Korean Journal of Family Medicine最新文献_第4页

The association between urine cotinine level and hemoglobin and hematocrit levels: a cross-sectional study using the Korea National Health and Nutrition Examination Survey VIII (2019-2021). 尿可替宁水平与血红蛋白和红细胞压积水平之间的关系：使用韩国国家健康和营养检查调查VIII（2019-2021）的横断面研究。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-06-30 DOI: 10.4082/kjfm.24.0212

Jaehyun An, Yaeji Lee, Ehn-Young Kim, Yu-Jin Kwon, Ji-Won Lee

{"title":"The association between urine cotinine level and hemoglobin and hematocrit levels: a cross-sectional study using the Korea National Health and Nutrition Examination Survey VIII (2019-2021).","authors":"Jaehyun An, Yaeji Lee, Ehn-Young Kim, Yu-Jin Kwon, Ji-Won Lee","doi":"10.4082/kjfm.24.0212","DOIUrl":"https://doi.org/10.4082/kjfm.24.0212","url":null,"abstract":"Background: Smoking is a global health risk known to elevate hemoglobin (HB) levels through its effects on hematopoiesis. Urine cotinine, a metabolite strongly correlated with serum cotinine, serves as an effective biomarker for assessing smoking status. This study aimed to explore the relationship between urinary cotinine levels and both HB and hematocrit (HCT) levels in a Korean population.Methods: The study analyzed 4,454 healthy participants, categorized into three groups based on urine cotinine tertiles. Steiger's Z tests were used to assess correlations between HB, HCT levels, and urine cotinine. After adjusting for clinical variables, multiple linear regression was employed to evaluate the relationship between urine cotinine levels and HB/HCT. Receiver operating characteristic curves helped determine the cut-off values for urine cotinine in relation to HB and HCT levels.Results: After adjusting for covariates, a positive correlation was found between urine cotinine and both HB and HCT levels. HB levels were 18% higher in the second tertile and 23% higher in the highest tertile than the lowest. Similarly, HCT levels increased by 44% in the second tertile and 50% in the highest tertile. The highest tertiles of HB and HCT had values of 504.650 and 202.950, respectively, with area under the curve values of 0.634 for HB and 0.616 for HCT. Conclusion: This study demonstrates a significant correlation between urine cotinine levels and elevated HB and HCT levels in a representative Korean population. Clinicians should consider urine cotinine levels when assessing anemia in smokers or individuals exposed to secondhand smoke. Further research is needed to validate these findings.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of neck to height ratio as a predictive tool for metabolic dysfunction-associated steatotic liver disease in Korean adults: a cross-sectional analysis from Korea National Health and Nutrition Examination Survey 2019-2021. 评估颈高比作为韩国成年人代谢功能障碍相关脂肪变性肝病的预测工具：2019-2021年韩国国家健康和营养检查调查的横断面分析

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-06-24 DOI: 10.4082/kjfm.24.0216

Minhong Kim, Yaeji Lee, Ji Yae Lee, Ji-Won Lee

{"title":"Assessment of neck to height ratio as a predictive tool for metabolic dysfunction-associated steatotic liver disease in Korean adults: a cross-sectional analysis from Korea National Health and Nutrition Examination Survey 2019-2021.","authors":"Minhong Kim, Yaeji Lee, Ji Yae Lee, Ji-Won Lee","doi":"10.4082/kjfm.24.0216","DOIUrl":"https://doi.org/10.4082/kjfm.24.0216","url":null,"abstract":"Background: Early screening and management of metabolic dysfunction-associated steatotic liver disease (MASLD) are essential to prevent progression to fibrosis, cirrhosis, and related chronic diseases. The neck circumference to height ratio (NHtR) is a reliable measure of upper body fat. This study explored the relationship between the NHtR and MASLD in the Korean population, with the aim of validating it as a reliable screening tool.Methods: We analyzed data from the 2019 to 2021 Korea National Health and Nutrition Examination Survey, including 11,414 participants aged 40 years or older. The association between the NHtR and MASLD was evaluated using logistic regression analysis, while predictive accuracy was evaluated using receiver operating characteristic curve analysis.Results: A total of 11,414 participants aged 40 years or older were included in the study. Participants in the highest NHtR quartile had higher levels of metabolic risk markers, including body mass index, waist circumference, glucose, hemoglobin A1c, and homeostatic model assessment of insulin resistance (P<0.001). In logistic regression analysis, the odds ratio for MASLD in quartile 4 compared to quartile 1 was 1.77 (95% confidence interval [CI], 1.31-2.40; P<0.001) in the fully adjusted model. The area under the curve and 95% CI of NHtR for MASLD were 0.749 (95% CI, 0.740-0.758), demonstrating superior accuracy compared with other indicators. The optimal NHtR cut-off for MASLD was 21.564, with a sensitivity and specificity of 0.726 and 0.644, respectively. Conclusion: NHtR is a more effective predictor of MASLD than other measures, highlighting its potential as a valuable screening tool in clinical and self-care settings.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the drivers associated with maternal delivery choices: comparative study between urban and rural women in Indonesia. 了解与产妇分娩选择相关的驱动因素：印度尼西亚城市和农村妇女的比较研究。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-06-20 DOI: 10.4082/kjfm.24.0145

