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A Japanese diet and 19-year mortality: National Integrated Project for Prospective Observation of Non-Communicable Diseases and its Trends in the Aged, 1980

  • Yasuyuki Nakamura (a1) (a2), Hirotsugu Ueshima (a2), Tomonori Okamura (a2), Takashi Kadowaki (a2), Takehito Hayakawa (a3), Yoshikuni Kita (a2), Robert D. Abbott (a2) (a4), Akira Okayama (a5) and for National Integrated Project for Prospective Observation of Non-Communicable Diseases and its Trends in the Aged, 1980 Research Group...

Abstract

Few studies have examined the association between Japanese diet and mortality outcomes. We analysed the relationship between a healthy Japanese diet and all-cause and cause-specific mortality using the database from the National Integrated Project for Prospective Observation of Non-Communicable Diseases and its Trends in the Aged, 1980. At baseline in 1980, data were collected on study participants aged ≧30 years from randomly selected areas in Japan. We defined a measure of a healthy reduced-salt Japanese diet based on seven components from FFQ. The total score ranged from 0 to 7, with 0 being least healthy and 7 being most healthy. Participants were divided into approximate tertiles of dietary scores (0–2, 3 and 4–7 scores). After excluding participants with co-morbidities, we followed 9086 participants (44 % men) for 19 years. There were 1823 all-cause and 654 cardiovascular deaths during the follow-up. With the dietary score group 0–2 serving as a reference, the Cox multivariate-adjusted hazard ratios for groups with scores 3 and 4–7 were 0·92 (95 % CI 0·83, 1·04) and 0·78 (95 % CI 0·70, 0·88) for all-cause mortality (trend P < 0·0001), and 0·91 (95 % CI 0·75, 1·10) and 0·80 (95 % CI 0·66, 0·97) for cardiovascular mortality (trend P = 0·022). Adherence to a healthy reduced-salt Japanese diet was associated with an approximate 20 % lower rate of all-cause and cardiovascular mortality.

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Corresponding author

*Corresponding author: Yasuyuki Nakamura, fax +81 75 531 2162, email nakamury@kyoto-wu.ac.jp

