Nested Case-Control Study on Associations between Lung Function, Smoking and Mortality in Japanese Population

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概要

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• Objectives: Only a few long-term follow-up studies with a focus on the association between lung function and mortality in the Japanese population have been undertaken. In this study, we examined the associations of lung function, smoking and the results of allergy skin tests with mortality in a longitudinal study of the Japanese population. Methods: Baseline measurements were performed on residents of Fukui, Japan in 1972, and a follow-up survey was conducted in 2002. By employing a nested case-control design, 596 cases (deaths) and 596 age and sex-matched controls (survivals) were selected. Lung function was assessed using forced vital capacity (FVC) expressed as the normal percent predicted (FVC %pred) and the ratio of forced expiratory volume in 1 second (FEV1) to FVC (FEV1/FVC). Allergy skin tests were performed with extracts of house dust, candidia and mixed fungal samples (bronchomycosis). The Brinkman index was used to assess smoking intensity. The Cox proportional hazards model was used to evaluate whether lung function was associated with mortality after adjustment for other potential confounding variables. Results: Those categorized into the first- or second-lowest quartile of FVC %pred had a higher mortality [hazard ratios (HRs) and 95% confidence intervals (CIs): 2.01 (1.26−3.19) and 1.84 (1.11−3.05)], respectively. On top of these, heavy smoking (BI≥400) was associated with a higher mortality [HR and 95%CI: 1.73 (1.18−2.53)]. There were only weak of associations between the results of allergy skin tests and mortality. Conclusions: These results suggest that FVC %pred of lung function and smoking can serve as long-term independent predictors of mortality.

• 2007-11-01

著者

• KAGAMIMORI SADANOBU

  Department of Welfare Promotion and Epidemiology, Toyama Medical and Pharmaceutical University

• Wang Hailan

  Guangdong Poison Control Center

• Wang Hailan

  中華人民共和国

• Wang Hailan

  Department Of Occupational And Environmental Health Nagoya University Graduate School Of Medicine

• WANG Hongbing

  Department of Physiology and Neuroscience Program, Michigan State University

• Wang Hongbing

  Department Of Welfare Promotion And Epidemiology Graduate School Of Medical And Pharmaceutical Scien

• Wang Hongbing

  Department Of Physiology And Neuroscience Program Michigan State University

• Gaina Alexandru

  Department Of Welfare Promotion And Epidemiology Graduate School Of Medical And Pharmaceutical Scien

• Kagamimori S

  Department Of Welfare Promotion And Epidemiology Faculty Of Medicine University Of Toyama

• Kagamimori Sadanobu

  聖マリアンナ医科大学 予防医学

• Kagamimori Sadanobu

  Department Of Community Medicine Faculty Of Medicine Toyama Medical And Pharmaceutical University

• Suka Machi

  Department Of Preventive Medicine St Marianna University School Of Medicine

• SEKINE Michikazu

  Department of Welfare Promotion and Epidemiology, Toyama Medical and Pharmaceutical University

• Kagamimori Sadanobu

  Department Of Welfare Promotion And Epidemiology Graduate School Of Medicine And Pharmaceutical Scie

• HU Lizhen

  Department of Welfare Promotion and Epidemiology, Graduate School of Medical Sciences, University of

• Hu Lizhen

  Department Of Welfare Promotion And Epidemiology Graduate School Of Medical And Pharmaceutical Scien

• Sekine Michikazu

  Department Of Welfare Promotion And Epidemiology Graduate School Of Medicine And Pharmaceutical Scie

• KAGAMIMORI Sadanobu

  Department of Community Health and Preventive Medicine, Toyama Medical and Pharmaceutical University

• SEKINE MICHIKAZU

  Department of Surgery, School of Medicine, Keio University

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