Tety Rachmawati, Stefanus Supriyanto, Debri Rizki Faisal, Ingan Ukur Tarigan, Endang Indriasih, Rukmini Rukmini, Novia Susianti, Gurendro Putro, Iin Nurlinawati, Tin Afifah, Selma Siahaan, Halimatus Sakdiah Minhat

{"title":"Understanding the drivers associated with maternal delivery choices: comparative study between urban and rural women in Indonesia.","authors":"Tety Rachmawati, Stefanus Supriyanto, Debri Rizki Faisal, Ingan Ukur Tarigan, Endang Indriasih, Rukmini Rukmini, Novia Susianti, Gurendro Putro, Iin Nurlinawati, Tin Afifah, Selma Siahaan, Halimatus Sakdiah Minhat","doi":"10.4082/kjfm.24.0145","DOIUrl":"10.4082/kjfm.24.0145","url":null,"abstract":"Background: Indonesia faces significant maternal and child health challenges, including a high maternal mortality ratio. The country's vast geography results in disparities in healthcare facility availability. This study aimed to identify factors influencing maternal delivery choices in health facilities across Indonesia's rural and urban areas.Methods: This cross-sectional study analyzed data from the 2017 Indonesia Demographic Health Survey. The study population included women aged 15-49 who had given birth within 5 years preceding the survey. A total of 14,162 women were included, with 6,339 from urban and 5,009 from rural areas. Logistic regression was performed to identify factors associated with maternal delivery locations.Results: The findings showed that 91.37% of urban and 69.33% of rural mothers delivered in healthcare facilities. All analyzed variables were significantly correlated with maternal delivery in health facilities across both areas. In rural areas, the sex of the household head (adjusted odds ratio [AOR], 1.32; 95% confidence interval [CI], 1.02-1.71; P=0.031) and the absence of barriers to healthcare access (AOR, 1.31; 95% CI, 1.07-1.60; P=0.008) were significant factors. Conversely, in urban areas, only maternal age was significantly associated with delivering in health facilities.Conclusion: Determinants of maternal delivery choices vary between rural and urban settings. In rural areas, healthcare access and household head sex are key factors, while maternal age is significant in urban areas. The government should prioritize equitable healthcare facility distribution, particularly in rural areas, and promote family involvement, especially among husbands, during antenatal care to encourage facility-based deliveries.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of common mental disorders in uncontrolled hypertension: a longitudinal study in Bogor City, Indonesia. 常见精神障碍在未控制的高血压中的作用：印度尼西亚茂物市的一项纵向研究。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-05-22 DOI: 10.4082/kjfm.24.0026

Tri Wurisastuti, Indri Yunita Suryaputri, Rofingatul Mubasyiroh, Wahyu Pudji Nugraheni

