1.Association Between Childhood Trauma and Anhedonia-Related Symptoms: The Mediation Role of Trait Anhedonia and Circulating Proteins
Sang Jin RHEE ; Dongyoon SHIN ; Daun SHIN ; Yoojin SONG ; Eun-Jeong JOO ; Hee Yeon JUNG ; Sungwon ROH ; Sang-Hyuk LEE ; Hyeyoung KIM ; Minji BANG ; Kyu Young LEE ; Jihyeon LEE ; Yeongshin KIM ; Youngsoo KIM ; Yong Min AHN
Journal of Korean Medical Science 2025;40(18):e66-
		                        		
		                        			 Background:
		                        			Though accumulating evidence suggests an association between childhood trauma and anhedonia, further analysis is needed to consider specific traumatic dimensions, both traits and state anhedonia, and the role of circulating proteins. Therefore, this study investigated the association between different types of childhood traumas and their influence on anhedonia-related symptoms, and to evaluate the influence of anhedonia traits and plasma proteins as mediators. 
		                        		
		                        			Methods:
		                        			This study included 170 patients with schizophrenia, bipolar disorder, major depressive disorder, and healthy controls aged 19–65 years. Multiple reaction monitoring was performed to quantify plasma proteins, and 464 proteins were analyzed. The association between childhood trauma dimensions, anhedonic traits, and related symptoms was analyzed with linear regression. A series of mediation analyses was performed to determine whether anhedonic traits and plasma proteins mediated the association between childhood trauma and anhedonia-related symptoms. 
		                        		
		                        			Results:
		                        			Childhood emotional neglect was significantly associated with anhedonic traits and anhedonia-related symptoms. Mediation analysis revealed that the indirect effect of anhedonic traits for childhood emotional neglect on anhedonia-related symptoms (effect = 0.037; bias-corrected CI, 0.009 to 0.070) was statistically significant. The indirect effect of plasma TNR5 for anhedonic traits on anhedonia-related symptoms was statistically significant (effect = −0.011; bias-corrected CI, −0.026 to −0.002). Serial mediation analysis revealed that the indirect effect of childhood emotional neglect on anhedonia-related symptoms via anhedonic traits and TNR5 was statistically significant (effect = 0.007; biascorrected CI, 0.001 to 0.017). 
		                        		
		                        			Conclusion
		                        			Anhedonic traits and plasma TNR5 protein levels serially mediated the association between childhood emotional neglect and anhedonia-related symptoms.The study highlights the importance of considering both psychopathological traits and biological correlates when investigating the association between childhood trauma and psychopathological symptoms. 
		                        		
		                        		
		                        		
		                        	
2.Association Between Childhood Trauma and Anhedonia-Related Symptoms: The Mediation Role of Trait Anhedonia and Circulating Proteins
Sang Jin RHEE ; Dongyoon SHIN ; Daun SHIN ; Yoojin SONG ; Eun-Jeong JOO ; Hee Yeon JUNG ; Sungwon ROH ; Sang-Hyuk LEE ; Hyeyoung KIM ; Minji BANG ; Kyu Young LEE ; Jihyeon LEE ; Yeongshin KIM ; Youngsoo KIM ; Yong Min AHN
Journal of Korean Medical Science 2025;40(18):e66-
		                        		
		                        			 Background:
		                        			Though accumulating evidence suggests an association between childhood trauma and anhedonia, further analysis is needed to consider specific traumatic dimensions, both traits and state anhedonia, and the role of circulating proteins. Therefore, this study investigated the association between different types of childhood traumas and their influence on anhedonia-related symptoms, and to evaluate the influence of anhedonia traits and plasma proteins as mediators. 
		                        		
		                        			Methods:
		                        			This study included 170 patients with schizophrenia, bipolar disorder, major depressive disorder, and healthy controls aged 19–65 years. Multiple reaction monitoring was performed to quantify plasma proteins, and 464 proteins were analyzed. The association between childhood trauma dimensions, anhedonic traits, and related symptoms was analyzed with linear regression. A series of mediation analyses was performed to determine whether anhedonic traits and plasma proteins mediated the association between childhood trauma and anhedonia-related symptoms. 
		                        		
