Evaluation of a community intervention program in Japan using Framingham risk score and estimated 10-year coronary heart disease risk as outcome variables: a non-randomized controlled trial

Haruyama, Yasuo; Muto, Takashi; Yamasaki, Akira; Tarumi, Fumiko

doi:10.1186/1471-2458-13-219

Cited by 22 publications

(31 citation statements)

References 24 publications

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“…The study design has been previously reported. 24 , 25 In 2008, a total of 8958 community residents aged from 40 to 75 years old without a diagnosis of metabolic syndrome participated in the baseline survey. We excluded 17 residents because they were missing data on eating speed.…”

Section: Methodsmentioning

confidence: 99%

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Association Between Eating Speed and Metabolic Syndrome in a Three-Year Population-Based Cohort Study

Haruyama

Muto

Yamazaki³

2015

Journal of Epidemiology

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102

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BackgroundMetabolic syndrome has received increased global attention over the past few years. Eating behaviors, particularly eating speed, have long been of interest as factors that contribute to the development of obesity and diabetes. The aim of this study was to assess the relationship between eating speed and incidence of metabolic syndrome among middle-aged and elderly Japanese people.MethodsA total of 8941 community residents from Soka City in Saitama Prefecture, aged from 40 to 75 years and without a diagnosis of metabolic syndrome, participated in the baseline survey in 2008 and were followed until 2011. Anthropometric measurements and lifestyle factors were measured at baseline and follow-up. The association between eating speed and incidence of metabolic syndrome was evaluated using Cox proportional hazards models adjusted for potential confounding variables.ResultsDuring the 3-year follow-up, 647 people were diagnosed with metabolic syndrome (25.0 cases/1000 person-years). The incidence rates of metabolic syndrome among non-fast-eating and fast-eating participants were 2.3% and 3.1%, respectively. The multivariate-adjusted hazard ratio for incidence of metabolic syndrome in the fast-eating group compared to the not-fast-eating group was 1.30 (95% confidence interval [CI], 1.05–1.60) after adjustment for the potential confounding factors. Eating speed was significantly correlated with waist circumference and high-density lipoprotein cholesterol (HDL-C) components of metabolic risk factors. Hazard ratios in the fast-eating group compared with the reference group were 1.35 (95% CI, 1.10–1.66) for waist circumference and 1.37 (95% CI, 1.12–1.67) for HDL-C.ConclusionsEating speed was associated with the incidence of metabolic syndrome. Eating slowly is therefore suggested to be an important lifestyle factor for preventing metabolic syndrome among the Japanese.

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Section: Methodsmentioning

confidence: 99%

“…Drinking alcohol was indicated by the frequency of drinking and the amount of alcohol consumed per day. 25 Dietary behaviors included eating speed and frequency of eating dinner late, eating snacks, and skipping breakfast. Physical activity included regular exercise and daily physical activity.…”

Section: Methodsmentioning

confidence: 99%

Association Between Eating Speed and Metabolic Syndrome in a Three-Year Population-Based Cohort Study

Haruyama

Muto

Yamazaki³

2015

Journal of Epidemiology

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102

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“…A non-randomized controlled community-based study that compared intensive lifestyle and usual care groups yielded a similar result, as outcome measurement took place at 18 months after baseline. [7] However, the existing literature did not always support the effectiveness of lifestyle counselling as shown in short-term [8] and long-term randomized trials. [9] On the other hand, long-term prospective cohort studies have shown healthier life styles to associate with lower incidences of myocardial infarction [10] and CVD mortality.…”

Section: Introductionmentioning

confidence: 99%

Observed changes in cardiovascular risk factors among high-risk middle-aged men who received lifestyle counselling: a 5-year follow-up

