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Jiwoo Lee

Yonsei University · Medicine

About the Lab

Professor Jiwoo Lee's research lab specializes in metabolic and cardiovascular health, with a focus on insulin resistance, sarcopenia, and obesity-related diseases. The lab investigates biomarkers such as the TyG index and body composition using medical imaging and molecular profiling to understand disease progression in asymptomatic and prediabetic populations. Key research directions include the role of adipose tissue in cancer microenvironments, the development of deep learning models for automated CT-based muscle and fat segmentation, and longitudinal analysis of metabolically healthy obesity and its impact on chronic kidney disease. The lab integrates clinical epidemiology, radiomics, and molecular biology to advance precision prevention and early detection strategies.

insulin resistancesarcopeniaobesitymedical imagingdeep learning

Research Overview

Papers
59
Total Citations
1,191
Papers (5y)
16
Primary Field
Medicine

Research Output Trend

Figures are computed from collected data and may differ slightly.

Publications per year (5y)
16total
2022
2023
2024
2025
2026
Citations per year (5y)
112total
20222023202420252026

Selected Papers

15
1
Review|187 citations·2021
Updated systematic review and meta-analysis on diagnostic issues and the prognostic impact of myosteatosis: A new paradigm beyond sarcopenia
Hyemin Ahn, Dong Wook Kim, Yousun Ko, Jiyeon Ha, Young Bin Shin, Jiwoo Lee, Yu Sub Sung, Kyung Won Kim
SJR Q1Ageing Research Reviews
PhysiologyMedicine
2
Article|85 citations·2020
Triglyceride Glucose-Waist Circumference Better Predicts Coronary Calcium Progression Compared with Other Indices of Insulin Resistance: A Longitudinal Observational Study
Yun Kyung Cho, Jiwoo Lee, Hwi Seung Kim, Hwi Seung Kim, Eun Hee Kim, Min Jung Lee, Dong Hyun Yang, Joon‐Won Kang, Chang Hee Jung, Joong‐Yeol Park, Hong‐Kyu Kim, Hong‐Kyu Kim
SJR Q1Journal of Clinical MedicineOA

The triglyceride glucose (TyG) index, a product of triglyceride and fasting glucose, is a reliable marker for insulin resistance. We aimed to investigate the association between the TyG-related markers and coronary artery calcification (CAC) progression. We enrolled 1145 asymptomatic participants who underwent repeated CAC score measurements during routine health examinations. Homeostasis model assessment of insulin resistance (HOMA-IR), TyG index, TyG-BMI (body mass index), and TyG-WC (waist ci

Cardiology and Cardiovascular MedicineMedicine
3
Article|72 citations·2019
Implications of the dynamic nature of metabolic health status and obesity on risk of incident cardiovascular events and mortality: a nationwide population-based cohort study
Yun Kyung Cho, Yu Mi Kang, Jee Hee Yoo, Jiwoo Lee, Joong‐Yeol Park, Woo Je Lee, Ye‐Jee Kim, Chang Hee Jung
SJR Q1Metabolism
Cardiology and Cardiovascular MedicineMedicine
4
Article|70 citations·2017
Transition into inflammatory cancer-associated adipocytes in breast cancer microenvironment requires microRNA regulatory mechanism
Jiwoo Lee, Bok Sil Hong, Han Suk Ryu, Han-Byoel Lee, Minju Lee, In Ae Park, Jisun Kim, Wonshik Han, Dong‐Young Noh, Hyeong‐Gon Moon
SJR Q1PLoS ONEOA

The role of adipocytes in cancer microenvironment has gained focus during the recent years. However, the characteristics of the cancer-associated adipocytes (CAA) in human breast cancer tissues and the underlying regulatory mechanism are not clearly understood. We reviewed pathology specimens of breast cancer patients to understand the morphologic characteristics of CAA, and profiled the mRNA and miRNA expression of CAA by using indirect co-culture system in vitro. The CAAs in human breast cance

EpidemiologyMedicine
5
Article|70 citations·2020
Reference Data and T-Scores of Lumbar Skeletal Muscle Area and Its Skeletal Muscle Indices Measured by CT Scan in a Healthy Korean Population
Eun Hee Kim, Kyung Won Kim, Youngbin Shin, Jiwoo Lee, Yousun Ko, Ye‐Jee Kim, Min Jung Lee, Sung‐Jin Bae, Sung Won Park, Jaewon Choe, Hong‐Kyu Kim
SJR Q1The Journals of Gerontology Series A

BACKGROUND: Although computed tomography (CT) is considered the gold standard for investigating skeletal muscles, diagnostic cutoff points for sarcopenia have not been established. We therefore suggested clinically relevant diagnostic cutoff points for sarcopenia based on reference values of skeletal muscle area (SMA) measured by CT scan in a large-sized healthy Asian population. METHODS: This cross-sectional analysis included 11,845 subjects (7,314 men, 4,531 women) who underwent abdominal CT s

