BMJ (Clinical research ed.) · 2016
Quality of diet and mortality among Japanese men and women: Japan Public Health Center based prospective study.
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Kurotani Kayo, Akter Shamima, Kashino Ikuko, Goto Atsushi, Mizoue Tetsuya, Noda Mitsuhiko, Sasazuki Shizuka, Sawada Norie, Tsugane Shoichiro, Japan Public Health Center based Prospective Study Group
Аннотация
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<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<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.
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<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<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.