KMID : 0361020220650100602
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Korean Journal of Otolaryngology - Head and Neck Surgery 2022 Volume.65 No. 10 p.602 ~ p.609
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Association Between Metabolic Syndrome and Incidental Paranasal Sinusitis: A Cross-Sectional Cohort Study of Kangbuk Samsung Health Care Center
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Lee In-Buhm
Kim Tae-Hwan Lee Mi-Yeon Lee Jung-Yeop Lee Kyung-Chul Jin Sung-Min Lee Sang-Hyuk
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Abstract
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Background and Objectives : Metabolic syndrome is a medical problem featured by the coexistenceof several risk factors such as, heart disease, stroke, and diabetes. The associationbetween metabolic syndrome and incidental paranasal sinusitis has not been definitely provedyet. This study was established to prove if metabolic syndrome might be related to incidentalparanasal sinusitis.
Subjects and Method : Of 5682 patients who had undergone brain MRI for regular checkupsbetween 2011 and 2018 at Kangbuk Samsung Health Care Center, we analyzed 2882 caseswith normal sinus and incidental paranasal sinusitis that had been deciphered by specializedradiologists. Data of various components of metabolic syndrome were also used. Multivariablelogistic regression analysis was performed to calculate the odds ratio (OR) of having incidentalparanasal sinusitis between subjects with metabolic syndrome components and thosewithout.
Results : Of 2882 patients aged over 18 years (mean age, 51.8¡¾9.47 years; 55.4% male), 353incidental paranasal sinusitis subjects (232 male with mean age of 51.39¡¾9.27 years and 121female with mean age of 52.43¡¾9.69 years) were identified. Metabolic syndrome was identifiedin 554 patients. The adjusted OR of having incidental paranasal sinusitis was 3.03 (95%confidence interval [CI]: 1.58-5.83) in female with metabolic syndrome. In female, the adjustedOR of having incidental paranasal sinusitis was 2.10 (95% CI: 1.20-3.67) in those with lowhigh density lipoprotein (HDL) cholesterol (<50 mg/dL) and 1.83 (95% CI: 1.06-3.16) in thosewith higher body mass index (BMI) (¡Ã25 kg/m2).
Conclusion : Results of this study suggest that female with metabolic syndrome, low HDLcholesterol, and high BMI have higher risks for incidental paranasal sinusitis.
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KEYWORD
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Body mass index, Cholesterol, HDL, Metabolic syndrome, Sinusitis
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