Publications by authors named "Yoosun Cho"

Several studies have revealed a possible association between antibiotic use and breast cancer in the Western population of women. However, its association with the Asian population remains unclear. Data utilized in this nationwide population-based retrospective cohort study was obtained from the Korean National Health Insurance Service (NHIS) database.

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Purpose: To examine the discrepancy in breast density assessments by radiologists, LIBRA software, and AI algorithm and their association with breast cancer risk.

Methods: Among 74,610 Korean women aged ≥ 34 years, who underwent screening mammography, density estimates obtained from both LIBRA and the AI algorithm were compared to radiologists using BI-RADS density categories (A-D, designating C and D as dense breasts). The breast cancer risks were compared according to concordant or discordant dense breasts identified by radiologists, LIBRA, and AI.

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Background: Taller women are at an increased risk of breast cancer; however, evidence regarding this in younger women is limited. This study investigated the association between body height and breast cancer risk in premenopausal Korean women aged <40 years.

Methods: Premenopausal women aged <40 years enroled in the Kangbuk Samsung Health Study (KSHS) and National Health Insurance Service-National Health Information Database (NHIS-NHID) were included in the analysis.

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Unlabelled: This population-based retrospective cohort study aimed to estimate the association between antibiotic exposure and osteoporotic fracture risk. Long-term antibiotic use was associated with the risk of osteoporotic fracture. An increase in the number of antibiotic classes prescribed may also be associated with an increased osteoporotic fracture risk.

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Objective: Optimal metabolically healthy status is important to prevent various chronic diseases. This study investigated the association between lifelog-derived physical activity and metabolically healthy status.

Methods: This cross-sectional study included 51 Korean adults aged 30-40 years with no history of chronic diseases.

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Article Synopsis
  • The study aimed to investigate how changes in lean body mass, muscle mass, and body fat are associated with the risk of developing dementia.
  • Researchers analyzed data from over 13 million health screenings in South Korea, finding that increases in lean body mass and muscle mass were linked to a lower risk of dementia, while increases in body fat mass were associated with a higher risk.
  • The findings suggest that maintaining or increasing lean muscle mass while reducing body fat could help lower the risk of dementia in both men and women.
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Background: Overactive bladder (OAB) is a common condition in middle-aged and older women. It has been reported to be potentially linked to cognitive decline, particularly in older adults. This study investigated the association between OAB symptoms and cognitive impairment in middle-aged women.

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Background And Aims: Cardiovascular disease (CVD) remain one of the leading causes of mortality in breast cancer survivors. This study aimed to investigate the association between body composition and subsequent CVD in breast cancer survivors.

Methods And Results: A retrospective cohort study of more than 70 thousand 5-year breast cancer survivors aged 40 years or older was conducted using data from the National Health Insurance Service of South Korea.

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Background: Artificial intelligence (AI) algorithms for the independent assessment of screening mammograms have not been well established in a large screening cohort of Asian women. We compared the performance of screening digital mammography considering breast density, between radiologists and AI standalone detection among Korean women.

Methods: We retrospectively included 89,855 Korean women who underwent their initial screening digital mammography from 2009 to 2020.

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Background: We investigated the association between vasomotor symptoms (VMSs) and the onset of depressive symptoms among premenopausal women.

Methods: This cross-sectional study included 4376 premenopausal women aged 42-52 years, and the cohort study included 2832 women without clinically relevant depressive symptoms at baseline. VMSs included the symptoms of hot flashes and night sweats.

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Article Synopsis
  • A large-scale study analyzed data from over 2 million COVID-19 patients to investigate the short-term incidence of pneumonia post-infection and how vaccinations affect this risk across different SARS-CoV-2 variants.
  • The results indicated significant reductions in pneumonia risk for vaccinated individuals, with those receiving multiple doses showing even greater protection, particularly against newer variants.
  • Overall, receiving the second and third doses of the vaccine provided a substantial decrease in the likelihood of developing pneumonia compared to unvaccinated individuals.
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Although some studies conducted about the risk of cholecystectomy and cardiovascular disease, there was a limit to explaining the relationship. We investigated the short-term and long-term relationship between cholecystectomy and cardiovascular disease, and evidence using the elements of the metabolic index as an intermediate step. It was a retrospective cohort study and we used the National Health Insurance Service database of South Korea between 2002 and 2015.

