1.Elevated Circulating Sclerostin Levels in Frail Older Adults: Implications beyond Bone Health
Ji Yeon BAEK ; Seong Hee AHN ; Il-Young JANG ; Hee-Won JUNG ; Eunhye JI ; So Jeong PARK ; Yunju JO ; Eunju LEE ; Dongryeol RYU ; Seongbin HONG ; Beom-Jun KIM
Endocrinology and Metabolism 2025;40(1):73-81
		                        		
		                        			 Background:
		                        			Sclerostin, initially recognized for its pivotal role in bone metabolism, has gained attention for its multifaceted impact on overall human health. However, its influence on frailty—a condition that best reflects biological age—has not been thoroughly investigated. 
		                        		
		                        			Methods:
		                        			We collected blood samples from 244 older adults who underwent comprehensive geriatric assessments. Sclerostin levels were quantified using an enzyme-linked immunosorbent assay. Frailty was assessed using two validated approaches: the phenotypic model by Fried and the deficit accumulation frailty index (FI) by Rockwood. 
		                        		
		                        			Results:
		                        			After controlling for sex, age, and body mass index, we found that serum sclerostin levels were significantly elevated in frail individuals compared to their robust counterparts (P<0.001). There was a positive correlation between serum sclerostin concentrations and the FI (P<0.001). Each standard deviation increase in serum sclerostin was associated with an odds ratio of 1.87 for frailty (P=0.003). Moreover, participants in the highest quartile of sclerostin levels had a significantly higher FI and a 9.91-fold increased odds of frailty compared to those in the lowest quartile (P=0.003 and P=0.039, respectively). 
		                        		
		                        			Conclusion
		                        			These findings, which for the first time explore the association between circulating sclerostin levels and frailty, have significant clinical implications, positioning sclerostin as one of potential blood-based biomarkers for frailty that captures the comprehensive physical, mental, and social aspects of the elderly, extending beyond its traditional role in bone metabolism. 
		                        		
		                        		
		                        		
		                        	
2.Circulating BMP-7 Level is Independent of Sarcopenia in Older Asian Adults
Ahin CHOI ; Ji Yeon BAEK ; Eunhye JI ; Il-Young JANG ; Hee-Won JUNG ; So Jeong PARK ; Yunju JO ; Eunju LEE ; Dongryeol RYU ; Beom-Jun KIM
Annals of Geriatric Medicine and Research 2025;29(1):75-82
		                        		
		                        			 Background:
		                        			In vitro and animal studies have demonstrated that bone morphogenetic protein-7 (BMP-7), renowned for its osteogenic properties, also exerts beneficial effects on muscle metabolism by enhancing myogenesis and reversing muscle atrophy. Despite being proposed as a common regulatory factor for both muscle and bone, the impact of BMP-7 on human muscle health has not been thoroughly investigated. 
		                        		
		                        			Methods:
		                        			This cross-sectional study involved 182 community-dwelling older adults who underwent a comprehensive geriatric assessment in South Korea. Sarcopenia was diagnosed using Asian-specific cutoffs, and serum BMP-7 levels were quantified via enzyme immunoassay. 
		                        		
		                        			Results:
		                        			The mean age of the participants was 72.2±7.3 years, with 62.6% being female. After adjustments for confounders, serum BMP-7 levels were not significantly different between individuals with and without sarcopenia, nor were there differences based on skeletal muscle mass, strength, or physical performance levels (p=0.423 to 0.681). Likewise, no correlations were detected between circulating BMP-7 levels and any sarcopenia assessment metrics such as skeletal muscle index, grip strength, gait speed, or chair stand completion times (p=0.127 to 0.577). No significant associations were observed between increases in serum BMP-7 concentrations and the risk of sarcopenia or poor muscle phenotypes (p=0.431 to 0.712). Stratifying participants into quartiles based on serum BMP-7 levels also indicated no differences in sarcopenia-related parameters (p=0.663 to 0.996). 
		                        		
