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Pediatrics, Perinatology, and Child Health
The prevalence and prevention strategies of pediatric obesity: a narrative review
Mi Seon Lee
J Yeungnam Med Sci. 2024;41(3):141-149.   Published online July 5, 2024
DOI: https://doi.org/10.12701/jyms.2024.00346
  • 14,446 View
  • 174 Download
  • 4 Web of Science
  • 5 Crossref
AbstractAbstract PDF
Pediatric obesity has rapidly increased globally over the past few decades, including in Korea. We aimed to discuss trends in the prevalence of pediatric obesity and effective prevention strategies. Its prevalence has markedly increased in most high-income nations. According to recent reports, this increase has slowed in developed countries, but the levels remain alarmingly high. In Korea, the rate of pediatric obesity has surged notably since the 1990s; however, since the 2000s, this increase has become more gradual. According to recently published 2017 growth charts, the prevalence of pediatric obesity in Korea varies slightly depending on the data source. The National School Health Examination data showed that pediatric obesity gradually increase from 11.5% in 2014 to 15.1% in 2019, and after the coronavirus disease 2019 pandemic, it sharply increased to 19% in 2021. Based on data from the Korea National Health and Nutrition Examination Survey, the prevalence of pediatric obesity gradually increased from 10.8% in 2017 to 13.6% in 2019. This trend, which accelerated sharply to 15.9% in 2020 and 19.3% in 2021, was especially severe in boys and older children. Pediatric obesity not only affects health during childhood but also increases the risk of developing obesity and associated health conditions in adulthood. Despite ongoing research on treatment options, obesity prevention and control remain challenging. Hence, prioritizing early intervention and prevention of pediatric obesity through healthy eating habits and lifestyles is crucial. This requires intervention at the individual, family, school, and community levels.

Citations

Citations to this article as recorded by  
  • Current Practices and Challenges in Pediatric Obesity Management (POM): A Nationwide Survey of Physicians in Korea
    Yoon Lee, Minsoo Shin, Sochung Chung, Jahye Jung, Ah-Ram Sul, Yong Hee Hong
    Journal of Korean Medical Science.2026;[Epub]     CrossRef
  • Obesity in children and adolescents in different racial and ethnic groups: a review of current studies
    E. D. Stepanova
    Transbaikalian Medical Bulletin.2025; (2): 211.     CrossRef
  • Examining Pediatric Emergency Utilization Trends Before and After the COVID-19 Pandemic: An Eight-Year Cohort Study from a South Korean Tertiary Center
    Hae Jeong Lee, Yechan Kyung, Dong Wan Kang, Mi Hyeon Jin, Seoheui Choi, Jun Hwa Lee
    Children.2025; 12(9): 1232.     CrossRef
  • Exploring comprehensive insights into pediatric obesity
    Yong Hee Hong
    Journal of Yeungnam Medical Science.2024; 41(3): 139.     CrossRef
  • Title: A Qualitative Systematic Review of Parental Perceptions, Motivators, and Barriers to Management of Childhood Obesity
    Sarah Musa, Ayman Al-Dahshan, Vahe Kehyayan
    Diabetes, Metabolic Syndrome and Obesity.2024; Volume 17: 4749.     CrossRef
Pediatrics, Perinatology, and Child Health
Effective and appropriate use of weight loss medication in pediatric obesity: a narrative review
Yoojin Lindsey Chung
J Yeungnam Med Sci. 2024;41(3):158-165.   Published online July 2, 2024
DOI: https://doi.org/10.12701/jyms.2024.00353
  • 15,643 View
  • 163 Download
  • 4 Web of Science
  • 5 Crossref
AbstractAbstract PDF
Over the past few decades, there has been a notable increase in the incidence of pediatric obesity, which is a significant public health concern. Children who are obese have a greater risk of type 2 diabetes, hypertension, dyslipidemia, polycystic ovary syndrome, obstructive sleep apnea, and adult obesity. Lifestyle modification therapy is typically the initial approach to treat pediatric obesity. For patients who do not achieve success with lifestyle modification therapy alone, pharmacotherapy is the next logical treatment option. When selecting an anti-obesity medication (AOM), it is essential to first ascertain the medical background of the patient, including current medications and obesity-associated comorbidities. Evaluation of obesity phenotypes in patients may also be beneficial. AOMs for pediatric obesity include metformin, orlistat, glucagon-like peptide 1 agonists, phentermine, and the phentermine/topiramate combination. Sufficient lifestyle modification therapy should be administered before considering pharmacotherapy and continued after the initiation of AOM. To ensure healthy development, monitoring growth and puberty development during anti-obesity treatments is essential.

