Osong Public Health and Research Perspectives

Original Articles

The associations of health behaviors and working hours with high-sensitivity C-reactive protein levels in Korean wage workers: a cross-sectional study: Choong-Won Seo, Eun-A Park, Tae-Hyung Yoon; Osong Public Health Res Perspect. 2023;14(5):356-367. Published online September 21, 2023; DOI: https://doi.org/10.24171/j.phrp.2023.0052

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Graphical Abstract Abstract PDF: Objectives
We investigated differences in high-sensitivity C-reactive protein (hs-CRP) levels by age group according to working hours, socioeconomic level, health behavior and status, and occupational class, and aimed to identify factors affecting hs-CRP levels in various age groups using data from the Korean National Health and Nutrition Examination from 2016 to 2018. Methods: The study included a total of 4,786 male wage workers across the nation, aged between 19 and 65. Data from 4,674 workers were analyzed using multiple logistic regression analysis. Results: Obesity, metabolic syndrome, and weekly working hours were associated with hs-CRP, a biomarker of inflammation. Participants with a body mass index (BMI) ≥25.0 kg/m2 showed significantly higher hs-CRP levels than those with a BMI 23.0 to 25.0 kg/m2. Workers with high-risk drinking and metabolic syndrome showed significantly higher hs-CRP levels in the 50 to 65 years group. Obesity, walking 0 to 149 min/wk, and working ≥61 hours a week were associated with significantly higher hs-CRP levels in the 35 to 49 years group. The factors that significantly affected hs-CRP levels were different among age groups. Conclusion: Plans to adjust working hours should be considered health behaviors, such as drinking and physical activity, and health conditions, such as metabolic syndrome and obesity, according to workers’ age.

Living arrangements and metabolic syndrome: a national cross-sectional study in the Republic of Korea: Junghyun Kim, Aeree Sohn; Osong Public Health Res Perspect. 2024;15(1):77-82. Published online September 20, 2023; DOI: https://doi.org/10.24171/j.phrp.2023.0036

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Graphical Abstract Abstract PDF: Objectives
This study investigated the relationship between living arrangements and metabolic syndrome (MetS) risk in the adult population in the Republic of Korea. Methods: The samples were derived from the data collected during the second year of the seventh Korea National Health and Nutrition Examination Survey. The study targeted a total of 6,265 adults who were aged 20 years and above, and multiple logistic regression analysis was conducted. Living arrangements were classified into 4 categories: single-person households, 1-generation households, 2-generation households, and other family types. MetS was identified by the presence of at least 3 out of the 5 National Cholesterol Education Program Adult Treatment Panel III criteria. Results: For men, the odds ratio (ORs) for MetS in 1- and 2-generation households, compared to single-person households, were 0.92 (95% confidence interval [CI], 0.55–1.54) and 0.97 (95% CI, 0.58–1.62), respectively. The OR for other types of households was 0.96 (95% CI, 0.79–1.17). For women, the OR for MetS in 1- and 2-generation households, compared to single-person households, were 1.52 (95% CI, 1.15–2.01) and 1.29 (95% CI, 1.01–1.67), respectively. Conclusion: Our study suggests that a national strategy involving tailored interventions for women living in high-risk conditions is necessary to reduce the risk of MetS in Korean women.

Waist Circumference and Spirometric Measurements in Chronic Obstructive Pulmonary Disease: Ali Alavi Foumani, Mohammad Masoud Neyaragh, Zahra Abbasi Ranjbar, Ehsan Kazemnezhad Leyli, Shima Ildari, Alireza Jafari; Osong Public Health Res Perspect. 2019;10(4):240-245. Published online August 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.4.07

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Abstract PDF

Objectives

The aim of this study was to evaluate whether the waist circumference of patients with chronic obstructive pulmonary disease (COPD), had an impact on lung function.

Methods

There were 180 patients with COPD recruited into this prospective cross-sectional study. The age, weight, body mass index and waist circumference (WC) were measured. Spirometry parameters including forced vital capacity (FVC), and forced expiratory volume in the first second (FEV1), were measured and FEV1/FVC calculated.

