Zein, Srinivasan Dasarathy
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    Mary Ni Lochlainn, Ruth C E Bowyer, Ailsa A Welch, Kevin Whelan, Claire J Steves
    Age and Ageing.2023;[Epub]     CrossRef
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    Stanislav Kotlyarov
    International Journal of Molecular Sciences.2023; 24(10): 8725.     CrossRef
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    BMC Genomic Data.2023;[Epub]     CrossRef
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    Stephen T. Decker, Alexs A. Matias, Adolfo E. Cuadra, Sean T. Bannon, Jack P. Madden, M. Enes Erol, Corinna Serviente, Karine Fenelon, Gwenael Layec
    American Journal of Physiology-Heart and Circulatory Physiology.2023; 325(5): H1088.     CrossRef
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    Eunbyul Cho, Hi Sun Soh, Jae-Ryun Lee, Jieun Yun, Woo Kyung Bae, Hyejin Lee
    Frontiers in Medicine.2023;[Epub]     CrossRef
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    Lee Smith, Jae Il Shin, Nicola Veronese, Pinar Soysal, Guillermo F. López Sánchez, Damiano Pizzol, Jacopo Demurtas, Mark A. Tully, Yvonne Barnett, Laurie Butler, Ai Koyanagi
    Aging Clinical and Experimental Research.2022; 34(7): 1573.     CrossRef
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    Yuan-Yuei Chen, Wei-Liang Chen, Tao-Chun Peng, Fang-Yih Liaw, Yuan-Ping Chao, Tung-Wei Kao
    Public Health Nutrition.2022; 25(7): 1745.     CrossRef
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    Amina Chain, Eduardo Faerstein, Vivian Wahrlich, Flavia F. Bezerra
    Nutrition.2021; 81: 110898.     CrossRef
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    M. Locquet, O. Bruyère, L. Lengelé, J.Y. Reginster, C. Beaudart
    Public Health.2021; 193: 101.     CrossRef
  • Skeletal System Biology and Smoke Damage: From Basic Science to Medical Clinic
    Umberto Tarantino, Ida Cariati, Chiara Greggi, Elena Gasbarra, Alberto Belluati, Luigi Ciolli, Giulio Maccauro, Alberto Momoli, Simone Ripanti, Francesco Falez, Maria Luisa Brandi
    International Journal of Molecular Sciences.2021; 22(12): 6629.     CrossRef
  • Association of Cigarette Smoking with Muscle Mass Reduction and Low Muscle Strength in Community-Dwelling Elderly Men
    Eriko NOGAMI, Nobuyuki MIYAI, Yan ZHANG, Masato SAKAGUCHI, Hiroko HAYAKAWA, Sonomi HATTORI, Miyoko UTSUMI, Yuji UEMATSU, Mikio ARITA
    Nippon Eiseigaku Zasshi (Japanese Journal of Hygiene) .2021; 76: n/a.     CrossRef
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    A. Dhaliwal, F. R. Williams, O. El-sherif, Matthew J. Armstrong
    Current Hepatology Reports.2020; 19(2): 128.     CrossRef
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    Ratna Devi, Andi Zulkifli Abdullah, Rosmala Nur, Fauzan, Ni Wayan Sridani, Muhammad Ryman Napirah
    Enfermería Clínica.2020; 30: 52.     CrossRef
  • Obesity, Sarcopenia, and Smoking: Landscape in the Mist
    Seung-Won Oh
    Korean Journal of Family Medicine.2019; 40(2): 61.     CrossRef
  • Breastfeeding and Sarcopenia in Later Life
    Jungun Lee
    Korean Journal of Family Medicine.2019; 40(3): 133.     CrossRef
  • 7,412 View
  • 163 Download
  • 22 Web of Science
  • 23 Crossref
Association of Lung Function with Serum 25-Hydroxyvitamin D Level according to the Presence of Past Pulmonary Tuberculosis in Korean Adults
Min Sung Kim, Chang-Jin Choi, Kyung Min Kwon, Kyung-Soo Kim, Whan-Seok Choi, Yoon Jee Oh
Korean J Fam Med 2019;40(2):93-99.   Published online December 4, 2018
DOI: https://doi.org/10.4082/kjfm.17.0083
Background
Vitamin D deficiency is associated with an increased risk of pulmonary tuberculosis (PTB) infection and the treatment outcome. The aim of this study was to examine the relationship between the serum 25-hydroxyvitamin D (25[OH]D) level and lung function in Korean adults according to whether or not there is a history of PTB.
Methods
The data for subjects aged 19 years or older from the Korea National Health and Nutrition Examination Survey 2008–2012 who underwent spirometry, chest radiography, and serum 25(OH)D level measurement were analyzed.
Results
Evidence of past PTB infection was found in 1,482 (9.6%) of 15,516 subjects. The serum 25(OH)D level was lower in the group with past PTB than in the non-PTB group (P=0.013). Respiratory dysfunction was more common in the past PTB group than in the non-PTB group (restrictive pattern, 14.0% vs. 9.6%; obstructive pattern, 29.6% vs. 8.2%; both P<0.001). After adjusting for age, sex, height, and season, the mean difference in forced expiratory volume in 1 second (FEV1) between the highest and lowest quartiles of 25(OH)D was 100.2 mL (standard error=49.3 mL, P for trend=0.049) in the past PTB group and 34.7 mL (standard error=13.6 mL, P=0.009) in the nonPTB group.
Conclusion
FEV1 tended to increase as the vitamin D quartile increased in both study groups. This relationship was more pronounced in subjects with a history of PTB. A higher serum 25(OH)D level might be beneficial in preserving lung function after PTB infection.