{"title":"Role of common mental disorders in uncontrolled hypertension: a longitudinal study in Bogor City, Indonesia.","authors":"Tri Wurisastuti, Indri Yunita Suryaputri, Rofingatul Mubasyiroh, Wahyu Pudji Nugraheni","doi":"10.4082/kjfm.24.0026","DOIUrl":"https://doi.org/10.4082/kjfm.24.0026","url":null,"abstract":"Background: The coronavirus disease 2019 (COVID-19) pandemic in Indonesia has led to an increase in mental health problems, especially among those with comorbid hypertension. Uncontrolled hypertension is the primary comorbidity of COVID-19. Thus, this study aimed to determine the pattern of uncontrolled hypertension at two time points during the pandemic and to confirm its relationship with common mental disorders (CMDs).Methods: This longitudinal study was conducted at two time points (2019 and 2021), and the data of individuals with hypertension was sourced from the Bogor of Noncommunicable Diseases Risk Factors Cohort Study. Data of 1,231 respondents who met the inclusion and exclusion criteria were included in the analyses. The Self-Reported Questionnaire-20 was used to measure CMDs (score of >6). This study used a generalized estimating equation to analyze the data.Results: The percentage of those with uncontrolled hypertension increased from 57.6% to 66.4%, whereas those with CMDs increased from 6.1% to 11.5%, from 2019 to 2021. The risk of uncontrolled hypertension was higher in patients with CMDs than in those without CMDs. The risk of uncontrolled hypertension increased from twice (adjusted odds ratio [aOR], 1.57; 95% confidence interval [CI], 1.071-2.069) in 2019 to 3 times (aOR, 2.765; 95% CI, 2.243-3.287) in 2021.Conclusion: Since stress increases the risk of developing uncontrolled hypertension, individuals with hypertension must be able to manage their stress. Apropos this, the governments should provide mental health consultation services in treating patients with hypertension, especially during adverse events such as pandemics.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers to treatment-seeking behaviors among pregnant women with depression: a national cross-sectional study in Indonesia. 抑郁症孕妇寻求治疗行为的障碍：印度尼西亚的一项全国性横断面研究。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-05-21 DOI: 10.4082/kjfm.24.0078

Tri Wurisastuti, Rofingatul Mubasyiroh, Indri Yunita Suryaputri, Hayani Anastasia, Siti Isfandari, Rozana Ika Agustiya, Irmansyah, Aan Kurniawan, Yurika Fauzia Wardhani

{"title":"Barriers to treatment-seeking behaviors among pregnant women with depression: a national cross-sectional study in Indonesia.","authors":"Tri Wurisastuti, Rofingatul Mubasyiroh, Indri Yunita Suryaputri, Hayani Anastasia, Siti Isfandari, Rozana Ika Agustiya, Irmansyah, Aan Kurniawan, Yurika Fauzia Wardhani","doi":"10.4082/kjfm.24.0078","DOIUrl":"https://doi.org/10.4082/kjfm.24.0078","url":null,"abstract":"Background: Hormonal and physical changes during pregnancy affect mothers' mental health. Because depression during pregnancy is closely associated with poor pregnancy outcomes, treatment is important for pregnant women with depression. This study aimed to identify barriers to treatment-seeking behaviors among pregnant women with depression in Indonesia.Methods: Data from the 2018 Indonesian Basic Health Research were used, which focused on pregnant women aged 15-54 years who exhibited depressive symptoms. The Mini-International Neuropsychiatric Interview was used to assess depression. Logistic regression analysis was conducted to explore the factors affecting treatment-seeking behaviors.Results: Among the pregnant women in Indonesia, 7.9% experienced depression; however, only 11.4% sought treatment. Higher transportation costs to the clinic were associated with 41% lower odds of seeking treatment (adjusted odds ratio [AOR], 0.59; 95% confidence interval [CI], 0.37-0.95; P=0.029). Women in their second and third trimesters had 48% (AOR, 0.52; 95% CI, 0.28-0.98; P=0.042) and 54% (AOR, 0.46; 95% CI, 0.24-0.89; P=0.022) lower odds of seeking treatment, respectively, than those in their first trimester.Conclusion: Financial barriers and the challenges of late pregnancy hinder treatment-seeking behaviors for depression in pregnant women. Therefore, there is an urgent need for affordable and accessible mental health care for vulnerable populations.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between circadian rhythm-disturbing factors and metabolic syndrome in Korean adults: Korea National Health and Nutrition Examination Survey (2016-2020). 韩国成年人昼夜节律紊乱因素与代谢综合征之间的关系：韩国国民健康与营养调查（2016-2020）》。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-05-01 Epub Date: 2024-07-09 DOI: 10.4082/kjfm.23.0161