Results

The mean FEV1/FVC in both normal weight and overweight patients, did not statistically significantly correlate with WC. The COPD assessment test, positively correlated with WC ( p = 0.031). A positive correlation with body mass index ( p < 0.001), smoking ( p = 0.027), and global initiative for chronic obstructive lung disease score ( p = 0.009), were observed to positively associate with WC. WC, age, C-reactive protein, duration of disease, and gender (male), were observed to be statistically significant risk factors for the severity of COPD.

Conclusion

WC was not observed to impact upon lung function in this study but it was a predictive factor for COPD severity in patients.

Citations

Citations to this article as recorded by

Lung function parameters in overweight patients with COPD in relation to body mass index and waist circumference and impact on quality of life
Zunaira Nawaz, Muhammad Ashraf Jahangir, Zille Huma
Journal of International Medical Research.2024;[Epub] CrossRef
The role of abdominal obesity in the development of cardiopulmonary disorders in aluminum industry workers
Egor S. Filimonov, Olga Yu. Korotenko, Evgeniya V. Ulanova
Hygiene and sanitation.2023; 102(4): 328. CrossRef
A study on the correlation of chronic obstructive pulmonary disease with metabolic syndrome and its components
Aishee Bhattacharyya, Avas Chandra Roy, Subrata Basu, Krishanko Das
Journal of Research in Applied and Basic Medical S.2023; 9(4): 243. CrossRef
Blood Levels of Indicators of Lower Respiratory Tract Damage in Chronic Bronchitis in Patients with Abdominal Obesity
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Prevalence of Metabolic Syndrome in Chronic Obstructive Pulmonary Disease and its Correlation with Body Mass Index, Airflow Obstruction, Dyspnea, and Exercise Index and C-Reactive Protein
D. Suresh Kumar, Richard Samuel, Viola Savy DSouza, Madhu Keshava Bangera
Indian Journal of Respiratory Care.2022; 11(4): 314. CrossRef
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Abdominal obesity and the level of markers of lower respiratory tract damage in patients with chronic bronchitis
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Sex-based Association between Depression and Metabolic Syndrome in Korean Middle-aged and Older Adults: Jin Suk Ra, Hye Sun Kim; Osong Public Health Res Perspect. 2017;8(2):130-137. Published online April 30, 2017; DOI: https://doi.org/10.24171/j.phrp.2017.8.2.05

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Abstract PDF

Objectives

This study aimed to identify the sex-based association between depression and the development of metabolic syndrome (Mets) among middle-aged and older Korean adults.

Methods

A cross-sectional design was used for the secondary analysis of the 2010–2014 Korean National Health and Nutrition Examination Survey. Data from 1,938 men and 2,404 women were analyzed. Mets was defined in accordance with the criteria used for clinical diagnosis. Depression was assessed with a question about having clinical depression. The association between depression and the development of Mets with or without adjustment for covariates was identified by conducting logistic regression analysis on weighted data using a complex sample procedure.

Results

More women than men had depression. Before covariate adjustment, depression was significantly associated with the development of Mets among women (odds ratio [OR], 1.586; 95% confidence interval [CI], 1.152–2.183) and with a higher triglyceride level among men (OR, 1.679; 95% CI, 1.001–2.818). After covariate adjustment; depression was significantly associated with higher waist circumference among women (adjusted OR [AOR], 1.532; 95% CI, 1.046–2.245) and higher triglyceride level (AOR, 1.511; 95% CI, 1.029–2.219) than was Mets. Conversely, depression did not have significant effects on the development of Mets among men.

Conclusion

Depression was associated with the development of Mets among middle-aged and older Korean women. Healthcare providers in communities should assess women with depression for the presence of Mets components. Interventions for relieving depressive symptoms should also be provided to women at risk for Mets.

