Descriptive Epidemiology of Diabetes Prevalence and HbA1c Distributions Based on a Self-Reported Questionnaire and a Health Checkup in the JPHC Diabetes Study

Kabeya, Yusuke; Kato, Masayuki; Isogawa, Akihiro; Matsushita, Yushu; Goto, Atsushi; Iso, Hiroyasu; Inoue, Manami; Mizoue, Tetsuya; Tsugane, Shoichiro; Kadowaki, Tomoko; Noda, Mitsuhiko

doi:10.2188/jea.je20130196

Cited by 14 publications

(13 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It could be speculated that the higher prevalence of diabetes or hypertension in the high consumption group might reflect an accurate diagnosis of individuals in these groups. According to our previous study,26 however, although the positive predictive value of self reported diabetes was 94% and specificity was 99% in our study, around 4% of participants were unaware of their diabetes status and did not answer that they had diabetes in the survey questionnaire but were identified by laboratory data 27. Thus, although people without self reported diabetes might be a cause of residual confounding, it is implausible that the prevalence of diabetes in each fifth of soy product intake influenced the mortality in our study.…”

Section: Discussioncontrasting

confidence: 58%

Association of soy and fermented soy product intake with total and cause specific mortality: prospective cohort study

Katagiri

Sawada

Goto

et al. 2020

BMJ

Self Cite

View full text Add to dashboard Cite

Objective To investigate the association between several types of soy products and all cause and cause specific mortality. Design Population based cohort study. Setting Japan Public Health Centre-based Prospective Study, which includes 11 public health centre areas in Japan. Participants 92 915 participants (42 750 men and 50 165 women) aged 45 to 74 years. Exposures Intake of total soy products, fermented soy products (natto and miso), non-fermented soy products, and tofu from a five year survey questionnaire. Main outcome measures All cause and cause specific mortality (cancer, total cardiovascular disease, heart disease, cerebrovascular disease, respiratory disease, and injury) obtained from residential registries and death certificates. Results During 14.8 years of follow-up, 13 303 deaths were identified. In the multivariable adjusted models, intake of total soy products was not significantly associated with total mortality. Compared with the lowest fifth of total soy product intake, the hazard ratios in the highest fifth were 0.98 (95% confidence interval 0.91 to 1.06, P trend =0.43) in men and 0.98 (0.89 to 1.08, P trend =0.46) in women. Intake of fermented soy products was inversely associated with all cause mortality in both sexes (highest versus lowest fifth: 0.90 (0.83 to 0.97), P trend =0.05 in men, and 0.89 (0.80 to 0.98), P trend =0.01 in women). Natto showed significant and inverse associations with total cardiovascular disease related mortality in both sexes. Conclusions In this study a higher intake of fermented soy was associated with a lower risk of mortality. A significant association between intake of total soy products and all cause mortality was not, however, observed. The findings should be interpreted with caution because the significant association of fermented soy products might be attenuated by unadjusted residual confounding.

show abstract

Section: Discussioncontrasting

confidence: 58%

Association of soy and fermented soy product intake with total and cause specific mortality: prospective cohort study

Katagiri

Sawada

Goto

et al. 2020

BMJ

Self Cite

View full text Add to dashboard Cite

show abstract

“…We excluded 481 (5.3%) patients with poor glycemic control at baseline and the prevalence after followup was about 2.0%. A previous cohort study found that the age-standardized prevalence of diabetes among Japanese adults aged 55–74 years was initially 8.2%, and 10.6% five years later 25 . Another study of Japanese adult men and women aged 20–69 years also found 8.0% and 3.3% prevalences of diabetes, respectively 26 .…”

Section: Discussionmentioning

confidence: 94%

Association between eating behavior and poor glycemic control in Japanese adults

Iwasaki

Hirose

Azuma

et al. 2019

Sci Rep

View full text Add to dashboard Cite

This study investigated the relationship between eating behavior and poor glycemic control in 5,479 Japanese adults with hemoglobin A1c (HbA1c) <6.5% who participated in health checks. Respondents to a 2013 baseline survey of eating behavior, including skipping breakfast and how quickly they consumed food were followed up until 2017. We defined poor glycemic control after follow-up as HbA1c ≥6.5%, or increases in HbA1c of ≥0.5% and/or being under medication to control diabetes. We identified 109 (2.0%) respondents who met these criteria for poor glycemic control. After adjusting for sex, age, smoking status, body mass index (BMI), and eating behavior, the risk of poor glycemic control was increased in males (odds ratio [OR], 2.38; 95% confidence interval [CI] 1.37–4.12; p < 0.01), and associated with being older (OR, 1.07; 95% CI, 1.04–1.11; p < 0.001), having a higher BMI (OR, 1.29; 95% CI 1.23–1.35; p < 0.001), skipping breakfast ≥3 times/week (OR, 2.44; 95% CI, 1.35–4.41; p < 0.01), and changing from eating slowly or at medium speed to eating quickly (OR, 2.11; 95% CI, 1.04–4.26; p < 0.05). In conclusion, Japanese adults who were male, older, had a high BMI, skipped breakfast ≥3 times/week and ate quickly were at increased risk for poor glycemic control.