Citations

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  • Post-pulmonary tuberculosis lung function: a systematic review and meta-analysis
    Sharina Ratnakumar, Sally E Hayward, Emma K Denneny, Lucy P Goldsmith, Rebecca Evans, William Checkley, Delia Goletti, Catherine W M Ong, Mateusz Gotowiec, Junkai Zhu, Jon S Friedland, Joanna C Porter
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Association between Body Fat and Bone Mineral Density in Normal-Weight Middle-Aged Koreans
Dong-Hyun Kim, Heekyung Lim, Seungbin Chang, Ju-No Kim, Yong-Kyun Roh, Min-Kyu Choi
Korean J Fam Med 2019;40(2):100-105.   Published online November 16, 2018
DOI: https://doi.org/10.4082/kjfm.17.0082
Background
Osteoporosis and osteopenia are characterized by reduced bone mineral density (BMD) and increased fracture risk. Although the risk of fractures is higher in underweight people than in overweight people, the accumulation of body fat (especially abdominal fat) can increase the risk of bone loss. This study aimed to evaluate the association between body fat percentage and BMD in normal-weight middle-aged Koreans.
Methods
This study included 1,992 adults (mean age, 48.7 years; 52.9% women). BMD and body fat were measured using dual-energy X-ray absorptiometry. Multiple linear regression analyses and analysis of covariance were used to assess the association between BMD and body fat. Body fat percentage was grouped by cut-off values. The cut-off values were 20.6% and 25.7% for men with a body mass index of 18.5–22.9 kg/m2 , while the cut-off values were 33.4% and 36% for women.
Results
Body fat percentage tended to be negatively associated with BMD. Increased body fat percentage was associated with reduced BMD in normal-weight middle-aged adults. The effects of body fat percentage on BMD in normal-weight individuals were more pronounced in men than in women.
Conclusion
There was a negative correlation between BMD and body fat percentage in middle-aged Korean men and women with normal body weight. This association was stronger in men than in women.

