Trends in coronary risk factors and electrocardiogram findings from 1977 to 2009 with 10-year mortality in Japanese elderly males – The Tanushimaru Study

Nakamura, Sachiko; Adachi, Hisashi; Enomoto, Masaru; Fukami, Ako; Kumagai, Eita; Nohara, Yume; Kono, Shoko; Nakao, Erika; Sakaue, Akiko; Tsuru, Tomoko; Morikawa, Nagisa

doi:10.1016/j.jjcc.2016.12.004

Cited by 4 publications

(3 citation statements)

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“…Post-transition, physical labor decreased ( 73 ). Pre-transition, 53% of men reported daily alcohol intake and 56.7% of the men smoked; post-transition, 71% of men consumed alcohol and 16.7% of men smoked ( 84 ). There was insufficient data on physical activity, smoking or alcohol consumption for women.…”

Section: Resultsmentioning

confidence: 99%

Dietary Transitions and Health Outcomes in Four Populations – Systematic Review

et al. 2022

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ImportanceNon-communicable chronic diseases (NCDs) such as obesity, type 2 diabetes, heart disease, and cancer were rare among non-western populations with traditional diets and lifestyles. As populations transitioned toward industrialized diets and lifestyles, NCDs developed.ObjectiveWe performed a systematic literature review to examine the effects of diet and lifestyle transitions on NCDs.Evidence ReviewWe identified 22 populations that underwent a nutrition transition, eleven of which had sufficient data. Of these, we chose four populations with diverse geographies, diets and lifestyles who underwent a dietary and lifestyle transition and explored the relationship between dietary changes and health outcomes. We excluded populations with features overlapping with selected populations or with complicating factors such as inadequate data, subgroups, and different study methodologies over different periods. The selected populations were Yemenite Jews, Tokelauans, Tanushimaru Japanese, and Maasai. We also review transition data from seven excluded populations (Pima, Navajo, Aboriginal Australians, South African Natal Indians and Zulu speakers, Inuit, and Hadza) to assess for bias.FindingsThe three groups that replaced saturated fats (SFA) from animal (Yemenite Jews, Maasai) or plants (Tokelau) with refined carbohydrates had negative health outcomes (e.g., increased obesity, diabetes, heart disease). Yemenites reduced SFA consumption by >40% post-transition but men's BMI increased 19% and diabetes increased ~40-fold. Tokelauans reduced fat, dramatically reduced SFA, and increased sugar intake: obesity and diabetes rose. The Tanushimaruans transitioned to more fats and less carbohydrates and used more anti-hypertensive medications; stroke and breast cancer declined while heart disease was stable. The Maasai transitioned to lower fat, SFA and higher carbohydrates and had increased BMI and diabetes. Similar patterns were observed in the seven other populations.ConclusionThe nutrient category most strongly associated with negative health outcomes – especially obesity and diabetes – was sugar (increased 600–650% in Yemenite Jews and Tokelauans) and refined carbohydrates (among Maasai, total carbohydrates increased 39% in men and 362% in women), while increased calories was less strongly associated with these disorders. Across 11 populations, NCDs were associated with increased refined carbohydrates more than increased calories, reduced activity or other factors, but cannot be attributed to SFA or total fat consumption.

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Section: Resultsmentioning

confidence: 99%

Dietary Transitions and Health Outcomes in Four Populations – Systematic Review

et al. 2022

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“…При этом исследование Tanushimaru среди по-жилых пациентов мужского пола показало, что в период 1999-2009 гг. наиболее высокий вклад в смертность исследуемой популяции внесли такие факторы сер-дечно-сосудистого риска, как курение, частота сердечных сокращений, повышенный уровень АД [5]. В рамках ис-следования EUROASPIRE IV по изучению вторичной про-филактики ССЗ, проведенного в 2012-2013 гг.…”

Section: Discussionunclassified

Secondary Prevention of Cardiovascular Diseases Among Patients of Different Age Groups With a History of Myocardial Infarction by the Example of Outpatient Cardiology Institution