		                        			Conclusion
		                        			Despite experimental evidence supporting BMP-7’s role in muscle metabolism, this study found no significant association between serum BMP-7 levels and clinical indicators of muscle health in older adults. These findings challenge the utility of serum BMP-7 as a biomarker for sarcopenia in this demographic. 
		                        		
		                        		
		                        		
		                        	
3.Elevated Circulating Sclerostin Levels in Frail Older Adults: Implications beyond Bone Health
Ji Yeon BAEK ; Seong Hee AHN ; Il-Young JANG ; Hee-Won JUNG ; Eunhye JI ; So Jeong PARK ; Yunju JO ; Eunju LEE ; Dongryeol RYU ; Seongbin HONG ; Beom-Jun KIM
Endocrinology and Metabolism 2025;40(1):73-81
		                        		
		                        			 Background:
		                        			Sclerostin, initially recognized for its pivotal role in bone metabolism, has gained attention for its multifaceted impact on overall human health. However, its influence on frailty—a condition that best reflects biological age—has not been thoroughly investigated. 
		                        		
		                        			Methods:
		                        			We collected blood samples from 244 older adults who underwent comprehensive geriatric assessments. Sclerostin levels were quantified using an enzyme-linked immunosorbent assay. Frailty was assessed using two validated approaches: the phenotypic model by Fried and the deficit accumulation frailty index (FI) by Rockwood. 
		                        		
		                        			Results:
		                        			After controlling for sex, age, and body mass index, we found that serum sclerostin levels were significantly elevated in frail individuals compared to their robust counterparts (P<0.001). There was a positive correlation between serum sclerostin concentrations and the FI (P<0.001). Each standard deviation increase in serum sclerostin was associated with an odds ratio of 1.87 for frailty (P=0.003). Moreover, participants in the highest quartile of sclerostin levels had a significantly higher FI and a 9.91-fold increased odds of frailty compared to those in the lowest quartile (P=0.003 and P=0.039, respectively). 
		                        		
		                        			Conclusion
		                        			These findings, which for the first time explore the association between circulating sclerostin levels and frailty, have significant clinical implications, positioning sclerostin as one of potential blood-based biomarkers for frailty that captures the comprehensive physical, mental, and social aspects of the elderly, extending beyond its traditional role in bone metabolism. 
		                        		
		                        		
		                        		
		                        	
4.Circulating BMP-7 Level is Independent of Sarcopenia in Older Asian Adults
Ahin CHOI ; Ji Yeon BAEK ; Eunhye JI ; Il-Young JANG ; Hee-Won JUNG ; So Jeong PARK ; Yunju JO ; Eunju LEE ; Dongryeol RYU ; Beom-Jun KIM
Annals of Geriatric Medicine and Research 2025;29(1):75-82
		                        		
		                        			 Background:
		                        			In vitro and animal studies have demonstrated that bone morphogenetic protein-7 (BMP-7), renowned for its osteogenic properties, also exerts beneficial effects on muscle metabolism by enhancing myogenesis and reversing muscle atrophy. Despite being proposed as a common regulatory factor for both muscle and bone, the impact of BMP-7 on human muscle health has not been thoroughly investigated. 
		                        		
		                        			Methods:
		                        			This cross-sectional study involved 182 community-dwelling older adults who underwent a comprehensive geriatric assessment in South Korea. Sarcopenia was diagnosed using Asian-specific cutoffs, and serum BMP-7 levels were quantified via enzyme immunoassay. 
		                        		
		                        			Results:
		                        			The mean age of the participants was 72.2±7.3 years, with 62.6% being female. After adjustments for confounders, serum BMP-7 levels were not significantly different between individuals with and without sarcopenia, nor were there differences based on skeletal muscle mass, strength, or physical performance levels (p=0.423 to 0.681). Likewise, no correlations were detected between circulating BMP-7 levels and any sarcopenia assessment metrics such as skeletal muscle index, grip strength, gait speed, or chair stand completion times (p=0.127 to 0.577). No significant associations were observed between increases in serum BMP-7 concentrations and the risk of sarcopenia or poor muscle phenotypes (p=0.431 to 0.712). Stratifying participants into quartiles based on serum BMP-7 levels also indicated no differences in sarcopenia-related parameters (p=0.663 to 0.996). 
		                        		