Citations

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Relationship between metabolic syndrome and depression: A study based on Rafsanjan Youth Cohort Study
Mitra Abbasifard, Gholamreza Bazmandegan, Hamid Ostadebrahimi, Fatemeh Foroutanian, Zahra Kamiab
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A study on the effect of poor housing on self-esteem, depression: Focusing on comparison of the people with and without disabilities
Sul Hee Yoo, Ji Hye Kim, Jun Yim
Korean Journal of Health Education and Promotion.2022; 39(5): 15. CrossRef
Calorie restriction in combination with prebiotic supplementation in obese women with depression: effects on metabolic and clinical response
Elnaz Vaghef-Mehrabany, Fatemeh Ranjbar, Mohammad Asghari-Jafarabadi, Sonia Hosseinpour-Arjmand, Mehrangiz Ebrahimi-Mameghani
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Nobuhiko Narukawa, Hiromasa Tsujiguchi, Akinori Hara, Sakae Miyagi, Takayuki Kannon, Keita Suzuki, Yukari Shimizu, Thao Thi Thu Nguyen, Kim Oanh Pham, Fumihiko Suzuki, Atsushi Asai, Takashi Amatsu, Tomoko Kasahara, Masateru Miyagi, Masaharu Nakamura, Yohe
Nutrients.2021; 13(3): 1023. CrossRef
The Contribution of Material, Behavioral, Psychological, and Social-Relational Factors to Income-Related Disparities in Cardiovascular Risk Among Older Adults
Chiyoung Lee, Qing Yang, Eun-Ok Im, Eleanor Schildwachter McConnell, Sin-Ho Jung, Hyeoneui Kim
Journal of Cardiovascular Nursing.2021; 36(4): E38. CrossRef
Depressive symptoms and 5-year incident metabolic syndrome among older adults
Qian Wu, Yi-Ying Hua, Qing-Hua Ma, Yong Xu, Xing Chen, Chen-Wei Pan
Scientific Reports.2021;[Epub] CrossRef
The Effect of Depression on Metabolic Syndrome and Its Components among Korean Adults
Mee Young Im
Korean Journal of Stress Research.2021; 29(4): 235. CrossRef
Relationship between Vitamin Intake and Depressive Symptoms in Elderly Japanese Individuals: Differences with Gender and Body Mass Index
Thao Nguyen, Hiromasa Tsujiguchi, Yasuhiro Kambayashi, Akinori Hara, Sakae Miyagi, Yohei Yamada, Haruki Nakamura, Yukari Shimizu, Daisuke Hori, Fumihiko Suzuki, Koichiro Hayashi, Hiroyuki Nakamura
Nutrients.2017; 9(12): 1319. CrossRef
Depression among Middle-aged Persons
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Osong Public Health and Research Perspectives.2017; 8(2): 105. CrossRef

Composition of Metabolic Syndrome Among Korean Adults in a Lifestyle Modification Intervention: Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim; Osong Public Health Res Perspect. 2014;5(6):370-377. Published online December 31, 2014; DOI: https://doi.org/10.1016/j.phrp.2014.10.005

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Abstract PDF

Objectives
The aim of this study was to examine the composition of metabolic syndrome (MetS) components among middle-aged and older Koreans.
Methods
A total of 263 participants (age 40 + years) in a lifestyle modification intervention program who met the MetS definition of National Cholesterol Education Program (NCEP) – Adult Treatment Panel (ATP) III criteria were included in the study. The frequent patterns and clustering of MetS components were investigated. Clustering of changes in individual components, through a lifestyle modification intervention, was also identified. All characteristics were stratified by and compared between sexes.
Results
Approximately 80% of the participants had three of five MetS risk factors at baseline. The prevalence of each risk differed by sex. MetS composition patterns that do not include low high-density lipoprotein (HDL) cholesterol were more noticeable in men because of the low prevalence of low HDL cholesterol. In women, with higher prevalence of low HDL cholesterol, more patterns that include low HDL cholesterol were observed. The most common combination was “elevated blood pressure + abdominal obesity + impaired fasting glucose” in both sexes. Clustering of MetS risks was also found with most of the frequent combinations of MetS components. Through the lifestyle intervention, the greatest change was observed in HDL cholesterol among men and blood pressure among women. Triglycerides and HDL cholesterol were likely to be improved with blood pressure in men and abdominal obesity in women.
Conclusion
Differences in the prevalent patterns of MetS compositions were observed prior to and after the intervention, along with during-intervention changes. It is recommended that intervention strategies and guidelines for MetS management consider the MetS composition patterns for effectiveness.

