143 results on '"Jeong-Hwa Choi"'
Search Results
2. Genetic variant rs9939609 in FTO is associated with body composition and obesity risk in Korean females
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Hyeon-Gyo Park and Jeong-Hwa Choi
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Diseases of the endocrine glands. Clinical endocrinology ,RC648-665 - Abstract
Introduction The fat mass and obesity-associated (FTO) gene is a significant locus in obesity. However, the association between FTO genetic variants and body composition has not been fully elucidated.Research design and methods This observational study examined the associations of FTO rs9939609 T>A with obesity and body composition markers in Koreans. A total of 6474 participants from the Korean Genome and Epidemiology Study were analyzed for their general characteristics, body composition and FTO genotype with a sex-stratified approach.Results Females with the obesity risk A allele showed significantly greater body weight, hip circumference, and body mass index and were at a 1.28-fold higher risk of obesity (95% CI=1.088 to 1.507) than those with the TT genotype. Analyses of body composition also showed that females with the A allele had a greater body fat mass and percentage, abdominal fat percentage, and degree of obesity, and this association and FTO genetic variation and adiposity was observed in females, especially aged under 50 years. However, the effect of the variant allele on non-fat tissue markers was not evident in females and was not associated with any parameters examined in males.Conclusions The FTO rs9939609 variant is associated with body composition in Koreans, especially body fat markers in females. These results support that the FTO rs9939609 variant is a genetic risk factor in the etiology of obesity.
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- 2023
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3. Nutrition teacher’s perception and current status of nutrition education for free learning semester program: a preliminary study
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Mi Joo Park, Jeong-Hwa Choi, and Young-Ran Heo
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free leaning semester ,nutrition education ,nutrition teacher ,Nutrition. Foods and food supply ,TX341-641 ,Nutritional diseases. Deficiency diseases ,RC620-627 - Abstract
Objectives: This study aimed to investigate the current status of nutrition education via a free learning semester program (NE). The understanding of the program, the potential difficulties, and future initiatives for NE improvement were also investigated. Methods: A total number of 161 nutrition teachers from Gwangju and Jeonnam filled in a questionnaire and participated in this survey, which was performed from July to August 2019. Results: Our results showed that 8.1% of the nutrition teachers had taught nutrition education in free learning semester programs. The most frequently implemented model was subject selection, followed by club activities. Most of the nutrition teachers comprehended the purpose of NE. The attitude of nutrition teachers to NE differed by the understanding of its purpose. Positive attitude was evident due to a better understanding of the purpose by nutrition teachers. Nutrition teachers reported the most common difficulties of NE were the lack of preparation due to the heavy workload and the lack of a standard running program. The most effective method of NE was the activity classes. The experience of practicing NE influenced the choice of contents for each operating model. Nutrition teachers that were experienced in NE conducted via free learning semester programs preferred the selected topics model, but those without experience chose the career search model. Conclusions: Although some obstacles exist, nutrition teachers had a positive attitude and perceived well the importance of NE. Therefore, the awareness for the significance of NE of nutrition teachers needs to be improved. For better NE practice, it is necessary to reduce/manage the workload of general food service. Furthermore, the development of standard running and promotion programs, and teacher training programs should be ensured.
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- 2023
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4. Nutritional status and dietary behavior of North Korean adolescent refugees based on Nutrition Quotient for Korean adolescents: a preliminary study
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Young Goh, Seong-Woo Choi, So-Yeong Kim, and Jeong-Hwa Choi
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children and adolescents ,malnutrition ,north korean refugee ,nq-a ,obesity ,Nutrition. Foods and food supply ,TX341-641 ,Nutritional diseases. Deficiency diseases ,RC620-627 - Abstract
Objectives: This study aimed to investigate the nutritional status and dietary behavior of adolescents from North Korean refugee (NKR) families residing in South Korea (SK), who are known to be at a higher risk of malnutrition due to their lower socioeconomic status and facing other psychological challenges. Methods: A total of 178 adolescents (91 males and 87 females) from NKR families were included in the analysis, and their demographic details such as age, birthplace, parental nationality, and duration of their settlement in SK were collected through questionnaires. Anthropometric measurements were also taken to determine their growth and nutritional status according to the 2017 Korean National Growth Charts for children and adolescents. The study used the Nutrition Quotient for Korean Adolescents (NQ-A) questionnaire to assess the dietary behavior of the participants. Results: Approximately 11.8% and 10.1% of participants were identified with malnutrition and obesity, respectively. The total mean score for the NQ-A was 50.1. The mean scores for the individual factors of balance, diversity, moderation, environment, and practice were 49.2, 44.7, 43.8, 51.2, and 61.5, respectively. Approximately 47.2% of participants had a low NQ-A grade. However, there was no significant difference in the NQ-A scores according to their nutritional status or duration of time in SK. Conclusions: Adolescents from NKR families exhibited both malnutrition and obesity. However, their dietary behavior, as assessed using the NQ-A, did not vary with their nutritional status. The unique challenges and related dietary behavior of North Korean adolescent refugees should be taken into consideration, when developing targeted strategies for nutritional education and health management programs.
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- 2023
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5. Genetic variation rs1121980 in the fat mass and obesity-associated gene (FTO) is associated with dietary intake in Koreans
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Young Goh and Jeong-Hwa Choi
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food intake ,food preference ,fto ,genetic variation ,korean ,obesity ,Nutrition. Foods and food supply ,TX341-641 - Abstract
Background: Fat mass and obesity-associated gene (FTO) is a well-known gene associated with body weight and obesity risk. Recent studies have suggested that genetic variations in FTO may play a role in the regulation of food preference and consumption. However, little is known with respect to Asian populations. Objective: This study examined whether rs1121980 C > T in FTO is associated with food intake in Koreans. Design: This study was performed using data from the Korean Genome and Epidemiology Study (Ansan/Ansung cohort). Dietary intake was determined using the semi-food frequency questionnaire, and the FTO rs1121980 genotypes of 6,262 individuals (3,049 males and 3,213 females) were analyzed along with sex and body mass index (BMI). Result: Genetic variation did not show a significant association with the population’s energy-nutrient intake. However, female T allele carriers with BMI ≥ 25 consumed more blue fish and coffee, and their coffee creamer consumption was decisively higher than that of T allele non-carriers (P adjusted = 0.004). In males, the presence of the T allele showed a putative association with the consumption of sweets, snacks, and coffee creamer by the BMI level. Conclusion: The FTO rs1121980 variation was associated with a preference for foods particularly high in fat (e.g. coffee creamer, blue fish, sweets, and snacks) in Koreans; these preferences varied by sex and BMI.
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- 2022
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6. Associations of Dietary Intake with Cardiovascular Disease, Blood Pressure, and Lipid Profile in the Korean Population: a Systematic Review and Meta-Analysis
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Jeongseon Kim, Tung Hoang, So Young Bu, Ji-Myung Kim, Jeong-Hwa Choi, Eunju Park, Seung-Min Lee, Eunmi Park, Ji Yeon Min, In Seok Lee, and So Young Youn
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dietary ,cardiovascular diseases ,hypertension ,dyslipidemias ,koreans ,Internal medicine ,RC31-1245 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Objective: Previous studies have separately reported the contributions of dietary factors to the risk of cardiovascular disease (CVD) and its markers, including blood pressure (BP) and lipid profile. This study systematically reviewed the current evidence on this issue in the Korean population. Methods: Sixty-two studies from PubMed and Embase were included in this meta-analysis. We performed a random-effects model to analyze pooled odds ratios (ORs) and hazard ratios (HRs) and their 95% confidence intervals (CIs) for the consumption of 14 food items, three macro- and eight micro-nutrients, two dietary patterns, and three dietary indices. Results: An analysis of pooled effect sizes from at least four individual study populations showed significant associations between coffee consumption and CVD (OR/HR, 0.71; 95% CI, 0.52–0.97) and elevated/high triglycerides (TG) (OR, 0.84; 95% CI, 0.78–0.90), sugarsweetened beverage intake and elevated BP (OR/HR, 1.20; 95% CI, 1.09–1.33), and milk and dairy intake and elevated/high TG and low high-density lipoprotein cholesterol (HDL-C) (OR/HR, 0.82; 95% CI, 0.76–0.89 for both). Carbohydrate consumption and the lowcarbohydrate-diet score were consistently related to an approximately 25% risk reduction for elevated TG and low HDL-C. A lower risk of elevated total cholesterol, but not low-density lipoprotein, was additionally observed for those with a higher low-carbohydrate-diet score. A healthy dietary pattern was only associated with a reduced risk of elevated TG in the Korea National Cancer Screenee Cohort (OR, 0.81; 95% CI, 0.67–0.98). Conclusion: This study showed that milk and dairy and coffee had protective effects for CVD and its risk factors, such as BP and lipid profile, while sugar-sweetened beverages exerted harmful effects.