		                        			Results:
		                        			Childhood emotional neglect was significantly associated with anhedonic traits and anhedonia-related symptoms. Mediation analysis revealed that the indirect effect of anhedonic traits for childhood emotional neglect on anhedonia-related symptoms (effect = 0.037; bias-corrected CI, 0.009 to 0.070) was statistically significant. The indirect effect of plasma TNR5 for anhedonic traits on anhedonia-related symptoms was statistically significant (effect = −0.011; bias-corrected CI, −0.026 to −0.002). Serial mediation analysis revealed that the indirect effect of childhood emotional neglect on anhedonia-related symptoms via anhedonic traits and TNR5 was statistically significant (effect = 0.007; biascorrected CI, 0.001 to 0.017). 
		                        		
		                        			Conclusion
		                        			Anhedonic traits and plasma TNR5 protein levels serially mediated the association between childhood emotional neglect and anhedonia-related symptoms.The study highlights the importance of considering both psychopathological traits and biological correlates when investigating the association between childhood trauma and psychopathological symptoms. 
		                        		
		                        		
		                        		
		                        	
3.Association Between Childhood Trauma and Anhedonia-Related Symptoms: The Mediation Role of Trait Anhedonia and Circulating Proteins
Sang Jin RHEE ; Dongyoon SHIN ; Daun SHIN ; Yoojin SONG ; Eun-Jeong JOO ; Hee Yeon JUNG ; Sungwon ROH ; Sang-Hyuk LEE ; Hyeyoung KIM ; Minji BANG ; Kyu Young LEE ; Jihyeon LEE ; Yeongshin KIM ; Youngsoo KIM ; Yong Min AHN
Journal of Korean Medical Science 2025;40(18):e66-
		                        		
		                        			 Background:
		                        			Though accumulating evidence suggests an association between childhood trauma and anhedonia, further analysis is needed to consider specific traumatic dimensions, both traits and state anhedonia, and the role of circulating proteins. Therefore, this study investigated the association between different types of childhood traumas and their influence on anhedonia-related symptoms, and to evaluate the influence of anhedonia traits and plasma proteins as mediators. 
		                        		
		                        			Methods:
		                        			This study included 170 patients with schizophrenia, bipolar disorder, major depressive disorder, and healthy controls aged 19–65 years. Multiple reaction monitoring was performed to quantify plasma proteins, and 464 proteins were analyzed. The association between childhood trauma dimensions, anhedonic traits, and related symptoms was analyzed with linear regression. A series of mediation analyses was performed to determine whether anhedonic traits and plasma proteins mediated the association between childhood trauma and anhedonia-related symptoms. 
		                        		
		                        			Results:
		                        			Childhood emotional neglect was significantly associated with anhedonic traits and anhedonia-related symptoms. Mediation analysis revealed that the indirect effect of anhedonic traits for childhood emotional neglect on anhedonia-related symptoms (effect = 0.037; bias-corrected CI, 0.009 to 0.070) was statistically significant. The indirect effect of plasma TNR5 for anhedonic traits on anhedonia-related symptoms was statistically significant (effect = −0.011; bias-corrected CI, −0.026 to −0.002). Serial mediation analysis revealed that the indirect effect of childhood emotional neglect on anhedonia-related symptoms via anhedonic traits and TNR5 was statistically significant (effect = 0.007; biascorrected CI, 0.001 to 0.017). 
		                        		
		                        			Conclusion
		                        			Anhedonic traits and plasma TNR5 protein levels serially mediated the association between childhood emotional neglect and anhedonia-related symptoms.The study highlights the importance of considering both psychopathological traits and biological correlates when investigating the association between childhood trauma and psychopathological symptoms. 
		                        		