Sujin Lee, Junhee Park, Hyunjin Cho, Jun Hyun Yoo

{"title":"Association between circadian rhythm-disturbing factors and metabolic syndrome in Korean adults: Korea National Health and Nutrition Examination Survey (2016-2020).","authors":"Sujin Lee, Junhee Park, Hyunjin Cho, Jun Hyun Yoo","doi":"10.4082/kjfm.23.0161","DOIUrl":"10.4082/kjfm.23.0161","url":null,"abstract":"Background: Circadian misalignment is associated with metabolic syndrome. This study aimed to examine the association between circadian rhythm-disturbing factors and metabolic syndrome.Methods: We used data from the 7th and 8th Korea National Health and Nutrition Examination Survey conducted between 2016 and 2020, which surveyed 16,253 individuals. Circadian rhythm-disturbing factors were defined as follows: sleep duration outside the reference group (6-8 hours), irregular breakfast, shift work, and physical inactivity. The adjusted odds ratio (aOR) for metabolic syndrome was calculated based on the number of circadian rhythm-disturbing factors present in adults over the age of 19 years.Results: Among a total of 16,253 participants (mean age 48.2±15 years), metabolic syndrome was found in 5,237 participants (29.3%). The participants were classified into three categories based on the number of circadian rhythm-disturbing factors as follows: 2,627 (15.6%) did not have any factors, 6,406 (38.13%) had one factor, and 7,220 (46.3%) had two or more factors. Participants with a single circadian rhythm-disturbing factor were 21% more likely to have metabolic syndrome (aOR, 1.21; 95% confidence interval [CI], 1.08-1.36), and participants with two or more factors were 27% more likely to have metabolic syndrome (aOR, 1.27; 95% CI, 1.12-1.43).Conclusion: Circadian rhythm-disturbing factors were significantly associated with the prevalence of metabolic syndrome in Korean adults. This finding has potential clinical implications for maintaining circadian rhythms by avoiding certain factors to prevent metabolic syndrome. Further studies are required to confirm these findings.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"162-169"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Systemic aging delay and anti-aging therapy using allogeneic stem cells. 使用同种异体干细胞延缓衰老和抗衰老治疗。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-05-01 Epub Date: 2025-05-20 DOI: 10.4082/kjfm.25.0080

Seongho Han, Sung-Whan Kim

{"title":"Systemic aging delay and anti-aging therapy using allogeneic stem cells.","authors":"Seongho Han, Sung-Whan Kim","doi":"10.4082/kjfm.25.0080","DOIUrl":"10.4082/kjfm.25.0080","url":null,"abstract":"Allogeneic stem cells derived from umbilical cord tissue, placenta, and umbilical cord blood have shown potential in treating delayed systemic aging and aging-related diseases. Aging induces cellular senescence, oxidative stress, chronic inflammation, and stem cell depletion, all of which contribute to tissue damage and functional decline. Recent advances in regenerative medicine suggest that allogeneic stem cells can mitigate these aging processes through immunomodulation and tissue regeneration. In particular, umbilical cord-derived mesenchymal stem cells have gained attention for clinical applications owing to their strong immunomodulatory properties and low immunogenicity. These cells can repair damaged tissues and enhance metabolic and cognitive function by secreting various cytokines, growth factors, and exosomes, offering potential treatment for aging-related conditions such as osteoporosis and neurodegenerative disorders. Both clinical and preclinical studies indicate that allogeneic stem cells play a critical role in alleviating these diseases, including osteoporosis, osteoarthritis, cardiovascular diseases, and neurodegenerative disorders. Despite their therapeutic potential, challenges remain, such as immune compatibility, long-term safety, and the lack of standardized protocols for large-scale production. This review outlines the biological mechanisms by which allogeneic stem cells contribute to delayed aging, summarizes current clinical research, and explores future prospects. Allogeneic stem cells may offer novel strategies for delaying aging and extending lifespan.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"46 3","pages":"127-136"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-05-01 Epub Date: 2025-05-20 DOI: 10.4082/kjfm.25.0085