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- 2020
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7. Tilted Secularism: The Ways in Which Secularism Operates in the Making of a Unified Germany
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Jeong Hwa Choi
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Ocean Engineering ,Safety, Risk, Reliability and Quality - Published
- 2022
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8. A Study on the Introduction and Development of Work-Family Policy in Sweden: Focusing on the Labor System and Actors
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Jeong Hwa Choi
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General Medicine - Published
- 2022
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9. Food Insecurity Is Associated with Dietary Consumption during the COVID-19 Pandemic: Data from the Korea National Health and Nutrition Examination Survey 2019–2020
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Jeong-Hwa Choi
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Nutrition and Dietetics ,food insecurity ,COVID-19 ,Korean ,dietary intake ,Food Science - Abstract
Coronavirus disease 2019 (COVID-19) has become a pandemic and has affected people’s dietary behaviors, including food insecurity. This study aimed to ascertain whether COVID-19 may alter the prevalence of food insecurity, and if such food security status may be associated with dietary intake among Koreans. The general characteristics, dietary intake and food security status data in the Korea National Health and Nutrition Examination Survey VIII (2019~2020) were analyzed. The prevalence of food insecurity and food group and nutrient consumption by food security status were analyzed before (2019) and after the start of the pandemic (2020). Findings suggested 4.3% of Koreans experienced food insecurity during the first year of the pandemic, yet it did not differ from that in the year before the pandemic. Before COVID-19, there was no significant difference in food group or nutrition consumption by food security status. However, in 2020, the fruit and vitamin C intake of the food-insecure group was significantly lower than that of the food-secure group. Additionally, the food-insecure group’s ratio of subjects who did not meet the recommended level of fruits and the vitamin was higher compared to that of the secure group. In conclusion, COVID-19 did not affect food insecurity status, but did have a negative influence on dietary intake for food-insecure Koreans.
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- 2023
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10. Seroprevalence of Varicella-Zoster Virus and Measles among Healthcare Workers in a Tertiary Medical Center in Korea
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Ji Hyun Yun, Eunsol Lee, Jeong Hwa Choi, Hyun Kyun Ki, and Jiho Park
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Pharmacology ,Infectious Diseases ,Drug Discovery ,Immunology ,seroprevalence ,varicella-zoster ,measles ,healthcare worker ,age ,occupation ,Pharmacology (medical) - Abstract
Measles and varicella still occur in the general population despite the widespread vaccination against them, and healthcare workers (HCWs) are still at risk of exposure to these diseases. Here, we evaluated the seroprevalence of measles and varicella-zoster virus (VZV) in HCWs and the trend of seroprevalence according to age, birth year, and occupational group. The serostatuses of measles and VZV of HCWs during new employee medical examinations between October 2015 and October 2021 were included. Thereafter, the trends of seroprevalence according to age, birth year, and occupational groups were evaluated. Overall, 2070 and 1827 HCWs were evaluated for VZV and measles serostatus, respectively. The seroprevalences of VZV and measles were 91% (1884/2070) and 70% (1284/1827), respectively. Younger HCWs had a significantly lower seroprevalence of measles (p = 0.02, age) and VZV (p = 0.003, birth year and p < 0.001, age). The seroprevalence of measles and VZV was significantly higher among doctors and nursing assistants than among nurses and other HCWs (p < 0.001 in both). In conclusion, the seroprevalence of measles and VZV significantly decreased in younger HCWs. Additionally, monitoring the serostatus of measles and VZV and the immunization of susceptible HCWs are required to prepare and control infectious diseases in healthcare facilities.
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- 2022
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11. Is the Research Object of the Study of Religion Merely a ‘Construct’?: The History of Religions and Critical Realism
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Jeong Hwa Choi
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History of religions ,Critical realism (philosophy of perception) ,Ocean Engineering ,Sociology ,Research Object ,Safety, Risk, Reliability and Quality ,Construct (philosophy) ,Epistemology - Published
- 2021
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12. Prefatory considerations on tattoos from a religious studies perspective
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Jeong Hwa Choi
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Aesthetics ,Perspective (graphical) ,Sociology ,Social body ,Body modification - Published
- 2020
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13. Genetic variation in CD36 is associated with dietary intake in Korean males
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Jeong-Hwa Choi
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0301 basic medicine ,medicine.medical_specialty ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Cruciferous vegetables ,Dietary intake ,CD36 ,Medicine (miscellaneous) ,Physiology ,Biology ,medicine.disease ,Obesity ,03 medical and health sciences ,030104 developmental biology ,Taste intensity ,Genetic variation ,Epidemiology ,Genotype ,medicine ,biology.protein - Abstract
Fat is one of the six types of taste. Perceived taste intensity could affect the preference for a food and whether or not it is consumed. Cluster of differentiation 36 (CD36) translocates fatty acids on the cellular membrane and is involved in the oral fat-sensing mechanism. Therefore, genetic variation rs1761667 in CD36 is known to be associated with the perception of fat taste and, hence, its dietary intake. This study examined whether CD36 rs1527479 T>C, a proxy of rs1761667, is associated with fat intake and related dietary behaviour in Koreans. Using the data of the Ansan/Ansung Study, a part of the Korean Genome Epidemiology Study, the association of rs1527479 with the intake of macronutrients, including fat and selected foods, and fat-related dietary behaviours were investigated in 3194 males and 3425 females grouped by their degree of obesity. The findings suggested that rs1527479 did not have a meaningful effect on the intake of fat or other macronutrients or on the selection of food among non-obese females and males. However, in males with obesity, the genetic variation showed a significant association with vegetable intake. Obese males with the mutant CC genotype had substantially lower cruciferous vegetable consumption (adjusted P = 0·0015) than individuals with the TT and CT genotypes. Rs1527479 had no significant effect on the frequency of consuming fried foods or commonly used types of seasoning and cooking oils. In conclusion, CD36 genetic variation was associated with the intake of cruciferous vegetables but not fat intake in obese Korean males.
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- 2020
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14. Bitter Taste Receptor TAS2R38 Genetic Variation (rs10246939), Dietary Nutrient Intake, and Bio-Clinical Parameters in Koreans
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null Benish and Jeong-Hwa Choi
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History ,Computer Science Applications ,Education - Published
- 2023
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15. Association between Carbohydrate Intake and the Prevalence of Metabolic Syndrome in Korean Women
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Jeong-Hwa Choi and Young-Ae Cho
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Adult ,obesity ,Calorie ,Waist ,Physiology ,Article ,C-reactive protein ,Risk Factors ,Republic of Korea ,medicine ,Dietary Carbohydrates ,Prevalence ,Humans ,TX341-641 ,National Cholesterol Education Program ,Abdominal obesity ,Aged ,Metabolic Syndrome ,Nutrition and Dietetics ,Nutrition. Foods and food supply ,business.industry ,Confounding ,Odds ratio ,Middle Aged ,medicine.disease ,Obesity ,Cross-Sectional Studies ,Logistic Models ,Social Class ,carbohydrate ,dairy ,Female ,women ,medicine.symptom ,Metabolic syndrome ,Waist Circumference ,business ,Food Science - Abstract
Carbohydrates consist of a large proportion of calories in the Asian diet. Therefore, we aimed to investigate the association between carbohydrate intake and metabolic syndrome in Korean women. A cross-sectional analysis was conducted with a total of 4294 Korean women aged 40–69 years from the Korean Genomic and Epidemiology Study (KoGES). Carbohydrate intake was calculated based on a validated food frequency questionnaire. Metabolic syndrome was defined by using the National Cholesterol Education Program, Adult Treatment Panel III (NCEPIII). Logistic regression was used to estimate the association of carbohydrate intake with metabolic syndrome and its components. In this study, high carbohydrate intake seemed to be associated with low socioeconomic status and an imbalanced diet. After adjusting for confounding factors, subjects with higher carbohydrate intake showed an increased risk of metabolic syndrome (odds ratio (OR) 1.34, 95% confidence interval (CI) 1.08–1.66, p-trend = 0.004, highest vs. lowest quartile [≥75.2 vs. <, 67.0% of energy]), particularly elevated waist circumference. This association was stronger among those with low levels of C-reactive protein (CRP) and those with low dairy intake. In conclusion, higher carbohydrate intake is associated with a higher risk of metabolic syndrome, particularly abdominal obesity, in Korean women. This association may differ according to individuals’ CRP level and dairy intake.