Citations

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  • Serum A20 level is associated with bone mineral density in male patients with type 2 diabetes mellitus
    Dongxu Han, Jingnan Liu, Yu Wang, Hongxia Wang, Lingdan Yuan, Wei Jin, Lige Song
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    Jeonghyeon Kim, Seamon Kang, Hyunsik Kang
    Maturitas.2024; 180: 107891.     CrossRef
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    Numan Salman Dawood, Zainab Sami Abdel Aziz, Haneen Maan Alkhaales
    Al-Rafidain Journal of Medical Sciences ( ISSN 2789-3219 ).2024; 6(1): 34.     CrossRef
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    Ayşegül Yaman, Oya Özdemir, Şule Gök, Sevilay Karahan, Yeşim Gökçe Kutsal
    Turkish Journal of Osteoporosis.2024; 30(1): 16.     CrossRef
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    Hongyang Xie, Zhenxi Xia, Cuiqiao Xia, Nan Zhang, Yu Ding, Hongyi Zhao, Yonghua Huang
    Current Neurovascular Research.2024; 21(2): 205.     CrossRef
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    Nipith Charoenngam, Caroline M. Apovian, Chatlert Pongchaiyakul
    Frontiers in Endocrinology.2023;[Epub]     CrossRef
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    Xuangao Wu, Sunmin Park
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
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    Xiaohua Liu, Yuxiang Du, Zhonghan Zhao, Jun Zou, Xiaojing Zhang, Lingli Zhang
    Journal of Cellular Physiology.2023; 238(6): 1193.     CrossRef
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    Anoohya Gandham, Jakub Mesinovic, Mavil May Cervo, Costas Glavas, Paul Jansons, Carrie-Anne Ng, Juan Pena Rodriguez, Ayse Zengin, Maxine P. Bonham, Peter R. Ebeling, David Scott
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Clinical Characteristics Associated with Electrocardiographic Left Ventricular Hypertrophy in Clinical Normotensives without a History of Hypertension: a Cross-Sectional Study
Hyoeun Lee, Hong Ji Song, Yu-Jin Paek, Kyung-Hee Park, Hye-Mi Noh, Geonhyeok Kim, Young-Gyun Seo
Korean J Fam Med 2019;40(2):106-115.   Published online February 7, 2019
DOI: https://doi.org/10.4082/kjfm.17.0069
Background
This study evaluated factors independently associated with electrocardiographic left ventricular hypertrophy (ECG-LVH) in subjects who were normotensive on clinical measurement and had no prior history of hypertension.
Methods
This cross-sectional study analyzed cases and controls in the Comprehensive Medical Examination Center of Hallym University Sacred Heart Hospital. Eligible case participants presented ECG-LVH according to the Sokolow-Lyon or Cornell criteria, were normotensive on clinical measurement, and had never received a diagnosis of hypertension. The control group comprised subjects with normal sinus rhythm who were normotensive on clinical measurement with no history of hypertension.
Results
A multiple logistic regression model showed male sex, age and systolic blood pressure to be positively related to the presence of ECG-LVH. A positive relation of smoking and regular exercise; an inverse relation of pulse rate to the presence of ECG-LVH were found only in men. An inverse relation of uric acid level was found only in women. Detailed analyses of relatively healthy and young men according to whether or not to exercise regularly showed that positive relations of age and systolic blood pressure; an inverse relation of obesity to the presence of ECG-LVH were apparent in the non-regular exercise group but not in the regular exercise group. In the regular exercise group, only pulse rate showed significant (inverse) association with the presence of ECG-LVH.
Conclusion
The varying risk factor profiles associated with ECG-LVH according to sex and the participation in regular exercise may help to elucidate the ECG-LVH in clinical normotensives with no prior history of hypertension.

