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. 2016 Mar 22:352:i1209.
doi: 10.1136/bmj.i1209.

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

Kayo Kurotani  1 , Shamima Akter  2 , Ikuko Kashino  2 , Atsushi Goto  3 , Tetsuya Mizoue  2 , Mitsuhiko Noda  4 , Shizuka Sasazuki  5 , Norie Sawada  5 , Shoichiro Tsugane  5 ; Japan Public Health Center based Prospective Study Group
Collaborators, Affiliations

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

Kayo Kurotani et al. BMJ. .

Abstract

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.

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Conflict of interest statement

Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare: no support from any organisation for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work.

Figures

None
Fig 1 Japanese Food Guide Spinning Top
See this image and copyright information in PMC

References

    1. World Health Organization. World Health Statistics 2014. WHO, 2015. http://apps.who.int/iris/bitstream/10665/112738/1/9789240692671_eng.pdf?....
    1. Ikeda N, Saito E, Kondo N, et al. What has made the population of Japan healthy?Lancet 2011;378:1094-105. - PubMed
    1. Tominaga S, Kuroishi T. An ecological study on diet/nutrition and cancer in Japan. Int J Cancer 1997;Suppl 10:2-6. - PubMed
    1. Ohno Y. Health development in Japan: determinants, implications and perspectives. World Health Stat Q 1985;38:176-92. - PubMed
    1. National Institute of Health and Nutrition. The National Health and Nutrition Survey 1975-2002. 2005. http://www0.nih.go.jp/eiken/chosa/kokumin_eiyou/doc_theme/tbl_1100.xls.

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