Citations

Citations to this article as recorded by  
  • Beyond lifestyle modification: the role of GLP-1 receptor agonists in treating pediatric obesity
    Hua Wen
    Frontiers in Pediatrics.2026;[Epub]     CrossRef
  • Pediatric Metabolic and Bariatric Surgery and Antiobesity Medications: Weighing Efficacy, Risks, and Future Directions
    Justine O. Chinn, Jennifer Woo Baidal, Janey S.A. Pratt, W. Elizabeth Shepard, Gillian L. Fell
    The Journal of Pediatrics.2025; 283: 114610.     CrossRef
  • Beyond the Summer: Sustaining Healthy Lifestyles and Addressing Pediatric Obesity Year-Round
    Lolita Alcocer Alkureishi
    Pediatric Annals.2025;[Epub]     CrossRef
  • CHILDHOOD OBESITY: EPIDEMIOLOGY, RISK FACTORS, AND EVIDENCE-BASED PREVENTION AND TREATMENT — AN UPDATED NARRATIVE REVIEW (2019–2025)
    Helena Szelka, Krystian Czyżykowski, Anna Maria Gęsińska, Bartosz Golis, Paweł Edyko, Alicja Babula, Wiktor Golus, Katarzyna Andrzejewska, Zuzanna Przybyła, Hubert Woźniak
    International Journal of Innovative Technologies in Social Science.2025;[Epub]     CrossRef
  • Exploring comprehensive insights into pediatric obesity
    Yong Hee Hong
    Journal of Yeungnam Medical Science.2024; 41(3): 139.     CrossRef
Endocrinology, Diabetes, and Metabolism
What is the disease burden from childhood and adolescent obesity?: a narrative review
Eun Byoul Lee
J Yeungnam Med Sci. 2024;41(3):150-157.   Published online June 27, 2024
DOI: https://doi.org/10.12701/jyms.2024.00360
  • 11,379 View
  • 146 Download
  • 3 Web of Science
  • 4 Crossref
AbstractAbstract PDF
The prevalence of childhood and adolescent obesity has increased and exacerbated during the coronavirus disease 2019 pandemic, both in Korea and globally. Childhood and adolescent obesity poses significant risks for premature morbidity and mortality. The development of serious comorbidities depends not only on the duration of obesity but also on the age of onset. Obesity in children and adolescents affects almost all organ systems, including the endocrine, cardiovascular, gastrointestinal, reproductive, nervous, and immune systems. Obesity in children and adolescents affects growth, cognitive function, and psychosocial interactions during development, in addition to aggravating known adult comorbidities such as type 2 diabetes mellitus, hypertension, dyslipidemia, nonalcoholic fatty liver disease, obstructive sleep apnea, and cancer. Childhood and adolescent obesity are highly associated with increased cardiometabolic risk factors and prevalence of metabolic syndrome. The risk of cardiovascular and metabolic diseases in later life can be considerably decreased by even a small weight loss before the onset of puberty. Childhood and adolescent obesity is a disease that requires treatment and is associated with many comorbidities and disease burdens. Therefore, early detection and therapeutic intervention are crucial.

