Epidemiology of Food Choking Deaths in Japan: Time Trends and Regional Variations

Background: With increasing age globally, more people may become vulnerable to food choking. We investigated the nationwide epidemiology of food choking deaths in Japan. Methods: Using Japanese Vital Statistics death data between 2006 and 2016, we identified food choking deaths based on the 10th...

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Main Authors: Yuta Taniguchi, Masao Iwagami, Nobuo Sakata, Taeko Watanabe, Kazuhiro Abe, Nanako Tamiya
Format: Article
Language:English
Published: Japan Epidemiological Association 2021-05-01
Series:Journal of Epidemiology
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jea/31/5/31_JE20200057/_pdf
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author Yuta Taniguchi
Masao Iwagami
Nobuo Sakata
Taeko Watanabe
Kazuhiro Abe
Nanako Tamiya
author_facet Yuta Taniguchi
Masao Iwagami
Nobuo Sakata
Taeko Watanabe
Kazuhiro Abe
Nanako Tamiya
author_sort Yuta Taniguchi
collection DOAJ
description Background: With increasing age globally, more people may become vulnerable to food choking. We investigated the nationwide epidemiology of food choking deaths in Japan. Methods: Using Japanese Vital Statistics death data between 2006 and 2016, we identified food choking deaths based on the 10th revision of the International Statistical Classification of Diseases code W79 (Inhalation and ingestion of food causing obstruction of respiratory tract) as a primary diagnosis. We assessed the demographics of people with food choking deaths; temporal trends of food choking deaths by the year (overall and by age group), the day of year; and prefecture variations. Results: Overall, 52,366 people experienced food choking deaths (median age, 82 years, 53% were male, and 57% occurred at home). The highest numbers occurred January 1–3, and were lowest in June. Despite a stable total number of cases at around 4,000 yearly, from 2006 to 2016 the incidence proportion declined from 16.2 to 12.1 per 100,000 population among people aged 75–84 years. Among people ≥85 years, the incidence proportion peaked at 53.5 in 2008 and decreased to 43.6 in 2016. The number of food choking deaths varied by prefecture. Conclusions: There are temporal and regional variations of food choking deaths in Japan, possibly due to the consumption of Japanese rice cake (mochi), particularly over the New Year’s holiday.
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spelling doaj.art-f04e6883f5624de5914a909bd3c2671e2022-12-21T21:59:40ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922021-05-0131535636010.2188/jea.JE20200057Epidemiology of Food Choking Deaths in Japan: Time Trends and Regional VariationsYuta Taniguchi0Masao Iwagami1Nobuo Sakata2Taeko Watanabe3Kazuhiro Abe4Nanako Tamiya5Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, JapanDepartment of Health Services Research, Faculty of Medicine, University of Tsukuba, Ibaraki, JapanDepartment of Health Services Research, Faculty of Medicine, University of Tsukuba, Ibaraki, JapanDepartment of Health Services Research, Faculty of Medicine, University of Tsukuba, Ibaraki, JapanDepartment of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Health Services Research, Faculty of Medicine, University of Tsukuba, Ibaraki, JapanBackground: With increasing age globally, more people may become vulnerable to food choking. We investigated the nationwide epidemiology of food choking deaths in Japan. Methods: Using Japanese Vital Statistics death data between 2006 and 2016, we identified food choking deaths based on the 10th revision of the International Statistical Classification of Diseases code W79 (Inhalation and ingestion of food causing obstruction of respiratory tract) as a primary diagnosis. We assessed the demographics of people with food choking deaths; temporal trends of food choking deaths by the year (overall and by age group), the day of year; and prefecture variations. Results: Overall, 52,366 people experienced food choking deaths (median age, 82 years, 53% were male, and 57% occurred at home). The highest numbers occurred January 1–3, and were lowest in June. Despite a stable total number of cases at around 4,000 yearly, from 2006 to 2016 the incidence proportion declined from 16.2 to 12.1 per 100,000 population among people aged 75–84 years. Among people ≥85 years, the incidence proportion peaked at 53.5 in 2008 and decreased to 43.6 in 2016. The number of food choking deaths varied by prefecture. Conclusions: There are temporal and regional variations of food choking deaths in Japan, possibly due to the consumption of Japanese rice cake (mochi), particularly over the New Year’s holiday.https://www.jstage.jst.go.jp/article/jea/31/5/31_JE20200057/_pdffood suffocationolder peopleairway obstructionepidemiologyjapan
spellingShingle Yuta Taniguchi
Masao Iwagami
Nobuo Sakata
Taeko Watanabe
Kazuhiro Abe
Nanako Tamiya
Epidemiology of Food Choking Deaths in Japan: Time Trends and Regional Variations
Journal of Epidemiology
food suffocation
older people
airway obstruction
epidemiology
japan
title Epidemiology of Food Choking Deaths in Japan: Time Trends and Regional Variations
title_full Epidemiology of Food Choking Deaths in Japan: Time Trends and Regional Variations
title_fullStr Epidemiology of Food Choking Deaths in Japan: Time Trends and Regional Variations
title_full_unstemmed Epidemiology of Food Choking Deaths in Japan: Time Trends and Regional Variations
title_short Epidemiology of Food Choking Deaths in Japan: Time Trends and Regional Variations
title_sort epidemiology of food choking deaths in japan time trends and regional variations
topic food suffocation
older people
airway obstruction
epidemiology
japan
url https://www.jstage.jst.go.jp/article/jea/31/5/31_JE20200057/_pdf
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