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- 2021
16. Effects of Selenium-Treated Spinacia oleracea L. on Antioxidative Enzyme Activities and Oxidative Damage in Rats Fed High-Fat and High-Cholesterol Diets
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Jeong-Hwa Choi and Song Won Yeong
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Oxidative damage ,Spinacia ,chemistry ,biology ,High fat ,medicine ,chemistry.chemical_element ,Food science ,biology.organism_classification ,medicine.disease ,Antioxidative enzyme ,Selenium ,High cholesterol - Published
- 2019
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17. Issues and options in the New Style Phenomenology of Religion : ‘Intentionality’ and the ‘Problem-focused’ Phenomenology of Religion
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Jeong-Hwa Choi
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General Medicine - Published
- 2019
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18. TAS2R38 Bitterness Receptor Genetic Variation and Risk of Gastrointestinal Neoplasm: A Meta-Analysis
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Jeongseon Kim and Jeong-Hwa Choi
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0301 basic medicine ,Cancer Research ,medicine.medical_specialty ,Medicine (miscellaneous) ,Gastroenterology ,Receptors, G-Protein-Coupled ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Genetic variation ,Genetic model ,Odds Ratio ,medicine ,Humans ,Neoplasm ,Genetic Predisposition to Disease ,Gastrointestinal neoplasm ,Gastrointestinal Neoplasms ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Genetic Variation ,Odds ratio ,medicine.disease ,Confidence interval ,TAS2R38 ,Oncology ,Taste ,030220 oncology & carcinogenesis ,Meta-analysis ,business - Abstract
Genetic variation in TAS2R38 bitterness taste receptor could alter the efficacy of molecular sensing, hence may be associated with cancer risk. Thus, we performed a meta-analysis to verify the association between the risk of gastrointestinal (GI) neoplasm and TAS2R38 genetic variation. Studies with TAS2R38 diplotype distribution and GI neoplasm phenotypes were searched from PubMed, EMBASE and SCOPUS, and five articles including eight studies were finally selected. The association between diplotype and neoplasm risk was estimated with summarized odds ratios (ORs) and 95% confidence intervals (CIs), applying of fixed- or random-effects models. The findings suggested TAS2R38 diplotype was not associated with GI neoplasms susceptibility [AVI vs. PAV: OR = 1.03 (95%CI: 0.97-1.09), AVI/PAV vs. PAV/PAV: OR = 1.05, (95%CI: 0.94-1.17), AVI/* vs. PAV/PAV: OR = 1.04 (95%CI: 0.94-1.16)]. Because of the presence of heterogeneity under the two genetic models (AVI/AVI vs. PAV/PAV and AVI/AVI vs. PAV/*), further subgroup analyses by ethnicity and neoplasm type were performed. However, results failed to show the neoplasm risk was altered by diplotype. In conclusion, the meta-analysis indicates that TAS2R38 diplotype minimally modified the GI neoplasm risk. Given the limited study size and resources, further well-designed and larger studies are required to validate the true effect of TAS2R38 polymorphisms on neoplasm risk.
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- 2019
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19. A COVID-19 Exposure at a Dental Clinic Where Healthcare Workers Routinely Use Particulate Filtering Respirators
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Jin Yang Baek, Do Sup Kim, Hee-Won Moon, Ga Eun Park, Hyo-Jin Kim, Jae-Hoon Ko, Jeong Hwa Choi, Kyong Ran Peck, Ji Hyun Yoon, and Hyun Kyun Ki
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Adult ,Male ,medicine.medical_specialty ,business.product_category ,Infectious Disease Transmission, Patient-to-Professional ,Coronavirus disease 2019 (COVID-19) ,Health, Toxicology and Mutagenesis ,Health Personnel ,030204 cardiovascular system & hematology ,Asymptomatic ,Article ,03 medical and health sciences ,0302 clinical medicine ,Health care ,medicine ,Humans ,030212 general & internal medicine ,Respirator ,Personal protective equipment ,Personal Protective Equipment ,Ventilators, Mechanical ,Transmission (medicine) ,business.industry ,SARS-CoV-2 ,Dental Clinics ,Public Health, Environmental and Occupational Health ,virus diseases ,COVID-19 ,Dysgeusia ,Emergency medicine ,infection control dental clinic ,Medicine ,medicine.symptom ,business ,Viral load - Abstract
Back ground. Asymptomatic/mildly symptomatic coronavirus disease 2019 (COVID-19) patients produce a considerable amount of virus and transmit severe acute respiratory syndrome virus 2 (SARS-CoV-2) through close contact. Preventing in-hospital transmission of SARS-CoV-2 is challenging, since symptom-based screening protocols may miss asymptomatic/mildly symptomatic patients. In particular, dental health workers (HCWs) are at high risk of exposure, as face-to-face contact and exposure to oral secretions is unavoidable. We report exposure of HCWs during dental procedures on a mild symptomatic COVID-19 patient. Methods. A 32-year old male visited a dental clinic at a tertiary care hospital. He experienced mild cough, which started three days before the dental visit, but did not report his symptom during the entrance screening. He underwent several dental procedures and imaging for orthognathic surgery without wearing a mask. Seven HCWs were closely exposed to the patient during dental procedures that could have generated droplets and aerosols. One HCW had close contact with the patient during radiologic exams, and seven HCWs had casual contact. All HCWs wore particulate filtering respirators with 94% filter capacity and gloves, but none wore eye protection or gowns. The next day, the patient experienced dysgeusia and was diagnosed with COVID-19 with high viral load. Results. All HCWs who had close contact with the patient were quarantined for 14 days, and polymerase chain reaction and antibody tests for SARS-CoV-2 were negative. Conclusion. This exposure event suggests the protective effect of particulate filtering respirators in dental clinics. The appropriate personal protective equipment for routine patient care during COVID-19 pandemic should be established. The appropriate personal protective equipment for routine patient care during COVID-19 pandemic should be established.
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- 2021
20. Genetic Variations in Thiamin Transferase
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Jeong-Hwa Choi and Ja-young Seo
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0301 basic medicine ,History ,medicine.medical_specialty ,Koreans ,Physiology ,030209 endocrinology & metabolism ,Lower risk ,Education ,03 medical and health sciences ,0302 clinical medicine ,Genetic variation ,Epidemiology ,Genotype ,medicine ,Allele ,030109 nutrition & dietetics ,Thiamin transferase ,business.industry ,Odds ratio ,Confidence interval ,Computer Science Applications ,Blood pressure ,Hypertension ,Original Article ,business - Abstract
Hypertension is a major health issues globally. Multiple genetic and environmental factors are involved in hypertension etiology. Solute carrier family 35 member F3 (SLC35F3) is a type of transporter uptakes thiamin across the cellular and mitochondrial membrane. Recent studies suggested that variations in SLC35F3 are associated with the risk of hypertension; however, studies are limited in Koreans. This study examined the association of the genetic variations in SLC35F3 and the risk of hypertension in Koreans using the Korean Genome Epidemiology Study (Ansan/Ansung study). A total of 8,298 Koreans (males 3,983, females 4,315) were analyzed for their general characteristics, dietary intake, and blood pressure. Twenty-four tagging variations in SLC35F3 were selected and investigated for their association with the risk of hypertension using a sex-stratified approach. Findings suggested that, in males, rs12135117 A allele carriers were at the lower risk for hypertension (adjusted odds ratio, 0.859; 95% confidence interval [CI], 0.740–0.998). In females, rs10910387 TC genotype tended to increase the risk 1.172-fold for hypertension (95% CI, 1.002–1.370). Multiple linear regression models exhibited that rs12135117 A allele was negatively associated with blood pressure in males, and rs10910387 TC genotype had a positive association with blood pressure in females. However, statistical significance for these genetically modified effects was in lacked (Bonferroni's corrected p > 0.002). In conclusion, genetic variation in SLC35F3 is not a decisive prediction marker for hypertension risk in Koreans. Given the rarity of data, more studies are required to evaluate the role of SLC35F3 and thiamin in the hypertension etiology.