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Development and Evaluation of a Blended Self-Management Program for Metabolic Syndrome in Patients With Rheumatic Diseases
BoAe Im, HyunSoo Oh, SooHyun Kim, HyeSun Jeong, WhaSook Seo
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Gender Differences of Health Behaviors in the Risk of Metabolic Syndrome for Middle-Aged Adults: A National Cross-Sectional Study in South Korea
Jaehee Yoon, Jeewuan Kim, Heesook Son
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Evaluation of the physical activity level, nutrition quality, and depression in patients with metabolic syndrome
İsmet Kazaz, Ender Angin, Seray Kabaran, Gözde İyigün, Berkiye Kirmizigil, Mehtap Malkoç
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Health related behavior patterns and associated factors among marriage immigrant women using latent class analysis
Wonsup Cho, Seunghyun Yoo, Hyekyeong Kim
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Depression among Korean Adults with Type 2 Diabetes Mellitus: Ansan-Community-Based Epidemiological Study
Chan Young Park, So Young Kim, Jong Won Gil, Min Hee Park, Jong-Hyock Park, Yeonjung Kim
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Relationship between Serum Levels of Body Iron Parameters and Insulin Resistance and Metabolic Syndrome in Korean Children: Hye-Ja Lee, Han Byul Jang, Ji Eun Park, Kyung-Hee Park, Jae Heon Kang, Sang Ick Park, Jihyun Song; Osong Public Health Res Perspect. 2014;5(4):204-210. Published online August 31, 2014; DOI: https://doi.org/10.1016/j.phrp.2014.06.005

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Abstract PDF

Objectives
An increase in serum ferritin and levels of the cleaved soluble form of transferrin receptor (sTfR) are related to several metabolic conditions. We evaluated the relationship between body iron status indicators, including ferritin and sTfR, and insulin resistance and metabolic syndrome (MetS) in Korean children.
Methods
A cross-sectional study was conducted on 1350 children in Korea. Anthropometrical parameters; lipid profiles; levels of glucose, insulin, and leptin; and iron status indicators, including sTfR, serum ferritin, serum iron, total iron-binding capacity (TIBC), and transferrin saturation (TS), were analyzed.
Results
Although serum sTfR levels were significantly higher in boys than in girls (2.20 vs. 2.06 mg/L, p < 0.0001), serum iron and TS were higher in girls than in boys (101.38 vs. 95.77 mg/L, p = 0.027 and 30.15 vs. 28.91%, p = 0.04, respectively). Waist circumference (WC) and leptin were most significantly associated with body iron indicators when adjusted for age and sex. After adjusting for age, sex, and WC, sTfR levels showed the strongest positive association with leptin levels (p = 0.0001). Children in the highest tertile for homeostasis model assessment-insulin resistance (HOMA-IR) had higher TIBC (p = 0.0005) and lower serum iron (p = 0.0341), and the lowest TS (p < 0.0001) after adjustment for confounders. Children with higher sTfR were most significantly associated with risk of MetS compared with those lower sTfR (p = 0.0077).
Conclusion
The associations of serum levels of iron metabolism markers with leptin levels, HOMA-IR, and MetS suggest that iron-related factors may involve insulin resistance and MetS.

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Relationship between trajectories of dietary iron intake and risk of type 2 diabetes mellitus: evidence from a prospective cohort study
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Guohua Li, Wenlu Yu, Hexiang Yang, Xinyue Wang, Tianyou Ma, Xiaoqin Luo
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Iron status and cardiometabolic risk in children
Milton Fabian Suárez-Ortegón, Anna Prats-Puig, Judit Bassols, Gemma Carreras-Badosa, Stela McLachlan, Sarah H. Wild, Abel López-Bermejo, Jose Manuel Fernández-Real
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High-fat diet–induced plasma protein and liver changes in obese rats can be attenuated by melatonin supplementation
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Investigation of the relationship between hemoglobin and serum iron levels and early-phase insulin secretion in non-diabetic subjects
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Biomarkers of iron metabolism are independently associated with impaired glucose metabolism and type 2 diabetes: the KORA F4 study
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Prevalence of Dyslipidemia and Hypertension in Indian Type 2 Diabetic Patients with Metabolic Syndrome and its Clinical Significance: Dhananjay Yadav, Meerambika Mishra, Arvind Tiwari, Prakash Singh Bisen, Hari Mohan Goswamy, G.B.K.S. Prasad; Osong Public Health Res Perspect. 2014;5(3):169-175. Published online June 30, 2014; DOI: https://doi.org/10.1016/j.phrp.2014.04.009