		                        		
		                        		
		                        	
4.Association Between Childhood Trauma and Anhedonia-Related Symptoms: The Mediation Role of Trait Anhedonia and Circulating Proteins
Sang Jin RHEE ; Dongyoon SHIN ; Daun SHIN ; Yoojin SONG ; Eun-Jeong JOO ; Hee Yeon JUNG ; Sungwon ROH ; Sang-Hyuk LEE ; Hyeyoung KIM ; Minji BANG ; Kyu Young LEE ; Jihyeon LEE ; Yeongshin KIM ; Youngsoo KIM ; Yong Min AHN
Journal of Korean Medical Science 2025;40(18):e66-
		                        		
		                        			 Background:
		                        			Though accumulating evidence suggests an association between childhood trauma and anhedonia, further analysis is needed to consider specific traumatic dimensions, both traits and state anhedonia, and the role of circulating proteins. Therefore, this study investigated the association between different types of childhood traumas and their influence on anhedonia-related symptoms, and to evaluate the influence of anhedonia traits and plasma proteins as mediators. 
		                        		
		                        			Methods:
		                        			This study included 170 patients with schizophrenia, bipolar disorder, major depressive disorder, and healthy controls aged 19–65 years. Multiple reaction monitoring was performed to quantify plasma proteins, and 464 proteins were analyzed. The association between childhood trauma dimensions, anhedonic traits, and related symptoms was analyzed with linear regression. A series of mediation analyses was performed to determine whether anhedonic traits and plasma proteins mediated the association between childhood trauma and anhedonia-related symptoms. 
		                        		
		                        			Results:
		                        			Childhood emotional neglect was significantly associated with anhedonic traits and anhedonia-related symptoms. Mediation analysis revealed that the indirect effect of anhedonic traits for childhood emotional neglect on anhedonia-related symptoms (effect = 0.037; bias-corrected CI, 0.009 to 0.070) was statistically significant. The indirect effect of plasma TNR5 for anhedonic traits on anhedonia-related symptoms was statistically significant (effect = −0.011; bias-corrected CI, −0.026 to −0.002). Serial mediation analysis revealed that the indirect effect of childhood emotional neglect on anhedonia-related symptoms via anhedonic traits and TNR5 was statistically significant (effect = 0.007; biascorrected CI, 0.001 to 0.017). 
		                        		
		                        			Conclusion
		                        			Anhedonic traits and plasma TNR5 protein levels serially mediated the association between childhood emotional neglect and anhedonia-related symptoms.The study highlights the importance of considering both psychopathological traits and biological correlates when investigating the association between childhood trauma and psychopathological symptoms. 
		                        		
		                        		
		                        		
		                        	
5.The Effect of Sleep Disordered Breathing on Olfactory Functions: Analysis by Apnea-Hypopnea Index.
Dong Hyuk SHIN ; Sung Hwan AHN ; Youngsoo YANG ; Seongjun CHOI ; Jae Hoon CHO ; Seok Chan HONG ; Jin Kook KIM
Clinical and Experimental Otorhinolaryngology 2017;10(1):71-76
		                        		
		                        			
		                        			OBJECTIVES: One hypothesis of obstructive sleep apnea syndrome (OSAS) is that long-standing snoring vibrations and hypoxia of the nerves cause a local neuropathy in the upper airway during sleep. The aim of this study was to investigate olfactory function in subjects comprising snorers and untreated subjects with OSAS, and to correlate data with polysomnographic parameters. METHODS: Sixty-nine patients were evaluated for snoring from January 2010 to December 2013. The mild group (apneahypopnea index [AHI]<15) consisted of 19 subjects, and the moderate-severe group (AHI≥15) consisted of 50 subjects. Exclusion criteria were conductive olfactory dysfunction, previous tonsil or soft palatal surgery, central sleep apnea, and medications that are known to affect peripheral nerves. Nocturnal polysomnography and olfactory function test such as Korean version of Sniffin’s stick test I, II (KVSS I, II) were performed. RESULTS: There was a significant difference in body mass index, average oxygen saturation (SaO2), lowest SaO2, average snoring duration, and KVSS I, II between the two groups. AHI was related to odor threshold score, and average SaO2 was related to odor discrimination score. But, odor identification score showed no relation with AHI and average SaO2 except for age. Average SaO2 and AHI were closely related to the function of smell. CONCLUSION: Hypoxia and low nasal airflow caused by OSAS may have an effect on the olfactory function. On comparison between the two groups, patients with a high AHI, especially those with OSAS, had an olfactory dysfunction. Also, low average oxygen is the main risk factor in determining the olfactory function. In people with OSAS, the possibility of olfactory dysfunction should be considered and an olfactory function test should be performed.
		                        		
