Decreasing incidence of lacunar vs other types of cerebral infarction in a Japanese population
There is scant information on secular trends in the incidence and survival of ischemic stroke subtypes. The authors established three cohorts of Hisayama residents age > or =40 years in 1961 (1,618 subjects), 1974 (2,038 subjects), and 1988 (2,637 subjects). They followed up with each cohort for...
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| Veröffentlicht in: | Neurology 2006-05, Vol.66 (10), p.1539-1544 |
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| creator | KUBO, M KIYOHARA, Y NINOMIYA, T TANIZAKI, Y YONEMOTO, K DOI, Y HATA, J OISHI, Y SHIKATA, K IIDA, M |
| description | There is scant information on secular trends in the incidence and survival of ischemic stroke subtypes.
The authors established three cohorts of Hisayama residents age > or =40 years in 1961 (1,618 subjects), 1974 (2,038 subjects), and 1988 (2,637 subjects). They followed up with each cohort for 12 years, comparing the incidence and survival rate of ischemic stroke subtypes. Morphologic examinations by autopsy or brain imaging was performed on most of the ischemic stroke cases in all cohorts.
The age-standardized incidence of lacunar infarction significantly declined by 59% for men and by 28% for women from the first to the second cohort. It continued to decline by 41% for men, but the decline decelerated for women between the second and third cohort. The age-standardized incidence of atherothrombotic infarction tended to decline from the first to the second cohort, whereas it was sustained between the second and third cohort for both sexes. The age-standardized incidence of cardioembolic infarction was unchanged throughout the cohorts. In these cohorts, mean blood pressure levels among hypertensive subjects and the prevalence of current smoker decreased with time, though the prevalence of hypertension remained stable. The 5-year survival rate after lacunar infarction significantly improved among the cohorts, but those of atherothrombotic and cardioembolic infarction did not.
These data suggest that, in the Japanese population, the incidence of lacunar infarction steadily declined for the last 40 years. The improvement of hypertension control and decreasing prevalence of smoking might be responsible for this trend. |
| doi_str_mv | 10.1212/01.wnl.0000216132.95207.b4 |
| format | Article |
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The authors established three cohorts of Hisayama residents age > or =40 years in 1961 (1,618 subjects), 1974 (2,038 subjects), and 1988 (2,637 subjects). They followed up with each cohort for 12 years, comparing the incidence and survival rate of ischemic stroke subtypes. Morphologic examinations by autopsy or brain imaging was performed on most of the ischemic stroke cases in all cohorts.
The age-standardized incidence of lacunar infarction significantly declined by 59% for men and by 28% for women from the first to the second cohort. It continued to decline by 41% for men, but the decline decelerated for women between the second and third cohort. The age-standardized incidence of atherothrombotic infarction tended to decline from the first to the second cohort, whereas it was sustained between the second and third cohort for both sexes. The age-standardized incidence of cardioembolic infarction was unchanged throughout the cohorts. In these cohorts, mean blood pressure levels among hypertensive subjects and the prevalence of current smoker decreased with time, though the prevalence of hypertension remained stable. The 5-year survival rate after lacunar infarction significantly improved among the cohorts, but those of atherothrombotic and cardioembolic infarction did not.
These data suggest that, in the Japanese population, the incidence of lacunar infarction steadily declined for the last 40 years. The improvement of hypertension control and decreasing prevalence of smoking might be responsible for this trend.</description><identifier>ISSN: 0028-3878</identifier><identifier>EISSN: 1526-632X</identifier><identifier>DOI: 10.1212/01.wnl.0000216132.95207.b4</identifier><identifier>PMID: 16717214</identifier><identifier>CODEN: NEURAI</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Brain Ischemia - epidemiology ; Cerebral Infarction - classification ; Cerebral Infarction - epidemiology ; Cerebral Infarction - etiology ; Cohort Studies ; Female ; Follow-Up Studies ; Glucose Intolerance - epidemiology ; Human viral diseases ; Humans ; Hypertension - epidemiology ; Incidence ; Infectious diseases ; Intracranial Arteriosclerosis - complications ; Intracranial Arteriosclerosis - epidemiology ; Intracranial Embolism - complications ; Intracranial Embolism - epidemiology ; Japan - epidemiology ; Life Tables ; Male ; Medical sciences ; Middle Aged ; Morbidity - trends ; Mortality - trends ; Neurology ; Prevalence ; Risk Factors ; Smoking - epidemiology ; Smoking - trends ; Social Change ; Suburban Population ; Survival Analysis ; Survival Rate ; Vascular diseases and vascular malformations of the nervous system ; Viral diseases ; Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye</subject><ispartof>Neurology, 2006-05, Vol.66 (10), p.1539-1544</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-59d75166f5742ddbdbebf421014eb24a67169b44d44d32d3c627b07d26eeec583</citedby><cites>FETCH-LOGICAL-c413t-59d75166f5742ddbdbebf421014eb24a67169b44d44d32d3c627b07d26eeec583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17815888$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16717214$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KUBO, M</creatorcontrib><creatorcontrib>KIYOHARA, Y</creatorcontrib><creatorcontrib>NINOMIYA, T</creatorcontrib><creatorcontrib>TANIZAKI, Y</creatorcontrib><creatorcontrib>YONEMOTO, K</creatorcontrib><creatorcontrib>DOI, Y</creatorcontrib><creatorcontrib>HATA, J</creatorcontrib><creatorcontrib>OISHI, Y</creatorcontrib><creatorcontrib>SHIKATA, K</creatorcontrib><creatorcontrib>IIDA, M</creatorcontrib><title>Decreasing incidence of lacunar vs other types of cerebral infarction in a Japanese population</title><title>Neurology</title><addtitle>Neurology</addtitle><description>There is scant information on secular trends in the incidence and survival of ischemic stroke subtypes.
