Publications by authors named "Hye Yeon Koo"

Aim: Cigarette smoking and diabetes mellitus (DM) increase risks of cardiovascular diseases and all-cause mortality in cancer survivors. An increased risk of DM incidence in cancer survivors has been observed and smoking is an important modifiable risk factor for DM development in the general population. Thus, we investigated the association between smoking behavior change after cancer diagnosis and DM incidence in cancer survivors.

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Background: Intellectual disability (ID) may be associated with an increased risk of diabetes mellitus (DM). However, evidence from longitudinal studies is scarce, particularly in Asian populations.

Methods: This retrospective cohort study used representative linked data from the Korea National Disability Registration System and the National Health Insurance Service database.

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Article Synopsis
  • Individuals with intellectual disabilities face a higher risk of cardiovascular diseases, specifically ischemic stroke and death from circulatory diseases, compared to the general population.
  • A study analyzed data from over 3,600 individuals with intellectual disabilities and nearly 4 million without, showing significantly increased risks in the former group for cardiovascular conditions.
  • Understanding these risks is crucial for healthcare professionals to provide better care and monitoring for individuals with intellectual disabilities.
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  • The gut microbiota significantly influences the immune system, and studies suggest that probiotics can positively modify gut microbiota composition.
  • A clinical trial tested HDB1258, a specific probiotic, on 71 participants to evaluate its effects on natural killer (NK) cell activity and gut microbiota changes over 8 weeks.
  • Results indicated that HDB1258 notably increased NK cell activity while promoting beneficial gut bacteria, suggesting its potential to enhance immune response and gut health.
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  • - The study analyzed risk factors for abdominal aortic aneurysm (AAA) development in adults over 50 with diabetes, highlighting that despite diabetes being linked to a lower AAA risk, some patients still develop it.
  • - It followed over 1.9 million participants from 2009 to 2019 and found factors like age, male gender, smoking, and certain health issues (e.g., hypertension) increased AAA risk, while longer diabetes duration and specific oral medications decreased risk.
  • - Notably, the research indicated that heavy alcohol consumption and obesity were linked to lower AAA risk, whereas insulin use marginally increased risk, showcasing a complex relationship between diabetes management and AAA development.
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Purpose: Cancer survivors are at increased risk of diabetes mellitus (DM). Additionally, the prevalence of obesity, which is also a risk factor for DM, is increasing in cancer survivors. We investigated the associations between weight change after cancer diagnosis and DM risk.

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Background: Obesity has been suggested to be associated with the coronavirus disease 2019 (COVID-19); however, it is unclear whether obesity or metabolic abnormalities accompanied by obesity have a stronger association with COVID-19 risk.

Methods: This study used the Korea Disease Control and Prevention Agency database, which includes information about the COVID-19 diagnosis and mortality dates of the entire Korean population between October 2020 and December 2021 (for diagnosis) or March 2022 (for mortality). A total of 24,310,283 adults were included and classified into four metabolic obesity phenotypes: (1) metabolically healthy and normal weight (MHNW), (2) metabolically unhealthy and normal weight (MUNW), (3) metabolically healthy and obese (MHO), and (4) metabolically unhealthy and obese (MUO).

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Objective: This retrospective cohort study aimed to confirm the previously reported inverse association between diabetes mellitus (DM) and abdominal aortic aneurysm (AAA) using large population based data. It also investigated the associations between AAA and impaired fasting glucose (IFG) and new onset DM (not yet treated).

Methods: A representative dataset was obtained from the Korean National Health Insurance Service.

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Background: Physical inactivity is prevalent after cancer treatment, which could increase ischemic stroke risk in cancer survivors. This study investigated the association between physical activity change from pre- to post-diagnosis and ischemic stroke risk among cancer survivors.

Methods: Using data from the Korean National Health Insurance Service database, 269,943 cancer survivors (mean [SD] age, 56.

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Background: We aimed to investigate mortality, severity, and risk of hospitalization in coronavirus disease 2019 (COVID-19) patients with cancer.

Methods: Data of all patients aged 40-79 years from the Korean Disease Control and Prevention Agency-COVID19-National Health Insurance Service who were diagnosed with COVID-19 between January 1, 2020 and March 31, 2022, in Korea were included. After 1:1 propensity score matching, 397,050 patients with cancer and 397,050 patients without cancer were enrolled in the main analysis.

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Article Synopsis
  • The study aimed to investigate the potential link between metabolic syndrome (MetS) and the risk of developing abdominal aortic aneurysm (AAA) in a large group of individuals aged 50 and over.
  • Using data from over 4 million participants, researchers found that those with MetS had a significantly higher risk of developing AAA compared to those without it, especially if they had multiple components of MetS.
  • Among MetS components, elevated waist circumference, blood pressure, triglycerides, and low HDL-C were associated with increased AAA risk; notably, elevated glucose was linked to a reduced risk, indicating a complex relationship between MetS and AAA.
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Background: Glaceum Inc. has proposed HSG4112, a structural analogue of glabridin, as a novel anti-obesity compound. Animal studies and phase I human trials have shown that HSG4112 improves energy consumption, normalises weight, and is safe and drug-resistant.