Citations

Citations to this article as recorded by  
  • The Natural History of Prediabetes and Cardiovascular Disease in the Pediatric Population
    Siham Accacha, Julia Barillas-Cerritos, Liana Gabriel, Ankita Srivastava, Shelly Gulkarov, Jennifer A. Apsan, Joshua De Leon, Allison B. Reiss
    Biomedicines.2026; 14(1): 198.     CrossRef
  • Obesity impairs male reproductive development in prepubertal boys via local adipose tissue inflammation and the STAT3/CYP19A1 pathway
    Wenbiao Han, Mengnan Lu, Yanhong Liu, Yi Ding, Chunyan Yin
    Journal of Endocrinological Investigation.2026;[Epub]     CrossRef
  • Effectiveness of Telehealth and Wearable Device-Based Interventions for Managing Childhood and Adolescent Obesity: A Systematic Review and Meta-Analysis
    Hamdah T Kalantar, Ahmad Tariq Kalantar, Mahra Alali, Noora Alali, Hussein Naji
    Cureus.2025;[Epub]     CrossRef
  • Exploring comprehensive insights into pediatric obesity
    Yong Hee Hong
    Journal of Yeungnam Medical Science.2024; 41(3): 139.     CrossRef
Review article
Endocrinology, Diabetes, and Metabolism
Beneficial effects of intermittent fasting: a narrative review
Dae-Kyu Song, Yong-Woon Kim
J Yeungnam Med Sci. 2023;40(1):4-11.   Published online April 4, 2022
DOI: https://doi.org/10.12701/jyms.2022.00010
  • 54,132 View
  • 690 Download
  • 36 Web of Science
  • 43 Crossref
AbstractAbstract PDF
Caloric restriction is a popular approach to treat obesity and its associated chronic illnesses but is difficult to maintain for a long time. Intermittent fasting is an alternative and easily applicable dietary intervention for caloric restriction. Moreover, intermittent fasting has beneficial effects equivalent to those of caloric restriction in terms of body weight control, improvements in glucose homeostasis and lipid profiles, and anti-inflammatory effects. In this review, the beneficial effects of intermittent fasting are discussed.

Citations

Citations to this article as recorded by  
  • Identification of molecular changes in organs of obese rats following transcranial direct current stimulation (tDCS) – studies by FTIR microspectroscopy and chemometrics
    Kaja Piana, Agata Ziomber-Lisiak, Magdalena Szczerbowska-Boruchowska
    Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy.2026; 350: 127428.     CrossRef
  • Fasting as Medicine: Mitochondrial and Endothelial Rejuvenation in Vascular Aging
    Madison Milan, Eva Troyano‐Rodriguez, Jennifer Ihuoma, Sharon Negri, Rakesh Rudraboina, Aleksandra Kosmider, Shantipriya Awasthi, Priya Balasubramanian, Shannon Conley, Andriy Yabluchanskiy, Anna Csiszar, Zoltan Ungvari, Rafael de Cabo, Stefano Tarantini
    Aging Cell.2026;[Epub]     CrossRef
  • Metabolic Inflammation as a Common Thread in Cardio-Endocrine Diseases: Toward a Unified Therapeutic Framework
    Nidhi Patil, Neha Uppal, Simranjeet Bedi, Hiral Undhad, Pooja Joshi
    Cureus.2026;[Epub]     CrossRef
  • Histopathological examination of healing in bone defects in intermittent fasting: An experimental study
    Umit Koray Can, Murat Tanrisever, Erhan Cahit Ozcan, Delil Dogan, Ozmen Istek, Tugce Donmezer, Burak Karabulut, Serkan Dundar
    Revista Científica de la Facultad de Ciencias Veterinarias.2026; 36(1): 7.     CrossRef
  • Intermittent Fasting Improves Social Interaction and Decreases Inflammatory Markers in Cortex and Hippocampus
    Martín García-Juárez, Adamary García-Rodríguez, Gabriela Cruz-Carrillo, Orlando Flores-Maldonado, Miguel Becerril-Garcia, Lourdes Garza-Ocañas, Ivan Torre-Villalvazo, Alberto Camacho-Morales
    Molecular Neurobiology.2025; 62(2): 1511.     CrossRef
  • External factors affecting weight loss during intermittent fasting. Author's reply
