Association Between Awareness of Limiting Food Intake and All-cause Mortality: A Cohort Study in Japan
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- Nishimoto Daisaku
- Department of Epidemiology and Preventive Medicine, Kagoshima University Graduate School of Medical and Dental Sciences School of Health Sciences, Faculty of Medicine, Kagoshima University
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- Ibusuki Rie
- Department of Community-Based Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
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- Shimoshikiryo Ippei
- Department of Epidemiology and Preventive Medicine, Kagoshima University Graduate School of Medical and Dental Sciences Environmental Epidemiology Section, Health and Environmental Risk Division, National Institute for Environmental Studies
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- Shibuya Kenichi
- Kagoshima Prefectural Oshima Hospital
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- Tanoue Shiroh
- Department of Epidemiology and Preventive Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
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- Koriyama Chihaya
- Department of Epidemiology and Preventive Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
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- Takezaki Toshiro
- Community Medicine Support Center, Kagoshima University Hospital
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- Oze Isao
- Division of Cancer Epidemiology and Prevention, Aichi Cancer Center
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- Ito Hidemi
- Division of Cancer Information and Control, Aichi Cancer Center Research Institute Division of Descriptive Cancer Epidemiology, Nagoya University Graduate School of Medicine
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- Hishida Asahi
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine
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- Tamura Takashi
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine
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- Kato Yasufumi
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine
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- Tamada Yudai
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine
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- Nishida Yuichiro
- Department of Preventive Medicine, Faculty of Medicine, Saga University
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- Shimanoe Chisato
- Department of Pharmacy, Saga University Hospital
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- Suzuki Sadao
- Department of Public Health, Nagoya City University Graduate School of Medical Sciences
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- Nishiyama Takeshi
- Department of Public Health, Nagoya City University Graduate School of Medical Sciences
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- Ozaki Etsuko
- Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine
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- Tomida Satomi
- Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine Department of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine
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- Kuriki Kiyonori
- Laboratory of Public Health, Division of Nutritional Sciences, School of Food and Nutritional Sciences, University of Shizuoka
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- Miyagawa Naoko
- Department of Preventive Medicine and Public Health, Keio University School of Medicine Department of Public Health, Shiga University of Medical Science
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- Kondo Keiko
- NCD Epidemiology Research Center, Shiga University of Medical Science
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- Arisawa Kokichi
- Department of Preventive Medicine, Tokushima University Graduate School of Biomedical Sciences
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- Watanabe Takeshi
- Department of Preventive Medicine, Tokushima University Graduate School of Biomedical Sciences
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- Ikezaki Hiroaki
- Department of General Internal Medicine, Kyushu University Hospital Department of Comprehensive General Internal Medicine, Kyushu University Faculty of Medical Sciences
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- Otonari Jun
- Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University Hospital
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- Wakai Kenji
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine
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- Matsuo Keitaro
- Division of Cancer Epidemiology and Prevention, Aichi Cancer Center Department of Cancer Epidemiology, Nagoya University Graduate School of Medicine
説明
<p>Background: Improving diets requires an awareness of the need to limit foods for which excessive consumption is a health problem. Since there are limited reports on the link between this awareness and mortality risk, we examined the association between awareness of limiting food intake (energy, fat, and sweets) and all-cause mortality in a Japanese cohort study.</p><p>Methods: Participants comprised 58,772 residents (27,294 men; 31,478 women) aged 35–69 years who completed baseline surveys of the Japan Multi-Institutional Collaborative Cohort Study from 2004 to 2014. Hazard ratios (HRs) for all-cause mortality and 95% confidence intervals (CIs) were estimated by sex using a Cox proportional hazard model, with adjustment for related factors. Mediation analysis with fat intake as a mediator was also conducted.</p><p>Results: The mean follow-up period was 11 years, and 2,516 people died. Estimated energy and fat intakes according to the Food Frequency Questionnaire were lower in those with awareness of limiting food intake than in those without this awareness. Women with awareness of limiting fat intake showed a significant decrease in mortality risk (HR 0.73; 95% CI, 0.55–0.94). Mediation analysis revealed that this association was due to the direct effect of the awareness of limiting fat intake and that the total effect was not mediated by actual fat intake. Awareness of limiting energy or sweets intake was not related to mortality risk reduction.</p><p>Conclusion: Awareness of limiting food intake had a limited effect on reducing all-cause mortality risk.</p>
収録刊行物
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- Ｊｏｕｒｎａｌ ｏｆ Ｅｐｉｄｅｍｉｏｌｏｇｙ
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Ｊｏｕｒｎａｌ ｏｆ Ｅｐｉｄｅｍｉｏｌｏｇｙ 34 (6), 286-294, 2024-06-05
日本疫学会