PhysiologyMedicine
6
Article|65 citations·2021
Development of a fully automatic deep learning system for L3 selection and body composition assessment on computed tomography
Jiyeon Ha, Taeyong Park, Hong‐Kyu Kim, Youngbin Shin, Yousun Ko, Dong Wook Kim, Yu Sub Sung, Jiwoo Lee, Su Jung Ham, Seungwoo Khang, Heeryeol Jeong, Kyoyeong Koo
SJR Q1Scientific ReportsOA

Abstract As sarcopenia research has been gaining emphasis, the need for quantification of abdominal muscle on computed tomography (CT) is increasing. Thus, a fully automated system to select L3 slice and segment muscle in an end-to-end manner is demanded. We aimed to develop a deep learning model (DLM) to select the L3 slice with consideration of anatomic variations and to segment cross-sectional areas (CSAs) of abdominal muscle and fat. Our DLM, named L3SEG-net, was composed of a YOLOv3-based a

PhysiologyMedicine
7
Article|41 citations·2020
Impact of Transition in Metabolic Health and Obesity on the Incident Chronic Kidney Disease: A Nationwide Cohort Study
Yun Kyung Cho, Jiwoo Lee, Hwi Seung Kim, Joong‐Yeol Park, Woo Je Lee, Ye‐Jee Kim, Chang Hee Jung
SJR Q1The Journal of Clinical Endocrinology & MetabolismOA

CONTEXT: Metabolically healthy obesity (MHO) is a dynamic condition. OBJECTIVE: To evaluate the risk of chronic kidney disease (CKD) among people with MHO according to its longitudinal change. DESIGN: Observational study. SETTING: A nationwide population-based cohort. PARTICIPANTS: A total of 514 866 people from the Korean National Health Insurance Service-National Sample Cohort. INTERVENTION: The initial presence and changes of obesity (using body mass index [BMI] and waist circumference [WC])

NephrologyMedicine
8
Article|38 citations·2019
The Impact of NAFLD and Waist Circumference Changes on Diabetes Development in Prediabetes Subjects
Jiwoo Lee, Yun Kyung Cho, Yu Mi Kang, Hwi Seung Kim, Chang Hee Jung, Hong‐Kyu Kim, Joong‐Yeol Park, Woo Je Lee
SJR Q1Scientific ReportsOA

The aim of this study was to investigate the association of nonalcoholic fatty liver disease (NAFLD) with diabetes and the impact of waist circumference (WC) changes in subjects with prediabetes. We enrolled 6240 subjects with prediabetes who underwent health check-ups in 2007 and revisited our hospital at least once for a follow-up examination between 2008 and 2013. Subjects were stratified by WC changes into three groups. The relative risks (RRs) for diabetes according to the NAFLD status and

EpidemiologyMedicine
9
Article|37 citations·2020
Association between noninvasive assessment of liver fibrosis and coronary artery calcification progression in patients with nonalcoholic fatty liver disease
Jiwoo Lee, Hwi Seung Kim, Yun Kyung Cho, Eun Hee Kim, Min Jung Lee, In Yong Bae, Chang Hee Jung, Joong‐Yeol Park, Hong‐Kyu Kim, Woo Je Lee, Hong‐Kyu Kim, Woo Je Lee
SJR Q1Scientific ReportsOA

Advanced liver fibrosis and coronary artery calcification (CAC) progression has been reported to correlate with cardiovascular disease. This study investigated the association between noninvasive liver fibrosis score and CAC progression in patients with nonalcoholic fatty liver disease (NAFLD). We included 1173 asymptomatic adults with CAC scores from 2007-2013. CAC progression was defined as newly incident CAC or a ≥ 2.5-unit increase in the final CAC score square root. Liver fibrosis was asses

EpidemiologyMedicine
10
Article|36 citations·2021
Association between Serum Uric Acid Levels and Bone Mineral Density in Postmenopausal Women: A Cross-Sectional and Longitudinal Study
So Yeon Kang, Dongjin Kwon, Jiwoo Lee, Youn‐Jee Chung, Mee-Ran Kim, Jeong Namkung, In Cheul Jeung
SJR Q2HealthcareOA

Background: Uric acid is one of natural antioxidants in human body. There have been several studies on the correlation between uric acid with oxidative stress and osteoporosis. However, the data are insufficient and results are controversial. In this regard, we determined the association between uric acid levels and bone mineral density (BMD) during the postmenopausal period. Methods: We analyzed data from 328 postmenopausal women (mean age, 57.3 ± 6.5 years; mean serum uric acid level, 4.6 ± 1.

