- Serum Uric Acid Level and the Incidence of Metabolic Syndrome in Middle-aged Korean Men: A 5-Year Follow-up Study
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Jong-Keun Lee, Jae-Hong Ryoo, Joong-Myung Choi, Sung Keun Park
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J Prev Med Public Health. 2014;47(6):317-326. Published online November 4, 2014
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DOI: https://doi.org/10.3961/jpmph.14.028
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10,532
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Abstract
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- Objectives
Elevated serum uric acid (UA) has been known to be associated with the prevalence of metabolic syndrome (MetS). However, no prospective studies have examined whether serum UA levels are actually associated with the development of MetS. We performed a prospective study to evaluate the longitudinal effects of baseline serum UA levels on the development of MetS.
Methods A MetS-free cohort of 14 906 healthy Korean men, who participated in a medical check-up program in 2005, was followed until 2010. MetS was defined according to the Joint Interim Statement of the International Diabetes Federation Task Force on Epidemiology and Prevention. Cox proportional hazards models were performed.
Results During 52 466.1 person-years of follow-up, 2428 incident cases of MetS developed between 2006 and 2010. After adjusting for multiple covariates, the hazard ratios (95% confidence intervals) for incident MetS for the second, the third, and the fourth quartile to the first quartile of serum UA levels were 1.09 (0.92-1.29), 1.22 (1.04-1.44), and 1.48 (1.26-1.73), respectively (p for trend <0.001). These associations were also significant in the clinically relevant subgroup analyses.
Conclusions Elevated serum UA levels were independently associated with future development of MetS in Korean men during the 5-year follow-up period.
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- Which Clusters of Metabolic Syndrome Are the Most Associated with Serum Uric Acid?
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- Relationship Between Body Mass Index and Early Menarche of Adolescent Girls in Seoul
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Chang-Mo Oh, In-Hwan Oh, Kyung-Sik Choi, Bong-Keun Choe, Tai-Young Yoon, Joong-Myung Choi
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J Prev Med Public Health. 2012;45(4):227-234. Published online July 31, 2012
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DOI: https://doi.org/10.3961/jpmph.2012.45.4.227
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12,350
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The object of this study was to determine the relationship between body mass index (BMI) and early menarche in adolescent girls in Seoul. MethodsA retrospective study was conducted with 144 middle school students in Seoul who provided informed consent. We measured their body composition, and used the questionnaire survey method for data collection from November to December 2008. Past elemental body composition data were collected from elementary school health records of first year of middle school. ResultsThe early menarcheal group was taller and heavier than the late menarcheal group (p<0.05 from 8-12 years old). The body fat percentage (%), BMI were higher in the early menarcheal girls than the late-menarcheal girls (p<0.05, age at 13). In the result of multiple logistic regression, the BMI at the age of 8 and 9 was associated with early menarche after adjusting for birth weight, breast feeding and age at menarche of the mother (BMI at the age of 8: p for trend=0.01, BMI at the age of 9: p for trend=0.04). An increase in BMI from 7 to 8 year was associated with early menarche after adjusting for birth weight, breast feeding, age at menarche of the mother (p for trend=0.048). ConclusionsThe BMI at the age of 8 and 9 was associated with the early menarche of girls and increase in BMI from 7 to 8 year was associated with the early menarche of girls. These results suggest that BMI and increase in BMI before menarche cause early menarche. Although this study does not represent all Korean adolescent girls, it is one of the few studies that have investigated the temporal relationship between BMI and early menarche.
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