    M. Khalil, H. Abdallah, G. Garruti, A.Di Ciaula, P. Portincasa
    European Journal of Internal Medicine.2025; 131: 141.     CrossRef
  • Fasting the brain for mental health
    Roberto Carlos Perez-Kast, Alberto Camacho-Morales
    Journal of Psychiatric Research.2025; 181: 215.     CrossRef
  • Is isocaloric intermittent fasting superior to calorie restriction? A systematic review and meta-analysis of RCTs
    Mohammed Hamsho, Wijdan Shkorfu, Yazan Ranneh, Abdulmannan Fadel
    Nutrition, Metabolism and Cardiovascular Diseases.2025; 35(3): 103805.     CrossRef
  • Exploring the metabolic patterns and response mechanisms of bile acids during fasting: A study with poultry as an example
    Jun Zhang, Yujie Gong, Yidan Zhu, Qingduo Zeng, Hao Zhang, Ruili Han, Yujie Guo, Donghua Li, Yadong Tian, Xiangtao Kang, Yawei Yang, Zhuanjian Li, Ruirui Jiang
    Poultry Science.2025; 104(2): 104746.     CrossRef
  • Intermittent fasting and neurocognitive disorders: What the evidence shows
    Jordan Beveridge, Allison Montgomery, George Grossberg
    The Journal of nutrition, health and aging.2025; 29(4): 100480.     CrossRef
  • Acute effects of Ramadan intermittent fasting on sustained attention among university students in Indonesia: a field experiment
    Ridwan Aji Budi Prasetyo, Fatiya Halum Husna, Yuli Rahmawati, Cantik Ummi Salsabila
    International Journal of Adolescence and Youth.2025;[Epub]     CrossRef
  • Sexual dimorphism in response to intermittent fasting and its impact on the brain
    Keshari H. Sudasinghe, Zachary J. White, Stephanie E. Hall
    Scientific Reports.2025;[Epub]     CrossRef
  • The effect of intermittent fasting on insulin resistance, lipid profile, and inflammation on metabolic syndrome: a GRADE assessed systematic review and meta-analysis
    Ling Lu, Xi Chen, Sho Liou, Xiuping Weng
    Journal of Health, Population and Nutrition.2025;[Epub]     CrossRef
  • Intermittent Fasting and Hormonal Regulation: Pathways to Improved Metabolic Health
    Wijdan Shkorfu, Abdulmannan Fadel, Mohammed Hamsho, Yazan Ranneh, Hafiz Muhammad Shahbaz
    Food Science & Nutrition.2025;[Epub]     CrossRef
  • Impacts of Ramadan Fasting on Metabolic and Hepatic Endpoints in Individuals With Metabolic Dysfunction‐Associated Fatty Liver Disease: A Systematic Review and Meta‐Analysis
    A. B. M. Kamrul‐Hasan, Hamid Ashraf, Lakshmi Nagendra, Deep Dutta, Md. Nafis Shahriar, Md. Saiful Islam, Joseph M. Pappachan
    JGH Open.2025;[Epub]     CrossRef
  • Perspectives of older adults with memory decline participating in a prolonged nightly fasting (PNF) pilot study: A qualitative exploration
    Dara L. James, Erica Ahlich, Molly Maxfield, Afton Kechter, Sarah E. James, Alexis M. Koskan, Dorothy D. Sears
    Journal of Clinical and Translational Science.2025;[Epub]     CrossRef
  • Circadian nutrition and obesity: timing as a nutritional strategy
    Esther Ugo Alum
    Journal of Health, Population and Nutrition.2025;[Epub]     CrossRef
  • The Impact of Intermittent Fasting on Metabolic and Hormonal Profile in Patients with Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis
    Iman Aolymat, Suhad Abumweis, Hafez Al-Momani, Diala Walid Abu-Hassan, Majd M. Albarakat, Ahmad Alzoubi, Mohammed Abu saleh, Ayah Khleaf Oleimat, Shaimaa Nasr Amin, Walaa Bayoumie El Gazzar, Ahmed Salem, Amin N. Olaimat, Heba A. Ali, Abd Al-Rahman Al-Shud
    Metabolites.2025; 15(10): 654.     CrossRef
  • The Effect of Intermittent Fasting on FOXO3 Expression, Proteasome Activity and Oxidative Stress in Obese Men: A Clinical Trial
    Novi Silvia Hardiany, Karima Yudhistina, Syarifah Dewi, Erfi Prafiantini, Ranita Astikya Carolina, Aulia Afifa Aghnat
