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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 347 - 354 (8page)
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초록· 키워드
오류제보하기
Purpose: Limited data are available regarding the associations between parameters of glucose and lipid metabolism and the occurrenceof metachronous adenomas. We investigated whether these parameters affect the occurrence of adenomas detected on surveillance colonoscopy.
Materials and Methods: This longitudinal study was performed on 5289 subjects who underwent follow-up colonoscopy between 2012 and 2013 among 62171 asymptomatic subjects who underwent an initial colonoscopy for a health check-up between 2010 and 2011. The risk of adenoma occurrence was assessed using Cox proportional hazards modeling.
Results: The mean interval between the initial and follow-up colonoscopy was 2.2±0.6 years. The occurrence of adenomas detected by the follow-up colonoscopy increased linearly with the increasing quartiles of fasting glucose, hemoglobin A1c (HbA1c), insulin, homeostasis model assessment of insulin resistance (HOMA-IR), and triglycerides measured at the initial colonoscopy. These associationspersisted after adjusting for confounding factors. The adjusted hazard ratios for adenoma occurrence comparing the fourth with the first quartiles of fasting glucose, HbA1c, insulin, HOMA-IR, and triglycerides were 1.50 [95% confidence interval (CI), 1.26–1.77; ptrend<0.001], 1.22 (95% CI, 1.04–1.43; ptrend=0.024), 1.22 (95% CI, 1.02–1.46; ptrend=0.046), 1.36 (95% CI, 1.14–1.63; ptrend=0.004), and 1.19 (95% CI, 0.99–1.42; ptrend=0.041), respectively. In addition, increasing quartiles of low-density lipoprotein-cholesterol and apolipoproteinB were associated with an increasing occurrence of adenomas.
Conclusion: The levels of parameters of glucose and lipid metabolism were significantly associated with the occurrence of adenomasdetected on surveillance colonoscopy. Improving the parameters of glucose and lipid metabolism through lifestyle changes or medications may be helpful in preventing metachronous adenomas.
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등록된 정보가 없습니다.
참고문헌 (41)
참고문헌 신청
Kim MC / 2012 / Metabolic syndrome is associated with increased risk of recurrent colorectal adenomas in Korean men / Int J Obes (Lond) 36:1007~1011
Hye-Won Park / 2009 / Colorectal Neoplasm in Asymptomatic Average-risk Koreans: The KASID Prospective Multicenter Colonoscopy Survey / Gut and Liver 3(1):35~40
Kitahara CM / 2013 / Prospective investigation of body mass index, colorectal adenoma, and colorectal cancer in the prostate, lung, colorectal, and ovarian cancer screening trial / J Clin Oncol 31:2450~2459
Ng SC / 2013 / Colorectal cancer screening in Asia / Br Med Bull 105:29~42
Hsu YC / 2012 / Glycated hemoglobin A1c is superior to fasting plasma glucose as an independent risk factor for colorectal neoplasia / Cancer Causes Control 23:321~328
Hye-Won Park / 2009 / Colorectal Neoplasm in Asymptomatic Average-risk Koreans: The KASID Prospective Multicenter Colonoscopy Survey / Gut and Liver 3(1):35~40
Kitahara CM / 2013 / Prospective investigation of body mass index, colorectal adenoma, and colorectal cancer in the prostate, lung, colorectal, and ovarian cancer screening trial / J Clin Oncol 31:2450~2459
Ng SC / 2013 / Colorectal cancer screening in Asia / Br Med Bull 105:29~42
Hsu YC / 2012 / Glycated hemoglobin A1c is superior to fasting plasma glucose as an independent risk factor for colorectal neoplasia / Cancer Causes Control 23:321~328
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