Publications by authors named "Yeon Ah Sung"

Aims: This study aimed to investigate the correlations between glycated hemoglobin (HbA1C) variability and diabetes distress (DD) and its subscales in older patients with type 2 diabetes mellitus.

Methods: The cross-sectional study analyzed 175 patients with type 2 diabetes mellitus, aged ≥60 years, and underwent HbA1C testing at least three times within a 2-year. HbA1C variability was assessed using the coefficient of variation (CV), standard deviation (SD), variability independent of the mean (VIM), and variability score.

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Background: Diabetes mellitus is characterized by insulin resistance (IR) and dysfunctional insulin secretion from pancreatic β-cells. However, little research has been conducted on the relationship between IR and β-cell function in relation to diabetic complications among Korean diabetic patients. This study aimed to examine the differential associations between IR and β-cell function and various diabetic complications among Korean diabetic patients.

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Article Synopsis
  • A study was conducted in Korea to evaluate the all-cause mortality and cardiovascular disease risks in lean patients newly diagnosed with type 2 diabetes, analyzing data from over 419,000 patients.
  • Results indicated that lean patients faced significantly higher risks for all-cause mortality and various cardiovascular issues compared to those with normal BMI, with hazard ratios showing particularly dangerous levels for heart failure and ischemic stroke.
  • The findings highlight the importance of maintaining a healthy weight in reducing health risks for lean individuals with type 2 diabetes.
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  • Patients with type 2 diabetes have a higher risk of cardiovascular disease (CVD), and managing risk factors can help reduce this risk.
  • The study analyzed data from over 400,000 individuals to compare CVD events in diabetic patients with and without cardio-renal disease based on their risk factor control.
  • Results showed that diabetic patients without cardio-renal disease who have poorly controlled risk factors have a significantly higher risk of CVD events and mortality compared to those with well-managed factors.
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  • Polycystic ovary syndrome (PCOS) is a complex metabolic disorder affecting women, and there's a notable link between PCOS and non-alcoholic fatty liver disease (NAFLD).
  • This study examined 667 women with PCOS and 289 control women to investigate the relationship between elevated androgen levels (hyperandrogenism) and the prevalence of NAFLD.
  • Results showed that women with PCOS had significantly higher rates of NAFLD compared to controls, with free testosterone (FT) and free androgen index (FAI) being independently linked to NAFLD severity, indicating that hyperandrogenism may play a role in NAFLD development in these women.
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Background: Menopausal status and obesity are associated with an increased risk for cardiovascular diseases. However, there are few studies on the effect of menopause on cardiovascular risk factors according to the degree of obesity during the menopausal transition. We aimed to evaluate the effect of menopause on cardiovascular risk factors according to body mass index (BMI) in middle-aged Korean women.

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  • * The research, involving nearly 5,000 women, found that those with early menarche (≤ 12 years) were more educated and had higher incomes, but there were no significant differences in key health metrics among the groups.
  • * Early menarche was associated with a 1.43 times greater risk of diabetes, while the link to metabolic syndrome was not statistically significant but suggested a trend; the findings highlight the potential for using menarche age to guide diabetes risk assessments
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Background: Obesity and diabetes mellitus (DM) are both associated with cardiovascular disease. This study aimed to evaluate the association between body mass index (BMI) and stroke risk among patients with DM in Korea since relatively few studies have analyzed this area in detail.

Methods: We analyzed a total of 56,051 DM patients aged >30 years from the Korean National Health Insurance Service Cohort who had undergone at least one national health examination between 2002 and 2012.

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Background: Obesity is associated with cardiovascular diseases and is a risk factor for all-cause mortality. Until now, the associations between abdominal obesity and mortality or cardiovascular disease (CVD) incidence have not been conclusive. We aimed to evaluate the associations between waist circumference (WC) and mortality or CVD incidence in a general Korean population.

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  • Reduced skeletal muscle may heighten the risk of type 2 diabetes mellitus (T2DM), with low serum creatinine levels—derived from muscle—potentially linked to increased T2DM risk in Koreans aged over 40.
  • An analysis of 264,832 nondiabetic adults found that lower serum creatinine levels in men correlated with a higher risk of T2DM, forming an inverse J-shaped association, even after adjusting for factors like age and BMI.
  • In women, a similar trend was noted for creatinine levels below 1.1 mg/dl, but it wasn't statistically significant after adjustments, suggesting that while low creatinine may suggest increased T2DM risk in both genders, the evidence is stronger
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  • Low levels of 25-hydroxyvitamin D (25OHD) are prevalent among patients with type 2 diabetes mellitus (T2DM) and are linked to metabolic health issues and complications.
  • A study involving 1,392 T2DM patients found high rates of vitamin D deficiency, with negative correlations observed between 25OHD levels and factors like HbA1c and triglycerides.
  • The findings suggest that vitamin D deficiency is notably connected to conditions such as microalbuminuria and diabetic nephropathy, indicating potential implications for managing T2DM complications.
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  • - The study assessed how exposure to endocrine disrupting chemicals (EDCs), particularly bisphenol A (BPA) and certain phthalates, is linked to diminished ovarian reserve (DOR) and gynecologic health risks among 307 reproductive-aged Korean women.
  • - Results showed that women with DOR had higher BPA levels in their urine, and high BPA exposure significantly increased infertility risk, while high phthalate levels were associated with a higher occurrence of endometrial polyps.
  • - The findings highlight the potential dangers of EDC exposure for reproductive health, suggesting that reproductive-aged women should be mindful of their exposure to these chemicals.
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Polycystic ovary syndrome (PCOS) is a highly complex disorder influenced by genetic and environmental factors. Previous genome-wide association studies (GWAS) on Han Chinese, Korean, and European populations identified multiple PCOS-susceptible loci; however, only a few studies reported the association of susceptibility genes with disease phenotypic traits. This cross-sectional study aimed to investigate the association between PCOS susceptibility genes from GWAS and disease-related clinical features.

