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Seung Ho Ryu

Sungkyunkwan University · Medicine

About the Lab

Professor Seung Ho Ryu's research lab specializes in epidemiological and clinical studies focusing on the metabolic and liver-related determinants of chronic disease progression. The lab investigates the role of liver enzymes—particularly ALT and GGT—along with uric acid and fatty liver disease (NAFLD/AFLD) in predicting long-term risks of diabetes, cardiovascular disease, and chronic kidney disease. Using large-scale, population-based cohort studies in Korean adults, the lab emphasizes early biomarkers and metabolic phenotypes to understand disease onset and progression in metabolically healthy individuals. Their work highlights the significance of subclinical liver dysfunction and metabolic abnormalities in predicting future health outcomes.

nonalcoholic fatty liver diseaseliver enzymeschronic kidney diseaseuric acidmetabolic syndrome

Research Overview

Papers
406
Total Citations
19,940
Papers (5y)
107
Primary Field
Medicine

Research Output Trend

Figures are computed from collected data and may differ slightly.

Publications per year (5y)
107total
2021
2022
2023
2024
2025
Citations per year (5y)
4,121total
20212022202320242025

Selected Papers

15
1
Article|263 citations·2014
Metabolically-Healthy Obesity and Coronary Artery Calcification
Yoosoo Chang, Bo-Kyoung Kim, Kyung Eun Yun, Juhee Cho, Yiyi Zhang, Sanjay Rampal, Di Zhao, Hyun Suk Jung, Yuni Choi, Jiin Ahn, João A.C. Lima, Ho Cheol Shin
SJR Q1Journal of the American College of Cardiology
Cardiology and Cardiovascular MedicineMedicine
2
Article|233 citations·2007
Higher Concentrations of Alanine Aminotransferase within the Reference Interval Predict Nonalcoholic Fatty Liver Disease
Yoosoo Chang, Seungho Ryu, Eunju Sung, Yumi Jang
SJR Q1Clinical Chemistry

BACKGROUND: In nonalcoholic fatty liver disease (NAFLD), increased alanine aminotransferase (ALT) concentrations are considered to be a consequence of hepatocyte damage. We performed a prospective study to examine the association between ALT within its reference interval and risk for subsequent development of NAFLD. METHODS: The study cohort comprised 5237 healthy men without diagnosed NAFLD and without increases of either ALT (> or =35 U/L) or gamma-glutamyltransferase (GGT; > or =40 U/L) above

EpidemiologyMedicine
3
Article|226 citations·2006
γ-Glutamyltransferase as a Predictor of Chronic Kidney Disease in Nonhypertensive and Nondiabetic Korean Men
Seungho Ryu, Yoosoo Chang, Dong‐Il Kim, Won Sool Kim, Byung-Seong Suh
SJR Q1Clinical ChemistryOA

BACKGROUND: Little research has been done to examine whether gamma-glutamyltransferase (GGT) is prospectively associated with the development of chronic kidney disease (CKD). We performed a prospective study to examine the association between GGT and the risk for the development of CKD. METHODS: The study cohort included a total of 10 337 healthy males with normal baseline kidney functions and no proteinuria. Participants were workers in a semiconductor manufacturing company and its 13 affiliate

NephrologyMedicine
4
Article|212 citations·2015
Relationship of sitting time and physical activity with non-alcoholic fatty liver disease
Seungho Ryu, Yoosoo Chang, Hyun Suk Jung, Kyung Eun Yun, Min‐Jung Kwon, Yuni Choi, Chan‐Won Kim, Juhee Cho, Byung-Seong Suh, Yong Kyun Cho, Eun Chul Chung, Ho Cheol Shin
SJR Q1Journal of Hepatology
EpidemiologyMedicine
5
Article|210 citations·2016
Metabolically Healthy Obesity and the Development of Nonalcoholic Fatty Liver Disease
Yoosoo Chang, Hyun Suk Jung, Juhee Cho, Yiyi Zhang, Kyung Eun Yun, Mariana Lazo, Roberto Pastor‐Barriuso, Jiin Ahn, Chan‐Won Kim, Sanjay Rampal, Miguel Cainzos‐Achirica, Di Zhao
SJR Q1The American Journal of Gastroenterology

In a large cohort of strictly defined metabolically healthy men and women, overweight and obesity were strongly and progressively associated with an increased incidence of NAFLD, suggesting that the obese phenotype per se, regardless of metabolic abnormalities, can increase the risk of NAFLD.

EpidemiologyMedicine
6
Article|194 citations·2016
Development of an occupancy prediction model using indoor environmental data based on machine learning techniques
Seungho Ryu, Hyeun Jun Moon
SJR Q1Building and Environment
Building and ConstructionEngineering
7
Article|189 citations·2018
U‐Shaped Association Between Serum Uric Acid Level and Risk of Mortality
Sung Kweon Cho, Yoosoo Chang, Inah Kim, Seungho Ryu
SJR Q1Arthritis & Rheumatology

OBJECTIVE: In addition to the controversy regarding the association of hyperuricemia with cardiovascular disease (CVD) mortality, few studies have examined the impact of a low uric acid level on mortality. We undertook the present study to evaluate the relationship between both low and high uric acid levels and the risk of all-cause and cause-specific mortality in a large sample of Korean adults over a full range of uric acid levels. METHODS: A cohort study was performed in 375,163 South Korean

