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Original articles
The association between oral contraceptive use and the risk of metabolic syndrome in Korean women: a national population-based study
Hong Kyu Park, Taehong Kim
Kosin Med J. 2025;40(2):128-135.   Published online June 10, 2025
DOI: https://doi.org/10.7180/kmj.24.161
  • 4,201 View
  • 22 Download
  • 1 Citations
Abstract PDFPubReader   ePub   
Background
This study aimed to evaluate the association between oral contraceptive (OC) use and the incidence of metabolic syndrome (MetS) and its components in Korean women.
Methods
We conducted a cross-sectional study including 11,084 Korean women between 2012 and 2020 based on nationally representative data from the Korea National Health and Nutrition Examination Survey. Multivariate logistic regression analysis was conducted to examine the relationships between OC use, MetS, and its components.
Results
In total, 11,084 women were included in the study, of whom 1,117 (10.1%) used OCs and 8.5% had MetS. The prevalence of MetS was higher in the OC users (11.5%) than in the non-OC users (8.1%) (p<0.001). The OC users had an increased risk of MetS (odds ratio [OR], 1.480; 95% confidence interval [CI], 1.215‒1.802; p<0.001). Additionally, OC users had higher risks of abdominal obesity (OR, 1.319; 95% CI, 1.119‒1.555), hypertension (OR, 1.557; 95% CI, 1.302‒1.863), and hypertriglyceridemia (OR, 1.521; 95% CI, 1.287‒1.797).
Conclusions
The incidence of MetS was higher among OC users, with waist circumference, hypertension, and hypertriglyceridemia being significantly more prevalent components of MetS. These findings can provide valuable evidence to support the development of evidence-based health policies related to women’s health.

Citations

Citations to this article as recorded by  
  • Oral contraceptives: balancing intended use with metabolic syndrome risk
    Bukyung Kim
    Kosin Medical Journal.2025; 40(2): 85.     CrossRef
Iodine nutritional status and awareness of iodine deficiency among adults, including pregnant women, in Tuguegarao, Philippines
Young Sik Choi, Kwang-Hyuk Seok, Jong Jin Lee, Gina Jieun Hong, Pablo M. Afidchao, Bu Kyung Kim, Jee-Yeong Jeong
Kosin Med J. 2018;33(1):64-74.   Published online January 21, 2018
DOI: https://doi.org/10.7180/kmj.2018.33.1.64
  • 4,050 View
  • 13 Download
Abstract PDFPubReader   
Objectives

Iodine deficiency causes multiple health problems. Previously we reported that 96% of high school students in Tuguegarao, Philippines had adequate iodine levels. However, iodine deficiency-associated problems remain among adults in the Philippines. Therefore, we evaluated iodine nutritional status and goiter prevalence among adults, including pregnant women, in Tuguegarao, Philippines.

Methods

A total of 245 adults, including 31 pregnant women, provided samples for urinary iodine analysis, and all pregnant women completed a questionnaire about iodine deficiency.

Results

The median urinary iodine level was 164.0 ± 138.4 g/L; 38.4% of the participants were iodine deficient, according to the International Council for Control of Iodine Deficiency Disorders (ICCIDD) criteria. No severe iodine deficiency was observed. Among the 31 pregnant women, 24 (77.5%) fell into the iodine deficient category defined by a stricter World Health Organization (WHO) guideline, in which iodine deficiency is considered when urinary iodine levels are below 150 g/L. Almost half (42%) of the pregnant women were unaware of the harmful effects of iodine deficiency on the human body and their fetus.

Conclusions

Although iodine nutritional status in the Philippines has improved, iodine deficiency still exists among adults, especially among pregnant women. Therefore, our study strongly suggests that a better strategy should be established to monitor iodine nutritional status among adults continually, and to focus on populations susceptible to iodine deficiency, including pregnant women and women of reproductive age, to achieve the total elimination of iodine deficiency.

Review article
Women, Stress and Heart Health: Mindfulness-Based Stress Reduction and Cardiovascular Disease
Kyoung-Im Cho
Kosin Med J. 2016;31(2):103-112.   Published online January 20, 2016
DOI: https://doi.org/10.7180/kmj.2016.31.2.103
  • 5,784 View
  • 85 Download
  • 2 Citations
Abstract PDFPubReader   ePub   
Abstract

Psychological stress including depression and anxiety are independent risk factors for cardiovascular disease morbidity and mortality, especially in women. Emotional regulation plays a mediating role in the development of depression and physical illness, and can alter resting physiologic responses associated with the stress response. Mindfulness-based stress reduction (MBSR) is a structured group program that employs mindfulness meditation to alleviate suffering associated with physical, psychosomatic, and psychiatric disorders. MBSR was originally developed for the management of chronic pain, which is now used widely to reduce psychological morbidity associated with chronic illnesses and to treat emotional and behavioral disorders. In cardiovascular disease, MBSR may be helpful for controlling several risk factors for coronary heart disease such as hypertension, type 2 diabetes mellitus, dyslipidemia, oxidative and psychosocial stress, obesity, and smoking, and improvements in submaximal exercise responses and heart rate variability. Although the most effective mode of stress reduction therapy is yet to be established, increasing recognition is being given to MBSR therapy.

Citations

Citations to this article as recorded by  
  • Psychosomatic Approach to Fibromyalgia Syndrome: Concept, Diagnosis and Treatment
    Sang-Shin Lee
    Kosin Medical Journal.2021; 36(2): 79.     CrossRef
  • Investigating the effect of meditation on spiritual wellbeing of Type-2 diabetic amputees: A clinical trial study
    Ali Heydari Movahed, Fakhri Sabouhi, Reza Mohammadpourhodki, Sepideh Mahdavi, Sima Goudarzian, Malihe Amerian, Mona Mohtashami, Mansoure Kheiri, Malihe Imeni
    Heliyon.2020; 6(11): e05567.     CrossRef
Original articles
A survey of Attitude Toward Sex of College Girls in Busan
Young Lim Oh, Heung Yeol Kim
Kosin Med J. 2009;24(2):14-19.   Published online December 31, 2009
  • 825 View
  • 2 Download
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Relationship with Serum Gamma-glutamyltransferase and Hypertension in Healthy Women
Eun Hee Kong
Kosin Med J. 2009;24(2):98-102.   Published online December 31, 2009
  • 641 View
  • 0 Download
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Relationship with Metabolic Syndrome by Grade of Nonalcoholic Fatty Livers
Eun Hee Kong
Kosin Med J. 2009;24(2):103-108.   Published online December 31, 2009
  • 663 View
  • 0 Download
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KMJ : Kosin Medical Journal
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