		                        			Conclusion
		                        			Despite experimental evidence supporting BMP-7’s role in muscle metabolism, this study found no significant association between serum BMP-7 levels and clinical indicators of muscle health in older adults. These findings challenge the utility of serum BMP-7 as a biomarker for sarcopenia in this demographic. 
		                        		
		                        		
		                        		
		                        	
5.Elevated Circulating Sclerostin Levels in Frail Older Adults: Implications beyond Bone Health
Ji Yeon BAEK ; Seong Hee AHN ; Il-Young JANG ; Hee-Won JUNG ; Eunhye JI ; So Jeong PARK ; Yunju JO ; Eunju LEE ; Dongryeol RYU ; Seongbin HONG ; Beom-Jun KIM
Endocrinology and Metabolism 2025;40(1):73-81
		                        		
		                        			 Background:
		                        			Sclerostin, initially recognized for its pivotal role in bone metabolism, has gained attention for its multifaceted impact on overall human health. However, its influence on frailty—a condition that best reflects biological age—has not been thoroughly investigated. 
		                        		
		                        			Methods:
		                        			We collected blood samples from 244 older adults who underwent comprehensive geriatric assessments. Sclerostin levels were quantified using an enzyme-linked immunosorbent assay. Frailty was assessed using two validated approaches: the phenotypic model by Fried and the deficit accumulation frailty index (FI) by Rockwood. 
		                        		
		                        			Results:
		                        			After controlling for sex, age, and body mass index, we found that serum sclerostin levels were significantly elevated in frail individuals compared to their robust counterparts (P<0.001). There was a positive correlation between serum sclerostin concentrations and the FI (P<0.001). Each standard deviation increase in serum sclerostin was associated with an odds ratio of 1.87 for frailty (P=0.003). Moreover, participants in the highest quartile of sclerostin levels had a significantly higher FI and a 9.91-fold increased odds of frailty compared to those in the lowest quartile (P=0.003 and P=0.039, respectively). 
		                        		
		                        			Conclusion
		                        			These findings, which for the first time explore the association between circulating sclerostin levels and frailty, have significant clinical implications, positioning sclerostin as one of potential blood-based biomarkers for frailty that captures the comprehensive physical, mental, and social aspects of the elderly, extending beyond its traditional role in bone metabolism. 
		                        		
		                        		
		                        		
		                        	
6.Circulating BMP-7 Level is Independent of Sarcopenia in Older Asian Adults
Ahin CHOI ; Ji Yeon BAEK ; Eunhye JI ; Il-Young JANG ; Hee-Won JUNG ; So Jeong PARK ; Yunju JO ; Eunju LEE ; Dongryeol RYU ; Beom-Jun KIM
Annals of Geriatric Medicine and Research 2025;29(1):75-82
		                        		
		                        			 Background:
		                        			In vitro and animal studies have demonstrated that bone morphogenetic protein-7 (BMP-7), renowned for its osteogenic properties, also exerts beneficial effects on muscle metabolism by enhancing myogenesis and reversing muscle atrophy. Despite being proposed as a common regulatory factor for both muscle and bone, the impact of BMP-7 on human muscle health has not been thoroughly investigated. 
		                        		
		                        			Methods:
		                        			This cross-sectional study involved 182 community-dwelling older adults who underwent a comprehensive geriatric assessment in South Korea. Sarcopenia was diagnosed using Asian-specific cutoffs, and serum BMP-7 levels were quantified via enzyme immunoassay. 
		                        		
