Quality of diet and mortality among Japanese men and women: Japan Public Health Center based prospective study

Objective To examine the association between adherence to the Japanese Food Guide Spinning Top and total and cause specific mortality.Design Large scale population based prospective cohort study in Japan with follow-up for a median of 15 years.Setting 11 public health centre areas across Japan.Parti...

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Veröffentlicht in:BMJ (Online) 2016-03, Vol.352, p.i1209-i1209
Hauptverfasser: Kurotani, Kayo, Akter, Shamima, Kashino, Ikuko, Goto, Atsushi, Mizoue, Tetsuya, Noda, Mitsuhiko, Sasazuki, Shizuka, Sawada, Norie, Tsugane, Shoichiro
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container_title BMJ (Online)
container_volume 352
creator Kurotani, Kayo
Akter, Shamima
Kashino, Ikuko
Goto, Atsushi
Mizoue, Tetsuya
Noda, Mitsuhiko
Sasazuki, Shizuka
Sawada, Norie
Tsugane, Shoichiro
description Objective To examine the association between adherence to the Japanese Food Guide Spinning Top and total and cause specific mortality.Design Large scale population based prospective cohort study in Japan with follow-up for a median of 15 years.Setting 11 public health centre areas across Japan.Participants 36 624 men and 42 970 women aged 45-75 who had no history of cancer, stroke, ischaemic heart disease, or chronic liver disease.Main outcome measures Deaths and causes of death identified with the residential registry and death certificates.Results Higher scores on the food guide (better adherence) were associated with lower total mortality; the multivariable adjusted hazard ratios (95% confidence interval) of total mortality for the lowest through highest scores were 1.00, 0.92 (0.87 to 0.97), 0.88 (0.83 to 0.93), and 0.85 (0.79 to 0.91) (P
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This score was inversely associated with mortality from cardiovascular disease (hazard ratio associated with a 10 point increase 0.93, 0.89 to 0.98; P=0.005 for trend) and particularly from cerebrovascular disease (0.89, 0.82 to 0.95; P=0.002 for trend). There was some evidence, though not significant, of an inverse association for cancer mortality (0.96, 0.93 to 1.00; P=0.053 for trend).Conclusion Closer adherence to Japanese dietary guidelines was associated with a lower risk of total mortality and mortality from cardiovascular disease, particularly from cerebrovascular disease, in Japanese adults.</description><identifier>ISSN: 1756-1833</identifier><identifier>ISSN: 0959-8138</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.i1209</identifier><identifier>PMID: 27005903</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Aged ; Alcoholic beverages ; Algae ; Beverages ; Cardiovascular disease ; Dairy products ; Diet ; Diet - statistics &amp; numerical data ; Diet Surveys ; Dietary guidelines ; Energy ; Female ; Follow-Up Studies ; Food ; Health Behavior ; Health care ; Humans ; Japan - epidemiology ; Life expectancy ; Male ; Middle Aged ; Milk ; Mortality ; Multivariate Analysis ; Nutrition Policy ; Proportional Hazards Models ; Prospective Studies ; Public health ; Questionnaires ; Reproducibility ; Womens health</subject><ispartof>BMJ (Online), 2016-03, Vol.352, p.i1209-i1209</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright BMJ Publishing Group LTD Mar 22, 2016</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to 2016 BMJ</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b498t-9fabdd01a2a261f1c34aae4b347f5f18c78fdbccb6901289f27c0e6388324b213</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmj.com/content/352/bmj.i1209.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://bmj.com/content/352/bmj.i1209.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>114,115,230,314,777,781,882,3183,23552,27905,27906,77349,77380</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27005903$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kurotani, Kayo</creatorcontrib><creatorcontrib>Akter, Shamima</creatorcontrib><creatorcontrib>Kashino, Ikuko</creatorcontrib><creatorcontrib>Goto, Atsushi</creatorcontrib><creatorcontrib>Mizoue, Tetsuya</creatorcontrib><creatorcontrib>Noda, Mitsuhiko</creatorcontrib><creatorcontrib>Sasazuki, Shizuka</creatorcontrib><creatorcontrib>Sawada, Norie</creatorcontrib><creatorcontrib>Tsugane, Shoichiro</creatorcontrib><creatorcontrib>Japan Public Health Center based Prospective Study Group</creatorcontrib><title>Quality of diet and mortality among Japanese men and women: Japan Public Health Center based prospective study</title><title>BMJ (Online)</title><addtitle>BMJ</addtitle><description>Objective To examine the association between adherence to the Japanese Food Guide Spinning Top and total and cause specific mortality.Design Large scale population based prospective cohort study in Japan with follow-up for a median of 15 years.Setting 11 public health centre areas across Japan.Participants 36 624 men and 42 970 women aged 45-75 who had no history of cancer, stroke, ischaemic heart disease, or chronic liver disease.Main outcome measures Deaths and causes of death