Serum pepsinogen values and Helicobacter pylori status among control subjects of a nested case-control study in the JACC study

Helicobacter pylori infection and serum pepsinogen values are strongly related with stomach cancer. The aim of this study was to know what were these factors among general population. Subjects were randomly selected 633 control subjects in a nested case-control study for risk of stomach cancer. Most...

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Veröffentlicht in:Journal of epidemiology 2005, Vol.15 Suppl 2 (Supplement_II), p.S126-S133
Hauptverfasser: Kikuchi, Shogo, Yagyu, Kiyoko, Obata, Yuki, Yingsong, Lin, Yatsuya, Hiroshi, Hoshiyama, Yoshiharu, Kondo, Takaaki, Sakata, Kiyoshi, Mizoue, Tetsuya, Tokui, Noritaka, Fujino, Yoshihisa, Tamakoshi, Akiko, Toyoshima, Hideaki, Ishibashi, Teruo, Hayakawa, Norihiko, Yoshimura, Takesumi
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container_end_page S133
container_issue Supplement_II
container_start_page S126
container_title Journal of epidemiology
container_volume 15 Suppl 2
creator Kikuchi, Shogo
Yagyu, Kiyoko
Obata, Yuki
Yingsong, Lin
Yatsuya, Hiroshi
Hoshiyama, Yoshiharu
Kondo, Takaaki
Sakata, Kiyoshi
Mizoue, Tetsuya
Tokui, Noritaka
Fujino, Yoshihisa
Tamakoshi, Akiko
Toyoshima, Hideaki
Ishibashi, Teruo
Hayakawa, Norihiko
Yoshimura, Takesumi
description Helicobacter pylori infection and serum pepsinogen values are strongly related with stomach cancer. The aim of this study was to know what were these factors among general population. Subjects were randomly selected 633 control subjects in a nested case-control study for risk of stomach cancer. Most of them were from rural areas of Japan. Using frozen sera, pepsinogen I (PG I) and II (PG II) values and H. pylori antibody were measured. Those with PG I less than 50 ng/mL and the ratio of PG I to PG II (PG I/II) was less than 2.0 were defined as severe, those with PG I less than 70 ng/ml and PG I/II less than 3.0 were defined as mild and the other subjects were defined as no serological atrophy. About 70% of the subjects were H. pylori seropositive and the seroprevalence did not depend on age or sex. Percentages of those with severe serological atrophy increased with age from 10% in those aged 40-49 years to 38% in 70 and more, and percentages of those with mild serological atrophy were about 30% independent of age. The subjects, who were expected to represent populations of rural area of Japan, had high prevalence of both H. pylori infection and serological atrophy of gastric mucosa. These facts should be considered in discussing results of the nested case-control study.
doi_str_mv 10.2188/jea.15.S126
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The aim of this study was to know what were these factors among general population. Subjects were randomly selected 633 control subjects in a nested case-control study for risk of stomach cancer. Most of them were from rural areas of Japan. Using frozen sera, pepsinogen I (PG I) and II (PG II) values and H. pylori antibody were measured. Those with PG I less than 50 ng/mL and the ratio of PG I to PG II (PG I/II) was less than 2.0 were defined as severe, those with PG I less than 70 ng/ml and PG I/II less than 3.0 were defined as mild and the other subjects were defined as no serological atrophy. About 70% of the subjects were H. pylori seropositive and the seroprevalence did not depend on age or sex. Percentages of those with severe serological atrophy increased with age from 10% in those aged 40-49 years to 38% in 70 and more, and percentages of those with mild serological atrophy were about 30% independent of age. The subjects, who were expected to represent populations of rural area of Japan, had high prevalence of both H. pylori infection and serological atrophy of gastric mucosa. These facts should be considered in discussing results of the nested case-control study.</abstract><cop>Japan</cop><pub>Japan Epidemiological Association</pub><pmid>16127224</pmid><doi>10.2188/jea.15.S126</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Antibodies, Bacterial - blood
Biomarkers - blood
Case-Control Studies
Cross-Sectional Studies
Female
Gastric Mucosa - pathology
Health Status
Helicobacter Infections - blood
Helicobacter Infections - epidemiology
Helicobacter pylori - immunology
Humans
Japan
Male
Middle Aged
Original
Pepsinogen A - blood
Prevalence
Risk Factors
Rural Population
Stomach Neoplasms - epidemiology
Stomach Neoplasms - microbiology
title Serum pepsinogen values and Helicobacter pylori status among control subjects of a nested case-control study in the JACC study
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