- Published
- 2021
21. Minimizing contamination in the use of personal protective equipment: Simulation results through tracking contamination and enhanced protocols
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JaHyun Kang, Eun Jin Kim, Pyoeng Gyun Choe, Si Hyeon Han, Eun Suk Park, Jeong Hwa Choi, In Soon Choi, Jin Hwa Kim, Hae Kyung Hong, and Jae Yeun Kim
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Adult ,2019-20 coronavirus outbreak ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Epidemiology ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Health Personnel ,03 medical and health sciences ,0302 clinical medicine ,Major Article ,Medicine ,Humans ,Computer Simulation ,030212 general & internal medicine ,Patient simulation ,Health care personnel ,Evaluation ,Personal protective equipment ,Personal Protective Equipment ,Doffing ,Protocol (science) ,0303 health sciences ,030306 microbiology ,business.industry ,Health Policy ,Public Health, Environmental and Occupational Health ,technology, industry, and agriculture ,Contamination ,body regions ,Infectious Diseases ,Emergency medicine ,Fluorescent powder ,Female ,Safety ,business - Abstract
Highlights • Our enhanced protocols presented a significant reduction in doffing contaminations. • Long-sleeve apron as the broad outer layer perfectly protected major contaminations. • Tracking contamination showed every touch with outer surfaces brought contamination. • Wipes certainly decreased contamination amounts from contaminated glove surfaces. • But wipes did not fully clean glove contaminations between fingers and fingertips., Background Due to variations and the inadequate use of personal protective equipment (PPE), this study aimed to evaluate our enhanced PPE protocols for minimizing doffing contamination. Methods Among 3 PPE kits (simple, Level D, and Level C), 30 participants conducted the first simulation in their adapted way and the second following enhanced protocols. After donning, participants performed a 1-minute simulation of direct care on a patient simulator covered with fluorescent powder. For tracking contamination routes between doffing processes, fluorescent powder contamination was examined with ultraviolet lamps in the darkened room. Results Participants were mostly registered nurses (N = 27, 90%), female (87%), and on average 31.7 years old with 8.5 years of clinical experience. Among 61 total simulations, 32 had at least 1 contamination (52.5%); “Noticeable” level (40%) at the “hands-fingers” and “shirt” body areas were most frequent. For first and second simulations with identical PPE kits, compared to the first with adapted practice, the second with enhanced protocols showed a significant reduction in doffing contamination rates (72.7% vs 22.7%, P = .0009 for both Level C and D; 77.8% vs 27.8%, P = .0027 for Level D). Conclusions Our enhanced protocols could significantly reduce contaminations. More studies are necessary to provide safer PPE protocol options.
- Published
- 2020
22. Genetic variation in
- Author
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Jeong-Hwa, Choi
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Adult ,CD36 Antigens ,Male ,Genotype ,Taste Perception ,Feeding Behavior ,Middle Aged ,Dietary Fats ,Polymorphism, Single Nucleotide ,Eating ,Food Preferences ,Dietary Fats, Unsaturated ,Republic of Korea ,Vegetables ,Humans ,Female ,Obesity ,Energy Intake ,Aged - Abstract
Fat is one of the six types of taste. Perceived taste intensity could affect the preference for a food and whether or not it is consumed. Cluster of differentiation 36 (CD36) translocates fatty acids on the cellular membrane and is involved in the oral fat-sensing mechanism. Therefore, genetic variation rs1761667 in CD36 is known to be associated with the perception of fat taste and, hence, its dietary intake. This study examined whether CD36 rs1527479 TC, a proxy of rs1761667, is associated with fat intake and related dietary behaviour in Koreans. Using the data of the Ansan/Ansung Study, a part of the Korean Genome Epidemiology Study, the association of rs1527479 with the intake of macronutrients, including fat and selected foods, and fat-related dietary behaviours were investigated in 3194 males and 3425 females grouped by their degree of obesity. The findings suggested that rs1527479 did not have a meaningful effect on the intake of fat or other macronutrients or on the selection of food among non-obese females and males. However, in males with obesity, the genetic variation showed a significant association with vegetable intake. Obese males with the mutant CC genotype had substantially lower cruciferous vegetable consumption (adjusted P = 0·0015) than individuals with the TT and CT genotypes. Rs1527479 had no significant effect on the frequency of consuming fried foods or commonly used types of seasoning and cooking oils. In conclusion, CD36 genetic variation was associated with the intake of cruciferous vegetables but not fat intake in obese Korean males.
- Published
- 2020
23. All-Cause Mortality and Cardiovascular Death between Statins and Omega-3 Supplementation: A Meta-Analysis and Network Meta-Analysis from 55 Randomized Controlled Trials
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In Seok Lee, Ji Yeon Min, So Young Bu, Jeongseon Kim, Jeong-Hwa Choi, Eunmi Park, Eunju Park, Seung Min Lee, Tung Hoang, Jee-Young Yeon, Ji-Myung Kim, and So Young Youn
- Subjects
Male ,medicine.medical_specialty ,Statin ,medicine.drug_class ,Population ,Network Meta-Analysis ,lcsh:TX341-641 ,030204 cardiovascular system & hematology ,Placebo ,Lower risk ,Article ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,cardiovascular disease ,Internal medicine ,Cause of Death ,Fatty Acids, Omega-3 ,Secondary Prevention ,Medicine ,Humans ,030212 general & internal medicine ,cardiovascular diseases ,education ,Aged ,Randomized Controlled Trials as Topic ,education.field_of_study ,Nutrition and Dietetics ,business.industry ,statin ,Middle Aged ,mortality ,Confidence interval ,Primary Prevention ,Cardiovascular Diseases ,Relative risk ,Meta-analysis ,Dietary Supplements ,Female ,Hydroxymethylglutaryl-CoA Reductase Inhibitors ,omega-3 ,business ,lcsh:Nutrition. Foods and food supply ,Food Science - Abstract
Statins and omega-3 supplementation have shown potential benefits in preventing cardiovascular disease (CVD), but their comparative effects on mortality outcomes, in addition to primary and secondary prevention and mixed population, have not been investigated. This study aimed to examine the effect of statins and omega-3 supplementation and indirectly compare the effects of statin use and omega-3 fatty acids on all-cause mortality and CVD death. We included randomized controlled trials (RCTs) from meta-analyses published until December 2019. Pooled relative risks (RRs) and 95% confidence intervals (CIs) were calculated to indirectly compare the effect of statin use versus omega-3 supplementation in a frequentist network meta-analysis. In total, 55 RCTs were included in the final analysis. Compared with placebo, statins were significantly associated with a decreased the risk of all-cause mortality (RR = 0.90, 95% CI = 0.86&ndash, 0.94) and CVD death (RR = 0.86, 95% CI = 0.80&ndash, 0.92), while omega-3 supplementation showed a borderline effect on all-cause mortality (RR = 0.97, 95% CI = 0.94&ndash, 1.01) but were significantly associated with a reduced risk of CVD death (RR = 0.92, 95% CI = 0.87&ndash, 0.98) in the meta-analysis. The network meta-analysis found that all-cause mortality was significantly different between statin use and omega-3 supplementation for overall population (RR = 0.91, 95% CI = 0.85&ndash, 0.98), but borderline for primary prevention and mixed population and nonsignificant for secondary prevention. Furthermore, there were borderline differences between statin use and omega-3 supplementation in CVD death in the total population (RR = 0.92, 95% CI = 0.82&ndash, 1.04) and primary prevention (RR = 0.85, 95% CI = 0.68&ndash, 1.05), but nonsignificant differences in secondary prevention (RR = 0.97, 95% CI = 0.66&ndash, 1.43) and mixed population (RR = 0.92, 95% CI = 0.75&ndash, 1.14). To summarize, statin use might be associated with a lower risk of all-cause mortality than omega-3 supplementation. Future direct comparisons between statin use and omega-3 supplementation are required to confirm the findings.
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- 2020
24. The Association between Dietary Vitamin A and C Intakes and Cataract: Data from Korea National Health and Nutrition Examination Survey 2012
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Young-Ran Heo, Eunkyung Lee, and Jeong-Hwa Choi
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0301 basic medicine ,Vitamin ,History ,Antioxidant ,National Health and Nutrition Examination Survey ,Koreans ,medicine.medical_treatment ,Physiology ,030209 endocrinology & metabolism ,Disease ,Dietary vitamin ,Cataract ,Education ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,medicine ,Vitamin C ,Vitamin A ,030109 nutrition & dietetics ,business.industry ,Nutrition Surveys ,Confidence interval ,Computer Science Applications ,chemistry ,Dietary Reference Intake ,Original Article ,business - Abstract
Oxidative stress in eye lens is one of the main causes of the cataract. Dietary antioxidants including vitamin A and C are therefore known to be associated with the risk of the disease. However, evidences are still lacking in Koreans. This study aimed to examine whether dietary vitamin A and C levels are associated with the cataract, using data of Korea National Health and Nutrition Examination Survey 2012. A total of 3,344 individuals (599 cases and 2,745 controls) were analyzed in the study. Dietary data was classified into 3 groups following Dietary Reference Intakes for Koreans 2015: 1) ≤ estimated average requirements (EAR), 2) EAR-recommended nutrient intake (RNI), and 3) ≥ RNI. Findings suggested normal subjects (controls) had better vitamin A and C nutritional status. Vitamin A and C intakes of normal subjects were significantly higher than those of cataract cases (p < 0.001, respectively). Ratio of subjects who consumed vitamin A and C lower than EAR was higher in cataract cases compared to normal subjects (p < 0.001, respectively). These antioxidant intake levels predicted that having lower level of vitamins lower than EAR increased the odd ratios (ORs) for cataract [for vitamin A: OR, 1.89; 95% confidence interval (CI), 1.55-2.31 and for vitamin C: OR, 2.06; 95% CI, 1.69-2.51]. However, such associations were not retained, when the subjects' demographic and lifestyle factor were adjusted. In conclusion, vitamin A and C showed a protective effect against cataract. However, subjects' life style and demographic factors nullified the association. More studies are required to verify the true association between dietary antioxidants and risk of cataract in Koreans.