		                        			Results:
		                        			The mean age of the participants was 72.2±7.3 years, with 62.6% being female. After adjustments for confounders, serum BMP-7 levels were not significantly different between individuals with and without sarcopenia, nor were there differences based on skeletal muscle mass, strength, or physical performance levels (p=0.423 to 0.681). Likewise, no correlations were detected between circulating BMP-7 levels and any sarcopenia assessment metrics such as skeletal muscle index, grip strength, gait speed, or chair stand completion times (p=0.127 to 0.577). No significant associations were observed between increases in serum BMP-7 concentrations and the risk of sarcopenia or poor muscle phenotypes (p=0.431 to 0.712). Stratifying participants into quartiles based on serum BMP-7 levels also indicated no differences in sarcopenia-related parameters (p=0.663 to 0.996). 
		                        		
		                        			Conclusion
		                        			Despite experimental evidence supporting BMP-7’s role in muscle metabolism, this study found no significant association between serum BMP-7 levels and clinical indicators of muscle health in older adults. These findings challenge the utility of serum BMP-7 as a biomarker for sarcopenia in this demographic. 
		                        		
		                        		
		                        		
		                        	
7.Elevated Circulating Sclerostin Levels in Frail Older Adults: Implications beyond Bone Health
Ji Yeon BAEK ; Seong Hee AHN ; Il-Young JANG ; Hee-Won JUNG ; Eunhye JI ; So Jeong PARK ; Yunju JO ; Eunju LEE ; Dongryeol RYU ; Seongbin HONG ; Beom-Jun KIM
Endocrinology and Metabolism 2025;40(1):73-81
		                        		
		                        			 Background:
		                        			Sclerostin, initially recognized for its pivotal role in bone metabolism, has gained attention for its multifaceted impact on overall human health. However, its influence on frailty—a condition that best reflects biological age—has not been thoroughly investigated. 
		                        		
		                        			Methods:
		                        			We collected blood samples from 244 older adults who underwent comprehensive geriatric assessments. Sclerostin levels were quantified using an enzyme-linked immunosorbent assay. Frailty was assessed using two validated approaches: the phenotypic model by Fried and the deficit accumulation frailty index (FI) by Rockwood. 
		                        		
		                        			Results:
		                        			After controlling for sex, age, and body mass index, we found that serum sclerostin levels were significantly elevated in frail individuals compared to their robust counterparts (P<0.001). There was a positive correlation between serum sclerostin concentrations and the FI (P<0.001). Each standard deviation increase in serum sclerostin was associated with an odds ratio of 1.87 for frailty (P=0.003). Moreover, participants in the highest quartile of sclerostin levels had a significantly higher FI and a 9.91-fold increased odds of frailty compared to those in the lowest quartile (P=0.003 and P=0.039, respectively). 
		                        		
		                        			Conclusion
		                        			These findings, which for the first time explore the association between circulating sclerostin levels and frailty, have significant clinical implications, positioning sclerostin as one of potential blood-based biomarkers for frailty that captures the comprehensive physical, mental, and social aspects of the elderly, extending beyond its traditional role in bone metabolism. 
		                        		
		                        		
		                        		
		                        	
8.Food preparation on a budget:an analysis of food consumption practices and the role of health consciousness
Nutrition Research and Practice 2024;18(6):897-909
		                        		
		                        			 BACKGROUND/OBJECTIVES:
		                        			This study is of significant importance as it aims to understand the food consumption practices of those trying to save money on food and the role of health consciousness in food choices. The specific objectives of the current study are 1) to track levels of online community activation over time in 2 online budget food communities, 2) to explore specific ingredients and food groups that are frequently mentioned in budget communities, and finally, 3) to compare the foods and staples of regular budget food and healthy budget food communities. These objectives are crucial in providing a comprehensive understanding of food consumption practices and health consciousness. 
		                        		
