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Differential Association of Vitamin D Deficiency With Albuminuria by Sex in the Korean General Population: A Cross-sectional Study of the Korea National Health and Nutrition Examination Survey 2011-2012
Yongwoo Jeon, Jaeyong Shin, Jong Hyun Jhee, Youngdae Cho, Eun-Cheol Park
J Prev Med Public Health. 2018;51(2):92-99.   Published online February 6, 2018
DOI: https://doi.org/10.3961/jpmph.17.005
  • 6,809 View
  • 186 Download
  • 2 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
Albuminuria has emerged as a biomarker for several medical conditions, and vitamin D has received attention due to its associations with various disorders. We evaluated the association between low serum vitamin D levels and prevalent albuminuria by sex in the Korean general population. Methods: We analyzed 9823 participants (4401 males, 5422 females) from the Korea National Health and Nutrition Examination Survey 2011-2012 (KNHANES V-2), and categorized them as having a normal range of vitamin D levels, vitamin D insufficiency, or vitamin D deficiency. A multivariable logistic regression model was used to compare the risk of albuminuria across these groups. Stratified analyses were conducted by smoking status, obesity, and renal function. Results: Albuminuria was found in 325 of the 4401 male participants (7.4%) and in 455 of the 5422 female participants (8.4%). Among the males, vitamin D deficiency was associated with an odds ratio (OR) for albuminuria of 1.78 (95% confidence interval [CI], 1.07 to 2.97, p<0.05). However, such an association was not found in females. The association was stronger in male current smokers (OR, 3.54; 95% CI, 1.47 to 8.50; p=0.005). Conclusions: The findings of this study suggest that sex differences exist in the association between serum vitamin D deficiency and albuminuria. Additionally, we observed that the association was stronger in current smokers than in the overall male population, but was not seen in non-smokers. Therefore, different approaches by sex and smoking status might be needed when considering using vitamin D as a biomarker for renal function.
Summary

Citations

Citations to this article as recorded by  
  • Association between environmental chemical exposure and albumin-to-creatinine ratio is modified by hypertension status in women of reproductive age
    Gowoon Lee, Sunmi Kim, Inae Lee, Habyeong Kang, Jung Pyo Lee, Jeonghwan Lee, Young Wook Choi, Jeongim Park, Gyuyeon Choi, Kyungho Choi
    Environmental Research.2023; 231: 116234.     CrossRef
  • Long-term vitamin D deficiency promotes renal fibrosis and functional impairment in middle-aged male mice
    Zhi-Hui Zhang, Biao Luo, Shen Xu, Zhi-Cheng Zhang, Wei-Yang Xing, Yuan-Hua Chen, Cheng Zhang, Hua Wang, Dong-Dong Xie, De-Xiang Xu
    British Journal of Nutrition.2021; 125(8): 841.     CrossRef
Sex Differences Associated With Hepatitis B Virus Surface Antigen Seropositivity Unwareness in Hepatitis B Virus Surface Antigen-positive Adults: 2007‐2012 Korea National Health and Nutrition Examination Survey
Suk-Yong Jang, Sung-In Jang, Hong-Chul Bae, Jaeyong Shin, Eun-Cheol Park
J Prev Med Public Health. 2015;48(2):74-83.   Published online March 16, 2015
DOI: https://doi.org/10.3961/jpmph.14.034
  • 8,455 View
  • 95 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives
To examine the sex-specific factors associated with being unaware of one’s hepatitis B virus surface antigen (HBsAg) seropositivity status in a large, HBsAg-positive population of Koreans.
Methods
In total, 1197 subjects aged 19 years or older who were HBsAg-positive according to data from the 2007-2012 Korea National Health and Nutrition Examination Survey were included. Subjects were considered unaware of their HBsAg seropositivity status if they answered that they had no knowledge of being previously infected by the hepatitis B virus (HBV) or diagnosed with HBV hepatitis. Multivariate Poisson regression models with robust variance estimate were used to assess the significance of the variables using weighted frequencies.
Results
The majority (77.8%) of HbsAg-positive Korean adults (females, 81.9%; males, 74.6%) were unaware of their HBsAg seropositivity status. We found that sex (female: prevalence ratio [PR] 1.19), household income (low: PR, 1.15), marital status (never married: PR, 1.18), self-rated health (moderate: PR, 1.14; good: PR, 1.12), and alcohol use (at least 2-3 times/wk: PR, 1.21) were associated with being unaware. In females, age (50 to 59 years: PR, 1.29; ≥70 years: PR, 1.30), household income (low: PR, 1.37; middle–low: PR, 1.24), and marital status (never married: PR, 1.33) were associated with being unaware. In males, self-rated health (moderate: PR, 1.14; good: PR, 1.21) and alcohol use (at least 2–3 times/wk: PR, 1.21) were associated with being unaware.
Conclusions
Factors related to the socioeconomic status of females and the health-related behaviors of males were found to be associated with being unaware of one’s HBsAg seropositivity status.
Summary

