Risk factors and the incidence of coronary artery disease in young middle-aged Japanese men: results from a 10-year cohort study

The objective of this study was to elucidate the relationship between risk factors and the coronary artery disease (CAD) in young middle-aged Japanese men. A cohort study of 2,764 young middle-aged Japanese men aged 3544 (mean+/-SD: 42.3+/-2.5) years based on a 10-year followup to identify the risk...

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Veröffentlicht in:Internal medicine (Tokyo, 1992) 1992), 2006-01, Vol.45 (5), p.235
Hauptverfasser: Satoh, Hiroki, Nishino, Tetsuo, Tomita, Kazuo, Saijo, Yasuaki, Kishi, Reiko, Tsutsui, Hiroyuki
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container_issue 5
container_start_page 235
container_title Internal medicine (Tokyo, 1992)
container_volume 45
creator Satoh, Hiroki
Nishino, Tetsuo
Tomita, Kazuo
Saijo, Yasuaki
Kishi, Reiko
Tsutsui, Hiroyuki
description The objective of this study was to elucidate the relationship between risk factors and the coronary artery disease (CAD) in young middle-aged Japanese men. A cohort study of 2,764 young middle-aged Japanese men aged 3544 (mean+/-SD: 42.3+/-2.5) years based on a 10-year followup to identify the risk factors for the occurrence of CAD was conducted. There were 35 cases of CAD during the follow up; 25 myocardial infarctions and 10 angina pectoris. The Cox Proportional hazard model was used to identify the independent risk factors for CAD. Adjustment was made for variables including age, body mass index, smoking habit, systolic blood pressure, total cholesterol (TC), high-density lipoprotein cholesterol (HDLC), fasting plasma glucose (FPG), and triglyceride. TC, low HDLC, and FPG were identified as significant independent risk factors for CAD. Adjusted hazard ratio (HR) of a high level of TC> or = 220 (mg/dl) for CAD was 5.46 (95% confidence interval (CI): 1.9617.51) and that of a high level of HDLC or = 110 (mg/dl) was 2.94 (95%CI: 1.228.23). Considering the combination of these risk factors, adjusted HR for CAD of the subjects who had 2 risk factors was 8.37 (95%CI: 2.2131.65). Using the database of young middle-aged Japanese men, TC, low HDLC, and FPG were found to be important risk factors for CAD, and the combination of these risk factors was associated with CAD.
doi_str_mv 10.2169/internalmedicine.45.1532
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Considering the combination of these risk factors, adjusted HR for CAD of the subjects who had 2 risk factors was 8.37 (95%CI: 2.2131.65). 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Considering the combination of these risk factors, adjusted HR for CAD of the subjects who had 2 risk factors was 8.37 (95%CI: 2.2131.65). 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A cohort study of 2,764 young middle-aged Japanese men aged 3544 (mean+/-SD: 42.3+/-2.5) years based on a 10-year followup to identify the risk factors for the occurrence of CAD was conducted. There were 35 cases of CAD during the follow up; 25 myocardial infarctions and 10 angina pectoris. The Cox Proportional hazard model was used to identify the independent risk factors for CAD. Adjustment was made for variables including age, body mass index, smoking habit, systolic blood pressure, total cholesterol (TC), high-density lipoprotein cholesterol (HDLC), fasting plasma glucose (FPG), and triglyceride. TC, low HDLC, and FPG were identified as significant independent risk factors for CAD. Adjusted hazard ratio (HR) of a high level of TC&gt; or = 220 (mg/dl) for CAD was 5.46 (95% confidence interval (CI): 1.9617.51) and that of a high level of HDLC&lt;50(mg/dl) was 9.01 (95%CI: 1.1372.17), and a high level of FPG&gt; or = 110 (mg/dl) was 2.94 (95%CI: 1.228.23). Considering the combination of these risk factors, adjusted HR for CAD of the subjects who had 2 risk factors was 8.37 (95%CI: 2.2131.65). Using the database of young middle-aged Japanese men, TC, low HDLC, and FPG were found to be important risk factors for CAD, and the combination of these risk factors was associated with CAD.</abstract><cop>Japan</cop><pmid>16595986</pmid><doi>10.2169/internalmedicine.45.1532</doi></addata></record>
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subjects Adult
Angina Pectoris - epidemiology
Blood Glucose - analysis
Cholesterol - blood
Cholesterol, HDL - blood
Confidence Intervals
Coronary Artery Disease - blood
Coronary Artery Disease - epidemiology
Follow-Up Studies
Humans
Japan - epidemiology
Male
Myocardial Infarction - epidemiology
Proportional Hazards Models
Risk Assessment
Risk Factors
title Risk factors and the incidence of coronary artery disease in young middle-aged Japanese men: results from a 10-year cohort study
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