References

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1Huijbregts, P, Feskens, E, Rasanen, L, et al. (1997) Dietary pattern and 20 year mortality in elderly men in Finland, Italy, and The Netherlands: longitudinal cohort study. BMJ 315, 1317.
2Trichopoulou, A, Costacou, T, Bamia, C, et al. (2003) Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med 348, 25992608.
3Robertson, TL, Kato, H, Gordon, T, et al. (1977) Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California. Coronary heart disease risk factors in Japan and Hawaii. Am J Cardiol 39, 244249.
4Carroll, KK (1975) Experimental evidence of dietary factors and hormone-dependent cancers. Cancer Res 35, 33743383.
5Ueshima, H, Zhang, XH & Choudhury, SR (2000) Epidemiology of hypertension in China and Japan. J Hum Hypertens 14, 765769.
6Kubo, M, Kiyohara, Y, Kato, I, et al. (2003) Trends in the incidence, mortality, and survival rate of cardiovascular disease in a Japanese community: the Hisayama study. Stroke 34, 23492354.
7Nagata, C, Takatsuka, N, Shimizu, N, et al. (2004) Sodium intake and risk of death from stroke in Japanese men and women. Stroke 35, 15431547.
8Okamura, T, Kadowaki, T, Hayakawa, T, et al. (2003) What cause of mortality can we predict by cholesterol screening in the Japanese general population? J Intern Med 253, 169180.
9Nakamura, Y, Okamura, T, Tamaki, S, et al. (2004) Egg consumption, serum cholesterol, and cause-specific and all-cause mortality: the national integrated project for prospective observation of non-communicable disease and its trends in the aged, 1980 (NIPPON DATA80). Am J Clin Nutr 80, 5863.
10Nakamura, Y, Ueshima, H, Okamura, T, et al. (2005) Association between fish consumption and all-cause and cause-specific mortality in Japan: NIPPON DATA80, 1980–99. Am J Med 118, 239245.
11Nakamura, M, Sato, S & Shimamoto, T (2003) Improvement in Japanese clinical laboratory measurements of total cholesterol and HDL-cholesterol by the US cholesterol reference method laboratory network. J Atheroscler Thromb 10, 145153.
12Kromhout, D, Bosschieter, EB & de Lezenne Coulander, C (1985) The inverse relation between fish consumption and 20-year mortality from coronary heart disease. N Engl J Med 312, 12051209.
13Daviglus, ML, Stamler, J, Orencia, AJ, et al. (1997) Fish consumption and the 30-year risk of fatal myocardial infarction. N Engl J Med 336, 10461053.
14Iso, H, Kobayashi, M, Ishihara, J, et al. (2006) Intake of fish and n 3 fatty acids and risk of coronary heart disease among Japanese: the Japan Public Health Center-based (JPHC) Study Cohort I. Circulation 113, 195202.
15Tsugane, S, Fahey, MT, Sasaki, S, et al. (1999) Alcohol consumption and all-cause and cancer mortality among middle-aged Japanese men: seven-year follow-up of the JPHC study Cohort I. Japan Public Health Center. Am J Epidemiol 150, 12011207.
16Parsons, LS (2001) Reducing bias in a propensity score matched-pair sample using greedy matching techniques. In Proceedings of the Twenty-sixth Annual SAS® Users Group International Conference, pp. 214226. Cary, NC: SAS Institute Inc. www2.sas.com/proceedings/sugi26/p214-26.pdf.
17Jacobs, DR Jr, Andersen, LF & Blomhoff, R (2007) Whole-grain consumption is associated with a reduced risk of noncardiovascular, noncancer death attributed to inflammatory diseases in the Iowa Women's Health Study. Am J Clin Nutr 85, 16061614.
18Ueshima, H, Iida, M, Shimamoto, T, et al. (1982) Dietary intake and serum total cholesterol level: their relationship to different lifestyles in several Japanese populations. Circulation 66, 519526.
19Ueshima, H, Okayama, A, Saitoh, S, et al. (2003) Differences in cardiovascular disease risk factors between Japanese in Japan and Japanese-Americans in Hawaii: the INTERLIPID Study. J Hum Hypertens 17, 631639.
20Jacques, PF & Tucker, KL (2001) Are dietary patterns useful for understanding the role of diet in chronic disease? Am J Clin Nutr 73, 12.
21Ueshima, H, Tatara, K & Asakura, S (1987) Declining mortality from ischemic heart disease and changes in coronary risk factors in Japan, 1956–1980. Am J Epidemiol 125, 6272.
22Tokui, N, Yoshimura, T, Fujino, Y, et al. (2005) Dietary habits and stomach cancer risk in the JACC Study. J Epidemiol 15, Suppl. 2, S98S108.
23Tsugane, S, Sasazuki, S, Kobayashi, M, et al. (2004) Salt and salted food intake and subsequent risk of gastric cancer among middle-aged Japanese men and women. Br J Cancer 90, 128134.
24Sauvaget, C, Nagano, J, Allen, N, et al. (2003) Vegetable and fruit intake and stroke mortality in the Hiroshima/Nagasaki Life Span Study. Stroke 34, 23552360.
25Yamamoto, S, Sobue, T, Kobayashi, M, et al. (2003) Soy, isoflavones, and breast cancer risk in Japan. J Natl Cancer Inst 95, 906913.
26Ron, E, Carter, R, Jablon, S, et al. (1994) Agreement between death certificate and autopsy diagnoses among atomic bomb survivors. Epidemiology 5, 4856.
27Saito, I, Folsom, AR, Aono, H, et al. (2000) Comparison of fatal coronary heart disease occurrence based on population surveys in Japan and the USA. Int J Epidemiol 29, 837844.

Keywords

A Japanese diet and 19-year mortality: National Integrated Project for Prospective Observation of Non-Communicable Diseases and its Trends in the Aged, 1980

  • Yasuyuki Nakamura (a1) (a2), Hirotsugu Ueshima (a2), Tomonori Okamura (a2), Takashi Kadowaki (a2), Takehito Hayakawa (a3), Yoshikuni Kita (a2), Robert D. Abbott (a2) (a4), Akira Okayama (a5) and for National Integrated Project for Prospective Observation of Non-Communicable Diseases and its Trends in the Aged, 1980 Research Group...

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