The authors established three cohorts of Hisayama residents age > or =40 years in 1961 (1,618 subjects), 1974 (2,038 subjects), and 1988 (2,637 subjects). They followed up with each cohort for 12 years, comparing the incidence and survival rate of ischemic stroke subtypes. Morphologic examinations by autopsy or brain imaging was performed on most of the ischemic stroke cases in all cohorts.
The age-standardized incidence of lacunar infarction significantly declined by 59% for men and by 28% for women from the first to the second cohort. It continued to decline by 41% for men, but the decline decelerated for women between the second and third cohort. The age-standardized incidence of atherothrombotic infarction tended to decline from the first to the second cohort, whereas it was sustained between the second and third cohort for both sexes. The age-standardized incidence of cardioembolic infarction was unchanged throughout the cohorts. In these cohorts, mean blood pressure levels among hypertensive subjects and the prevalence of current smoker decreased with time, though the prevalence of hypertension remained stable. The 5-year survival rate after lacunar infarction significantly improved among the cohorts, but those of atherothrombotic and cardioembolic infarction did not.
These data suggest that, in the Japanese population, the incidence of lacunar infarction steadily declined for the last 40 years. The improvement of hypertension control and decreasing prevalence of smoking might be responsible for this trend.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Brain Ischemia - epidemiology</subject><subject>Cerebral Infarction - classification</subject><subject>Cerebral Infarction - epidemiology</subject><subject>Cerebral Infarction - etiology</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glucose Intolerance - epidemiology</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Hypertension - epidemiology</subject><subject>Incidence</subject><subject>Infectious diseases</subject><subject>Intracranial Arteriosclerosis - complications</subject><subject>Intracranial Arteriosclerosis - epidemiology</subject><subject>Intracranial Embolism - complications</subject><subject>Intracranial Embolism - epidemiology</subject><subject>Japan - epidemiology</subject><subject>Life Tables</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Morbidity - trends</subject><subject>Mortality - trends</subject><subject>Neurology</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Smoking - epidemiology</subject><subject>Smoking - trends</subject><subject>Social Change</subject><subject>Suburban Population</subject><subject>Survival Analysis</subject><subject>Survival Rate</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Viral diseases</subject><subject>Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye</subject><issn>0028-3878</issn><issn>1526-632X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkF1r2zAUhsXYWNJsf2GIwnZnT0eWJbt3JVu_CPSmg15V6OO4dXFsV7I38u-nNIGIAzrwPkc6PIScA8uBA__JIP_XdzlLh4OEgud1yZnKrfhAllBymcmCP34ky5RXWVGpakHOYnxlLIWq_kwWIBUoDmJJnn6hC2hi2z_Ttnetx94hHRraGTf3JtC_kQ7TCwY67UaM-8RhQBtMl_jGBDe1Q59aauidGU2PEek4jHNn9sEX8qkxXcSvx3tF_lz9fljfZJv769v15SZzAoopK2uvSpCyKZXg3ltv0TaCAwOBlguT1pW1FcKnKrgvnOTKMuW5RERXVsWK_Di8O4bhbcY46W0bHXZdWmiYo5aqrpVUZQIvDqALQ4wBGz2GdmvCTgPTe7uagU529cmufrerrUjD346_zHaL_jR61JmA70fARGe6JpikNJ44VUFZVVXxH4u9hOs</recordid><startdate>20060523</startdate><enddate>20060523</enddate><creator>KUBO, M</creator><creator>KIYOHARA, Y</creator><creator>NINOMIYA, T</creator><creator>TANIZAKI, Y</creator><creator>YONEMOTO, K</creator><creator>DOI, Y</creator><creator>HATA, J</creator><creator>OISHI, Y</creator><creator>SHIKATA, K</creator><creator>IIDA, M</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060523</creationdate><title>Decreasing incidence of lacunar vs other types of cerebral infarction in a Japanese population</title><author>KUBO, M ; KIYOHARA, Y ; NINOMIYA, T ; TANIZAKI, Y ; YONEMOTO, K ; DOI, Y ; HATA, J ; OISHI, Y ; SHIKATA, K ; IIDA, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-59d75166f5742ddbdbebf421014eb24a67169b44d44d32d3c627b07d26eeec583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Brain Ischemia - epidemiology</topic><topic>Cerebral Infarction - classification</topic><topic>Cerebral Infarction - epidemiology</topic><topic>Cerebral Infarction - etiology</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glucose Intolerance - epidemiology</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Hypertension - epidemiology</topic><topic>Incidence</topic><topic>Infectious