Publications by authors named "Young-Sun Hong"

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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  • 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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  • An 8-year study evaluated the Framingham Diabetes Risk Model (FDRM) in the Korean population to address its outdated predictors compared to current clinical standards.
  • Using data from 5,409 individuals, researchers developed a modified FDRM by redefining hypertension and diabetes predictors and adding relevant clinical features.
  • The modified FDRM demonstrated improved prediction accuracy, with an AUC rising from 0.71 to 0.83, indicating effective risk stratification for diabetes, though further validation of the modified model is needed.
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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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  • The study investigated the rise of obesity and metabolic syndrome (MetS) in children, focusing on how childhood obesity and sarcopenic obesity affect MetS risk during adolescence using data from 227 kids followed from ages 7-9 to 13-15.
  • Results showed that approximately 15% of kids were overweight at both ages, with nearly 19.5% having sarcopenic obesity, more prevalent in boys who also had larger waist sizes and higher blood pressure.
  • The findings highlighted that both overweight and sarcopenic obesity significantly increased the risk of MetS, emphasizing the need for early detection and public health initiatives to combat childhood obesity.
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Background: Various life course factors can affect susceptibility to diseases during adolescence and adulthood, and those relationships are complex. However, few studies have assessed the potential mediating factors. Therefore, we assessed the mediating effects of factors related to growth and inflammation between perinatal factors and metabolic syndrome risk during adolescence.

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Background: Phthalate exposure is ubiquitous due to the widespread use of plastic products in daily life, and affects several health outcomes, including metabolic diseases. In this study, we evaluated the effects of phthalate exposure in childhood on liver function in adolescence.  METHODS: Among 164 Ewha Birth and Growth Cohort Study participants followed up during two exposure periods (when the children were aged 3-5 and 7-9 years), 126 were followed up at age 10-15 years.

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Flexible capacitive pressure sensors with a simple structure and low power consumption are attracting attention, owing to their wide range of applications in wearable electronic devices. However, it is difficult to manufacture pressure sensors with high sensitivity, wide detection range, and low detection limits. We developed a highly sensitive and flexible capacitive pressure sensor based on the porous Ecoflex, which has an aligned airgap structure and can be manufactured by simply using a mold and a micro-needle.

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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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Background: Using long-term data from the Korean Genome and Epidemiology Study, we defined poor glycemic control and investigated possible risk factors, including variants related to type 2 diabetes mellitus (T2DM). In addition, we evaluated interaction effects among risk factors for poor glycemic control.

Methods: Among 436 subjects with newly diagnosed diabetes, poor glycemic control was defined based on glycosylated hemoglobin trajectory patterns by group-based trajectory modeling.

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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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  • The study examined how the metabolic syndrome score (cMetS) during childhood (ages 3-12) correlates with cardiovascular disease risk factors (hs-CRP and CIMT) in adolescence.
  • Out of 833 children in the study, they were classified into three groups based on their cMetS levels: low, middle, and high, with the high group showing elevated hs-CRP levels, a marker for inflammation and cardiovascular risk.
  • The findings highlight the importance of addressing high cMetS in childhood to potentially lower the risk of cardiovascular diseases in later life.
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  • The Ewha Birth and Growth Study, initiated in 2001, examines early life risk factors for chronic diseases by following a cohort of mothers and their children recruited during prenatal care.
  • A total of 891 mothers and 940 offspring were enrolled, with regular health check-ups conducted as the children grew, providing rich data on their development from childhood into early adulthood.
  • As the study progresses towards its 20-year mark, it has produced findings on childhood health in relation to prenatal factors, genetics, exposure to harmful substances, and dietary patterns, aiming to inform interventions for chronic diseases.
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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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We assessed the association between metabolic health and markers of inflammation and of endothelial dysfunction using data from the Ewha Birth and Growth Cohort Study. The data of 195 subjects aged 13-15 years were analyzed. To assess metabolic syndrome, continuous metabolic syndrome (cMets) scores were calculated.

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Purpose: To determine the accuracy of a digital manufacturing method for dental implant restorations on stock abutments using intraoral scanners and prefabricated stock-abutment libraries.

Materials And Methods: Two dental implants with internal hexagonal connections were placed in the mandibular second premolar and second molar areas of a partially edentulous dentoform model; stock abutments with a diameter of 5 mm, abutment height of 5.5 mm, and gingival cuff height of 2 mm were connected.

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Background: It has been reported that particulate matter (PM) is associated with cardiovascular diseases (CVD) while metabolic syndrome is also an important risk factor for CVD. However, few studies have investigated the epidemiological association between PM and metabolic syndrome.

Objective: To investigate the association between one-year exposure to PM with an aerodynamic diameter <2.

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We performed repeated measurements of phthalate metabolite concentrations during childhood and investigated the association of phthalate exposure with lipid levels and insulin resistance. This study included 164 subjects from the Korean Ewha Birth and Growth Cohort Study who underwent follow-up examinations at 3-5 and 7-9 years of age. We measured nine urinary phthalate metabolites, as well as fasting blood glucose, triglyceride (TG), and high-density lipoprotein-cholesterol (HDL-c) levels and the homeostatic model assessment for insulin resistance (HOMA-IR) value.

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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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