Gee Youn Song

{"title":"Health-related quality of life in older Koreans: a HINT-8-based cross-sectional analysis of obesity, sarcopenia, and sarcopenic obesity using the 2023 Korea National Health and Nutrition Examination Survey.","authors":"Gee Youn Song","doi":"10.4082/kjfm.25.0085","DOIUrl":"10.4082/kjfm.25.0085","url":null,"abstract":"Background: Obesity, sarcopenia, and sarcopenic obesity are increasingly prevalent in older adults and negatively affect health-related quality of life (HRQOL). While EuroQol-5 Dimension and Short Form-36 Health Survey are widely used HRQOL measures, they have limitations in sensitivity and cultural relevance. In contrast, the Health-related Quality of Life Instrument with 8 Items (HINT-8) is a preference-based instrument developed specifically for the Korean population, offering finer discrimination of physical, emotional, and social health domains.Methods: This study analyzed data from 1,387 older adults (≥65 years) from the 2023 Korea National Health and Nutrition Examination Survey. Obesity was defined as body mass index ≥25 kg/m 2 , sarcopenia by Asian Working Group for Sarcopenia 2019 criteria, and sarcopenic obesity as having both conditions. Multiple linear regression was used to examine their independent effects on HRQOL, adjusting for potential confounders.Results: Of the participants, 54.2% were classified as normal, 34.9% as obese, 9.8% with sarcopenia, and 1.1% with sarcopenic obesity. All three conditions were significantly associated with greater difficulty in stair climbing: obesity (B=0.223, P<0.001), sarcopenia (B=0.242, P<0.001), and sarcopenic obesity (B=0.338, P=0.048). Sarcopenia was also linked to impaired working ability and higher total HINT-8 scores. Sarcopenic obesity was associated with greater pain. And obesity was linked to slightly lower depression scores.Conclusion: Obesity, sarcopenia, and sarcopenic obesity negatively impact HRQOL in older adults. Early detection and intervention are essential to improve quality of life and extend health-adjusted life expectancy.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"46 3","pages":"195-203"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fasting is not always good: perioperative fasting leads to pronounced ketone body production in patients treated with SGLT2 inhibitors: a case report. 禁食并不总是好的：围手术期禁食导致SGLT2抑制剂治疗患者明显的酮体产生：一份病例报告。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-05-01 Epub Date: 2025-03-07 DOI: 10.4082/kjfm.24.0210

Jae Chan Choi, Yo Nam Jang, Jong Hoon Lee, Sang Wook Park, Jeong A Park, Hye Sook Kim, Jae Won Choi, Joo Hyung Lee, Yong Jae Lee

引用次数: 0

Interactions between exercise, environmental factors, and diet in modulating appetite-regulating hormones: implications for athletes and physically active individuals. 运动、环境因素和饮食在调节食欲调节激素中的相互作用：对运动员和身体活跃的个体的影响。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-05-01 Epub Date: 2025-05-20 DOI: 10.4082/kjfm.24.0312

Ekta Tanwar, Kommi Kalpana

{"title":"Interactions between exercise, environmental factors, and diet in modulating appetite-regulating hormones: implications for athletes and physically active individuals.","authors":"Ekta Tanwar, Kommi Kalpana","doi":"10.4082/kjfm.24.0312","DOIUrl":"10.4082/kjfm.24.0312","url":null,"abstract":"Exercise, environmental conditions, and diet are integral to athletes' health and performance. Understanding how these factors interact to influence appetite-regulating hormones is a growing area of interest in sports science. This knowledge facilitates the development of personalized strategies for precisely monitoring and improving dietary intake, enhancing well-being, and improving athletic performance. For this narrative review, databases like \"PubMed,\" \"SportDiscus,\" \"Scopus,\" \"ProQuest,\" and \"Google Scholar\" were referred to using Boolean operators (AND, OR) to combine keywords related to exercise, environmental conditions, diet, and appetite-regulating hormones. High-intensity interval training, sprint interval training, resistance exercises, and high-intensity aerobic exercises were found to enhance satiety and suppress appetite by increasing appetite-suppressing hormones while reducing ghrelin levels. Greater exercise intensity prolonged appetite suppression by sustaining elevated levels of satiety hormones. Environmental factors such as high altitude, hypoxia, and extreme heat were associated with increased satiety, reduced appetite, and lower energy intake. Conversely, exposure to cold temperatures and participation in cold water exercises stimulated appetite. Dietary interventions, particularly ketogenic and high-protein diets, promoted satiety by increasing glucagon-like peptide-1 levels and decreasing ghrelin levels. Calorie restriction, especially when meals were infrequent but included breakfast, helped maintain satiety for extended periods by elevating satiety hormones. Integrating personalized exercise routines with dietary strategies while considering environmental adaptations is essential for optimizing appetite regulation, athletic performance, and overall health.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"46 3","pages":"137-151"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0