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Purpose: To evaluate the association between age-related macular degeneration (AMD) with or without visual disability (VD) and the risk of fracture using the National Health Insurance data in South Korea.

Methods: In total, 3,894,702 individuals who had taken part in health-screening programs between January 1, 2009, and December 31, 2009, were included in the cohort and followed until December 31, 2019. The participants with VD, which could be related to the severity of AMD, were defined as those with a loss of vision or visual field defect as certified by the Korean government's Ministry of Health and Welfare.

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Article Synopsis
  • The 8th edition of the Clinical Practice Guidelines for Obesity aims to enhance care for obesity patients by providing evidence-based recommendations for treatment.
  • Developed by a multidisciplinary committee, the guidelines were rigorously reviewed and endorsed by scientific societies.
  • New topics in this edition include obesity diagnosis, obesity in women and those with mental illness, weight maintenance after loss, and technology-based interventions, making it a comprehensive resource for healthcare professionals.
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Unlabelled: Fracture risk was elevated in Parkinson's disease (PD) patients compared with controls in this nationwide study. Among PD patients, the risk of fracture increased linearly with PD severity, whereas no difference in fracture risk was observed according to PD duration.

Introduction: Parkinson's disease (PD) is reported to be associated with a high risk of fractures.

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Alcohol consumption is a major risk factor for head and neck cancer (HNC), yet little data exist examining drinking patterns and HNC risk. In this population-based, retrospective cohort study, 11,737,467 subjects were recruited from the Korean National Health Insurance Service database. The risks of overall HNC and HNC subtypes according to average alcohol consumption, drinking frequency, and daily amount were examined using Cox proportional hazard models.

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Importance: Although total alcohol consumption is a known risk factor for gastrointestinal (GI) cancers, few studies have attempted to assess the pattern of alcohol drinking in association with GI cancers.

Objective: To evaluate the relative association of the frequency of drinking vs the amount of alcohol consumed per occasion with the development of GI cancers.

Design, Setting, And Participants: A population-based retrospective cohort study used data from the Korean National Health Insurance System database on 11 737 467 participants without cancer who underwent a national health screening program from January 1, 2009, to December 31, 2010.

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We evaluated the association between aspirin, statins, and metformin use and prostate cancer (PC) incidence and mortality using a large population-based dataset. 388,760 men who participated in national health screening program in Korea during 2002-2003 were observed from 2004 to 2013. Hazard ratios of aspirin, statins, and metformin use for PC incidence and PC mortality were calculated with adjustment for simultaneous drug use.

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Background: Problem drinking increases the incidence of all-cause mortality and specific cancers, and persistent drinking is associated with cardiovascular disease in certain cancer survivors. This study analyzed the cardiovascular risk factors before and after diagnosis in Korean cancer survivors.

Methods: Data for the period between 2002 and 2013 were collected from the National Health Insurance Service Health-Examinee Cohort Database.

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Unlabelled: We examined effects of smoking habit change on fracture risk in men. Long-term quitters and never smokers showed decreased risk for overall fractures, lumbar fractures, and other site fractures. Short-term quitters did not show decreased risk.

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Background: While smoking elevates the risk for cardiovascular disease (CVD) among atrial fibrillation (AF) patients, whether smoking cessation after AF diagnosis actually leads to reduced CVD risk is unclear. We aimed to determine the association of smoking cessation after AF diagnosis with subsequent CVD Risk among South Korean men.

Methods: This retrospective cohort study included 2372 newly diagnosed AF male patients during 2003-2012 from the Korean National Health Insurance Service database.

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Background: In addition to medication, health behavior management is crucial in patients with multiple risks of cardiovascular mortality.

Objective: This study aimed to examine the efficacy of a 3-month Smart Management Strategy for Health-based electronic program (Smart Healthing).

Methods: A 2-arm randomized controlled trial was conducted to assess the efficacy of Smart Healthing in 106 patients with at least one indicator of poor disease control and who had hypertension, diabetes, or hypercholesterolemia.

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Background: Obesity is a global epidemic. Behavior change monitoring using a smartphone application (app) can support weight management in obese patients. These apps must undergo usability testing, which is an important step in mobile healthcare app development.

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Background The combined effect of transitions of metabolic health and weight on cardiovascular disease (CVD) remains unclear. We aimed to examine the association of concurrent changes of metabolic health and weight on CVD over time. Methods and Results The study population consisted of 205 394 from the Korean National Health Insurance Service.

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