Publications by authors named "Kyung Jae Yoon"

Background: This study aimed to explore the association between gut microbiota functional profiles and skeletal muscle mass, focusing on sex-specific differences in a population under 65 years of age.

Methods: Stool samples from participants were analysed using metagenomic shotgun sequencing. Skeletal muscle mass and skeletal muscle mass index (SMI) were quantified (SMI [%] = total appendage muscle mass [kg]/body weight [kg] × 100) using bioelectrical impedance analysis.

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Background And Purpose: Dysphagia is a common deficit after a stroke and is associated with serious complications. It is not yet fully clear which brain regions are directly related to swallowing. Previous lesion symptom mapping studies may have overlooked structural disconnections that could be responsible for poststroke dysphagia.

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  • Carbohydrate antigen 19-9 (CA 19-9) is typically a tumor marker for pancreatic cancer but can also be elevated in benign conditions.
  • A study analyzed the link between high CA 19-9 levels and low muscle mass (LMM) in healthy adults, excluding those with certain diseases or cancers, involving over 263,000 participants.
  • Results showed that higher CA 19-9 levels were significantly associated with both mild and severe LMM, particularly in men, suggesting that CA 19-9 could serve as a new biomarker for sarcopenia (age-related muscle loss).
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  • * A study with 26,343 participants showed that as the number of abnormal body compositions increased, lung function measurements like FVC and FEV1 significantly decreased.
  • * The research found that those with more abnormal body compositions had a higher likelihood of restrictive spirometry patterns (RSP) but no link to obstructive patterns, highlighting the risks of OSO for pulmonary health in older adults.
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Aims: The association between skeletal muscle mass and diabetes incidence/insulin resistance/glycated hemoglobin (HbA1C) is unknown. The aim of this study was to investigate such association in clinically apparently healthy males and females.

Methods: A cross-sectional study of 372,399 Korean males and females who completed bioelectrical impedance analysis (BIA) in a health-screening programme was performed.

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  • A study was conducted to investigate the relationship between NT-proBNP levels and skeletal muscle mass in healthy adults, as previous research on this topic was limited.
  • Data was collected from over 15,000 participants, revealing that elevated NT-proBNP levels were more common in those with low skeletal muscle mass compared to those with normal levels.
  • The findings suggest that there is a significant association between lower skeletal muscle mass and higher NT-proBNP levels in a young, healthy population.
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  • The study examined the threshold values and prevalence of sarcopenia in an urban Korean population, involving 300,090 adults analyzed using bioelectrical impedance.
  • Sarcopenia was classified into two classes based on skeletal muscle mass index (SMI), with the highest prevalence found in individuals aged 80-89 years.
  • Results indicated that the risk of metabolic syndrome significantly increased with sarcopenia, especially in women, highlighting a stronger association in females than males.
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  • The study investigated the link between low muscle mass (LMM) and obesity on hearing loss in a sample of 265,792 adults who had both hearing tests and body composition analyses.
  • It defined pre-sarcopenia as low muscle mass and established categories of obesity based on body mass index (BMI), ultimately categorizing participants into four groups based on their muscle mass and obesity status.
  • Results showed that pre-sarcopenic obesity had the highest prevalence of hearing loss (6.2%), indicating it increases the risk of deteriorating hearing function compared to other groups.
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We investigated the sex-specific association between ferritin and adverse body composition in adults aged over 50 years in a population-based cohort. A total of 25,546 participants (16,912 women; 8634 men) were stratified into three groups by the tertiles of ferritin. The number of adverse body compositions was categorized as 0 (without osteopenia/osteoporosis, low muscle mass, or obesity), 1 (having one of the components), 2 (two), and 3 (all three; osteosarcopenic obesity).

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  • - The study investigates how gut microbiota affects skeletal muscle mass, focusing on differences between men and women, by analyzing fecal samples from 1,052 middle-aged adults using gene sequencing and muscle mass calculations.
  • - Results show that men in the highest quartile of muscle mass had greater microbial diversity compared to those in the lowest quartile, while no significant differences were found among women’s groups; specific bacteria were more abundant in men with higher muscle mass.
  • - Additionally, the gut microbiota of participants with the lowest muscle mass group had genes more associated with amino acid and energy production, suggesting complex interactions between gut bacteria and muscle health.
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  • This study compares two methods—videofluoroscopic swallow study (VFSS) and high-resolution manometry (HRM)—for measuring upper esophageal sphincter (UES) relaxation in patients with pharyngeal dysphagia.
  • A total of 140 patients were assessed, showing that those in the non-oral feeding group had more impaired UES relaxation compared to the oral feeding group, with specific cutoff values identified for each method.
  • VFSS proved to be more sensitive in identifying feeding methods, while HRM demonstrated better specificity, suggesting that both methods together provide a comprehensive evaluation of UES relaxation impairment.
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Traumatic brain injury (TBI) is brain damage which is caused by the impact of external mechanical forces. TBI can lead to the temporary or permanent impairment of physical and cognitive abilities, resulting in abnormal behavior. We recently observed that a single session of early exercise in animals with TBI improved their behavioral performance in the absence of other cognitive abnormalities.

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We investigated the relationship between high carcinoembryonic antigen (CEA) levels and low skeletal muscle mass (LMM) in asymptomatic adults in a population-based study. A total of 202,602 adults (mean age 41.7 years) without malignancy, stroke, cardiovascular disease, or chronic lung/liver disease were included.