Citations

Citations to this article as recorded by  
  • Association of perceived life satisfaction with attitudes toward life-sustaining treatment among the elderly in South Korea: a cross-sectional study
    Il Yun, Hyunkyu Kim, Eun-Cheol Park, Suk-Yong Jang
    BMC Palliative Care.2022;[Epub]     CrossRef
  • Spatial epidemiologic analysis of the liver cancer and gallbladder cancer incidence and its determinants in South Korea
    Jieun Jang, Dae-Sung Yoo, Byung Chul Chun
    BMC Public Health.2021;[Epub]     CrossRef
  • Socioeconomic differences in self- and family awareness of viral hepatitis status among carriers of hepatitis B or C in rural Korea
    Hye-Ran Ahn, Sung-Bum Cho, Ik Joo Chung, Sun-Seog Kweon
    American Journal of Infection Control.2018; 46(3): 328.     CrossRef
The Combined Effect of Subjective Body Image and Body Mass Index (Distorted Body Weight Perception) on Suicidal Ideation
Jaeyong Shin, Young Choi, Kyu-Tae Han, Sung-Youn Cheon, Jae-Hyun Kim, Sang Gyu Lee, Eun-Cheol Park
J Prev Med Public Health. 2015;48(2):94-104.   Published online March 14, 2015
DOI: https://doi.org/10.3961/jpmph.14.055
  • 10,317 View
  • 141 Download
  • 14 Crossref
AbstractAbstract PDF
Objectives
Mental health disorders and suicide are an important and growing public health concern in Korea. Evidence has shown that both globally and in Korea, obesity is associated with an increased risk of developing some psychiatric disorders. Therefore, we examined the association between distorted body weight perception (BWP) and suicidal ideation.
Methods
Data were obtained from the 2007-2012 Korea National Health and Nutritional Evaluation Survey (KNHANES), an annual cross-sectional nationwide survey that included 14 276 men and 19 428 women. Multiple logistic regression analyses were conducted to investigate the associations between nine BWP categories, which combined body image (BI) and body mass index (BMI) categories, and suicidal ideation. Moreover, the fitness of our models was verified using the Akaike information criterion.
Results
Consistent with previous studies, suicidal ideation was associated with marital status, household income, education level, and perceived health status in both genders. Only women were significantly more likely to have distorted BWP; there was no relationship among men. In category B1 (low BMI and normal BI), women (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.48 to 3.42) were more likely to express suicidal ideation than women in category B2 (normal BMI and normal BI) were. Women in overweight BWP category C2 (normal BMI and fat BI) also had an increased OR for suicidal ideation (OR, 2.25; 95% CI, 1.48 to 3.42). Those in normal BWP categories were not likely to have suicidal ideation. Among women in the underweight BWP categories, only the OR for those in category A2 (normal BMI and thin BI) was significant (OR, 1.34; 95% CI, 1.13 to 1.59).
Conclusions
Distorted BWP should be considered an important factor in the prevention of suicide and for the improvement of mental health among Korean adults, especially Korean women with distorted BWPs.
Summary