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  • Prevalence, Performance and Predictors of Electrocardiographic Left Ventricular Hypertrophy in Male Black Athletes: A Retrospective Study
    Tochukwu F. Ilodibia, Clement O. Odigwe, Augustine N. Odili
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Association between C-Reactive Protein and Metabolic Syndrome in Korean Adults
Youhyun Song, Soo Kyung Yang, Jungeun Kim, Duk-Chul Lee
Korean J Fam Med 2019;40(2):116-123.   Published online October 30, 2018
DOI: https://doi.org/10.4082/kjfm.17.0075
Background
The prevalence of metabolic syndrome (MetS) is increasing, and obesity, insulin resistance, and inflammation are the known risk factors. However, results of previous studies regarding the relationship between MetS and inflammation have not been consistent. This study aimed to identify the associations between C-reactive protein (CRP) and MetS and its components in obese and non-obese men and women.
Methods
This was a cross-sectional study based on the 6th Korea National Health and Nutrition Examination Survey (2015), and a nationally representative sample of 3,013 Korean adults aged 40–78 years were included. Those with cardiovascular disease, cancer, CRP level >10 mg/L, white blood cell count >10,000/mm3 , chronic kidney disease, and lung/liver disease were excluded.
Results
Approximately 11.0%, 50.0%, 8.4%, and 48.8% of non-obese men, obese men, non-obese women, and obese women presented with MetS (P<0.001), respectively. In all four groups, those who presented with MetS or its components showed a higher high-sensitivity (hs-CRP) average than those without. Multivariate regression analysis showed the increased risk of developing MetS with higher quartiles of hs-CRP level in obese (3rd and 4th quartiles: odds ratios [ORs], 3.87 and 2.57, respectively) and non-obese women (4th quartile: OR, 2.63). The different components also showed increased ORs in the four groups. However, no statistically significant trend in the relationship was found in men.
Conclusion
Low-grade inflammation may increase the risk of MetS in Korean women independent of adiposity. However, due to the cross-sectional design of the present study, further studies must be conducted to identify the causal relationship between inflammation and metabolic disorders.

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Background
The blood level of alanine aminotransferase (ALT) is associated with increased coronary heart disease (CHD) risk. However, its use as an independent factor for CHD risk prediction remains unclear in Asian populations. The purpose of this study was to examine the association between serum ALT levels and CHD risk in Koreans.
Methods
This was a cross-sectional study using data from the Korea National Health and Nutrition Examination Survey (V-1, 2010 and V-2, 2011). The ALT levels of 3,215 individuals were analyzed. The Framingham Risk Score (FRS) modified by the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) was used to compute the 10-year CHD risk prediction.
Results
Positive correlations were established between log-transformed ALT concentration and FRS (r=0.433, P<0.001). After adjusting for body mass index, low-density lipoprotein cholesterol, the amount of alcohol intake, and gamma-glutamyl transferase, the odds ratio (95% confidence interval) for intermediate or greater risk of 10- year CHD prediction (10-year risk ≥10%) for the lowest quartile of participants was 2.242 (1.405–3.577) for the second quartile, 2.879 (1.772–4.679) for the third quartile, and 3.041 (1.789–5.170) for the highest quartile.
Conclusion
In Koreans, a higher serum ALT concentration was significantly correlated with 10-year CHD risk prediction according to NCEP ATP III guidelines.

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Case Report
Acquired Hemophilia in a Patient Presenting with Swollen Left Limb
George Wong Pah Kiam
Korean J Fam Med 2019;40(2):129-132.   Published online July 13, 2018
DOI: https://doi.org/10.4082/kjfm.17.0126
Acquired hemophilia is a rare, potentially life-threatening disease that usually remains under-recognized especially in a primary setting; thus, diagnosing this disease is very challenging. Given its prevalence in elderly patients, awareness and diagnosis of this condition in the aging population (particularly those with unexplained bleeding or prolonged activated partial thromboplastin time) should be improved and better managed by the clinicians. Early diagnosis and prompt treatment are usually effective in preventing the adverse outcomes of this disease. In this report, we discuss a case of an elderly patient with acquired hemophilia who initially presented with swelling of his lower left limb. The diagnosis of acquired hemophilia was made a month after the appearance of symptoms. Early diagnosis with proper treatment could have been provided to this patient, if the initial assessment had been thoroughly conducted.

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    Ali Taher, Layal Al Mahmasani, Abdallah Aadra, Patricia Yazbeck, Georges Abi Saad, Fadi Nasr, Rita Habib, Amal Chalfoun, Fadi Haddad
    Hematology.2021; 26(1): 83.     CrossRef
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