		                        		
		                        		
		                        			Anoxia
		                        			;
		                        		
		                        			Body Mass Index
		                        			;
		                        		
		                        			Discrimination (Psychology)
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Odors
		                        			;
		                        		
		                        			Olfaction Disorders
		                        			;
		                        		
		                        			Oxygen
		                        			;
		                        		
		                        			Palatine Tonsil
		                        			;
		                        		
		                        			Peripheral Nerves
		                        			;
		                        		
		                        			Polysomnography
		                        			;
		                        		
		                        			Risk Factors
		                        			;
		                        		
		                        			Sleep Apnea Syndromes*
		                        			;
		                        		
		                        			Sleep Apnea, Central
		                        			;
		                        		
		                        			Sleep Apnea, Obstructive
		                        			;
		                        		
		                        			Smell
		                        			;
		                        		
		                        			Snoring
		                        			;
		                        		
		                        			Vibration
		                        			
		                        		
		                        	
6.Piperidylmethyloxychalcone improves immune-mediated acute liver failure via inhibiting TAK1 activity.
Sun Hong PARK ; Jeong Ah KWAK ; Sang Hun JUNG ; Byeongwoo AHN ; Won Jea CHO ; Cheong Yong YUN ; Chang Seon NA ; Bang Yeon HWANG ; Jin Tae HONG ; Sang Bae HAN ; Youngsoo KIM
Experimental & Molecular Medicine 2017;49(11):e392-
		                        		
		                        			
		                        			Mice deficient in the toll-like receptor (TLR) or the myeloid differentiation factor 88 (MyD88) are resistant to acute liver failure (ALF) with sudden death of hepatocytes. Chalcone derivatives from medicinal plants protect from hepatic damages including ALF, but their mechanisms remain to be clarified. Here, we focused on molecular basis of piperidylmethyloxychalcone (PMOC) in the treatment of TLR/MyD88-associated ALF. C57BL/6J mice were sensitized with D-galactosamine (GalN) and challenged with Escherichia coli lipopolysaccharide (LPS, TLR4 agonist) or oligodeoxynucleotide containing unmethylated CpG motif (CpG ODN, TLR9 agonist) for induction of ALF. Post treatment with PMOC sequentially ameliorated hepatic inflammation, apoptosis of hepatocytes, severe liver injury and shock-mediated death in ALF-induced mice. As a mechanism, PMOC inhibited the catalytic activity of TGF-β-activated kinase 1 (TAK1) in a competitive manner with respect to ATP, displaced fluorescent ATP probe from the complex with TAK1, and docked at the ATP-binding active site on the crystal structure of TAK1. Moreover, PMOC inhibited TAK1 auto-phosphorylation, which is an axis in the activating pathways of nuclear factor-κB (NF-κB) or activating protein 1 (AP1), in the liver with ALF in vivo or in primary liver cells stimulated with TLR agonists in vitro. PMOC consequently suppressed TAK1-inducible NF-κB or AP1 activity in the inflammatory injury, an early pathogenesis leading to ALF. The results suggested that PMOC could contribute to the treatment of TLR/MyD88-associated ALF with the ATP-binding site of TAK1 as a potential therapeutic target.
		                        		