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- 2020
25. Gender disparities in childhood obesity and household food insecurity
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Ji-Hyun Bae and Jeong-Hwa Choi
- Subjects
0301 basic medicine ,Male ,Pediatric Obesity ,National Health and Nutrition Examination Survey ,Endocrinology, Diabetes and Metabolism ,Ethnic group ,030209 endocrinology & metabolism ,Logistic regression ,Childhood obesity ,Food Supply ,03 medical and health sciences ,0302 clinical medicine ,Environmental health ,medicine ,Humans ,Child ,Socioeconomic status ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Odds ratio ,medicine.disease ,Nutrition Surveys ,Obesity ,Confidence interval ,Food Insecurity ,Cross-Sectional Studies ,Female ,business - Abstract
Objectives Childhood obesity is a critical health issue. The etiology of childhood obesity is multifactorial, with age, gender, race/ethnicity, and socioeconomic status interacting to affect risk. Food insecurity is known to be associated with risk of childhood obesity, but the body of evidence regarding Koreans is lacking. This study investigated the association between childhood obesity and household food insecurity in Koreans. Other lifestyle and nutritional factors associated with obesity were also examined. Methods Using data from the Korean National Health and Nutrition Examination Survey, a cross-sectional study was conducted with 1527 boys and 1366 girls. A comparison of general characteristics and nutritional intake between the groups was made using Student's t tests, χ2 tests, and general linear models. The association between childhood obesity and food insecurity was estimated with logistic regression models, and presented with odds ratios and 95% confidence intervals either with or without covariates. Results Boys who were obese dined out less frequently and engaged less in regular exercise, but no differences in nutrition intake were observed between children who were and were not obese. Girls who were obese were less likely to have a caregiver and consumed a higher percentage of energy from protein. Boys experiencing household food insecurity were less likely to be obese (adjusted odds ratio, 0.25; 95% confidence interval, 0.06–0.99), but girls with food insecurity were at three times higher risk of obesity (adjusted odds ratio, 3.00; 95% confidence interval, 1.23–7.31). Conclusions Differential lifestyle factors are associated with obesity phenotypes in boys and girls. Food insecurity also showed a contrasting association with obesity risk by gender in young Koreans.
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- 2020
26. Associations of Dietary Intake with Cardiovascular Disease, Blood Pressure, and Lipid Profile in the Korean Population: a Systematic Review and Meta-Analysis
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In Seok Lee, So Young Bu, Eunju Park, Ji-Myung Kim, Ji Yeon Min, Jeongseon Kim, Jeong-Hwa Choi, Seung Min Lee, So Young Youn, Eunmi Park, and Tung Hoang
- Subjects
lcsh:Internal medicine ,lcsh:Diseases of the circulatory (Cardiovascular) system ,hypertension ,Endocrinology, Diabetes and Metabolism ,Physiology ,Lower risk ,Internal Medicine ,medicine ,dyslipidemias ,lcsh:RC31-1245 ,medicine.diagnostic_test ,business.industry ,Hazard ratio ,Odds ratio ,koreans ,Confidence interval ,cardiovascular diseases ,Blood pressure ,lcsh:RC666-701 ,Meta-analysis ,Cohort ,dietary ,Original Article ,Erratum ,Cardiology and Cardiovascular Medicine ,Lipid profile ,business - Abstract
Objective: Previous studies have separately reported the contributions of dietary factors to the risk of cardiovascular disease (CVD) and its markers, including blood pressure (BP) and lipid profile. This study systematically reviewed the current evidence on this issue in the Korean population. Methods: Sixty-two studies from PubMed and Embase were included in this meta-analysis. We performed a random-effects model to analyze pooled odds ratios (ORs) and hazard ratios (HRs) and their 95% confidence intervals (CIs) for the consumption of 14 food items, three macro- and eight micro-nutrients, two dietary patterns, and three dietary indices. Results: An analysis of pooled effect sizes from at least four individual study populations showed significant associations between coffee consumption and CVD (OR/HR, 0.71; 95% CI, 0.52–0.97) and elevated/high triglycerides (TG) (OR, 0.84; 95% CI, 0.78–0.90), sugarsweetened beverage intake and elevated BP (OR/HR, 1.20; 95% CI, 1.09–1.33), and milk and dairy intake and elevated/high TG and low high-density lipoprotein cholesterol (HDL-C) (OR/HR, 0.82; 95% CI, 0.76–0.89 for both). Carbohydrate consumption and the lowcarbohydrate-diet score were consistently related to an approximately 25% risk reduction for elevated TG and low HDL-C. A lower risk of elevated total cholesterol, but not low-density lipoprotein, was additionally observed for those with a higher low-carbohydrate-diet score. A healthy dietary pattern was only associated with a reduced risk of elevated TG in the Korea National Cancer Screenee Cohort (OR, 0.81; 95% CI, 0.67–0.98). Conclusion: This study showed that milk and dairy and coffee had protective effects for CVD and its risk factors, such as BP and lipid profile, while sugar-sweetened beverages exerted harmful effects.
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- 2020
27. Frequency of steamed food consumption and risk of metabolic syndrome in Korean females: data from Korean Genome and Epidemiology Study
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Young-Ran Heo and Jeong-Hwa Choi
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Nutrition and Dietetics ,Public Health, Environmental and Occupational Health ,Medicine (miscellaneous) - Published
- 2022
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28. Antioxidant Activities of Selenium-Treated Spinacia oleracea L
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Jeong-Hwa Choi, Won-Yeong Song, and Sung-Sik Chun
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0301 basic medicine ,Spinacia ,030109 nutrition & dietetics ,Antioxidant ,biology ,medicine.medical_treatment ,chemistry.chemical_element ,04 agricultural and veterinary sciences ,biology.organism_classification ,040401 food science ,03 medical and health sciences ,0404 agricultural biotechnology ,chemistry ,medicine ,Food science ,Selenium - Published
- 2018
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29. Effects of Salvia plebeia R. Br. on Antioxidative Enzyme Activities and Oxidative Damage in Rats Fed High-Fat and High-Cholesterol Diets
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Song Won Yeong and Jeong-Hwa Choi
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Oxidative damage ,biology ,Chemistry ,medicine ,High fat ,Food science ,Antioxidative enzyme ,Salvia plebeia ,biology.organism_classification ,medicine.disease ,medicine.disease_cause ,High cholesterol ,Oxidative stress - Published
- 2018
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30. TAS1R2 sweet taste receptor genetic variation and dietary intake in Korean females
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Jeong-Hwa Choi
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Physiology ,030209 endocrinology & metabolism ,Single-nucleotide polymorphism ,Biology ,Receptors, G-Protein-Coupled ,Cohort Studies ,Eating ,03 medical and health sciences ,0302 clinical medicine ,TAS1R2 ,Taste receptor ,Republic of Korea ,Genotype ,Epidemiology ,Genetic variation ,medicine ,Humans ,General Psychology ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Genetic Variation ,Sweetness ,Cross-Sectional Studies ,Taste ,Female ,Cohort study - Abstract
Taste receptor type 1, member 2 (TAS1R2) controls the oral sensing of sweetness. Genetic variations in TAS1R2 have been shown to be associated with differential sweetness intensity and varying carbohydrate intake levels among individuals. This study examined whether rs7534618 A > C in TAS1R2 is associated with dietary behavior and energy nutrient intake in Korean females. A cross-sectional design utilizing data from the Multi-Rural Communities Cohort Study, which was a nationwide epidemiological research project in Korea, was applied in this study. In total, 2198 females were analyzed to evaluate the differences in macronutrient intake levels and intake of carbohydrate-rich and sweet-tasting foods between the rs7534618 genotypes. The findings suggest that individuals with the CC minor genotype tended to have lower carbohydrate but higher fat intake than subjects with the A* genotype (p = 0.035 and p = 0.042, respectively). Subjects with the CC genotype also exhibited less intake of total grains but greater intake of bread than those with the A* genotype (p = 0.017 and p = 0.006, respectively). However, these observed associations were statistically modest (false discovery rate adjusted p > 0.05). In conclusion, TAS1R2 rs7534618 is not a decisive genetic modifier of nutrition and dietary intake in Korean females. However, given the paucity of studies, these putative associations between the TAS1R variation and dietary intake may be referred for further sensory genetic studies in Koreans.