Citations

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  • Association between Weight Status and Mental Health among Korean Adolescents: A Nationwide Cross-Sectional Study
    Youngha Choi, Jeana Hong
    Children.2023; 10(4): 620.     CrossRef
  • Association between body shape misperception and unhealthy eating behaviors among Korean adolescents
    Yejin Kim, Bomgyeol Kim, Vasuki Rajaguru, Sang Gyu Lee, Tae Hyun Kim
    Nutrition Research and Practice.2023; 17(6): 1143.     CrossRef
  • Effects of metabolic syndrome and obesity on suicidality in individuals with bipolar disorder
    Christoph Stenzel, Nina Dalkner, Human-Friedrich Unterrainer, Armin Birner, Susanne A. Bengesser, Frederike T. Fellendorf, Andreas Fink, Eva Fleischmann, Melanie Lenger, Alexander Maget, Martina Platzer, Robert Queissner, Elena Schönthaler, Adelina Tmava-
    Journal of Affective Disorders.2022; 311: 1.     CrossRef
  • Body image distortion among Brazilian and Portuguese women with children: A comparative study between the ELSA-Brasil and Generation XXI cohorts
    Ana Luísa Patrão, Maria da Conceição Almeida, Ana Henriques, Sheila M. Alvim Matos, Henrique Barros, Rosane Harter Griep, Estela M.L. Aquino
    Preventive Medicine.2022; 164: 107316.     CrossRef
  • Prevalence and factors associated with suicidal ideation amongst college students in the Nelson Mandela Bay Municipality, South Africa
    Adeyinka A. Alabi, Olawumi K. Oladimeji, Oladele V. Adeniyi
    South African Family Practice.2021;[Epub]     CrossRef
  • Association between Subjective Body Image, Body Mass Index and Psychological Symptoms in Chinese Adolescents: A Nationwide Cross-Sectional Study
    Yueyun Zhang, Baozhong Liu, Long Sun
    Healthcare.2021; 9(10): 1299.     CrossRef
  • Factors associated with psychological stress and distress among Korean adults: the results from Korea National Health and Nutrition Examination Survey
    Yejin Cheon, Jinju Park, Bo Yoon Jeong, Eun Young Park, Jin-Kyoung Oh, E Hwa Yun, Min Kyung Lim
    Scientific Reports.2020;[Epub]     CrossRef
  • Misclassification of Self-Reported Body Mass Index Categories
    Romy Freigang, Anne-Kathrin Geier, Gordian Lukas Schmid, Thomas Frese, Andreas Klement, Susanne Unverzagt
    Deutsches Ärzteblatt international.2020;[Epub]     CrossRef
  • Self-perceptions of body weight status according to age-groups among Korean women: A nationwide population-based survey
    Boyoung Park, Ha Na Cho, Eunji Choi, Da Hea Seo, Sue Kim, Yeong-Ran Park, Kui Son Choi, Yumie Rhee, Yongjoo Kim
    PLOS ONE.2019; 14(1): e0210486.     CrossRef
  • Does perceived overweight increase risk of depressive symptoms and suicidality beyond objective weight status? A systematic review and meta-analysis
    Ashleigh Haynes, Inge Kersbergen, Angelina Sutin, Michael Daly, Eric Robinson
    Clinical Psychology Review.2019; 73: 101753.     CrossRef
  • Secular trends in the prevalence of weight misperception among Korean adults, 2001–2013
    Seonho Kim, Wi-Young So
    Obesity Research & Clinical Practice.2018; 12(4): 346.     CrossRef
  • Association between body mass index and suicidal ideation among seniors in Shandong, China
    Long Sun, Chengchao Zhou
    Comprehensive Psychiatry.2018; 82: 68.     CrossRef
  • Body weight misperception and psychological distress among young South Korean adults: the role of physical activity
    Eun-Young Lee, Maxine Myre, Jongnam Hwang, Heeran Chun, Eunchul Seo, Roman Pabayo, John C. Spence
    Global Health Research and Policy.2017;[Epub]     CrossRef
  • The Association between Inappropriate Weight Control Behaviors and Suicide Ideation and Attempt among Korean Adolescents
    Sang Ah Lee, Suk-Yong Jang, JaeYong Shin, Yeong Jun Ju, Jin Young Nam, Eun-Cheol Park
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JPMPH : Journal of Preventive Medicine and Public Health