		                        		
		                        		
		                        			Adenosine Triphosphate
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Apoptosis
		                        			;
		                        		
		                        			Catalytic Domain
		                        			;
		                        		
		                        			Chalcone
		                        			;
		                        		
		                        			Death, Sudden
		                        			;
		                        		
		                        			Escherichia coli
		                        			;
		                        		
		                        			Hepatocytes
		                        			;
		                        		
		                        			In Vitro Techniques
		                        			;
		                        		
		                        			Inflammation
		                        			;
		                        		
		                        			Liver
		                        			;
		                        		
		                        			Liver Failure, Acute*
		                        			;
		                        		
		                        			Mice
		                        			;
		                        		
		                        			Myeloid Differentiation Factor 88
		                        			;
		                        		
		                        			Phosphotransferases
		                        			;
		                        		
		                        			Plants, Medicinal
		                        			;
		                        		
		                        			Toll-Like Receptors
		                        			
		                        		
		                        	
7.Chemopreventive effect of alpha-viniferin in azoxymethane-induced mouse colorectal tumor and Caco-2 cells.
Dong Hoon KWAK ; Sang Kyung SHIN ; So Young YOUM ; Tae Wang KIM ; Youngsoo KIM ; Byeongwoo AHN
Journal of Biomedical Research 2015;16(2):60-66
		                        		
		                        			
		                        			alpha-Viniferin (AVF), a trimer of resveratrol, is known to have an anti-inflammatory effect via inhibition of cyclooxygenase-2 (COX-2) and inducible nitric oxide synthase (iNOS). It has been reported that up-regulated COX-2 and iNOS are expressed in colon cancer tissues of humans and rodents as well as pre-neoplastic aberrant crypt foci (ACF) of rodents. In this study, chemopreventive effects of AVF were assessed in Caco-2 cells as well as azoxymethane (AOM)-induced colorectal tumorigenesis in mice. Anti-tumor effect of AVF with regards to apoptotic induction was assessed by TUNEL and caspase-3 expression in human colon cancer Caco-2 cells. For development of ACF, AOM was administered with to mice intraperitoneally at a dose of 10 mg/kg once a week for 3 weeks. To induce colitis-related colon cancer, mice were administered a single dose of AOM (10 mg/kg) and 2% dextran sodium sulfate in drinking water. Mice treated with 0.05 and/or 0.1 mg of AVF by gavage showed significantly reduced development of ACF and colorectal tumors. Immunofluorescence detection in Caco-2 cells showed reduced COX-2 and iNOS expression, whereas cleavage of caspase-3 and apoptotic cell numbers increased upon AVF treatment. Immunostaining showed reduced expression levels of COX-2 and iNOS expression along with increased cleaved caspase-3 expression increased upon AVF treatment. These results suggest that AVF has chemopreventive effects on colorectal cancer via anti-inflammatory potential and pro-apoptotic activity.
		                        		
		                        		
		                        		
		                        			Aberrant Crypt Foci
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Azoxymethane
		                        			;
		                        		
		                        			Caco-2 Cells*
		                        			;
		                        		
		                        			Carcinogenesis
		                        			;
		                        		
		                        			Caspase 3
		                        			;
		                        		
		                        			Cell Count
		                        			;
		                        		
		                        			Chemoprevention
		                        			;
		                        		
		                        			Colonic Neoplasms
		                        			;
		                        		
		                        			Colorectal Neoplasms*
		                        			;
		                        		
		                        			Cyclooxygenase 2
		                        			;
		                        		
		                        			Dextrans
		                        			;
		                        		
		                        			Drinking Water
		                        			;
		                        		
		                        			Fluorescent Antibody Technique
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			In Situ Nick-End Labeling
		                        			;
		                        		
		                        			Mice*
		                        			;
		                        		
		                        			Nitric Oxide Synthase Type II
		                        			;
		                        		
		                        			Rodentia
		                        			;
		                        		
		                        			Sodium
		                        			
		                        		
		                        	
8.Clinical Analysis of the Correlation between Febrile Seizures and Influenza Infection.
Youngsoo SOHN ; Soonhak KWON ; Jungeun MOON ; Ji Young AHN ; Jung Eun KIM ; Hee Sun BAEK
Journal of the Korean Child Neurology Society 2014;22(3):155-159
		                        		