Sirén

Eriksson

Vanhanen

2016

Scandinavian Journal of Primary Health Care

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ObjectiveTo examine the long-term impact of health counselling among middle-aged men at high risk of CVD.DesignAn observational study with a 5-year follow-up.Setting and interventionAll men aged 40 years in Helsinki have been invited to a visit to evaluate CVD risk from 2006 onwards. A modified version of the North Karelia project risk tool (CVD risk score) served to assess the risk. High-risk men received lifestyle counselling based on their individual risk profile in 2006 and were invited to a follow-up visit in 2011.SubjectsOf the 389 originally high-risk men, 159 participated in the follow-up visits in 2011. Based on their follow-up in relation the further risk communication, we divided the participants into three groups: primary health care, occupational health care and no control visits.Main outcome measuresLifestyle and CVD risk score change.ResultsAll groups showed improvements in lifestyles. The CVD risk score decreased the most in the group that continued the risk communication visits in their primary health care centre (6.1 to 4.8 [95% CI −1.6 to −0.6]) compared to those who continued risk communication visits in their occupational health care (6.0 to 5.4 [95% CI −1.3 to 0.3]), and to those with no risk communication visits (6.0 to 5.9 [95% CI −0.5 to 0.4]).ConclusionsThese findings indicate that individualized lifestyle counselling improves health behaviour and reduces total CVD risk among middle-aged men at high risk of CVD. Sustained improvement in risk factor status requires ongoing risk communication with health care providers. KEY POINTSStudies of short duration have shown that lifestyle changes reduce the risk of cardiovascular disease among high-risk individuals.Sustaining these lifestyle changes and maintaining the lower disease risk attained can prove challenging.Cardiovascular disease (CVD) risk assessment and individualized health counselling for high-risk men, when implemented in primary health care, have the potential to initiate lifestyle changes that support risk reduction.Attaining a sustainable reduction in CVD risk requires a willingness to engage in risk-related communication from both health care providers and the individual at high risk.

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“… 11 The Framingham Risk Score (FRS), which is based on data obtained from the Framingham Heart Study, is generally considered to be a useful tool for assessing future cardiovascular risk. 12 It is a gender-specific algorithm used to estimate the 10-year cardiovascular risk of an individual. The FRS can be calculated based on gender, age, total cholesterol (TC), high-density lipoprotein cholesterol (HDLC), blood pressure, and smoking status.…”

Section: Introductionmentioning

confidence: 99%

Milk Consumption and Framingham Risk Score: Analysis of the Korea National Health and Nutrition Examination Survey Data (2008-2011)

et al. 2016

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PurposeThe benefit of milk intake remains controversial. The association between milk consumption and Framingham Risk Score (FRS) in a population consuming relatively low amounts of dairy products is undetermined.Materials and MethodsA total of 13736 adults (5718 male and 8018 female) aged 20-80 years from the Korea National Health and Nutrition Examination Survey (2008-2011) were divided into groups according to milk consumption (rarely, monthly, weekly, and daily) and compared according to FRS after relevant variable adjustments.ResultsThe mean FRS in males and females were 6.53 and 5.74, respectively. Males who consumed milk daily (15.9%) had a significantly lower FRS than males having milk rarely (31.6%) or monthly (17.4%; p=0.007). Females who consumed milk daily (22.3%) also had significantly lower FRS than rarely (29.8%), monthly (13.8%), or weekly (34%; p=0.001) consumers. In particular, males ≥60 years old who consumed milk daily had a significantly lower FRS than males who consumed less milk (p<0.001). The odds ratio in this age group showed a significant and gradual increase in the weekly [OR=2.15; 95% confidence interval (CI) 1.14-4.03], monthly (OR=2.29; 95% CI 1.15-4.54), and rarely (OR=3.79; 95% CI 2.01-7.14) milk consumption groups when compared with the daily milk consumption group.ConclusionMilk consumption was associated with a lower FRS in a low milk-consuming population. In particular, daily milk consumption in males over 60 years old may be beneficial for those at risk for cardiovascular disease.

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Evaluation of a community intervention program in Japan using Framingham risk score and estimated 10-year coronary heart disease risk as outcome variables: a non-randomized controlled trial

Cited by 22 publications

References 24 publications

Association Between Eating Speed and Metabolic Syndrome in a Three-Year Population-Based Cohort Study

Association Between Eating Speed and Metabolic Syndrome in a Three-Year Population-Based Cohort Study

Observed changes in cardiovascular risk factors among high-risk middle-aged men who received lifestyle counselling: a 5-year follow-up

Milk Consumption and Framingham Risk Score: Analysis of the Korea National Health and Nutrition Examination Survey Data (2008-2011)

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