NephrologyMedicine
11
Review|34 citations·2018
Asian Subpopulations May Exhibit Greater Cardiovascular Benefit from Long-Acting Glucagon-Like Peptide 1 Receptor Agonists: A Meta-Analysis of Cardiovascular Outcome Trials
Yu Mi Kang, Yun Kyung Cho, Jiwoo Lee, Seung Eun Lee, Woo Je Lee, Joong‐Yeol Park, Ye-Jee Kim, Chang Hee Jung, Michael A. Nauck
SJR Q1Diabetes & Metabolism JournalOA

BACKGROUND: Based on reported results of three large cardiovascular outcome trials (CVOTs) of glucagon-like peptide 1 receptor agonists (GLP-1 RAs), we aimed to investigate the overall effect of GLP-1 RAs on major adverse cardiovascular events (MACEs) and to identify subpopulations exhibiting the greatest cardiovascular (CV) benefit. METHODS: Three CVOTs reporting effects of long-acting GLP-1 RAs were included: LEADER (liraglutide), SUSTAIN-6 (semaglutide), and EXSCEL (exenatide once weekly). In

Endocrinology, Diabetes and MetabolismMedicine
12
Article|33 citations·2014
Cognitive Enhancing and Neuroprotective Effect of the Embryo of the Nelumbo nucifera Seed
Eun Sil Kim, Jin Bae Weon, Bo-Ra Yun, Jiwoo Lee, Min Rye Eom, Kyoung-Hee Oh, Choong Je
Evidence-based Complementary and Alternative MedicineOA

The aim of the present study was to evaluate the effect of ENS on cognitive impairment induced by scopolamine and its potential neuroprotective effect against glutamate-induced cytotoxicity in HT22 cell and to investigate the underlying mechanisms. ENS (3, 10, 30, and 100 mg/kg), scopolamine (1 mg/kg), and donepezil (1 mg/kg) were administered to mice during a test period. Scopolamine impaired memory and learning in a water maze test and a passive avoidance test. The neuroprotective effect of EN

Analytical ChemistryChemistry
13
Article|32 citations·2018
The impact of non-alcoholic fatty liver disease and metabolic syndrome on the progression of coronary artery calcification
Yun Kyung Cho, Yu Mi Kang, Jee Hee Yoo, Jiwoo Lee, Seung Eun Lee, Dong Hyun Yang, Joon‐Won Kang, Joong‐Yeol Park, Chang Hee Jung, Hong‐Kyu Kim, Woo Je Lee
SJR Q1Scientific ReportsOA

It is unclear whether non-alcoholic fatty liver disease (NAFLD) is an independent risk factor for cardiovascular disease. We examined the independent impact of NAFLD on the progression of the coronary artery calcification (CAC) score, a well-known marker of atherosclerosis progression. We examined 1,173 asymptomatic participants who underwent repeated CAC score measurement during routine health examinations. The subjects were categorised into four groups based on the presence (+) or absence (-)

EpidemiologyMedicine
14
Article|31 citations·2020
C1q/TNF-related protein-9 attenuates palmitic acid-induced endothelial cell senescence via increasing autophagy
Jiwoo Lee, Jee Hee Yoo, Hwi Seung Kim, Yun Kyung Cho, Yoo La Lee, Woo Je Lee, Joong‐Yeol Park, Chang Hee Jung
SJR Q1Molecular and Cellular Endocrinology
EpidemiologyMedicine
15
Article|24 citations·2020
Comparison of the Efficacy and Safety of Rosuvastatin/Ezetimibe Combination Therapy and Rosuvastatin Monotherapy on Lipoprotein in Patients With Type 2 Diabetes: Multicenter Randomized Controlled Study
Jiwoo Lee, You‐Cheol Hwang, Woo Je Lee, Jong Chul Won, Kee‐Ho Song, Cheol‐Young Park, Kyu Jeung Ahn, Joong‐Yeol Park
SJR Q2Diabetes TherapyOA

INTRODUCTION: Ezetimibe/statin combination therapy has been reported to provide additional cardioprotective effects compared to statin monotherapy. The apolipoprotein B/A1 (apoB/A1) ratio is an effective predictor of cardiovascular diseases. The aim of this study was to compare the efficacy and safety of rosuvastatin/ezetimibe combination therapy versus rosuvastatin monotherapy using the apoB/A1 ratio in patients with diabetes and hypercholesterolemia. METHODS: In this randomized, multicenter, o

SurgeryMedicine

Research Areas

EpidemiologyEndocrinology, Diabetes and MetabolismPhysiologyComplementary and alternative medicinePathology and Forensic MedicineCardiology and Cardiovascular Medicine

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