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논문 기본 정보

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저자정보
Park Jaehyung (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Kim Nayoung (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam KoreaDepartment of Internal Medicine and Liver Research Institute Seoul National University College of Medicine Seou) Kim Won Seok (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Lim Seon Hee (Department of Internal Medicine Healthcare Research Institute Seoul National University Hospital Healthcare System Gangnam Center Seoul Korea) Choi Yonghoon (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Jo Hyeong Ho (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Ji Eunjeong (Medical Research Collaborating Center Seoul National University Bundang Hospital Seongnam Korea) Yoon Hyuk (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Shin Cheol Min (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Park Young Soo (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Lee Dong Ho (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam KoreaDepartment of Internal Medicine and Liver Research Institute Seoul National University College of Medicine Seou)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제17권 제1호
발행연도
2023.1
수록면
58 - 68 (11page)
DOI
10.5009/gnl210588

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Background/Aims: Helicobacter pylori (HP) infection is positively associated with metabolic syndrome (MS). However, the long-term effects of eradication therapy on MS and sex differences have not been thoroughly studied. We aimed to investigate the long-term effects of HP eradication on MS and sex differences. Methods: This study included 2,267 subjects who visited a tertiary referral center between May 2003 and May 2019. HP was diagnosed by histology, a Campylobacter-like organism test, and culture, and the subjects were prospectively followed up. The participants were categorized into three groups: HP uninfected, HP infected but non-eradicated, and HP eradicated. The baseline characteristics and changes in metabolic parameters after HP eradication were compared over a 5-year follow-up period. Results: Among 1,521 subjects, there was no difference in baseline metabolic parameters between the HP-uninfected (n=509) and HP-infected (n=1,012) groups, regardless of sex. Analysis of the metabolic parameters during follow-up among HP-uninfected (n=509), HP-non-eradicated (n=346), and HP-eradicated (n=666) groups showed that high-density lipoprotein (HDL) and the body mass index (BMI) increased after eradication, with a significant difference at 1-year of follow-up. In females, HDL increased after eradication (p=0.023), and the BMI increased after eradication in male subjects (p=0.010). After propensity score matching, the HDL change in female remained significant, but the statistical significance of the change in BMI in the male group became marginally significant (p=0.089). Conclusions: HP eradication affected metabolic parameters differently depending on sex. HDL significantly increased only in females over time, especially at 1-year of follow-up. In contrast, BMI showed an increasing tendency over time in males, especially at the 1-year follow-up.
#Helicobacter pylori #Eradication #Metabolic syndrome #Sex

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