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The relationship between hyperhomocysteinemia (HHcy) and obesity with low skeletal muscle mass (LMM) has not been established. We aim to assess the association between HHcy and the coexistence of obesity and LMM in asymptomatic adult population. We conducted a population-based cross-sectional study among asymptomatic individuals who underwent measurements of plasma homocysteine and body composition analysis.

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  • Osteoporosis and sarcopenia are interconnected conditions that share cardiovascular risk factors, yet their combined effect on coronary artery disease remains under-researched.
  • A study involving 5,969 asymptomatic adults assessed the link between osteosarcopenia and coronary artery calcification (CAC) scores, finding that those with osteosarcopenia had the highest rates of CAC.
  • The analysis suggested that individuals with osteosarcopenia not only had a significantly higher prevalence of subclinical coronary atherosclerosis but also posed an increased risk for developing coronary heart disease.
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Background: Homocysteine has been drawing attention with a closed linkage with skeletal muscle. However, the association of hyperhomocysteinemia with decreased skeletal muscle mass remains unclear. We aimed to investigate the association of hyperhomocysteinemia with low skeletal muscle mass (LMM) in asymptomatic adults.

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Background/aims: Integrated relaxation pressure (IRP) is an important metric for functional evaluation of the lower esophageal sphincter. However, the effectiveness of IRP for evaluation of upper esophageal sphincter (UES) function has not yet been clarified.

Methods: High-resolution manometry (HRM) was performed in 180 patients with dysphagia.

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  • - This study aimed to assess how common complex regional pain syndrome (CRPS) is among patients who have suffered their first stroke and to identify related risk factors.
  • - Conducted in a rehabilitation unit in Korea, the study involved analyzing data from 313 adult stroke patients admitted between December 2014 and May 2018.
  • - Findings revealed that 8.94% of these patients developed poststroke CRPS, with lower scores on the Fugl Meyer Assessment of Upper Extremity (FMA-UE) indicating a higher risk, suggesting the need for careful monitoring in patients with low FMA-UE scores.
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No consensus exists concerning the diagnostic role or cutoff value of the Achilles tendon thickness on ultrasonography (US) for the diagnosis of insertional Achilles tendinopathy. This study sought to assess the diagnostic utility of US measurement of the thickness and echogenicity of the Achilles tendon for the insertional Achilles tendinopathy in patients with heel pain, and to compare the results with those of the plantar fascia for the plantar fasciitis. We conducted US examinations in consecutive patients who presented with unilateral or bilateral heel pain at the foot clinic of a single tertiary hospital from February 2016 to December 2020.

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  • Ultrasound is a crucial diagnostic tool for shoulder issues, but its effectiveness in evaluating adhesive capsulitis hasn't been thoroughly researched.
  • This study reviewed 61 patients with adhesive capsulitis, comparing high-resolution ultrasound measurements between affected and unaffected shoulders, and assessed clinical impairment through various tests.
  • Findings showed that thicker coracohumeral ligament (CHL), rotator interval (RI), and axillary recess (AR) in affected shoulders correlated with limitations in passive range of motion and pain levels, establishing diagnostic thresholds for CHL and AR thickness.
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  • This study investigates the genetic variations linked to skeletal muscle mass, specifically focusing on the Asian population, which has been underexplored in this area.
  • Researchers conducted a genome-wide association study with over 2,000 participants, analyzing nearly 6.4 million SNPs and finding a significant association with muscle mass linked to the NEB and RIF1 genes on chromosome 2.
  • The findings not only highlight a new genetic locus for skeletal muscle index (SMI) but also suggest biological pathways involved in muscle development, paving the way for future functional research.
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Objective: The impact of thyroid hormones within normal range on muscle mass remains unknown. We examined the association between new onset of low muscle mass (LMM) and thyroid hormones among euthyroid men and women with three different definitions of LMM in prospective cohort study.

Methods: We performed a cohort study of 198 069 Korean adults (mean age of 39.

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Background: Extracorporeal shock wave therapy (ESWT) has been used as a safe alternative treatment for refractory musculoskeletal diseases, such as plantar fasciitis, Achilles tendinopathy and gluteal tendinopathy, and various forms of fibromatosis including palmar or penile fibromatosis. However, there is limited published data for clinical and sonographic features of plantar fibromatosis after ESWT. The purpose of this study was to evaluate the long-term clinical outcome of ESWT in ultrasonography-confirmed plantar fibromatosis and ultrasonographic changes of plantar fibroma after ESWT.

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The harmful effects of excessive mechanical loading on diabetic neuropathy and the reason diabetic neuropathic symptoms are common in feet are unclear. In this study, the hind paw suspension treadmill exercise model was used in rats to investigate whether mechanical loading applied to the front paws precipitates neuropathic pain, especially in diabetic conditions. Thirty-two rats were divided into six groups according to the presence of diabetes (DM) and the intensity of mechanical loading applied to the front paws: DM-Hi (high-intensity); DM-Lo (low-intensity); DM-No (non-mechanical loading); Sham-Hi; Sham-Lo; and Sham-No.

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The purposes were to calculate total voxel volume of the entire capsulo-synovial enhanced portion on contrast-enhanced (CE) MRI in adhesive capsulitis, and to investigate its association with glenohumeral joint volume and passive range of motions (ROMs), which are a well-known diagnostic reference standard and clinical hallmark of this condition. Medical records of 169 consecutive patients who underwent ultrasound-guided intraarticular injection with adhesive capsulitis and CE-MRI to exclude other mimicking shoulder diseases were retrospectively reviewed. To calculate total voxel volume of entire capsulo-synovial enhanced portion on CE-MRI, voxel-based 3-dimensional (3D) segmentation was obtained semi-automatically using Fiji, an open-source image processing software.

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