Fitilev

Dimitrova

Shkrebneva

et al. 2017

Racionalʹnaâ farmakoterapiâ v kardiologii

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Российский университет дружбы народов Россия, 117198, Москва, ул. Миклухо-Маклая, 6 Цель. Изучить особенности вторичной профилактики сердечно-сосудистых заболеваний у пациентов разных возрастных групп, перенесших инфаркт миокарда, на примере амбулаторного кардиологического учреждения. Материал и методы. Выполнено ретроспективное фармакоэпидемиологическое исследование путем анализа медицинской документации 825 пациентов, перенесших инфаркт миокарда, впервые посетивших лечебное учреждение в 2011 г. Пациенты были разделены на две груп-пы в зависимости от возраста: моложе 60 лет (n=308), в возрасте 60 лет и старше (n=517). Результаты. Популяция пожилых пациентов была более тяжелой: достоверно чаще пациенты имели инвалидность, сопутствующие заболева-ния. Распространенность основных модифицируемых факторов риска оценить в полной мере не удалось из-за недостаточности отражения ин-формации в медицинской документации пациентов. Группа пожилых пациентов достоверно реже получала β-адреноблокаторы (80,3%) и ста-тины (63,8%). Значимых различий между группами в назначении суточных доз препаратов основных профилактических групп не обнаружено. Заключение. Вторичную профилактику сердечно-сосудистых заболеваний у пациентов разных возрастных групп нельзя считать полноценной в связи с тем, что выявлен низкий уровень как внимания врачей к модифицируемым факторам риска, так и рекомендаций по их коррекции. В группе пожилых пациентов обнаружена тенденция к недостаточному назначению ингибиторов ангиотензинпревращающего фермента и до-стоверно меньшее число рекомендаций по приему статинов и β-адреноблокаторов.Ключевые слова: вторичная профилактика, инфаркт миокарда, факторы риска, пожилой пациент, суточная доза. Aim. To study secondary prevention of cardiovascular diseases among patients of different age groups with a history of myocardial infarction by the example of outpatient cardiology institution. Material and methods. Retrospective pharmacoepidemiological study was conducted by analyzing the medical records of 825 patients with a history of myocardial infarction, who visited the outpatient cardiology institution for the first time in 2011. Patients were divided into two groups according to their age: younger than 60 years (n=308), and 60 years and older (n=517).Results. The population of elderly patients was more severe: significantly more often patients had disability and co-morbidities. The prevalence of the main modifiable risk factors could not be assessed fully due to the lack of information in patients' medical records. Elderly patients were significantly less likely to receive β-blockers (80.3%) and statins (63.8%). No significant differences were found in daily doses of the main prescribed preventive drugs between two groups. Conclusion. Secondary prevention of cardiovascular diseases among patients of different age groups could not be considered proper, as there is low level of attention to the modifiable risk factors and recommendation on their correction. A tendency to under-prescription of angiotensin converting enzym...

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“…A periodic epidemiological study was conducted in 2018 in a rural farming community located in southwestern Japan, a cohort of the Seven Countries Study (25)(26)(27)(28). Although the total participants were 1,368 subjects (554 men and 814 women; mean age: 68.8 years old) who underwent a health examination among a Japanese population 34 to 97 years old, the 24 subjects, over 90 years old, were excluded from this study.…”

Section: Study Populationmentioning

confidence: 99%

A J-shaped Relationship between Sleep Duration and the Risk of Insulin Resistance in a General Japanese Population

et al. 2023

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Objective Data on the role of sleep in the risk of insulin resistance (IR) are lacking. We therefore examined the association between sleep duration and IR in a general Japanese population. Methods Data of 1,344 individuals 34 to 89 years old from the Tanushimaru Study were analysed. IR was calculated using the fasting plasma glucose level×fasting insulin level/405, i.e. the homeostasis model assessment of IR (HOMA-IR). IR was defined as a HOMA-IR ! 1.73 based on the diagnostic criteria used in Japan. Information regarding sleep duration was collected via questionnaire. ResultsThe frequencies of IR and metabolic syndrome (MetS) were 36.7% and 26.9%, respectively. A Jshaped relationship between sleep duration and IR was observed, and the same relationship was also shown between sleep duration and MetS; however, the relationship with MetS disappeared after adjusting for age, sex, and other confounding factors. Conclusion A J-shaped relationship was observed between sleep duration and the risks of IR in a general Japanese population.

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Trends in coronary risk factors and electrocardiogram findings from 1977 to 2009 with 10-year mortality in Japanese elderly males – The Tanushimaru Study

Abstract: Predictors of mortality have changed with the times. Coronary risk factors such as smoking, increased heart rate, and elevated blood pressure have been recently associated with mortalities in elderly male Japanese general population.

Cited by 4 publications

References 28 publications

Dietary Transitions and Health Outcomes in Four Populations – Systematic Review

Dietary Transitions and Health Outcomes in Four Populations – Systematic Review

Secondary Prevention of Cardiovascular Diseases Among Patients of Different Age Groups With a History of Myocardial Infarction by the Example of Outpatient Cardiology Institution

A J-shaped Relationship between Sleep Duration and the Risk of Insulin Resistance in a General Japanese Population

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