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- 2021
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31. Enlightenment and the Path toward Salvation(‘Heil’): Rudolf Otto’s Understanding of Bhakti Religiosity
- Author
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Jeong Hwa Choi
- Subjects
Religiosity ,Philosophy ,media_common.quotation_subject ,Path (graph theory) ,Enlightenment ,General Medicine ,Theology ,media_common - Published
- 2017
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32. Theoretical Considerations on Salutogenesis for the Development of Mental Health and Moral Education of College Students - on the Basis of Aaron Antonovsky’s Concept of ‘Sense of Coherence’
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Jeong-Hwa Choi
- Subjects
Pedagogy ,Psychology ,Moral education ,Mental health ,Salutogenesis ,Epistemology ,Sense of coherence - Published
- 2017
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33. 'Anthroposophy, its Theosophical Roots, and Eurythmy as the Healing Discourse of New Religious Movements in Modern Germany'
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Jeong Hwa Choi
- Subjects
Theosophy ,Anthroposophy ,media_common.quotation_subject ,Ocean Engineering ,Art ,Religious studies ,Safety, Risk, Reliability and Quality ,media_common - Published
- 2017
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34. Anti-oxidative Activities of Water and Ethanol Extracts from Duchesnea chrysantha
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Shin-Kwon Kang, Song Won Yeong, Jeong-Hwa Choi, and Sung-Sik Chun
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chemistry.chemical_classification ,Ethanol extracts ,Traditional medicine ,Chemistry ,Flavonoid ,Anti oxidative ,Anti oxidant ,Duchesnea chrysantha - Published
- 2017
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35. Variations in the bitterness perception-related genes TAS2R38 and CA6 modify the risk for colorectal cancer in Koreans
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Jae Hwan Oh, Jeongseon Kim, Hee Jin Chang, Dae Kyung Sohn, Jeonghee Lee, Jeong-Hwa Choi, and Aesun Shin
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Adult ,Male ,0301 basic medicine ,Oncology ,Gerontology ,medicine.medical_specialty ,Genotype ,Colorectal cancer ,colorectal cancer ,CA6 ,Polymorphism, Single Nucleotide ,Receptors, G-Protein-Coupled ,TAS2R38 ,03 medical and health sciences ,Asian People ,Internal medicine ,Epidemiology of cancer ,medicine ,Humans ,Genetic Predisposition to Disease ,Allele ,Aged ,Carbonic Anhydrases ,Preventive healthcare ,Korea ,business.industry ,Cancer ,Middle Aged ,medicine.disease ,Diet ,030104 developmental biology ,Taste ,Population study ,Female ,dietary intake ,Colorectal Neoplasms ,business ,Research Paper ,bitterness perception - Abstract
// Jeong-Hwa Choi 1 , Jeonghee Lee 1 , Jae Hwan Oh 2 , Hee Jin Chang 2 , Dae Kyung Sohn 2 , Aesun Shin 3 , Jeongseon Kim 1 1 Molecular Epidemiology Branch, Division of Cancer Epidemiology and Prevention, National Cancer Center, Ilsandong-gu, Goyang-si, Gyeonggi-do, 10408, Korea 2 Center for Colorectal Cancer, National Cancer Center Hospital, National Cancer Center, Ilsandong-gu, Goyang-si, Gyeonggi-do, 10408, Korea 3 Department of Preventive Medicine, Seoul National University College of Medicine, Jongno-gu, Seoul, 03080, Korea Correspondence to: Jeongseon Kim, email: jskim@ncc.re.kr Aesun Shin, email: shinaesun@snu.ac.kr Keywords: bitterness perception, CA6, colorectal cancer, dietary intake, TAS2R38 Received: November 08, 2016 Accepted: February 07, 2017 Published: February 19, 2017 ABSTRACT Bitterness perception is known to be an important factor in individuals’ dietary behaviors and is also associated with the sensing of nutritious/noxious molecules for subsequent metabolic responses in multiple organs. Therefore, the genetic variation in bitterness sensing may be associated with diet-related diseases, including colorectal cancer (CRC). We investigated the influence of variations in the bitterness-sensing genes taste receptor type 2 member 38 ( TAS2R38 ) and carbonic anhydrase 6 ( CA6 ) on the consumption of food, tobacco and alcohol and the risk of CRC in Koreans. The study population consisted of 681 cases and 1361 controls, and their intake of vegetables, fruits, fiber, fat-food and sweets was analyzed. The genotypes for TAS2R38 A49P, V262A and I296V and CA6 rs2274333 A/G were assessed using the MassArray technique. Our findings suggested that the TAS2R38 diplotype, CA6 rs2274333 and their combined genotype had a negligible influence on dietary and alcohol intake. The combined TAS2R38-CA6 AVI/AVI-AA genotype was associated with higher tobacco consumption than the other genotypes in CRC cases only. However, the genetic variations were a significant risk factor for CRC. The TAS2R38 AVI/AVI diplotype and CA6 G allele were associated with a reduced risk of CRC. Moreover, when the combined genotypes of the subjects were analyzed, possessing both the variant diplotype/variant allele (AVI/AVI+G*) was associated with a greater reduction in the risk of CRC (adjusted OR = 0.49; 95%CI: 0.34–0.74). In summary, variations in the bitterness perception genes TAS2R38 and CA6 did not influence the examined food intake in Koreans. However, those genetic variants were a decisive modifying factor of CRC susceptibility.
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- 2017
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36. Difficulties in using personal protective equipment: Training experiences with the 2015 outbreak of Middle East respiratory syndrome in Korea
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JaHyun Kang, Jeong Hwa Choi, In Soon Choi, Jae Geum Ryu, Eun Suk Park, Eun Jin Kim, Si-Hyeon Han, Hae Kyung Hong, Jae Yeun Kim, and Jinwha Kim
- Subjects
Infectious Disease Transmission, Patient-to-Professional ,Epidemiology ,Health Personnel ,Focus group interview ,030204 cardiovascular system & hematology ,Article ,Disease Outbreaks ,03 medical and health sciences ,Patient safety ,0302 clinical medicine ,Nursing ,Personal protective equipment ,Republic of Korea ,Health care ,Humans ,Medicine ,030212 general & internal medicine ,Health care personnel ,Confusion ,business.industry ,Health Policy ,Public Health, Environmental and Occupational Health ,Outbreak ,medicine.disease ,Focus group ,Infectious Diseases ,Middle East respiratory syndrome ,Anxiety ,Medical emergency ,medicine.symptom ,Coronavirus Infections ,business - Abstract
Highlights • Ill-fitting sizes were the most common obstacle observed among female healthcare personnel. • Unstandardized and evolving protocols produced anxiety and confusion in healthcare personnel. • The more personal protective equipment items involved, the more complex the doffing order became., This study aimed to evaluate practical barriers to personal protective equipment (PPE) use found through health care personnel (HCP) training sessions held during and after the 2015 Middle East respiratory syndrome outbreak in Korea. Difficulties observed were ill-fitting sizes, anxiety, confusion from unstandardized protocols, doubts about PPE quality and effectiveness, and complexity of using several PPE items together. Further research to generate robust evidence and repeated HCP trainings are necessary to ensure HCP and patient safety in future outbreaks.
- Published
- 2018
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37. Variation in the TAS2R38 Bitterness Receptor Gene Was Associated with Food Consumption and Obesity Risk in Koreans
- Author
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Jeong-Hwa Choi
- Subjects
0301 basic medicine ,Waist ,bitter taste ,Physiology ,TAS2R38 ,lcsh:TX341-641 ,body mass index ,Article ,Receptors, G-Protein-Coupled ,Food group ,03 medical and health sciences ,Eating ,Asian People ,Republic of Korea ,Medicine ,Humans ,Genetic Predisposition to Disease ,Obesity ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Genetic Variation ,Taste Perception ,Anthropometry ,medicine.disease ,030104 developmental biology ,Cohort ,business ,dietary intake ,Body mass index ,lcsh:Nutrition. Foods and food supply ,Korean obesity ,psychological phenomena and processes ,Food Science ,Cohort study - Abstract
Bitterness-sensing protein taste receptor type-2 member 38 (TAS2R38, T2R38) mediates taste perception and various physiological responses, including energy- and adiposity-related mechanisms. This study examined whether the genetic variant rs10246939 C >, T in TAS2R38 was associated with food intake and body size as well as obesity risk. Data from the Korean Multi-Rural Communities Cohort study (1338 males and 2229 females) were analyzed to obtain the intake of six food groups, alcohol consumption, smoking status and anthropometric measurements, including height, weight, waist and hip circumference, and body mass index (BMI), according to the rs10246939 genotype. Findings suggested that females with the TT genotype consumed more fruit (adjusted p = 0.025) and had significantly higher body weights (adjusted p = 0.046) and BMIs (adjusted p = 0.003) than individuals with other genotypes. Having the TT genotype also increased the risk of obesity by 1.75-fold (95% confidence interval: 1.31&ndash, 2.36) in females. The genetic variation had a minimal influence on the males&rsquo, dietary intake, but tended to increase the adiposity risk. In conclusion, TAS2R38 rs10246939 variation was associated with Koreans&rsquo, dietary intake and increased their risk of obesity. Although more detailed statistical analyses in the larger cohort are required, current study suggested that, as a genetic predictive marker, TAS2R38 bitterness receptor variations may have a large implication in obesity prevention and treatment.