		                        			
		                        			PURPOSE: Febrile seizures are common in children between the ages of 6 months and 5 years of age and are often caused by viral illnesses. Influenza infection presents with a variety of neurological conditions including seizures. This study was aimed to evaluate the correlation of influenza infection and febrile seizures. METHODS: Eighty-four children with febrile seizures were involved in the study from October 2013 to March 2014. They were divided into two groups (febrile seizures with influenza infection, febrile seizures without influenza infection). Their medical records including clinical characteristics such as seizure types, seizure frequency, seizure duration, developmental history, brain magnetic resonance imaging(MRI), cerebrospinal fluid(CSF) study and electroencephalogram(EEG) findings were reviewed. RESULTS: Twenty six out of 242 children between the ages of 6 months and 5 years diagnosed with influenza infection had febrile seizures (10.7%), which is higher than known prevalence of febrile seizures. There were no significant differences in clinical characteristics such as seizure types, seizure frequency, seizure duration, developmental history, brain MRI, CSF study and EEG findings between the two groups. However, onset age of febrile seizures with influenza infection was older than the other group without influenza infection(P<0.001). CONCLUSION: It has been considered that influenza infections are common during the cold seasons and are the main causative factor for febrile seizures. Based on the findings from this study, Influenza infection may be a significant risk factor for febrile seizures. However, further studies are needed.
		                        		
		                        		
		                        		
		                        			Age of Onset
		                        			;
		                        		
		                        			Brain
		                        			;
		                        		
		                        			Child
		                        			;
		                        		
		                        			Electroencephalography
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Influenza, Human*
		                        			;
		                        		
		                        			Magnetic Resonance Imaging
		                        			;
		                        		
		                        			Medical Records
		                        			;
		                        		
		                        			Prevalence
		                        			;
		                        		
		                        			Risk Factors
		                        			;
		                        		
		                        			Seasons
		                        			;
		                        		
		                        			Seizures
		                        			;
		                        		
		                        			Seizures, Febrile*
		                        			
		                        		
		                        	
9.The inhibitory effect of quercitrin gallate on iNOS expression induced by lipopolysaccharide in Balb/c mice.
Hyun Ye JO ; Youngsoo KIM ; Sang Yoon NAM ; Beom Jun LEE ; Yun Bae KIM ; Young Won YUN ; Byeongwoo AHN
Journal of Veterinary Science 2008;9(3):267-272
		                        		
		                        			
		                        			Quercetin 3-O-beta-(2''-galloyl)-rhamnopyranoside (QGR) is a naturally occurring quercitrin gallate, which is a polyphenolic compound that was originally isolated from Persicaria lapathifolia (Polygonaceae). QGR has been shown to have an inhibitory effect on nitric oxide (NO) production in lipopolysaccharide (LPS)-stimulated macrophage RAW 264.7 cells. Therefore, this study was conducted to investigate the inhibitory effect of QGR on nitric oxide production and inducible nitric oxide synthases (iNOS) expression in LPS-stimulated Balb/c mice. To accomplish this, 10 mg/kg of QGR was administered via gavage once a day for 3 days. iNOS was then induced by intraperitoneal injection of LPS. Six hours after the LPS treatment the animals were sacrificed under ether anethesia. The serum levels of NO were then measured to determine if QGR exerted an inhibitory effect on NO production in vivo. LPS induced an approximately 6 fold increase in the expression of NO. However, oral administration of QGR reduced the LPS induced increase in NO by half. Furthermore, RT-PCR and western blot analysis revealed that the increased levels of iNOS expression that occurred in response to treatment with LPS were significantly attenuated in response to QGR pretreatment. Histologically, LPS induced the infiltration of polymorphonuclear neutrophils in portal veins and sinusoids and caused the formation of a large number of necrotic cells; however, pretreatment with QGR attenuated these LPS induced effects. Taken together, these results indicate that QGR inhibits iNOS expression in vivo as well as in vitro and has antiinflammatory potentials.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			DNA Primers
		                        			;
		                        		
		                        			Gene Expression Regulation, Enzymologic/drug effects
		                        			;
		                        		
		                        			Lipopolysaccharides/*pharmacology
		                        			;
		                        		
		                        			Liver/drug effects/enzymology
		                        			;
		                        		
		                        			Mice
		                        			;
		                        		
		                        			Mice, Inbred BALB C
		                        			;
		                        		