NephrologyMedicine
8
Article|168 citations·2013
Sleep duration and quality in relation to non-alcoholic fatty liver disease in middle-aged workers and their spouses
Chan‐Won Kim, Kyung Eun Yun, Hyun Suk Jung, Yoosoo Chang, Eun-Suk Choi, Min‐Jung Kwon, Eun‐Hyun Lee, Eui Jeong Woo, Nan Hee Kim, Ho Cheol Shin, Seungho Ryu
SJR Q1Journal of Hepatology
Experimental and Cognitive PsychologyPsychology
9
Article|167 citations·2018
Alcoholic and non-alcoholic fatty liver disease and associations with coronary artery calcification: evidence from the Kangbuk Samsung Health Study
Yoosoo Chang, Seungho Ryu, Ki‐Chul Sung, Yong Kyun Cho, Eunju Sung, Han‐Na Kim, Hyun Suk Jung, Kyung Eun Yun, Jiin Ahn, Ho Cheol Shin, Sarah H. Wild, Christopher D. Byrne
SJR Q1GutOA

OBJECTIVE: Recent evidence suggests that alcoholic fatty liver disease (AFLD) and non-alcoholic fatty liver disease (NAFLD) may differentially affect risk of cardiovascular mortality. To investigate whether early liver disease due to AFLD or NAFLD have similar or dissimilar effects on risk of early coronary artery atherosclerosis, we have investigated the associations between AFLD and NAFLD and coronary artery calcium (CAC). DESIGN: A cross-sectional study was performed in 105 328 Korean adults

EpidemiologyMedicine
10
Article|164 citations·2008
Nonalcoholic fatty liver disease predicts chronic kidney disease in nonhypertensive and nondiabetic Korean men
Yoosoo Chang, Seungho Ryu, Eunju Sung, Hee‐Yeon Woo, Eunock Oh, Kyungsoo Cha, Eunmi Jung, Won Sool Kim
SJR Q1Metabolism
EpidemiologyMedicine
11
Article|162 citations·2018
Nonheavy Drinking and Worsening of Noninvasive Fibrosis Markers in Nonalcoholic Fatty Liver Disease: A Cohort Study
Yoosoo Chang, Yong Kyun Cho, Yejin Kim, Eunju Sung, Jiin Ahn, Hyun Suk Jung, Kyung Eun Yun, Ho Cheol Shin, Seungho Ryu
SJR Q1Hepatology

The effect of modest alcohol consumption on fibrosis progression in the general population with nonalcoholic fatty liver disease (NAFLD) remains unclear. We examined the association of nonheavy alcohol consumption with worsening of noninvasive fibrosis indices in a large-scale, low-risk population with NAFLD. A cohort study was performed in 58,927 Korean adults with NAFLD and low fibrosis scores who were followed for a median of 4.9 years. Non-, light, and moderate drinkers were defined as 0 g/d

EpidemiologyMedicine
12
Article|162 citations·2013
Cohort Study of Non-alcoholic Fatty Liver Disease, NAFLD fibrosis score, and the Risk of Incident Diabetes in a Korean population
Yoosoo Chang, Hyun Suk Jung, Kyung Eun Yun, Juhee Cho, Yong Kyun Cho, Seungho Ryu
SJR Q1The American Journal of Gastroenterology

In this cohort study of a healthy Korean population, NAFLD and its severity using NFS were independently and strongly associated with increased incidence of diabetes in men and women-even with a euglycemic range of glucose and HbA1c.

EpidemiologyMedicine
13
Article|155 citations·2016
Hepatitis B virus infection and decreased risk of nonalcoholic fatty liver disease: A cohort study
Eun‐Jeong Joo, Yoosoo Chang, Joon‐Sup Yeom, Seungho Ryu
SJR Q1HepatologyOA

The presence of an association between chronic hepatitis B virus (HBV) infection and fatty liver is controversial. We examined the association between HBV infection and the development of nonalcoholic fatty liver disease (NAFLD). We conducted a cohort study of 83,339 participants without NAFLD at baseline who underwent serologic testing for hepatitis B surface antigen (HBsAg) between 2002 and 2006 and were followed annually or biennially until December 2014. NAFLD was defined as the presence of

EpidemiologyMedicine
14
Article|145 citations·2018
Smoking and the Risk of Non-Alcoholic Fatty Liver Disease: A Cohort Study
Hyun Suk Jung, Yoosoo Chang, Min‐Jung Kwon, Eunju Sung, Kyung Eun Yun, Yong Kyun Cho, Ho Cheol Shin, Seungho Ryu
SJR Q1The American Journal of Gastroenterology

OBJECTIVES: The role of smoking in the development of non-alcoholic fatty liver disease (NAFLD) remains controversial. We assessed the risk of incident NAFLD according to smoking status and urinary cotinine levels. METHODS: We performed a cohort study of 199,468 Korean adults without NAFLD at baseline who were followed annually or biennially for a median of 4.1 years. The presence of fatty liver was determined using ultrasound. NAFLD severity was assessed using NAFLD fibrosis score (NFS), a non-

EpidemiologyMedicine
15
Article|127 citations·2017
Relative muscle mass and the risk of incident type 2 diabetes: A cohort study
Sungwoo Hong, Yoosoo Chang, Hyun Suk Jung, Kyung Eun Yun, Ho Cheol Shin, Seungho Ryu
SJR Q1PLoS ONEOA

RMM was negatively associated with development of T2DM in a large sample of young and middle-aged Korean adults. Further research is required to determine whether preservation of muscle mass through intervention affects the risk of T2DM.

PhysiologyMedicine

Research Areas

EpidemiologyEndocrinology, Diabetes and MetabolismNephrologyMolecular BiologyCardiology and Cardiovascular MedicineOncology

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