    Current Indian Science.2025;[Epub]     CrossRef
  • The effect of intermittent fasting on hedonic hunger: a pilot prospective cohort study based on Ramadan intermittent fasting
    Halime Selen
    Frontiers in Nutrition.2025;[Epub]     CrossRef
  • Added Value to GLP-1 Receptor Agonist: Intermittent Fasting and Lifestyle Modification to Improve Therapeutic Effects and Outcomes
    Dragos Cozma, Cristina Văcărescu, Claudiu Stoicescu
    Biomedicines.2025; 13(12): 3079.     CrossRef
  • Effects of Korean Medicine Treatment Incorporating Gambigyeongsin-eum Fasting Therapy on Fibromyalgia Symptoms and Body Composition in an Overweight Patient: A Case Report
    Byung-Chan Kim, Jung-Hyun Lim, Su-Hwan Ji, Hyun-Woo Kim, Byung-Chan Seo, Mi-Yeon Song, Jae-Heung Cho, Hyungsuk Kim, Woo-Chul Shin, Won-Seok Chung
    Journal of Korean Medicine for Obesity Research.2025; 25(2): 175.     CrossRef
  • Intermittent fasting and longevity: From animal models to implication for humans
    Olha Strilbytska, Svitlana Klishch, Kenneth B. Storey, Alexander Koliada, Oleh Lushchak
    Ageing Research Reviews.2024; 96: 102274.     CrossRef
  • Combined Aerobic Exercise with Intermittent Fasting Is Effective for Reducing mTOR and Bcl-2 Levels in Obese Females
    Purwo Sri Rejeki, Adi Pranoto, Deandra Maharani Widiatmaja, Dita Mega Utami, Nabilah Izzatunnisa, Sugiharto, Ronny Lesmana, Shariff Halim
    Sports.2024; 12(5): 116.     CrossRef
  • Effect of Intermittent Fasting Interventions for Treatment of Overweight and Obesity in Adults – A Systematic Review
    Teena Lal, S. J. Ajeet Arulkumar, S. Roopa
    Acta Medica International.2024; 11(1): 7.     CrossRef
  • Intermittent fasting influences immunity and metabolism
    Daniel M. Marko, Meghan O. Conn, Jonathan D. Schertzer
    Trends in Endocrinology & Metabolism.2024; 35(9): 821.     CrossRef
  • Impact of Intermittent Fasting and Dietary Restriction on Redox State, Energetic Metabolism, and Liver Injury in Common Bile Duct Ligation Model
    Dmitry S. Semenovich, Ljubava D. Zorova, Polina A. Abramicheva, Nadezda V. Andrianova, Andrey V. Elchaninov, Aleksandra S. Petrukhina, Irina B. Pevzner, Vasily N. Manskikh, Dmitry B. Zorov, Egor Y. Plotnikov
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  • DOSE: a lifestyle philosophy for dementia prevention informed by drug development and epidemiology
    Timothy Daly
    Dementia & Neuropsychologia.2024;[Epub]     CrossRef
  • The effects of time‐restricted eating alone or in combination with probiotic supplementation in comparison with a calorie‐restricted diet on endocrine and metabolic profiles in women with polycystic ovary syndrome: A randomized clinical trial
    Sepide Talebi, Sakineh Shab‐Bidar, Ashraf Moini, Hamed Mohammadi, Kurosh Djafarian
    Diabetes, Obesity and Metabolism.2024; 26(10): 4468.     CrossRef
  • The Combined Effect of Diets with Different Time Restriction and Low-intensity Aerobic Exercise on Metabolic Factors and Anthropometry in Overweight Middle-aged Men
    Hamid Vasfi, Hamid Mohebbi, Marefat Siahkouhian, Lotfollah Rezagholizadeh, Abouzar jorbonian
    Journal of Ardabil University of Medical Sciences.2024; 24(1): 58.     CrossRef
  • Ketogenic Interventions in Autosomal Dominant Polycystic Kidney Disease: A Comprehensive Review of Current Evidence
    Carla Pezzuoli, Giuseppe Biagini, Riccardo Magistroni
    Nutrients.2024; 16(16): 2676.     CrossRef
  • Impact of diet intervention on visceral adipose tissue and hepatic fat in patients with obesity or type 2 diabetes: a randomized trial
    Rungroj Krittayaphong, Witcha Treesuwan, Pornpoj Pramyothin, Thammarak Songsangjinda, Yodying Kaolawanich, Weerachai Srivanichakorn, Preechaya Jangtawee, Ahthit Yindeengam, Prajak Tanapibunpon, Apichart Vanavichit