		                        			Nitric Oxide/blood
		                        			;
		                        		
		                        			Nitric Oxide Synthase Type II/drug effects/*genetics
		                        			;
		                        		
		                        			Quercetin/*analogs & derivatives/pharmacology
		                        			;
		                        		
		                        			RNA, Messenger/genetics
		                        			;
		                        		
		                        			Reverse Transcriptase Polymerase Chain Reaction
		                        			
		                        		
		                        	
10.Symptom Questionnaire and Laboratory Findings in Subjects with Airflow Limitation: a Nation-wide Survey.
Yong Il HWANG ; Young Chul KIM ; Jae Ho LEE ; Min Jong KANG ; Dong Gyu KIM ; Soo Ock KIM ; Tae Won JANG ; Min Ki LEE ; Youngsoo AHN ; Jee Hong YOO ; Ki Suck JUNG
Tuberculosis and Respiratory Diseases 2007;63(6):480-485
		                        		
		                        			
		                        			BACKGROUND: Chronic obstructive pulmonary disease (COPD) is characterized by airflow limitation that is not fully reversible. COPD has systemic effects, such as skeletal muscle dysfunction and abnormal weight loss. It also has been suggested that COPD is related to other chronic disease, such as cardiovascular disease, osteoporosis, and anemia. The aim of this study was to evaluate a symptom questionnaire and laboratory findings in subjects with air flow limitation. METHODS: We evaluated a symptom questionnaire and laboratory findings in subjects with airflow limitation detected by spirometry in conjunction with the Second Korean National Health and Nutrition Examination Survey. A total of 9,243 adults over the age of 18 were recruited. Among the adults, we finally analyzed 2,217 subjects who met the acceptability and repeatability criteria of spirometry, showed normal findings on chest radiography, and were older than 40 years of age. RESULTS: There were 288 subjects with airflow limitation as determined by spirometry. The frequency of respiratory symptoms such as cough, sputum and wheezing were significantly higher in subjects with airflow limitation (p<0.01). Hemoglobin and hematocrit levels were higher in subjects with airflow limitation (hemoglobin level 13.98 mg/dL vs. 13.62 mg/dL, hematocrit 42.10% vs. 40.89%; p<0.01). The HDL cholesterol level was lower in subjects with airflow limitation (44.95 mg/dL vs. 45.60 mg/dL; p<0.01). There was no significant difference in the total cholesterol, triglyceride, blood urea nitrogen, creatinine, and fasting glucose levels. CONCLUSION: In subjects with airflow limitation, prevalence of respiratory symptoms was higher than in normal spirometry subjects and the levels of hemoglobin and the hematocrit were higher. The HDL cholesterol level was lower in subjects with airflow limitation.
		                        		
		                        		
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Anemia
		                        			;
		                        		
		                        			Blood Urea Nitrogen
		                        			;
		                        		
		                        			Cardiovascular Diseases
		                        			;
		                        		
		                        			Cholesterol
		                        			;
		                        		
		                        			Cholesterol, HDL
		                        			;
		                        		
		                        			Chronic Disease
		                        			;
		                        		
		                        			Cough
		                        			;
		                        		
		                        			Creatinine
		                        			;
		                        		
		                        			Fasting
		                        			;
		                        		
		                        			Glucose
		                        			;
		                        		
		                        			Hematocrit
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Muscle, Skeletal
		                        			;
		                        		
		                        			Nutrition Surveys
		                        			;
		                        		
		                        			Osteoporosis
		                        			;
		                        		
		                        			Prevalence
		                        			;
		                        		
		                        			Pulmonary Disease, Chronic Obstructive
		                        			;
		                        		
		                        			Surveys and Questionnaires*
		                        			;
		                        		
		                        			Radiography
		                        			;
		                        		
		                        			Respiratory Sounds
		                        			;
		                        		
		                        			Spirometry
		                        			;
		                        		
		                        			Sputum
		                        			;
		                        		
		                        			Thorax
		                        			;
		                        		
		                        			Triglycerides
		                        			;
		                        		
		                        			Weight Loss
		                        			
		                        		
		                        	
            
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