1.Maximal pericoronary adipose tissue thickness is associated with hypertension in nonobese patients with acute or chronic illness.
Shinhae CHANG ; Wangjin LEE ; Byounggyu KWAG ; Yun Hee CHUNG ; In Sook KANG
The Korean Journal of Internal Medicine 2017;32(4):668-674
BACKGROUND/AIMS: Recent studies have shown an association of epicardial fat thickness with diabetes and hypertension (HTN) in asymptomatic populations. However, there is lack of information as to whether there is similar association between pericoronary adipose tissue (PAT) and HTN in the patients who have acute or chronic illness. METHODS: This study included 214 nonobese patients hospitalized with acute or chronic noncardiogenic illness. PAT thicknesses were measured from fat tissues surrounding left and right coronary arteries in enhanced, chest computed tomography scans, yielding the maximal PAT value from left and right coronary arteries was used for analysis. Baseline data from hypertensive (n = 81) and normotensive (n = 133) patients were collected and compared. RESULTS: PAT is positively correlated with age (r = 0.377, p <0.001), body mass index (BMI; r = 0.305, p < 0.001), systolic blood pressure (r = 0.216, p = 0.001), and total cholesterol (r = 0.200, p = 0.006). The hypertensive group was older (69.58 ± 11.69 years vs. 60.29 ± 14.98 years), and had higher PAT content (16.30 ± 5.37 mm vs. 13.06 ± 5.58 mm) and BMI (23.14 ± 3.32 kg/m² vs. 20.96 ± 3.28 kg/m²) than the normotensive group (all p < 0.001). Multivariate analysis showed that age (odds ratio [OR], 2.193; p = 0.016), PAT thickness (OR, 1.065; p = 0.041), and BMI (25 ≤ BMI < 30 kg/m² ; OR, 6.077; p = 0.001) were independent risk factors for HTN. CONCLUSIONS: In nonobese patients with noncardiogenic acute or chronic illness, PAT thickness is independently correlated with HTN, age, and BMI.
Adipose Tissue*
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Blood Pressure
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Body Mass Index
;
Cholesterol
;
Chronic Disease*
;
Coronary Vessels
;
Humans
;
Hypertension*
;
Multidetector Computed Tomography
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Multivariate Analysis
;
Risk Factors
;
Thorax
2.Erratum: Seasonal Cycle and Relationship of Seasonal Rhino- and Influenza Virus Epidemics With Episodes of Asthma Exacerbation in Different Age Groups.
Seung Won LEE ; Shinhae LEE ; Youn Ho SHEEN ; Eun Kyo HA ; Sun Hee CHOI ; Min Suk YANG ; Sohyun HWANG ; Sung Soon KIM ; Jang Hoon CHOI ; Man Yong HAN
Allergy, Asthma & Immunology Research 2018;10(6):722-723
This erratum is being published to correct the printing error on page 517 of the article. Corrections for Fig. 1 and main text in page 519 are needed. The authors apologize for any inconvenience that this may have caused.
3.Seasonal Cycle and Relationship of Seasonal Rhino- and Influenza Virus Epidemics With Episodes of Asthma Exacerbation in Different Age Groups.
Seung Won LEE ; Shinhae LEE ; Youn Ho SHEEN ; Eun Kyo HA ; Sun Hee CHOI ; Min Suk YANG ; Sohyun HWANG ; Sung Soon KIM ; Jang Hoon CHOI ; Man Yong HAN
Allergy, Asthma & Immunology Research 2017;9(6):517-525
PURPOSE: Seasonal variations in asthma exacerbation (AE) are associated with respiratory virus outbreaks and the return of children to school after vacation. This study aims to elucidate the period, phase, and amplitude of seasonal cycles of AE in 5 different age groups with regard to rhino- and influenza virus epidemics in Korea. METHODS: The number of daily emergency department (ED) visits for AE in all age groups of Korea and the nationwide weekly incidence of rhino- and influenza virus, were obtained for 2008-2012. Fourier regression was used to model rhythmicity, and the Cosinor method was used to determine the amplitude and phase of the cycles in each age group. The cross-correlation function (CCF) between AE and the rhino- and influenza virus epidemics was also calculated. RESULTS: There were 157,559 events of AE (0.62 events/1,000 individuals/year) during the study period. There were spring and fall peaks of AE in children and adults, but only 1 winter peak in the elderly. The amplitude of the AE peak in infants was higher in spring than in fall (9.16 vs 3.04, P<0.010), and the fall peak was approximately 1 month later in infants than in school children (October 11 vs November 13, P<0.010). The association between AE and rhinovirus was greatest in school children (rho=0.331), and the association between AE and influenza virus was greatest in those aged ≥60 years (rho=0.682). CONCLUSIONS: The rhythmicity, amplitude, and phase of the annual cycle of AE differed among different age groups. The patterns of AE were related to the annual rhino- and influenza virus epidemics.
Adult
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Aged
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Asthma*
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Child
;
Disease Outbreaks
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Emergency Service, Hospital
;
Humans
;
Incidence
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Infant
;
Influenza, Human*
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Korea
;
Methods
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Orthomyxoviridae*
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Periodicity
;
Rhinovirus
;
Seasons*
4.Association of Sensitization to Different Aeroallergens With Airway Function and Nasal Patency in Urban Children
Shinhae LEE ; Hyun Yong KOH ; Dong Keon YON ; Seung Won LEE ; Eun Kyo HA ; Myongsoon SUNG ; Kyung Suk LEE ; Hye Mi JEE ; Youn Ho SHEEN ; Man Yong HAN
Allergy, Asthma & Immunology Research 2019;11(4):572-582
PURPOSE: Children with sensitization to aeroallergens have decreased lung function and nasal patency. Our purpose was to determine the association of sensitization to different aeroallergens with airway function and nasal patency. METHODS: Four hundred and eighty-six randomly selected 11 year-old children who lived in Seongnam City were examined. Serum specific immunoglobulin E (IgE) levels against 6 common allergens (Dermatophagoidesfarinae, birch, cat, dog, Japanese hop and Alternaria), impulse oscillometry (IOS) results for the evaluation of airway dysfunction, and acoustic rhinometry for the determination of nasal airway patency were obtained. RESULTS: IOS indicated that children sensitized to Alternaria (n = 38, 7.8%) and dog dander (n = 69, 14.2%) had decreased lung function, based on resistance at 10 Hz (Rrs10; aβ = 0.0072; 95% CI, 0.017, 0.127; P = 0.010) and 1 Hz (Rrs1; aβ = 0.038; 95% CI, 0.001, 0.074; P = 0.042). Children sensitized to D. farinae (n = 281, 57.8%) had decreased post-decongestant nasal volume at 0 to 5 cm (aβ = −0.605; 95% CI, −1.005, −0.205; P = 0.003), but normal IOS results at all measured frequencies (P > 0.05). Increased serum eosinophil level was associated with Rrs1 (P = 0.007) and Rrs2 (P = 0.018) and post-decongestant nasal volume at 0 to 5 cm (aβ = −0.885; 95% CI, −1.331, −0.439; P < 0.001). CONCLUSIONS: Sensitivity to specific aeroallergens, serum eosinophil count and total IgE level had different associations with upper and lower airway dysfunction in urban children.
Allergens
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Alternaria
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Animals
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Asian Continental Ancestry Group
;
Betula
;
Cats
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Child
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Dander
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Dogs
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Eosinophils
;
Gyeonggi-do
;
Humans
;
Immunoglobulin E
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Immunoglobulins
;
Jupiter
;
Lung
;
Oscillometry
;
Respiratory Function Tests
;
Rhinometry, Acoustic