		                        			SUBJECTS/METHODS:
		                        			The data source for this study was Reddit, and subreddits related to budget foods were targeted for data preparation. After creating a food name dictionary, keyword analysis and topic modeling were conducted to identify key food groups. We compared the regular budget food group to the health-conscious budget food group. 
		                        		
		                        			RESULTS:
		                        			The food items commonly mentioned in both groups could serve as key staples for people looking to save money on food preparation. Rice was mentioned the most in both groups. Whereas meat and flour products were more important to the regular budget food group, fruits and vegetables were more valuable to the healthy budget food group. 
		                        		
		                        			CONCLUSION
		                        			The results of this research offer insights into the food purchasing behaviors of those attempting to save money and provide practical strategies to make budget foods healthier. This information can be valuable for individuals, policymakers, and health professionals in promoting more nutritious food choices. 
		                        		
		                        		
		                        		
		                        	
9.Food preparation on a budget:an analysis of food consumption practices and the role of health consciousness
Nutrition Research and Practice 2024;18(6):897-909
		                        		
		                        			 BACKGROUND/OBJECTIVES:
		                        			This study is of significant importance as it aims to understand the food consumption practices of those trying to save money on food and the role of health consciousness in food choices. The specific objectives of the current study are 1) to track levels of online community activation over time in 2 online budget food communities, 2) to explore specific ingredients and food groups that are frequently mentioned in budget communities, and finally, 3) to compare the foods and staples of regular budget food and healthy budget food communities. These objectives are crucial in providing a comprehensive understanding of food consumption practices and health consciousness. 
		                        		
		                        			SUBJECTS/METHODS:
		                        			The data source for this study was Reddit, and subreddits related to budget foods were targeted for data preparation. After creating a food name dictionary, keyword analysis and topic modeling were conducted to identify key food groups. We compared the regular budget food group to the health-conscious budget food group. 
		                        		
		                        			RESULTS:
		                        			The food items commonly mentioned in both groups could serve as key staples for people looking to save money on food preparation. Rice was mentioned the most in both groups. Whereas meat and flour products were more important to the regular budget food group, fruits and vegetables were more valuable to the healthy budget food group. 
		                        		
		                        			CONCLUSION
		                        			The results of this research offer insights into the food purchasing behaviors of those attempting to save money and provide practical strategies to make budget foods healthier. This information can be valuable for individuals, policymakers, and health professionals in promoting more nutritious food choices. 
		                        		
		                        		
		                        		
		                        	
10.Food preparation on a budget:an analysis of food consumption practices and the role of health consciousness
Nutrition Research and Practice 2024;18(6):897-909
		                        		
		                        			 BACKGROUND/OBJECTIVES:
		                        			This study is of significant importance as it aims to understand the food consumption practices of those trying to save money on food and the role of health consciousness in food choices. The specific objectives of the current study are 1) to track levels of online community activation over time in 2 online budget food communities, 2) to explore specific ingredients and food groups that are frequently mentioned in budget communities, and finally, 3) to compare the foods and staples of regular budget food and healthy budget food communities. These objectives are crucial in providing a comprehensive understanding of food consumption practices and health consciousness. 
		                        		
		                        			SUBJECTS/METHODS:
		                        			The data source for this study was Reddit, and subreddits related to budget foods were targeted for data preparation. After creating a food name dictionary, keyword analysis and topic modeling were conducted to identify key food groups. We compared the regular budget food group to the health-conscious budget food group. 
		                        		
		                        			RESULTS:
		                        			The food items commonly mentioned in both groups could serve as key staples for people looking to save money on food preparation. Rice was mentioned the most in both groups. Whereas meat and flour products were more important to the regular budget food group, fruits and vegetables were more valuable to the healthy budget food group. 
		                        		
		                        			CONCLUSION
		                        			The results of this research offer insights into the food purchasing behaviors of those attempting to save money and provide practical strategies to make budget foods healthier. This information can be valuable for individuals, policymakers, and health professionals in promoting more nutritious food choices. 
		                        		
		                        		
		                        		
		                        	
            
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