    Scientific Reports.2024;[Epub]     CrossRef
  • Exploring the Impact of Fasting and Fasting-Mimicking Diets on Type 2 Diabetes Management in Adults: A Systematic Review
    José Amilcar Rivera Regalado, Juan García, Isabella Ramirez, Plinio Hermosilla, Jose Rascon, Sergio José Fausto Girón
    Cureus.2024;[Epub]     CrossRef
  • As a phenomenon: Ramadan fasting improves olfactory performance
    Doğan Çakan, Hüseyin Baki Yılmaz, Harun Cansız, Haluk Çevik, Michael C. F. Tong, Begüm Bahar Yılmaz, Zeliha Kübra Çakan
    Laryngoscope Investigative Otolaryngology.2024;[Epub]     CrossRef
  • Artificial intelligence driven definition of food preference endotypes in UK Biobank volunteers is associated with distinctive health outcomes and blood based metabolomic and proteomic profiles
    Hana F. Navratilova, Anthony D. Whetton, Nophar Geifman
    Journal of Translational Medicine.2024;[Epub]     CrossRef
  • Fasting for clearer skin: Review article investigating the impact of intermittent fasting on dermatological conditions
    Hiba Fathimathul Harshiba, Nabeel Muhammed Rafi
    Cosmoderma.2024; 4: 124.     CrossRef
  • The distinct mechanism regulating taurine homeostasis in mice: Nutrient availability affects taurine levels in the liver and energy restriction influences it in the intestine
    András Gregor, Arturo Auñon-Lopez, Marc Pignitter, Kalina Duszka
    Life Sciences.2024; 359: 123213.     CrossRef
  • Socio-demographic determinants of dietary choices and their impact on health in Spanish adults
    Elena Sandri, Eva Cantín Larumbe, Michela Capoferri, Germán Cerdá Olmedo, Lisa Ursula Werner, M. Jesús Vega-Bello
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Relationship Between Dietary Nutrient Intake and Autophagy—Related Genes in Obese Humans: A Narrative Review
    Martyna Bednarczyk, Nicola Dąbrowska-Szeja, Dariusz Łętowski, Sylwia Dzięgielewska-Gęsiak, Dariusz Waniczek, Małgorzata Muc-Wierzgoń
    Nutrients.2024; 16(23): 4003.     CrossRef
  • Examining Associations Between Fasting Behavior, Orthorexia Nervosa, and Eating Disorders
    Przemysław Domaszewski, Aleksandra M. Rogowska, Kaja Żylak
    Nutrients.2024; 16(24): 4275.     CrossRef
  • Age-related differences in the effect of intermittent fasting on the morphofunctional parameters of the rat's pancreas
    R.V. Yanko
    The Journal of V. N. Karazin Kharkiv National University, Series "Biology".2024; (43): 138.     CrossRef
  • Maternal intermittent fasting deteriorates offspring metabolism via suppression of hepatic mTORC1 signaling
    Wenzhen Yin, Lijun Sun, Yuan Liang, Chao Luo, Tiange Feng, Yunhua Zhang, Weizhen Zhang, Yue Yin
    The FASEB Journal.2023;[Epub]     CrossRef
  • Time-Restricted Feeding and Intermittent Fasting as Preventive Therapeutics: A Systematic Review of the Literature
    Arturo P Jaramillo, Javier Castells, Sabina Ibrahimli, Luisa Jaramillo, Rebeca R Briones Andriuoli, Denisse Moncada, Jhoanny C Revilla
    Cureus.2023;[Epub]     CrossRef
Original article
Immunology and Allergy
Age-related low skeletal muscle mass correlates with joint space narrowing in knee osteoarthritis in a South Korean population: a cross-sectional, case-control study
Hyun-Je Kim, Young-Hoon Hong
J Yeungnam Med Sci. 2022;39(4):285-293.   Published online February 3, 2022
DOI: https://doi.org/10.12701/jyms.2021.01536
  • 8,365 View
  • 97 Download
  • 2 Web of Science
  • 2 Crossref
AbstractAbstract PDF
Background
This study was conducted to analyze the effects of low skeletal muscle mass index (SMI) and obesity on aging-related osteoarthritis (OA) in the Korean population.