show abstract

“…Ao verificar a resposta à pergunta Um médico ou outro profissional de saúde lhe disse que você tem alguma dessas doenças?, incluindo a DM, foi observada uma prevalência de DM referido de 18,5% (IC95%: 14,[9][10][11][12][13][14][15][16][17][18][19][20][21][22]8). Verificou-se que entre os idosos que referiram a presença da doença, a maioria pertencia ao sexo feminino (74,6%), era do grupo etário 60 a 69 anos (50,7%), não apresentava companheiro (52,2%), pertencia ao nível socioeconômico C (53,7%) e residia com 4 a 5 pessoas no domicílio (43,3%) (Tabela 1).…”

Section: Resultsunclassified

“…Devido essa dificuldade, estudos nacionais 6-10 e internacionais [11][12][13][14][15] têm procurado indicadores simples que possam ser utilizados para a detec-ção da doença, como a morbidade referida. A detecção referida se caracteriza por uma resposta positiva ao diagnóstico prévio da doença, uma estratégia útil e de fácil execução que vem sendo utilizada como uma alternativa para estimar a prevalência em inquéritos de saúde 3,5 .…”

Section: Introductionunclassified

Validade e concordância do diabetes mellitus referido em idosos

Menezes

Oliveira

2019

Ciênc. saúde coletiva

View full text Add to dashboard Cite

Validade e concordância do diabetes mellitus referido em idososValidity and concordance of self-reported diabetes mellitus by the elderly Resumo Este estudo teve como objetivo verificar a validade e a concordância do relato de diabetes mellitus (DM) na população idosa do município de Campina Grande/PB. Trata-se de um estudo transversal, domiciliar, realizado com 362 idosos de 60 anos ou mais de idade cadastrados na Estratégia Saúde da Família do município de Campina Grande/PB. Para verificar a validade e confiabilidade do relato foi realizado o cálculo de sensibilidade, especificidade e valores preditivos positivo (VPP) e negativo (VPN) em relação às variáveis demográficas e socioeconômicas. Utilizou-se o teste Kappa para verificar a concordância entre o diagnóstico e o relato da doença. Entre os participantes deste estudo, 67,4% eram mulheres. Foi verificada prevalência de DM diagnosticado de 14,1% e de DM referido de 18,1%. Foi observada moderada sensibilidade (58,8%), excelente especificidade (87,8%), moderado VPP (44,8%) e excelente VPN (92,7%), além de concordância moderada do relato de DM (Kappa = 0,413; p < 0,001). Observou-se neste estudo que devido à moderada validade e concordância do relato do DM entre os idosos, não é aconselhável que o DM referido seja utilizado como indicador de prevalência da doença na população estudada. Abstract The scope of this study was to verify the validity and concordance of self-reported diabetes (DM) by the elderly in Campina Grande, State of Paraíba. It involved a cross-sectional home-based study, conducted with 362 elderly people aged 60 years of age and above registered in the Family Health Strategy (FHS) Program in Campina Grande, State of Paraíba. A sensitivity calculation, specificity and positive predictive value (PPV) and negative predictive value (NPV) in relation to demographic and socioeconomic variables was carried out to verify the validity and reliability of self-reported DM. The Kappa test was used to verify the concordance between the diagnosis and the reporting of the disease. Among the study participants, 67.4% were women. The prevalence of diagnosed DM of 14.1% and self-reported DM of 18.1% was observed Moderate sensitivity (58.8%), excellent specificity (87.8%), moderate PPV (44.8%) and excellent NPV (92.7%), and moderate concordance of self-reported DM (Kappa = 0.413 p < 0.001) was observed. In this study, due to moderate validity and concordance of self-reported DM among the elderly, it is considered not to be advisable that self-reported DM should be used as a disease prevalence indicator in the population studied.

show abstract

Descriptive Epidemiology of Diabetes Prevalence and HbA1c Distributions Based on a Self-Reported Questionnaire and a Health Checkup in the JPHC Diabetes Study

Cited by 14 publications

References 12 publications

Association of soy and fermented soy product intake with total and cause specific mortality: prospective cohort study

Association of soy and fermented soy product intake with total and cause specific mortality: prospective cohort study

Association between eating behavior and poor glycemic control in Japanese adults

Validade e concordância do diabetes mellitus referido em idosos

Contact Info

Product

Resources

About