Japanese Diet and Mortality, Disability, and Dementia: Evidence from the Ohsaki Cohort Study

The Japanese dietary pattern has long been discussed as one of the factors behind the longevity of Japanese people. However, the health benefits of the Japanese dietary pattern have not been fully elucidated. We published the first report in the world regarding the relation between the Japanese diet...

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Main Authors: Sanae Matsuyama, Taichi Shimazu, Yasutake Tomata, Shu Zhang, Saho Abe, Yukai Lu, Ichiro Tsuji
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/10/2034
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author Sanae Matsuyama
Taichi Shimazu
Yasutake Tomata
Shu Zhang
Saho Abe
Yukai Lu
Ichiro Tsuji
author_facet Sanae Matsuyama
Taichi Shimazu
Yasutake Tomata
Shu Zhang
Saho Abe
Yukai Lu
Ichiro Tsuji
author_sort Sanae Matsuyama
collection DOAJ
description The Japanese dietary pattern has long been discussed as one of the factors behind the longevity of Japanese people. However, the health benefits of the Japanese dietary pattern have not been fully elucidated. We published the first report in the world regarding the relation between the Japanese dietary pattern and cardiovascular disease mortality in 2007 using cohort studies including Japanese residents of Ohsaki City, Miyagi Prefecture, Japan. Since then, we have developed the Japanese Diet Index (JDI) that was based on previous findings to assess the degree of the Japanese dietary pattern and to advance the evidence on the health effects of the Japanese dietary pattern. So far, we have explored the associations between the JDI score (in quartiles) and various outcomes. For all-cause mortality, in comparison to Q1 (the lowest), the multivariable hazard ratios (HRs) and 95% confidence intervals (95%CIs) were 0.92 (0.85–1.00) for Q2, 0.91 (0.83–0.99) for Q3, and 0.91 (0.83–0.99) for Q4 (the highest). For functional disability, the multivariable HRs (95%CIs) were 0.94 (0.81–1.09) for Q2, 0.90 (0.77–1.05) for Q3, and 0.79 (0.68–0.92) for Q4. For dementia, the multivariable HRs (95%CIs) were 0.88 (0.74–1.05) for Q2, 0.87 (0.73–1.04) for Q3, 0.79 (0.66–0.95) for Q4. In addition, people with higher adherence to the Japanese dietary pattern also showed decreases in disability and dementia risks. The purpose of this article was to review all six papers, summarize the health effects of the Japanese dietary pattern, and discuss implications for future research.
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spelling doaj.art-99eb196e3e4a46269dac417c1c0712db2023-11-23T12:28:55ZengMDPI AGNutrients2072-66432022-05-011410203410.3390/nu14102034Japanese Diet and Mortality, Disability, and Dementia: Evidence from the Ohsaki Cohort StudySanae Matsuyama0Taichi Shimazu1Yasutake Tomata2Shu Zhang3Saho Abe4Yukai Lu5Ichiro Tsuji6Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health, Graduate School of Medicine, Sendai 980-8575, JapanDivision of Behavioral Sciences, Institute for Cancer Control, National Cancer Center, Tokyo 104-0045, JapanSchool of Nutrition and Dietetics, Faculty of Health and Social Services, Kanagawa University of Human Services, Yokosuka 238-8522, JapanDepartment of Epidemiology of Aging, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu 474-8511, JapanGeneral Affairs and Human Resources Division, ROHTO Pharmaceutical Co., Ltd., Osaka 544-8666, JapanDivision of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health, Graduate School of Medicine, Sendai 980-8575, JapanDivision of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health, Graduate School of Medicine, Sendai 980-8575, JapanThe Japanese dietary pattern has long been discussed as one of the factors behind the longevity of Japanese people. However, the health benefits of the Japanese dietary pattern have not been fully elucidated. We published the first report in the world regarding the relation between the Japanese dietary pattern and cardiovascular disease mortality in 2007 using cohort studies including Japanese residents of Ohsaki City, Miyagi Prefecture, Japan. Since then, we have developed the Japanese Diet Index (JDI) that was based on previous findings to assess the degree of the Japanese dietary pattern and to advance the evidence on the health effects of the Japanese dietary pattern. So far, we have explored the associations between the JDI score (in quartiles) and various outcomes. For all-cause mortality, in comparison to Q1 (the lowest), the multivariable hazard ratios (HRs) and 95% confidence intervals (95%CIs) were 0.92 (0.85–1.00) for Q2, 0.91 (0.83–0.99) for Q3, and 0.91 (0.83–0.99) for Q4 (the highest). For functional disability, the multivariable HRs (95%CIs) were 0.94 (0.81–1.09) for Q2, 0.90 (0.77–1.05) for Q3, and 0.79 (0.68–0.92) for Q4. For dementia, the multivariable HRs (95%CIs) were 0.88 (0.74–1.05) for Q2, 0.87 (0.73–1.04) for Q3, 0.79 (0.66–0.95) for Q4. In addition, people with higher adherence to the Japanese dietary pattern also showed decreases in disability and dementia risks. The purpose of this article was to review all six papers, summarize the health effects of the Japanese dietary pattern, and discuss implications for future research.https://www.mdpi.com/2072-6643/14/10/2034Japanese dietmortalitydisabilitydementiacohort study
spellingShingle Sanae Matsuyama
Taichi Shimazu
Yasutake Tomata
Shu Zhang
Saho Abe
Yukai Lu
Ichiro Tsuji
Japanese Diet and Mortality, Disability, and Dementia: Evidence from the Ohsaki Cohort Study
Nutrients
Japanese diet
mortality
disability
dementia
cohort study
title Japanese Diet and Mortality, Disability, and Dementia: Evidence from the Ohsaki Cohort Study
title_full Japanese Diet and Mortality, Disability, and Dementia: Evidence from the Ohsaki Cohort Study
title_fullStr Japanese Diet and Mortality, Disability, and Dementia: Evidence from the Ohsaki Cohort Study
title_full_unstemmed Japanese Diet and Mortality, Disability, and Dementia: Evidence from the Ohsaki Cohort Study
title_short Japanese Diet and Mortality, Disability, and Dementia: Evidence from the Ohsaki Cohort Study
title_sort japanese diet and mortality disability and dementia evidence from the ohsaki cohort study
topic Japanese diet
mortality
disability
dementia
cohort study
url https://www.mdpi.com/2072-6643/14/10/2034
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