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Article Synopsis
  • The study explored the link between high-risk human papillomavirus (HR-HPV) infection and cardiovascular disease (CVD) mortality among Korean women, highlighting a potentially troubling association.
  • Results showed that women with HR-HPV exhibited significantly higher mortality rates from atherosclerotic CVD (ASCVD) and ischemic heart disease (IHD) when compared to those without the infection, even after considering traditional CVD risk factors.
  • Notably, the increased risk for ASCVD mortality was more pronounced in obese women, suggesting a compounded effect of HR-HPV and obesity on heart health.
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Aims: To determine the association between: (i) baseline serum uric acid (SUA) level and (ii) SUA changes over time, and nonalcoholic fatty liver disease (NAFLD) resolution.

Materials And Methods: A retrospective cohort study, comprising 38 483 subjects aged <40 years with pre-existing NAFLD, was undertaken. The effects of SUA changes over time were studied in 25 266 subjects.

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Article Synopsis
  • The study examines the link between fatty liver disease (FLD) and hepatocellular carcinoma (HCC), a serious liver cancer, emphasizing that FLD significantly contributes to HCC cases.
  • A large cohort of Korean adults was analyzed to evaluate various screening methods for identifying HCC in individuals with or at risk for FLD, categorizing them based on metabolic risk factors.
  • Results showed that while over 21% of HCC cases occurred in individuals without advanced liver disease, effective screening methods, particularly the Fibrosis-4 score, could help identify high-risk patients, though overall screening was low in non-cirrhosis cases.
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Objectives: Several studies suggest that antibiotic use may affect overall cancer incidence, but the association between antibiotics and prostate cancer is still unclear. This retrospective cohort study aimed to assess the association between antibiotics and the risk of prostate cancer.

Methods: A population-based retrospective cohort study was conducted using the Korean National Health Insurance Service (NHIS) database.

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Introduction: Several studies have reported that exposure to antibiotics can lead to asthma during early childhood. However, the association between antibiotic use and risk of asthma in the adult population remains unclear. This study aimed to investigate the association between antibiotic use and asthma in adults.

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Background: An association between sleep behaviors and muscle-fat mass is continuously interesting topic.

Methods: Based on the survey on sleep behaviors (quality and duration), the poor quality of sleep was evaluated when the subject did not feel satisfied after sleep, while the good quality was evaluated as they feel refreshed. A total of 19,770 participants were divided into the four groups according to changes in sleep quality: Good-to-Good (those who continuously maintained good quality), Good-to-Poor (those who reported initial good quality but subsequently reported a poor quality), Poor-to-Poor (those who continuously maintained poor quality), and Poor-to-Good (those who reported improved quality of sleep).

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Background And Aims: Given that the majority of colorectal cancers (CRCs) develop from high-risk adenomas, identifying risk factors for high-risk adenomas is important. The relationship between metabolic dysfunction-associated fatty liver disease (MAFLD) and the risk of colorectal adenoma in young adults remains unclear. We aimed to evaluate this relationship in adults <50 (younger) and ≥50 (older) years of age.

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Article Synopsis
  • The study examined how the timing of menstrual cycles affects the effectiveness of screening mammography in premenopausal Asian women.
  • Out of 69,556 women, week 1 of the menstrual cycle showed the highest sensitivity and specificity for detecting breast cancer, while week 4 had the lowest cancer detection rate and positive predictive value.
  • The findings suggest that scheduling mammograms during specific weeks of the menstrual cycle could enhance their effectiveness in detecting breast cancer.
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Objective: This study investigated the incidence of CVDs after COVID-19.

Methods: Data for 2,146,130 infected people were collected, including the vaccination status. COVID-19 patients were classified according to the number of the received vaccine doses: no, first, second, and ≥ third.

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Context: Recent studies suggest that hypothyroidism is a risk factor for dementia. Based on existing literature, it is unclear if treatment or compliance to treatment is associated with decreased dementia risk in hypothyroidism patients.

Objective: To determine the association between thyroid hormone medication adherence and risk of dementia.

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Background & Aims: The role of circulating 25-hydroxyvitamin D (25(OH)D) in the prevention of early-onset colorectal cancer (CRC) in young adults aged <50 years is uncertain. We evaluated the age-stratified associations (<50 vs ≥50 years) between circulating 25(OH)D levels and the risk of CRC in a large sample of Korean adults.

Methods: Our cohort study included 236,382 participants (mean age, 38.

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Background And Aims: Re-classifying NAFLD as metabolic-associated fatty liver (MAFLD) has been proposed. While some people fulfil criteria for NAFLD, they do not have MAFLD; and whether NAFLD-only subjects have increased the risk of type 2 diabetes remains unknown. We compared risk of incident T2D in individuals with: (a) NAFLD-only; and (b) MAFLD, to individuals without fatty liver, considering effect modification by sex.

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