Methods
A total of 16,601 participants who underwent a dual-energy X-ray absorptiometry and 3,976 subjects with knee X-rays according to the modified Kellgren-Lawrence (KL) system were enrolled. Knees of ≥KL grade 2 were classified as radiologic OA. The severity of joint space narrowing (JSN) was classified by X-rays as normal, mild-to-moderate, and severe JSN in radiologic OA. The subjects were grouped as normal SMI (SMI of ≥–1 standard deviation [SD] of the mean), low SMI class I (SMI of ≥–2 SDs and <–1 SD), and low SMI class II (SMI of <–2 SDs). Obesity was defined as a body mass index (BMI) of ≥27.5 kg/m2.
Results
The modified KL grade and JSN severity were negatively correlated with the SMI and positively correlated with BMI and age. The SMI was negatively correlated with age. JSN severity was significantly associated with a low SMI class compared to a normal SMI, which was more prominent in low SMI class II than class I. Obesity was significantly associated with more severe JSN, only for obesity with a low SMI class. Furthermore, patients with a low SMI class, regardless of obesity, were prone to having more severe JSN.
Conclusion
This study suggested that a low SMI class was associated with aging and that an age-related low SMI was more critically related to the severity of JSN in OA.

Citations

Citations to this article as recorded by  
  • Prevalence of sarcopenia and sarcopenic obesity in patients with osteoarthritis: A systematic review and meta-analysis
    Qi Xie, Yujie Su, Juanping Zhong, Jundan Huang, Hui Feng
    Geriatric Nursing.2025; 66: 103701.     CrossRef
  • Causal relationship between sarcopenia and osteoarthritis: a bi-directional two-sample mendelian randomized study
    Jiyong Yang, Peng Liu, Shuai Wang, Tao Jiang, Yilong Zhang, Wengang Liu
    European Journal of Medical Research.2023;[Epub]     CrossRef
Review
Pediatrics, Perinatology, and Child Health
Obesity and Insulin Resistance in Childhood.
Kwang Hae Choi
Yeungnam Univ J Med. 2012;29(2):73-76.   Published online December 31, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.2.73
  • 2,626 View
  • 11 Download
AbstractAbstract PDF
More and more children are becoming obese and overweight due to several factors that include a high energy density in the diet (a high fat intake) and low energy expenditure. Consequently childhood obesity is becoming a significant health problem. Fat tissue releases many cytokines such as resistin, tumor necrosis factor-alpha, leptin, interleukin-6. These adipocytokines induce obesity-related insulin resistance. Insulin resistance is a key component of obesity-related metabolic problems such as hypertension, type 2 diabetes mellitus, dyslipidemia, non-alcoholic steatohepatitis, acanthosis nigricans and polycystic ovarian syndrome. This review article focused on insulin resistance and its related metabolic diseases.
Original Articles
Public Health, Environmental, and Occupational Health
Life Style and Perception of Obesity of Male White Collar Workers.
