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갑상선 자극 호르몬 농도가 정상 범위 내에 있는 성인에서 갑상선 자극 호르몬 수치와 대사증후군의 관련성
신황식(Hwang Sik Shin),김진리(Jin Ri Kim),서주영(Ju Young Seo),신경숙(Kyung Suk Shin),유병욱(Byung Wook Yoo),조용진(Yong Jin Cho),오정은(Jung Eun Oh),홍성호(Sung Ho Hong),조주연(Choo Yon Cho) 대한임상노인의학회 2014 대한임상노인의학회지 Vol.15 No.1
연구배경: 이번 연구는 일개 대학병원 건강검진센터 수검자를 대상으로 대사증후군과 갑상선 자극 호르몬의 연관성을 파악하고자 하였다. 방법: 2010년 2월부터 2011년 2월 까지 한 대학병원 건강검진센터를 방문했던 갑상선 자극 호르몬 농도가 정상인 20세 이상 성인 남녀 5,526명을 연구 대상으로 성별, 연령, 체질량지수, 허리둘레, 혈압, 공복혈당, 총콜레스테롤, 중성지방, 고밀도 지단백 콜레스테롤, 갑상선 자극 호르몬을 측정하였고 문진을 통해 갑상선 질환의 기왕력을 조사하였다. 갑상선 자극 호르몬 농도를 백분위에 의거하여 4군으로 분류한 후 각 집단에 대한 대사증후군과의 연관성을 평가하였다. 결과: 혈청 갑상선 자극 호르몬 농도는 혈압, 공복 혈당과 관련이 있었다(P<0.05). 대사 증후군의 유병률은 전체 21.6% (1194명)이었고, 갑상선 자극 호르몬 농도에 따라 23.1%, 21.5%, 21.0%, 20.8%였으나 통계적으로 유의하지는 않았다. 갑상선 자극 호르몬 농도에 따라 대사증후군의 위험도는 연령, 성별, 체질량 지수 보정 전후에서 모두 연관성이 없었다. 결론: 갑상선 자극 호르몬 농도가 정상 범위 내에 있는 성인에서 갑상선 자극 호르몬 농도의 수준과 대사증후군 사이에 독립적인 연관성은 없었다. Background: Several studies have shown that the risk of cardiovascular disease is elevated by the metabolic syndrome and thyroid hormone. Thus, it is necessary to access the relation of thyroid hormone and the risk factor of cardiovascular disease. The aim of the present study is to evaluate the association between serum thyroid-stimulating hormone (TSH) and the metabolic syndrome. Methods: Subjects for this cross-sectional study were 5,526 men and women aged 20 years and more, who visited the health promotion center of one university hospital in Chungcheongnam-do for general health check-up from February 2010 to February 2011. Study people with normal TSH level divided into four groups according to serum TSH level quartiles. Age, body mass index (BMI), blood pressure (BP), fasting glucose, total cholesterol, triglyceride and high-density lipoprotein cholesterol (HDL-C) were compared with serum TSH concentration. The contribution of parameters of the metabolic syndrome in subjects with TSH level was assessed. Results: Serum TSH level related with diastolic BP, systolic BP, and fasting glucose level (P<0.05). But the other components showed no difference among the groups. TSH was not related with the metabolic syndrome. Conclusion: There was no association between serum TSH level and metabolic syndrome in healthy euthyroid subjects.
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임재석(Jae Seok Im),김나래(Na Rae Kim),오정은(Jung Eun Oh),홍성호(Sung Ho Hong),조주연(Choo Yon Cho),조용진(Yong Jin Cho),유병욱(Byung Wook Yoo),신경숙(Kyung Suk Shin),조현(Hyun Joe),신황식(Hwang Sik Shin),손두용(Doo Yong Son) 대한임상노인의학회 2018 대한임상노인의학회지 Vol.19 No.1
Background: Several studies suggest that smoking is a risk factor of metabolic syndrome. The objective of this study is to evaluate the association between smoking status and metabolic syndrome among Korean adults. Methods: We assessed 4349 participants aged 19 years and older from the Korean National Health and Nutritional Examination Survey 2013. Smoking statuses were collected from self-reported questionnaires. Subjects were divided into three categories: non-smokers, former smokers, and current smokers. The diagnosis of metabolic syndrome was made using criteria modified NCEP-ATP III. Logistic regression analysis was used to calculate odds ratios between smoking status and metabolic syndrome. Results: The overall prevalence of metabolic syndrome was 27.8% and former smokers had the highest prevalence of metabolic syndrome at 30.7%. After adjustment for age, sex, alcohol consumption, physical activity and body mass index, the odds ratio for high density lipoprotein cholesterol disorder, triglyceride disorder, abdominal obesity in current smokers was 1.25 (95% CI, 1.02~1.54), 1.83 (95% CI, 1.48~2.26), and 1.35 (95% CI, 1.00~1.81) compared with non-smokers, respectively. For metabolic syndrome, the odds ratio in current smokers was 1.30 (95% CI, 1.02~1.68) compared with non-smokers. Conclusion: Current smokers showed increased risk for metabolic syndrome. Smoking status was associated with increased risk of metabolic syndrome in Korean adults.
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이 진,신황식,조용진,오정은 순천향대학교 순천향의학연구소 2021 Journal of Soonchunhyang Medical Science Vol.27 No.2
Objective Prostate-specific antigen (PSA) is widely used as a screening tool of prostate cancer, although there has been a controversy about efficacy. In Korea, rapid growth of obesity prevalence in adult men is a one of the biggest health problems. The objective of this study was to evaluate the potential association between body mass index (BMI), waist circumference (WC) and PSA. Methods We calculated BMI and WC of a total of 25,603 males who visited the Soonchunhyang University Cheonan Hospital Health Promotion Center from January 2016 to December 2020. This was categorized as follows: BMI < 23 kg/m2 (normal), 23 kg/m2 ≤ BMI < 25 kg/m2 (overweight), BMI ≥ 25 kg/m2 (obesity) and WC < 90 cm (normal), WC ≥ 90 cm (abdominal obesity). We analyzed the association between BMI, WC and PSA. Results The mean PSA value was 1.08 ng/mL, 1.03 ng/mL, and 0.97 ng/mL at normal, overweight, and obesity group, respectively. The mean PSA value was 1.04 ng/mL and 0.96 ng/mL at normal and abdominal obesity group. Thus, the mean PSA value decreased with an increase in BMI and WC category (P < 0.001). The correlation coefficient between BMI, WC and PSA was -0.055, -0.044 and they were statistically significant (P < 0.001). Conclusion We observed a significant negative correlation between BMI, WC and PSA value. Therefore, PSA value should be considered in relation to BMI and WC.
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