Trends in the Incidence of Cardiovascular Diseases and their Risk Factors in a Rural Japanese Population
スポンサーリンク
概要
- 論文の詳細を見る
To relate the morbidity trends with changes in risk factors for stroke and coronary heart disease between the 1960's and the 1980's, the data of disease surveillance and population surveys of risk characteristics in a northeast rural community of Japan (1965 census population 7, 030) are combined. Between 1964 and 1987, the incidence of all stroke declined about 70% for both men and women aged 40-69. A decline in the stroke incidence was also observed for men and women aged 70 and over in the 1980's. There was about a 50% decline in the prevalence of stroke patients and the number of "bed-ridden" patients with severe disability among men and women aged 40 and over between the 1970's and the 1980's. The incidence of coronary heart disease did not change significantly and was lower than that for stroke. There was an over 10 mmHg systolic and 4 mmHg diastolic blood pressure decline for men and women aged 40-69, primarily in the second decade. The blood pressure decline may have been in part due to increased use of antihypertensive medication which was observed from the first decade. However, part of the blood pressure decline may be attributed to changes in related behaviors and environmental factors such as decreased salt intake and the improvement of working conditions, since the substantial decline occurred in the second decade. Between the 1960's and the 1980's, daily average salt intake decreased from 20 g to 14 g for men aged 40-59. Animal fat intake doubled from 4.5% to 9.6%. The most of the increase of fat intake was seen in the first decade due to an increased intake of meat, eggs and dairy products. Mean serum cholesterol increased 22 mg/dl to the 1980's mean level of 179 mg/dl in men aged 40-69, and 29 mg/dl to 192 mg/dl in women age 40-69. The increase of serum cholesterol level paralleled the increased intake of animal fat. A cohort of men and women aged 40-69 were followed from 1963-1966 to 1973 (2, 257 persons) to examine risk factors of stroke. According to multivariate regression analyses, blood pressure levels and end organ effects in the electrocardiogram and fundus photographs were significantly associated with the incidence of cerebral hemorrhage and infarction. Serum total cholesterol was inversely associated with cerebral hemorrhage. Reliable estimates of risk factors for coronary heart disease in this population was not obtained because of the small number of cases. Surveillance and risk factor surveys are continuing in order to clarify trends in cardiovascular diseases in the rural Japanese population in the future.
- 日本疫学会の論文
著者
-
ISO Hiroyasu
Institute of Community Medicine, University of Tsukuba
-
Shimamoto Takashi
Institute Of Community Medicine University Of Tsukuba
-
Konishi Masamitsu
Department Of Clinical Pharmacology And Therapeutics Tohoku University
-
Iida Minoru
Department Of Domestic Science Tokyo Bunka Junior College
-
Komachi Yoshio
Osaka Medical Center For Health Science And Promotion
関連論文
- Effects of Obesity and Smoking on Mental Stress-Induced Blood Pressure and Augmentation Index Responses in Normotensive Young Males : The J-SHIPP Study
- Comparison of the Prevalence of Asymptomatic Carotid Atherosclerosis Detected by High-Resolution Ultrasonography in Rural and Urban Middle-Aged Japanese Men
- Differences in Dietary Habits, Serum Fatty Acid Compositions and Other Coronary Risk Characteristics between Freshmen and Fourth-year Male University Students
- Long-Term Prognosis after Stroke : A Community-Based Study in Japan
- Impact of Anger Expression on Blood Pressure Levels in White-Color Workers with Low-Coping Behavior
- Validity and Reliability of the Japanese Version of the Selected Anger Expression Scale and Age, Sex, Occupation and Regional Differences in Anger Expression Among Japanese
- Plasma Fibrinogen, Tissue Plasminogen Activator, Plasminogen Activator Inhibitor 1, and Their Related Factors in Three Japanese Population Samples
- Trends for Cardiovascular Risk Factors and Diseases in Japan
- Epidemiology of Cerebrovascular Disease : Stroke Epidemic in Japan
- Relationships between Lifestyle-Related Factors and Immune Parameters in Middle-Aged Male Workers
- The impact of the metabolic syndrome and its components on the incidence of ischemic heart disease and stroke : the Japan public health center-based study
- A Case-Reference Study on Plasma Fibrinogen Concentrations and Coronary Atherosclerosis in Japanese
- Changes in Cardiovascular Risk Factors Related with Menopause in Rural Japanese Women
- Trends for Coronary Heart Disease and its risk Factors in Japan : Epidemiologic and Pathologic Studies : 53th Annual Scientific Session of the Japanese Circulation Society
- The Trend of Coronary Heart Disease and Its Risk Factors Based on Epidemiological investigations : PANEL DISCUSSION ON MORTALITY AND MORBIDIRY TRENDS IN ACUTE MYOCARDIAL INFARCTION IN JAPAN AND EMERGENCY CARE FOR IT : 50th Annual Scientific Session of the
- Anthropometric Measures, Blood Pressure and Major Laboratory Examination Results in the Health Check-up Examination among the JPHC Study Participants at Baseline Survey
- -229-A COMPARISON OF BLOOD PRESSURE IN PARENTS AND THEIR CHILDREN BASED ON THE DATA COLLECTED FROM LONG TERM OBSERVATION
- Recent Morbidity Trends in Myocardial infarction in Japan : investigation of Death Certificates and the Survival Rates At Coronary Care Units : PANEL DISCUSSION ON MORTALITY AND MORBIDIRY TRENDS IN ACUTE MYOCARDIAL INFARCTION IN JAPAN AND EMERGENCY CARE F
- -0251-EVALUATION OF BLOOD PRESSURE AT HEALTH CHECK-UP CLINIC BY AMBULATORY 24-HOUR BLOOD PRESSURE MONITORING ON USUAL WORKING DAY AND ECHOCARDIOGRAPHY
- RECENT CHANGES IN LIFESTYLE AND RISK FACTORS OF STROKE IN JAPAN : Valvular Heart Disease, Pulmonary Circulation : FREE COMMUNICATIONS (VI) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Health Status, Life Habits, and Social Background among the JPHC Study Participants at Baseline Survey
- Intake Ratio of Water-insoluble Dietary Fiber to the Water-soluble One in Japanese: An Estimation on Dietary Records and the Secular Consideration on the National Nutrition Survey
- Anthropometric Measures, Blood Pressure and Major Laboratory Examination Results in the Health Check-up Examination among the JPHC Study Participants at Baseline Survey
- Trends of Blood Pressure Distributions in a Northeast Rural Japanese Population
- Dietary Fiber Intake of Japanese Younger Generations and the Recommended Daily Allowance.
- FOUR CASES OF IDIOPATHIC RENAL HEMORRHAGE SUCCESSFULLY TREATED WITH TONSILLECTOMY AND ARTIFICIAL HIBERNATION THERAPY
- Physical Activity and its Relationship to Cardiovascular Risk Factors in Rural Japanese Men
- Pathologic Characteristics of Stroke and Myocardial Infarction in Japan:Akita Pathology Study
- Long-Term Prognosis after Stroke: A Community-Based Study in Japan.
- STUDIES ON EXPERIMENTAL SHOCK AND ITS PREVENTION IN GUIVEA PIGS BEING APPLIED STIMULATION TO THE PALATE
- Trends in the Incidence of Cardiovascular Diseases and their Risk Factors in a Rural Japanese Population
- ON THE PHARMACOLOGICAL ACTION OF 16-ACETYL DIGITALINUM VERUM