diseases</topic><topic>Intracranial Arteriosclerosis - complications</topic><topic>Intracranial Arteriosclerosis - epidemiology</topic><topic>Intracranial Embolism - complications</topic><topic>Intracranial Embolism - epidemiology</topic><topic>Japan - epidemiology</topic><topic>Life Tables</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Morbidity - trends</topic><topic>Mortality - trends</topic><topic>Neurology</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Smoking - epidemiology</topic><topic>Smoking - trends</topic><topic>Social Change</topic><topic>Suburban Population</topic><topic>Survival Analysis</topic><topic>Survival Rate</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Viral diseases</topic><topic>Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KUBO, M</creatorcontrib><creatorcontrib>KIYOHARA, Y</creatorcontrib><creatorcontrib>NINOMIYA, T</creatorcontrib><creatorcontrib>TANIZAKI, Y</creatorcontrib><creatorcontrib>YONEMOTO, K</creatorcontrib><creatorcontrib>DOI, Y</creatorcontrib><creatorcontrib>HATA, J</creatorcontrib><creatorcontrib>OISHI, Y</creatorcontrib><creatorcontrib>SHIKATA, K</creatorcontrib><creatorcontrib>IIDA, M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KUBO, M</au><au>KIYOHARA, Y</au><au>NINOMIYA, T</au><au>TANIZAKI, Y</au><au>YONEMOTO, K</au><au>DOI, Y</au><au>HATA, J</au><au>OISHI, Y</au><au>SHIKATA, K</au><au>IIDA, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decreasing incidence of lacunar vs other types of cerebral infarction in a Japanese population</atitle><jtitle>Neurology</jtitle><addtitle>Neurology</addtitle><date>2006-05-23</date><risdate>2006</risdate><volume>66</volume><issue>10</issue><spage>1539</spage><epage>1544</epage><pages>1539-1544</pages><issn>0028-3878</issn><eissn>1526-632X</eissn><coden>NEURAI</coden><abstract>There is scant information on secular trends in the incidence and survival of ischemic stroke subtypes.
The authors established three cohorts of Hisayama residents age > or =40 years in 1961 (1,618 subjects), 1974 (2,038 subjects), and 1988 (2,637 subjects). They followed up with each cohort for 12 years, comparing the incidence and survival rate of ischemic stroke subtypes. Morphologic examinations by autopsy or brain imaging was performed on most of the ischemic stroke cases in all cohorts.
The age-standardized incidence of lacunar infarction significantly declined by 59% for men and by 28% for women from the first to the second cohort. It continued to decline by 41% for men, but the decline decelerated for women between the second and third cohort. The age-standardized incidence of atherothrombotic infarction tended to decline from the first to the second cohort, whereas it was sustained between the second and third cohort for both sexes. The age-standardized incidence of cardioembolic infarction was unchanged throughout the cohorts. In these cohorts, mean blood pressure levels among hypertensive subjects and the prevalence of current smoker decreased with time, though the prevalence of hypertension remained stable. The 5-year survival rate after lacunar infarction significantly improved among the cohorts, but those of atherothrombotic and cardioembolic infarction did not.
These data suggest that, in the Japanese population, the incidence of lacunar infarction steadily declined for the last 40 years. The improvement of hypertension control and decreasing prevalence of smoking might be responsible for this trend.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>16717214</pmid><doi>10.1212/01.wnl.0000216132.95207.b4</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Brain Ischemia - epidemiology Cerebral Infarction - classification Cerebral Infarction - epidemiology Cerebral Infarction - etiology Cohort Studies Female Follow-Up Studies Glucose Intolerance - epidemiology Human viral diseases Humans Hypertension - epidemiology Incidence Infectious diseases Intracranial Arteriosclerosis - complications Intracranial Arteriosclerosis - epidemiology Intracranial Embolism - complications Intracranial Embolism - epidemiology Japan - epidemiology Life Tables Male Medical sciences Middle Aged Morbidity - trends Mortality - trends Neurology Prevalence Risk Factors Smoking - epidemiology Smoking - trends Social Change Suburban Population Survival Analysis Survival Rate Vascular diseases and vascular malformations of the nervous system Viral diseases Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye |
| title | Decreasing incidence of lacunar vs other types of cerebral infarction in a Japanese population |
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