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Background: Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age, characterized by hyperandrogenism, oligomenorrhea, polycystic ovary morphology, and insulin resistance. Vitamin D deficiency and vitamin D receptor (VDR)/vitamin D binding protein (VDBP) gene variants could play an important role in susceptibility to PCOS and contribute to metabolic disturbances and menstrual dysfunction. We aimed to investigate the associations of VDR gene and VDBP gene polymorphisms with PCOS susceptibility and to elucidate the impacts of these polymorphisms on the hormonal and metabolic parameters of PCOS.

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Objective: Hirsutism affects 5%-10% of reproductive-aged women worldwide and exhibits clinical importance as a cutaneous manifestation of underlying hyperandrogenism. Racial and genetic factors play roles in manifestation of hirsutism, and the prevalence of hirsutism seems to be low in East Asians. However, the reference value of the modified Ferriman-Gallwey (mFG) score to diagnose hirsutism and the prevalence of hirsutism have not been determined in Korean populations to date.

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  • In a study of 687 thyroid nodules diagnosed as AUS/FLUS from a larger dataset, researchers examined the malignancy risk based on radiological and clinical features.
  • Among the repeat FNAs of 248 nodules, 20% were reclassified as AUS/FLUS, while 50% were benign and 19% were classified as potentially malignant or malignant, highlighting significant variability in outcomes.
  • The findings indicated that malignant nodules exhibited unfavorable ultrasonographic features, specifically hypo- or anechogenicity, but factors like age, sex, and thyroid function were not significantly linked to malignancy risk.
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Background: Anti-Mullerian hormone (AMH) in women is secreted by granulosa cells of antral follicles. AMH appears to be a very stable marker for ovarian function. It may be used to diagnosis cases of premature ovarian failure, polycystic ovary syndrome (PCOS), and ovarian tumors.

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Background/objectives: The relationship between body mass index (BMI) and mortality remains controversial. Furthermore, the association between BMI and cardiovascular events (CVE) is not conclusive and may differ by ethnicity. We aimed to estimate the associations between the BMI and mortality or cardiovascular disease in a general Korean population.

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Background: A number of studies have found associations between heavy metals and uterine fibroids, but the results are inconsistent. Here, we conducted this research to demonstrate the relationships between blood heavy metal concentrations and uterine fibroid volume as well as the rate of uterine fibroid presence.

Methods: In a cross-sectional study, we collected data from 308 premenopausal women aged 30-49 years in Seoul; uterine fibroids are ascertained by past history of myomectomy and pelvic ultrasonography.

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Neuroticism is a heritable personality trait that is comprised of distinct sub-factors, or facets. Sub-factors of neuroticism are linked to different emotional states or psychiatric symptoms and studying the genetic variants associated with these facets may help reveal the biological mechanisms underlying psychiatric disorders. In the present study, a meta-analysis of genome-wide association studies for six facets of neuroticism was performed in 5584 participants from three cohorts.

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  • Polycystic ovary syndrome (PCOS) is a complex condition characterized by chronic anovulation, high testosterone levels, polycystic ovaries, and metabolic issues like insulin resistance and type 2 diabetes.
  • A study involving 679 women with PCOS and 272 control women found that those with PCOS exhibited higher insulin levels, larger ovarian volumes, and lower insulin sensitivity compared to controls.
  • It was concluded that an increased number of ovarian follicles in women with PCOS is linked to decreased insulin sensitivity, suggesting that follicle count can be a potential predictor of insulin resistance in these patients.
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Background: Polycystic ovary syndrome (PCOS) is associated with insulin resistance (IR) and compensatory hyperinsulinemia. IR is recognized as a major risk factor for the development of type 2 diabetes mellitus. However, few studies have investigated IR in women with PCOS and normal glucose tolerance.

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Background/aims: Although increased serum anti-Müllerian hormone (AMH) level has been suggested to be a surrogate marker of polycystic ovarian morphology (PCOM), its association with polycystic ovary syndrome (PCOS) is controversial, and its diagnostic value has not been determined. We aimed to observe the relationship between the AMH level and PCOS phenotypes and to determine the optimal cutoff value of AMH for the diagnosis of PCOS in young Korean women.

Methods: We recruited 207 women with PCOS (120 with PCOM and 87 without PCOM) and 220 regular cycling women with normoandrogenemia (100 with PCOM and 120 without PCOM).

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Background/objectives: The prevalence of obesity has markedly increased and is closely related to insulin resistance. Although lifestyle and genetic predisposition are significant factors influencing the pathophysiology within the body, endocrine-disrupting chemicals (EDCs) are also important triggers of metabolic disturbance. We investigated the relationship between exposure to EDCs and insulin resistance and obesity in healthy, reproductive-aged women.

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Background: Polycystic ovary syndrome (PCOS) is a heterogeneous disorder, and the underlying molecular mechanisms are not clear. To date, few studies have been conducted on the altered expression of serum microRNAs (miRNAs) in women with PCOS. The present study was performed to examine the role of the serum miRNA as a biomarker for the diagnosis of PCOS and its relationship with metabolic and reproductive traits.

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