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Abstract PDF

Objectives
The present study was designed to estimate the prevalence of dyslipidemia and hypertension based on the National Cholesterol Educational Programme Adult Treatment Panel III definition of metabolic syndrome (MetS). The study also focuses on prevalence for MetS with respect to the duration of disease in Gwalior–Chambal region of Madhya Pradesh, India.
Methods
Type 2 diabetic patients (n = 700) were selected from a cross-sectional study that is regularly being conducted in the School of Studies in Biochemistry, Jiwaji University Gwalior, India. The period of our study was from January 2007 to October 2009. Dyslipidemia and hypertension were determined in type 2 diabetic patients with MetS as per National Cholesterol Educational Programme Adult Treatment Panel III criteria.
Results
The mean age of the study population was 54 ± 9.3 years with 504 (72%) males and 196 (28%) females. The prevalence of MetS increased with increased duration of diabetes in females; however, almost constant prevalence was seen in the males. Notable increase in the dyslipidemia (64.1%) and hypertension (49%) in type 2 diabetic patients were seen. The steep increase in dyslipidemia and hypertension could be the reason for the growing prevalence of diabetes worldwide. The study also noted a close association between age and occurrence of MetS.
Conclusion
Individual variable of MetS appears to be highly rampant in diabetic population. Despite treatment, almost half of patients still met the criteria for MetS. Effective treatment of MetS components is required to reduce cardiovascular risk in diabetes mellitus hence accurate and early diagnosis to induce effective treatment of MetS in Indian population will be pivotal in the prevention of cardiovascular disease and type 2 diabetes.

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Article

Improvements in the Metabolic Syndrome and Stages of Change for Lifestyle Behaviors in Korean Older Adults: Seunghyun Yoo, Hyekyeong Kim, Han-Ik Cho; Osong Public Health Res Perspect. 2012;3(2):85-93. Published online June 30, 2012; DOI: https://doi.org/10.1016/j.phrp.2012.04.007

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Abstract PDF

Objectives
This study aims to examine the effectiveness of a 6-month lifestyle modification program on the improvement in metabolic syndrome (MetS) status and in stages of change for lifestyle behaviors associated with MetS among Korean older adults.
Methods
A lifestyle modification program was developed based on the transtheoretical model. The program consisted of health counseling, education classes, a self-management handbook, newsletters and a health diary. Older adults aged ≥60 (n = 480) with MetS were randomly assigned to the intervention group (IG) or the comparison group (CG). The IG received a comprehensive 6-month lifestyle modification intervention, while the CG received minimal information on MetS and lifestyle modification. Health examination and selfadministered survey were conducted before and after the intervention to determine the effectiveness of the program.
Results
After the intervention, the prevalence of MetS decreased to 38.1% in the IG and 52.4% in the CG (p = 0.046). The IG improved abdominal obesity (p = 0.016), blood pressure (p = 0.030), and triglyceride (p = 0.005) more than the CG did. The IG demonstrated significant improvements in the behavioral stages for portion control (p = 0.021), balanced diet (p < 0.001) and adequate intake of fruits and vegetables (p = 0.012). The IG reduced the prevalence of abdominal obesity (OR = 2.34) and improved MetS status (OR = 1.79) better than the CG. The IG were more likely to advance from preaction stages at baseline to action stage at post-intervention for portion control (OR = 3.29) and adequate intake of fruits and vegetables (OR = 2.06).
Conclusion
Lifestyle modification can improve the MetS status and behavioral stages in older adults.

Citations

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