- Published
- 2019
38. Korean Curcuma longa L. induces lipolysis and regulates leptin in adipocyte cells and rats
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Jeong-Hwa Choi and Won Yeong Song
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0301 basic medicine ,medicine.medical_specialty ,Normal diet ,glycerol ,leptin ,03 medical and health sciences ,chemistry.chemical_compound ,Adipocyte ,Internal medicine ,medicine ,Lipolysis ,curcumin ,Curcuma ,Original Research ,chemistry.chemical_classification ,030109 nutrition & dietetics ,Nutrition and Dietetics ,biology ,Leptin ,Fatty acid ,Turmeric ,biology.organism_classification ,Endocrinology ,chemistry ,Adipose triglyceride lipase ,Curcumin ,Food Science ,free fatty acid - Abstract
BACKGROUND/OBJECTIVES: Turmeric (Curcuma longa L.) has been reported to have many biological functions including anti-obesity. Leptin, peptide hormone produced by adipocytes and its concentration is increased in proportion to the amount of the adipocytes. In the present study, we examined the effects of Korean turmeric on the regulation of adiposity and leptin levels in 3T3-L1 adipocytes and rats fed a high-fat and high-cholesterol diet. MATERIALS/METHODS: Leptin secretion, free fatty acid and glycerol contents in 3T3-L1 adipocytes were measured after incubation of cells with turmeric for 24 hours. Rats were divided into four experimental groups: a normal diet group (N), a high-fat and high-cholesterol diet group (HF), a high-fat and high-cholesterol diet group supplemented with 2.5% turmeric extracts (TPA group) and a high-fat and high-cholesterol diet group supplemented with 5% turmeric extracts (TPB group). Serum samples were used for the measurement of leptin concentration. RESULTS: Contents of free fatty acid and glycerol showed concentration dependent increase in response to turmeric extracts. Effects of turmeric extracts on reduction of lipid accumulation in 3T3-L1 cells were examined by Oil Red O staining. Treatment with turmeric extracts resulted in increased expression levels of adipose triglyceride lipase and hormone-sensitive lipase mRNA. The concentration of leptin from 3T3-L1 adipocytes was significantly decreased by turmeric. Proportional abdominal and epididymal fats weights of the turmeric 5% supplemented group, TPB has significantly decreased compared to the HF group. The serum levels of leptin in the TPA and TPB groups were significantly lower than those of the HF group. CONCLUSIONS: Based on these results, we suggested that Korean turmeric may contribute to the decreasing of body fat and regulating leptin secretion.
- Published
- 2016
39. The Relationship among Anger-in, Forgiveness, and Quality of Life in Clinical Nurses
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Young Sook Tae, Young Suk Kim, Jeong Hwa Choi, and Je Eun Heo
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Forgiveness ,Psychotherapist ,030504 nursing ,media_common.quotation_subject ,06 humanities and the arts ,Anger ,0603 philosophy, ethics and religion ,03 medical and health sciences ,Quality of life (healthcare) ,060301 applied ethics ,Anger in ,0305 other medical science ,Psychology ,media_common ,Clinical psychology ,Clinical nursing - Published
- 2016
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40. Effects of Oenanthe javanica and Allium tuberosum on Lipid Content in Rats Fed a High-fat·High-cholesterol Diet
- Author
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Jeong-Hwa Choi and Won-Yeong Song
- Subjects
0301 basic medicine ,030109 nutrition & dietetics ,food.ingredient ,Triglyceride ,Chemistry ,Cholesterol ,Allium tuberosum ,food.food ,03 medical and health sciences ,chemistry.chemical_compound ,030104 developmental biology ,food ,Lipid content ,High cholesterol diet ,Oenanthe javanica ,Botany ,Food science - Published
- 2016
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41. The alternative spirituality of German Expressionism as a healing device for modern anxiety at the turn of the 20th century
- Author
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Jeong-Hwa Choi
- Subjects
German ,Theosophy ,Psychoanalysis ,Spirituality ,language ,medicine ,Anxiety ,medicine.symptom ,Psychology ,language.human_language - Published
- 2016
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42. A Case of allergic Purpura treated with Korean medicine-two cases
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Min-Young Jeong, Ji-Soo Kim, Soo-Yeon Park, Jeong-Hwa Choi, and Jong-Han Kim
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medicine.medical_specialty ,business.industry ,medicine ,Acupuncture ,business ,Allergic purpura ,Dermatology ,Surgery - Published
- 2016
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43. Erratum: Associations of Dietary Intake with Cardiovascular Disease, Blood Pressure, and Lipid Profile in the Korean Population: a Systematic Review and Meta-Analysis
- Author
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Jeongseon Kim, Tung Hoang, So Young Boo, Ji Myoung Kim, Jeong-Hwa Choi, Eun Joo Park, Seungmin Lee, Eunmi Park, Ji Yeon Min, In Seok Lee, and So Young Youn
- Subjects
Endocrinology, Diabetes and Metabolism ,Internal Medicine ,Cardiology and Cardiovascular Medicine - Published
- 2020
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44. Genetic variations in TAS2R3 and TAS2R4 bitterness receptors modify papillary carcinoma risk and thyroid function in Korean females
- Author
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Jeonghee Lee, Sarah Yang, Yul Hwangbo, Jeong-Hwa Choi, Jeongseon Kim, and Eun Kyung Lee
- Subjects
0301 basic medicine ,Adult ,medicine.medical_specialty ,endocrine system diseases ,Genotype ,medicine.medical_treatment ,Thyroid Gland ,lcsh:Medicine ,Polymorphism, Single Nucleotide ,Article ,Receptors, G-Protein-Coupled ,Thyroid carcinoma ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Republic of Korea ,medicine ,Humans ,Genetic Predisposition to Disease ,Thyroid Neoplasms ,Receptor ,lcsh:Science ,Genetic Association Studies ,Multidisciplinary ,Triiodothyronine ,business.industry ,Thyroid ,Haplotype ,lcsh:R ,Middle Aged ,030104 developmental biology ,Endocrinology ,medicine.anatomical_structure ,Haplotypes ,Thyroid Cancer, Papillary ,030220 oncology & carcinogenesis ,Taste ,Thyroglobulin ,lcsh:Q ,Female ,Thyroid function ,business ,Hormone - Abstract
Type 2 taste receptors (T2Rs, TAS2Rs) mediate bitterness perception and are involved in diverse defence mechanisms in extraoral tissues. The thyrocyte-expressed T2Rs control thyroid hormone production, and this regulatory role may be associated with susceptibility to thyroid diseases. This study examined whether the variations in TAS2Rs modify the risk of papillary thyroid carcinoma (PTC) and whether such T2R-related PTC risk is associated with genetically modified thyroid function. We conducted a case-control study with 763 Korean females, including 250 PTC cases. Seventy-three single-nucleotide polymorphisms in 13 TAS2R genes and the pre-diagnosis levels of 4 thyroid-related functional markers [total triiodothyronine (TT3), free thyroxine, thyroid-stimulating hormone and thyroglobulin] were analysed. Individuals with TAS2R3/4 CC haplotype (rs2270009 and rs2234001) were at a lower risk for PTC than those with the remaining haplotypes (odds ratio = 0.59, 95% confidence interval: 0.36–0.97). Furthermore, TT3 levels were significantly reduced for TAS2R3/4 CC haplotype carriers compared with other haplotype carriers (p = 0.005). No other genetic variants exhibited critical associations with the PTC phenotype and biomarkers. In summary, genetic variations in T2R3/4 bitterness receptors may modify the PTC risk, and the genetically modified thyroid hormone level by those variations may be linked with the PTC-T2Rs association.
- Published
- 2018
45. Effects of Extracts of Dendropanax morbifera on Lipid Peroxidation and Lipid Composition
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Sung-Sik Chun, So-Young Kim, Chang-Soo Jo, Jeong-Hwa Choi, and Won-Young Song
- Subjects
Lipid peroxidation ,chemistry.chemical_compound ,chemistry ,Triglyceride ,Cholesterol ,Lipid composition ,Food science ,Dendropanax morbifera - Published
- 2015
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46. A Clinical Experience of Hypogeusia induced by Onion Juice
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Min-Yeong Jung, Jeong-Hwa Choi, Jong-Han Kim, Byung-Soo Kang, and Soo-Yeon Park
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Taste ,medicine.medical_specialty ,Traditional medicine ,business.industry ,Visual analogue scale ,Hypogeusia ,food and beverages ,Acupuncture treatment ,Dermatology ,Taste disorder ,Acupuncture ,Medicine ,Taste function ,medicine.symptom ,business ,Adverse effect - Abstract
Objective : To find whether Herbal medicine(Chengsimyeunja-eum) and acupuncture can correct hypogeusia.Method : One patient with hypogeusia related to the effects of onion juice was selected. Herbal medicine(Chengsimyeunja-eum) was administered and acupuncture was applied for 30 times in 2 months. Taste function was evaluated by self report, the way to gustometry based on Visual Analogue Scale(VAS).Result : Chengsimyeunja-eum and acupuncture treatment improved taste after 2 months of treatment. Adverse effects were not reported.Conclusion : This study shows that the Korean medicine treatment was effective in improving hypogeusia related to the effect of onion juice.
