Association of health behavior and social role with total mortality among Japanese elders in Okinawa, Japan

Goto, Aya; Yasumura, Seiji; Nishise, Yuko; Sakihara, Seizo

doi:10.1007/bf03327366

Cited by 45 publications

(37 citation statements)

References 22 publications

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“…A total of 74 studies met the inclusion criteria; the process of study selection is shown in Figure 1 8, 9, 11, 12, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89,...…”

Section: Resultsmentioning

confidence: 99%

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Self‐Reported Sleep Duration and Quality and Cardiovascular Disease and Mortality: A Dose‐Response Meta‐Analysis

Kwok

Kontopantelis

Kuligowski

et al. 2018

JAHA

331

227

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BackgroundThere is growing evidence that sleep duration and quality may be associated with cardiovascular harm and mortality.Methods and ResultsWe conducted a systematic review, meta‐analysis, and spline analysis of prospective cohort studies that evaluate the association between sleep duration and quality and cardiovascular outcomes. We searched MEDLINE and EMBASE for these studies and extracted data from identified studies. We utilized linear and nonlinear dose‐response meta‐analysis models and used DerSimonian–Laird random‐effects meta‐analysis models of risk ratios, with inverse variance weighting, and the I2 statistic to quantify heterogeneity. Seventy‐four studies including 3 340 684 participants with 242 240 deaths among 2 564 029 participants who reported death events were reviewed. Findings were broadly similar across both linear and nonlinear dose‐response models in 30 studies with >1 000 000 participants, and we report results from the linear model. Self‐reported duration of sleep >8 hours was associated with a moderate increased risk of all‐cause mortality, with risk ratio, 1.14 (1.05–1.25) for 9 hours, risk ratio, 1.30 (1.19–1.42) for 10 hours, and risk ratio, 1.47 (1.33–1.64) for 11 hours. No significant difference was identified for periods of self‐reported sleep <7 hours, whereas similar patterns were observed for stroke and cardiovascular disease mortality. Subjective poor sleep quality was associated with coronary heart disease (risk ratio, 1.44; 95% confidence interval, 1.09–1.90), but no difference in mortality and other outcomes.ConclusionsDivergence from the recommended 7 to 8 hours of sleep is associated with a higher risk of mortality and cardiovascular events. Longer duration of sleep may be more associated with adverse outcomes compared with shorter sleep durations.

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Section: Resultsmentioning

confidence: 99%

“…** References 11, 21, 23, 25, 26, 27, 29, 32, 33, 34, 36, 39, 40, 41, 44, 46, 47, 48, 49, 51, 52, 53, 54, 56, 57, 61, 64, 66, 68, 70, 71, 72, 77, 79, 80, 84, 86, 87, 88.…”

Section: Notesmentioning

confidence: 99%

Self‐Reported Sleep Duration and Quality and Cardiovascular Disease and Mortality: A Dose‐Response Meta‐Analysis

Kwok

Kontopantelis

Kuligowski

et al. 2018

JAHA

331

227

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“…ECG ischemia, although associated with cardiovascular mortality in both sexes was not associated with all-cause mortality. In a Japanese study on elderly people, health behavior and social role were risk factors for all-cause mortality along with age, low serum albumin, high blood pressure and ECG abnormalities, among a total of 30 personal characteristics [4]. Other studies considered single or very specific risk factors for all-cause mortality such as the limited influence of soil-cadmium levels [2], the null influence of radar equipment [6], the direct role of respiratory symptoms [7], alcohol abuse [3], left bundle branch block [8], post-load plasma glucose [9], high basal metabolic rates [11], high body mass index [5,13], pessimistic side of the Minnesota Multiphasic Personality Inventory OptimismPessimism Scale scores [10], and high physical work demand [14].…”

Section: Discussionmentioning

confidence: 99%

“…Beyond the interest for cardiovascular diseases, this long observation prompted interest in allcause mortality and its determinants. A few studies have reported long-term analyses on all-cause deaths but rarely reaching 40-year of follow-up [1][2][3][4][5][6][7][8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Determinants of 40-year all-cause mortality in the European cohorts of the Seven Countries Study

et al. 2011

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If a few risk factors had predictive power for all-cause mortality in different geographical-cultural areas, then preventive efforts might be concentrated on these. Thirteen potential risk factors were measured in 6,554 men aged 40-59 around 1960 in Northern, Southern and Eastern European areas of the Seven Countries Study. In 40 years 85.3% of men died in the pooled areas (87.9, 81.8 and 87.9% in Northern, Southern and Eastern Europe, respectively). Six risk factors were significant predictors of events in all three areas: directly for age, smoking habits, mean blood pressure, heart rate and ECG abnormalities; inversely for forced expiratory volume. In a pooled model also father and mother life status, socio-economic status, and arm circumference (the last one in an inverse way) had significant coefficients that were not heterogeneous across areas (except for socio-economic status). Serum cholesterol was around significance. ROC curves had values of 0.833, 0.806 and 0.819 respectively in Northern, Southern and Eastern Europe, and 0.827 in the pooled areas. Correlation coefficients between observed and expected cases in deciles of estimated risk were between 0.98 and 0.99. Survivors after 40 years in the lower half of the estimated risk were 10.7, 23.6 and 13.3% in Northern, Southern and Eastern Europe, respectively. Under- or over-estimate of cross-applying risk functions did not exceed 15%. All-cause mortality and survival in middle aged men during 40 years were strongly associated with a few, mainly cardiovascular, risk factors, whose predictive power was similar in different cultures across Europe.

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“…For the septuagenarian cohort, life expectancy from age 65 is the longest in Japan, and possibly the world, at 24.1 years for females and 18.5 years for males (Japan Ministry of Health, Labor and Welfare, 2005). Other factors may also be contributing to the exceptional longevity of the Okinawans such as genetic factors, specific nutritional components of the diet (high anti-oxidants), social support and/or health care (Takata et al 1987;Goto et al 2003;Todoriki et al 2004;Suzuki et al 2001Suzuki et al , 2004Willcox 2005;Willcox et al 2006). However, the forces of morbidity and mortality act most strongly at older ages and it is at these ages one would expect to see the most marked phenotypic differences and the most marked survival advantage, had CR occurred in the Okinawans, and indeed this is the case.…”

Section: The Okinawa Findingsmentioning

confidence: 99%

Caloric restriction and human longevity: what can we learn from the Okinawans?

et al. 2006

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Caloric (or dietary) restriction (CR) extends lifespan and lowers risk for age associated diseases in a phylogenetically diverse group of species. Whether prolonged CR increases average or maximum lifespan or promotes a more youthful physiology in humans at advanced ages is not yet known. However, available epidemiological evidence indicates that CR may already have contributed to an extension of average and maximum life span in one human population and appears to have lowered risk for age associated chronic diseases in other human populations. We review the human studies in the context of a special human population, older Okinawans, who appear to have undergone a mild form of prolonged CR for about half their adult lives.

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Association of health behavior and social role with total mortality among Japanese elders in Okinawa, Japan

Cited by 45 publications

References 22 publications

Self‐Reported Sleep Duration and Quality and Cardiovascular Disease and Mortality: A Dose‐Response Meta‐Analysis

Self‐Reported Sleep Duration and Quality and Cardiovascular Disease and Mortality: A Dose‐Response Meta‐Analysis

Determinants of 40-year all-cause mortality in the European cohorts of the Seven Countries Study

Caloric restriction and human longevity: what can we learn from the Okinawans?

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