Association between lifestyle and metabolic syndrome incidence of workers in northern Okinawa, Japan: A cohort study
In Japan, specific health checkups were implemented to prevent metabolic syndrome (MetS) and cardiovascular diseases in April 2008. This study aimed to clarify the relationship between lifestyle factors and the MetS incidence to understand how the disease can be prevented and to improve the public h...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335522003023 |
| _version_ | 1811190038351839232 |
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| author | Takuji Kishimoto Miwa Churiki Tatsuya Miyazato Akihiro Yamashiro Yoshitaka Nagasawa Hayashi Shokita |
| author_facet | Takuji Kishimoto Miwa Churiki Tatsuya Miyazato Akihiro Yamashiro Yoshitaka Nagasawa Hayashi Shokita |
| author_sort | Takuji Kishimoto |
| collection | DOAJ |
| description | In Japan, specific health checkups were implemented to prevent metabolic syndrome (MetS) and cardiovascular diseases in April 2008. This study aimed to clarify the relationship between lifestyle factors and the MetS incidence to understand how the disease can be prevented and to improve the public health policy.A retrospective cohort study was conducted using the specific health checkup data of 2,781 workers. Lifestyle factors were assessed using lifestyle-related items in the general health questionnaire included in the specific health checkups. The hazard ratio values for the incidence of MetS according to lifestyle-related items were determined from the data of the specific health checkup for 12 years. The Cox proportional hazard survival model was used to evaluate hazard ratio values after adjusting for confounding factors. The limitations of this research method are discussed using a target trial emulation framework which investigates problems such as biases in observational studies.The crude incidence rates per 1,000 person-years of MetS in women and men were 15.25 and 47.58, respectively. Three dietary lifestyle-related factors, namely “Eating snacks and sweet beverages other than breakfast, lunch, and dinner,” “Eating faster than others,” and “Skipping breakfast at least three times a week,” were identified, with the hazard ratio values 1.262 (95 % confidence interval [CI] 1.032–1.542, p = 0.023), 1.220 (95 % CI 1.032–1.442, p = 0.020) and 1.189 (95 % CI 1.012–1.397, p = 0.036), respectively.These results suggest that lifestyle improvements related to extracted lifestyle-related items contribute to the prevention of MetS. |
| first_indexed | 2024-04-11T14:44:44Z |
| format | Article |
| id | doaj.art-2981183d4a55460dafddec07ec2a1ab7 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-11T14:44:44Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-2981183d4a55460dafddec07ec2a1ab72022-12-22T04:17:43ZengElsevierPreventive Medicine Reports2211-33552022-12-0130101995Association between lifestyle and metabolic syndrome incidence of workers in northern Okinawa, Japan: A cohort studyTakuji Kishimoto0Miwa Churiki1Tatsuya Miyazato2Akihiro Yamashiro3Yoshitaka Nagasawa4Hayashi Shokita5Department of Health Screening, Okinawa North Medical Association Hospital, 1712-3, Umusa, Nago City, Okinawa 905-8611, Japan; Corresponding author.Department of Health Screening, Okinawa North Medical Association Hospital, 1712-3, Umusa, Nago City, Okinawa 905-8611, JapanDepartment of Health Screening, Okinawa North Medical Association Hospital, 1712-3, Umusa, Nago City, Okinawa 905-8611, JapanDepartment of Health Screening, Okinawa North Medical Association Hospital, 1712-3, Umusa, Nago City, Okinawa 905-8611, JapanDepartment of Endocrinology, Metabolism and Dialysis, Okinawa North Medical Association Hospital, 1712-3, Umusa, Nago City, Okinawa 905-8611, JapanDepartment of Gastroenterology, Okinawa North Medical Association Hospital, 1712-3, Umusa, Nago City, Okinawa 905-8611, JapanIn Japan, specific health checkups were implemented to prevent metabolic syndrome (MetS) and cardiovascular diseases in April 2008. This study aimed to clarify the relationship between lifestyle factors and the MetS incidence to understand how the disease can be prevented and to improve the public health policy.A retrospective cohort study was conducted using the specific health checkup data of 2,781 workers. Lifestyle factors were assessed using lifestyle-related items in the general health questionnaire included in the specific health checkups. The hazard ratio values for the incidence of MetS according to lifestyle-related items were determined from the data of the specific health checkup for 12 years. The Cox proportional hazard survival model was used to evaluate hazard ratio values after adjusting for confounding factors. The limitations of this research method are discussed using a target trial emulation framework which investigates problems such as biases in observational studies.The crude incidence rates per 1,000 person-years of MetS in women and men were 15.25 and 47.58, respectively. Three dietary lifestyle-related factors, namely “Eating snacks and sweet beverages other than breakfast, lunch, and dinner,” “Eating faster than others,” and “Skipping breakfast at least three times a week,” were identified, with the hazard ratio values 1.262 (95 % confidence interval [CI] 1.032–1.542, p = 0.023), 1.220 (95 % CI 1.032–1.442, p = 0.020) and 1.189 (95 % CI 1.012–1.397, p = 0.036), respectively.These results suggest that lifestyle improvements related to extracted lifestyle-related items contribute to the prevention of MetS.http://www.sciencedirect.com/science/article/pii/S2211335522003023Metabolic syndromeLifestyleCohort studyTarget trial emulation |
| spellingShingle | Takuji Kishimoto Miwa Churiki Tatsuya Miyazato Akihiro Yamashiro Yoshitaka Nagasawa Hayashi Shokita Association between lifestyle and metabolic syndrome incidence of workers in northern Okinawa, Japan: A cohort study Preventive Medicine Reports Metabolic syndrome Lifestyle Cohort study Target trial emulation |
| title | Association between lifestyle and metabolic syndrome incidence of workers in northern Okinawa, Japan: A cohort study |
| title_full | Association between lifestyle and metabolic syndrome incidence of workers in northern Okinawa, Japan: A cohort study |
| title_fullStr | Association between lifestyle and metabolic syndrome incidence of workers in northern Okinawa, Japan: A cohort study |
| title_full_unstemmed | Association between lifestyle and metabolic syndrome incidence of workers in northern Okinawa, Japan: A cohort study |
| title_short | Association between lifestyle and metabolic syndrome incidence of workers in northern Okinawa, Japan: A cohort study |
| title_sort | association between lifestyle and metabolic syndrome incidence of workers in northern okinawa japan a cohort study |
| topic | Metabolic syndrome Lifestyle Cohort study Target trial emulation |
| url | http://www.sciencedirect.com/science/article/pii/S2211335522003023 |
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