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- 2015
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47. Anti-oxidative and Anti-inflammatory Activities of Sasa borealis Extracts
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Won-Young Song, So-Jeong Byeon, and Jeong-Hwa Choi
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Ethanol ,ABTS ,medicine.drug_class ,DPPH ,Sasa borealis ,Anti-inflammatory ,chemistry.chemical_compound ,chemistry ,medicine ,Organic chemistry ,Anti oxidative ,IC50 ,Scavenging ,Nuclear chemistry - Abstract
In the present study, we investigated the anti-oxidant and anti-inflammatory activities of water and ethanol extracts from Sasa borealis (SB) by in vitro assays. The water and ethanol extracts from SB scavenged the 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical and 2,2'-azino-di-2- thyl-benzothia-zoline sulphonate (ABTS) radical in a dose-dependent manner at the concentration range from 100 to 2500 µ g/ml. The DPPH radical scavenging activity of ethanol extract (26.97~83.59%) was higher than that of water extract (2.27~80.71%). IC50 of DPPH radical scavenging activity of water and ethanol extracts was 1211.2 µ g/ml and 529.4 µ g/ml respectively. The ABTS radical activity of water and ethanol extracts was 12.17~90.53% and 13.69~82.73% respectively. IC50 of ABTS radical scavenging activity of water and ethanol extracts was 410.5 µ g/ml and 300.2 µ g/ml. The reducing power activity of water and ethanol
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- 2015
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48. Effects of Rosa multiflora and Rosa multiflora Complex on Lipid Content in Rats Fed a High-Fat·High-Cholesterol Diet
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Ji-Yun Baek, Hee-Jin Choi, and Jeong-Hwa Choi
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Nutrition and Dietetics ,biology ,Triglyceride ,Normal diet ,Bile acid ,Rosa multiflora ,Cholesterol ,medicine.drug_class ,N-group (finite group theory) ,medicine.disease ,biology.organism_classification ,High cholesterol ,chemistry.chemical_compound ,Animal science ,chemistry ,biology.hybrid_parent_classification ,medicine ,Salvia plebeia ,Food Science - Abstract
This study was conducted to investigate the effects of water extract from Rosa multiflora and Rosa multiflora complex on lipid metabolism in rats fed a high cholesterol diet. Experimental rats were divided into four groups, which were composed of normal diet group (N group), high cholesterol diet group (HF group), high cholesterol and 5% Rosa multiflora diet group (HR group), and high cholesterol and Rosa multiflora complex diet group (HRC group). Rosa multiflora complex is composed of Duchesnea chrysantha, Salvia plebeia R. BR., and Sasa borealis. The serum triglyceride (TG) content of the HF group was significantly higher than that of the N group, whereas that of the HRC group was significantly lower. Serum high-density lipoprotein-cholesterol contents of the HR and HRC groups were significantly higher than that of the HF group. The serum total cholesterol and low-density lipoprotein-cholesterol contents of the HF group were significantly higher than those of the N group, and especially the atherogenic index of the HRC group was significantly reduced compared to the HF group. The liver TG and total cholesterol contents of the HF group were significantly increased compared to the normal diet group, while those of the HR and HRC groups were significantly decreased compared to the HF group. Fecal total lipid and total cholesterol contents of the HR and HRC groups were significantly increased compared to the HF group. Uridine 5'-diphospho (UDP)-glucuronyl transferase activity of the HR and HRC groups were increased compared to the HF group. Total bile acid contents of the HR and HRC groups were increased compared to the HF group, and that of the HRC group was significantly increased compared to the HF groups. These results suggest that Rosa multiflora supplementation has powerful health benefits due to UDP-glucuronyl transferase activity, bile acid, and lipid metabolism.
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- 2015
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49. Methylation diet and methyl group genetics in risk for adenomatous polyp occurrence
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Emma L. Beckett, Ron Wai, Mark Lucock, Martin Veysey, Jeremy Kho, Virginia Skinner, Xiaowei Ng, Jeong-Hwa Choi, Lyndell Boyd, Paul D. Roach, Kathleen LeGras, Zoe Yates, and Charlotte Martin
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medicine.medical_specialty ,Adenomatous polyps ,Folate ,Homocysteine ,Colorectal cancer ,Biology ,Adenomatous polyp ,Biochemical phenotype ,Pathology and Forensic Medicine ,chemistry.chemical_compound ,Methionine ,Physiology (medical) ,Internal medicine ,medicine ,Vitamin B12 ,Gene ,Genetics ,Regular Article ,Methylation ,medicine.disease ,Diet ,Endocrinology ,chemistry ,Vitamin B6 ,Molecular Medicine - Abstract
Purpose The aim of this study is to explore whether a methylation diet influences risk for adenomatous polyps (AP) either independently, or interactively with one-carbon metabolism-dependent gene variants, and whether such a diet modifies blood homocysteine, a biochemical phenotype closely related to the phenomenon of methylation. Methods 249 subjects were examined using selective fluorescence, PCR and food frequency questionnaire to determine homocysteine, nine methylation-related gene polymorphisms, dietary methionine, 5-methyltetrahydrofolate, vitamins B6 and B12. Results 1). Both dietary methionine and 5-methyltetrahydrofolate intake are significantly associated with plasma homocysteine. 2). Dietary methionine is related to AP risk in 2R3R-TS wildtype subjects, while dietary B12 is similarly related to this phenotype in individuals heterozygous for C1420T-SHMT, A2756G-MS and 844ins68-CBS, and in those recessive for 2R3R-TS. 3). Dietary methionine has a marginal influence on plasma homocysteine level in C1420T-SHMT heterozygotes, while B6 exhibits the same effect on homocysteine in C776G-TCN2 homozygote recessive subjects. Natural 5-methyltetrahydrofolate intake is interesting: Wildtype A1298C-MTHFR, heterozygote C677T-MTHFR, wildtype A2756G-MS and recessive A66G-MSR individuals all show a significant reciprocal association with homocysteine. 4). Stepwise regression of all genotypes to predict risk for AP indicated A2756G-MS and A66G-MSR to be most relevant (p = 0.0176 and 0.0408 respectively). Results were corrected for age and gender. Conclusion A methylation diet influences methyl group synthesis in the regulation of blood homocysteine level, and is modulated by genetic interactions. Methylation-related nutrients also interact with key genes to modify risk of AP, a precursor of colorectal cancer. Independent of diet, two methylation-related genes (A2756G-MS and A66G-MSR) were directly associated with AP occurrence., Highlights • A methylation diet influences regulation of blood homocysteine level. • Gene variants interact with a methylation diet to influence homocysteine. • Methylation-related nutrients interact with key genes to modify adenoma risk. • Independent of diet, A2756G-MS and A66G-MSR were associated with adenoma risk.
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- 2015
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50. Optimization of far-infrared vacuum drying conditions for Miang leaves (Camellia sinensis var. assamica) using response surface methodology
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Quan V. Vuong, Jutatip Ayarungsaritkul, Suwimol Chockchaisawasdee, Chanutchamon Sutthiwanjampa, Christopher J. Scarlett, Sathira Hirun, Chonnipa Pawsaut, Young-Ran Heo, and Jeong-Hwa Choi
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Central composite design ,Chemistry ,business.industry ,Catechin ,Epigallocatechin gallate ,Applied Microbiology and Biotechnology ,chemistry.chemical_compound ,Epicatechin gallate ,Far infrared ,Botany ,Food processing ,Camellia sinensis ,Food science ,Response surface methodology ,business ,Food Science ,Biotechnology - Abstract
Far-infrared (FIR) vacuum is an advanced drying technique that has recently been applied in food processing. Optimal drying conditions for processing tea from Miang leaves using FIR vacuum drying were investigated. Response surface methodology with a central composite design was used to design, analyze, and predict the optimal time and temperature conditions for FIR vacuum drying, taking into account the physicochemical properties of Miang leaves. When the temperature increased from 50 to 65°C and the time from 60 to 120 min, the amount of epicatechin, epicatechin gallate, epigallocatechin gallate, and total catechins significantly (p 0.05) influenced by time and temperature, compared with controls. Drying conditions of 65°C for 120 min are recommended for optimization of drying.
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- 2015
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