Ji Hyeon Kim, Joon Sakong
Yeungnam Univ J Med. 2007;24(2):287-295.   Published online December 31, 2007
DOI: https://doi.org/10.12701/yujm.2007.24.2.287
  • 2,958 View
  • 9 Download
  • 6 Crossref
AbstractAbstract PDF
BACKGROUND
This study investigated and analyzed the life style of male white-collar workers and their perception of obesity to determine how to improve eating habits and prevent obesity. MATERIALS AND METHODS: Using the questionnaires distributed to and collected from 300 male white-collar workers in Daegu, the survey was conducted from December 20, 2005 to February 28, 2006. Two hundred sets of collected questionnaires were used for the analysis, and SPSS WIN 12.0 was employed to analyze the data. RESULTS: Forty-two percent of subjects had weights ranging between 71 kg and 80 kg; 39.5%, weighted between 61 kg and 70 kg. The waist measurements of 64.5% of all respondents were between 32 and 34 inches. The lifestyle questions found that 54% of respondents were smokers and 88.5% drank alcohol. In addition, 62.5% of all respondents reported doing exercise, whereas 37.5% reported no exercise. CONCLUSION: The height and weight of 200 respondents were used to calculate the body mass index (BMI). Only 31.6% had a normal BMI, whereas 32% were found to be overweight, a condition likely to lead to obesity. Meanwhile, 36.5% of respondents were obese or morbidly obese.

Citations

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Biochemistry
Association Analyses of beta3AR Trp64Arg and UCP-2 -866G/A Polymorphisms with Body Mass Index in Korean.
Hong Soo Jung, Joo Hyun Lee, Jun Sakong, Sung Wook Bae, Jung Hye Kim, Jae Ryong Kim
Yeungnam Univ J Med. 2007;24(2):252-261.   Published online December 31, 2007
DOI: https://doi.org/10.12701/yujm.2007.24.2.252
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AbstractAbstract PDF
BACKGROUND
Obesity is the most common nutritional disorder in Western society as well as in Korea. Obesity results from a combination of genetic, environmental, and behavioral factors. MATERIALS AND METHODS: In an attempt to investigate the association of obesity with its candidate genes, beta3 adrenergic receptor (beta3AR) and uncoupling protein 2 (UCP2), we analyzed polymorphisms of beta3AR Trp64Arg and UCP2 -866G/A by PCR-RFLP analysis and the obesity-related phenotypes, including body mass index (BMI), fasting glucose concentration, and plasma lipid profiles in 750 subjects. RESULTS: The Trp64Arg polymorphism in the beta3AR gene was not statistically associated with the BMI. The UCP2 -866G/A polymorphism was significantly higher in obese than in non-obese subjects (P<0.05). However, the UCP2 -866A/A polymorphism was higher in the non-obese subjects. CONCLUSION: These results suggest that the UCP2 -866G/A polymorphism might be more useful for the prediction of obesity and obesity-associated diseases in Korean patients than the beta3AR Trp64Arg polymorphism.

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    Na-Ri Kang, Young-Sook Kwack
    Journal of korean Academy of Child and Adolescent Psychiatry.2012; 23(1): 3.     CrossRef
Urology
Association between Obesity and Prostate Cancer.
Chang Jun Yoon, Ki Hak Moon, Tong Choon Park
Yeungnam Univ J Med. 2005;22(2):199-210.   Published online December 31, 2005
DOI: https://doi.org/10.12701/yujm.2005.22.2.199
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AbstractAbstract PDF
BACKGROUND
The role of obesity in prostate cancer etiology remains controversial. The aim of this study was to evaluate the relationship between obesity and prostate cancer risk. MATERIALS AND METHODS: Between January 2000 and June 2005, 286 patients suspected of having prostate cancer underwent prostate biopsy. The clinical records of the 286 study patients were retrospectively reviewed with regard to age, Body Mass Index (BMI), serum PSA, TRUS, and prostate biopsy results. They were stratified by BMI into three groups according to the cutoffs recommended for Asian populations: normal, BMI less than 23 kg/m2; overweight, BMI 23 to 25 kg/m2; and obese, BMI greater than 25 kg/m2. RESULTS: As for BMIs, 132 (46.2%) were normal, 95 (33.2%) overweight and 59 (20.6%) were obese. A total of 99 (34.6%) patients were diagnosed as having prostate cancer. In multivariate logistic regression analyses, no significant association was observed between BMI and prostate cancer detection. CONCLUSION: We initially hypothesized that obesity may be biologically associated with increased prostate cancer development. However, our study did not show a significant association between BMI and prostate cancer.

JYMS : Journal of Yeungnam Medical Science
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