identified with the residential registry and death certificates.Results Higher scores on the food guide (better adherence) were associated with lower total mortality; the multivariable adjusted hazard ratios (95% confidence interval) of total mortality for the lowest through highest scores were 1.00, 0.92 (0.87 to 0.97), 0.88 (0.83 to 0.93), and 0.85 (0.79 to 0.91) (P&lt;0.001 for trend) and the multivariable adjusted hazard ratio associated with a 10 point increase in food guide scores was 0.93 (0.91 to 0.95; P&lt;0.001 for trend). This score was inversely associated with mortality from cardiovascular disease (hazard ratio associated with a 10 point increase 0.93, 0.89 to 0.98; P=0.005 for trend) and particularly from cerebrovascular disease (0.89, 0.82 to 0.95; P=0.002 for trend). There was some evidence, though not significant, of an inverse association for cancer mortality (0.96, 0.93 to 1.00; P=0.053 for trend).Conclusion Closer adherence to Japanese dietary guidelines was associated with a lower risk of total mortality and mortality from cardiovascular disease, particularly from cerebrovascular disease, in Japanese adults.</description><subject>Aged</subject><subject>Alcoholic beverages</subject><subject>Algae</subject><subject>Beverages</subject><subject>Cardiovascular disease</subject><subject>Dairy products</subject><subject>Diet</subject><subject>Diet - statistics &amp; numerical data</subject><subject>Diet Surveys</subject><subject>Dietary guidelines</subject><subject>Energy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Food</subject><subject>Health Behavior</subject><subject>Health care</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Life expectancy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Milk</subject><subject>Mortality</subject><subject>Multivariate Analysis</subject><subject>Nutrition Policy</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Reproducibility</subject><subject>Womens health</subject><issn>1756-1833</issn><issn>0959-8138</issn><issn>1756-1833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kUFrFTEUhUOptKV24R8ogXahi1dzk5lJxoUgD7VKQQVdhySTtHnMTKZJpvL-vXmdWlrBVS43Xw4n5yD0CsgFAGve6mFz4YGSdg8dAa-bFQjG9p_Mh-gkpQ0hhDIu2qY-QIeUE1K3hB2h8cesep-3ODjceZuxGjs8hJiXrRrCeI2_qkmNNlk82PEe-B3K9G7Z4--z7r3Bl1b1-Qav7ZhtxFol2-EphjRZk_2dxSnP3fYleuFUn-zJw3mMfn36-HN9ubr69vnL-sPVSletyKvWKd11BBRVtAEHhlVK2UqzirvagTBcuE4bo5uWABWto9wQ2zAhGK00BXaM3i-606wH25liKqpeTtEPKm5lUF4-vxn9jbwOd7ISpAJaF4HXDwIx3M42ZTn4ZGzflyDCnCTwEi-rgJCCnv2DbsIcx_K9HcUF48DaQr1ZKFMySdG6RzNA5K5IWYqU90UW9vSp-0fyb20FOF-A3Zv_6_wBuKKmBA</recordid><startdate>20160322</startdate><enddate>20160322</enddate><creator>Kurotani, Kayo</creator><creator>Akter, Shamima</creator><creator>Kashino, Ikuko</creator><creator>Goto, Atsushi</creator><creator>Mizoue, Tetsuya</creator><creator>Noda, Mitsuhiko</creator><creator>Sasazuki, Shizuka</creator><creator>Sawada, Norie</creator><creator>Tsugane, Shoichiro</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group Ltd</general><scope>9YT</scope><scope>ACMMV</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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160322</creationdate><title>Quality of diet and mortality among Japanese men and women: Japan Public Health Center based prospective study</title><author>Kurotani, Kayo ; 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the multivariable adjusted hazard ratios (95% confidence interval) of total mortality for the lowest through highest scores were 1.00, 0.92 (0.87 to 0.97), 0.88 (0.83 to 0.93), and 0.85 (0.79 to 0.91) (P&lt;0.001 for trend) and the multivariable adjusted hazard ratio associated with a 10 point increase in food guide scores was 0.93 (0.91 to 0.95; P&lt;0.001 for trend). This score was inversely associated with mortality from cardiovascular disease (hazard ratio associated with a 10 point increase 0.93, 0.89 to 0.98; P=0.005 for trend) and particularly from cerebrovascular disease (0.89, 0.82 to 0.95; P=0.002 for trend). There was some evidence, though not significant, of an inverse association for cancer mortality (0.96, 0.93 to 1.00; P=0.053 for trend).Conclusion Closer adherence to Japanese dietary guidelines was associated with a lower risk of total mortality and mortality from cardiovascular disease, particularly from cerebrovascular disease, in Japanese adults.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>27005903</pmid><doi>10.1136/bmj.i1209</doi><oa>free_for_read</oa></addata></record>
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subjects Aged
Alcoholic beverages
Algae
Beverages
Cardiovascular disease
Dairy products
Diet
Diet - statistics & numerical data
Diet Surveys
Dietary guidelines
Energy
Female
Follow-Up Studies
Food
Health Behavior
Health care
Humans
Japan - epidemiology
Life expectancy
Male
Middle Aged
Milk
Mortality
Multivariate Analysis
Nutrition Policy
Proportional Hazards Models
Prospective Studies
Public health
Questionnaires
Reproducibility
Womens health
title Quality of diet and mortality among Japanese men and women: Japan Public Health Center based prospective study
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