Stratified Age-Period-Cohort Analysis of Stroke Mortality in Japan, 1960 to 2000

Ma, Enbo; Takahashi, Hideto; Mizuno, Akitoshi; Okada, Masafumi; Yamagishi, Kazumasa; Iso, Hiroyasu

doi:10.1016/j.jstrokecerebrovasdis.2006.11.006

Cited by 18 publications

(17 citation statements)

References 38 publications

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“…The author also reports that, considering all causes of death in Brazil, CVA has become the main one, bypassing coronary heart disease. The reduction in CVA mortality began in the mid-1960s and was stabilized at the end of the twentieth century [21][22][23][24] . This decline was more pronounced in the United States, Canada, Australia, the Western Europe countries and Japan [23][24][25][26] , whereas the rates are higher in South America and Eastern Europe and still increasing in Eastern Europe countries [23][24][25][26][27] .…”

Section: Discussionmentioning

confidence: 99%

“…The reduction in CVA mortality began in the mid-1960s and was stabilized at the end of the twentieth century [21][22][23][24] . This decline was more pronounced in the United States, Canada, Australia, the Western Europe countries and Japan [23][24][25][26] , whereas the rates are higher in South America and Eastern Europe and still increasing in Eastern Europe countries [23][24][25][26][27] . Brazil is included in the context of decrease in the rates of CVA mortality with values that are similar to those of developing countries 11,12.28 , showing the highest rates when compared to countries in Latin America 12 and South America 29 .…”

Section: Discussionmentioning

confidence: 99%

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Análise da tendência da mortalidade por acidente vascular cerebral no Brasil no século XXI

Garritano

Luz

Pires

et al. 2012

Arq. Bras. Cardiol.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Análise da tendência da mortalidade por acidente vascular cerebral no Brasil no século XXI

Garritano

Luz

Pires

et al. 2012

Arq. Bras. Cardiol.

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“…The guidelines for the management of hypertension have been updated recently, [1][2][3][4][5] accompanied by a subclassification of nonhypertension levels to emphasize the importance of blood pressure control before hypertension is reached. In Japan, the incidence of 6,7 and mortality from 8 stroke have declined substantially, along with reduction in blood pressure levels.…”

mentioning

confidence: 99%

Trends for Blood Pressure and Its Contribution to Stroke Incidence in the Middle-Aged Japanese Population

Imano

Kitamura

Sato

et al. 2009

Stroke

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111

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Background and Purpose-Hypertension is a major risk factor for stroke. However, a substantial decrease in blood pressure levels in Japanese during the past 3 decades may have reduced contributions of hypertension to risk of stroke. The population attributable fraction, the percentage of outcomes attributable to exposure, of blood pressure for the incidence of stroke was investigated during 3 survey periods between 1963 and 1994 by means of a population-based cohort study. Methods-We explored 3 cohort data of residents aged 40 to 69 years in 4 Japanese communities in 1963 to 1971 (nϭ5439), 1975 to 1984 (nϭ9945), and 1985 to 1994 (nϭ11 788) baseline surveys. Mean follow-up period for each cohort was 10 years. Results-Higher blood pressure levels were associated with higher risk of stroke. Positive associations were also observed even within nonhypertension levels. From the first to the third cohorts, the blood pressure category with a majority of stroke incidence shifted from severe or moderate hypertension to mild hypertension. The population attributable fraction of the severe hypertension category in the first, second, and third cohorts were 20%, 14%, and 9%, respectively, and those of the moderate hypertension category were 19%, 24%, and 11%, respectively, whereas those of the mild hypertension category were 17%, 26%, and 23%, respectively. The results were similar when participants on antihypertensive medication were excluded. Conclusions-The higher risk of stroke incidence with higher blood pressure levels even in nonhypertension categories and the shift of stroke burden from severe/moderate hypertension to mild hypertension support the early management of hypertension and primary prevention of high blood pressures for the prevention of stroke.

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“…Stroke and CHD mortality rates have often showed opposite patterns, maybe most obvious in Japan [8]. Greece was in an intermediary position regarding stroke mortality during the 1960s, but this declined consistently after 1980 as Chimonas et al also show in their paper [3].…”

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confidence: 90%

The dynamics of cardiovascular epidemiology

Thelle

2009

Eur J Epidemiol

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Stratified Age-Period-Cohort Analysis of Stroke Mortality in Japan, 1960 to 2000

Cited by 18 publications

References 38 publications

Análise da tendência da mortalidade por acidente vascular cerebral no Brasil no século XXI

Análise da tendência da mortalidade por acidente vascular cerebral no Brasil no século XXI

Trends for Blood Pressure and Its Contribution to Stroke Incidence in the Middle-Aged Japanese Population

The dynamics of cardiovascular epidemiology

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