The relationship between healthy life expectancy and smoking, hypertension and body mass index in a Japanese population: A multistate life table method using Nippon Data90

2018 ◽  
Vol 66 ◽  
pp. S326
Author(s):  
R. Tsukinoki ◽  
Y. Murakami ◽  
K. Miura ◽  
T. Okamura ◽  
A. Kadota ◽  
...  
2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Rumi Tsukinoki ◽  
Takehito Hayakawa ◽  
Aya Kadota ◽  
Yoshitaka Murakami ◽  
Katsuyuki Miura ◽  
...  

Abstract Background Healthy life expectancy (HLE) is an important measure of an ageing society. We estimated HLE based on combinations of smoking, blood pressure (BP), and body mass index (BMI) in the Japanese population using a multistate life table. Methods A nationwide cohort study of Japan was performed using NIPPON DATA90 (N = 6,676) with the Katz Activities of Daily Living Index as the HLE endpoint. Combinations of smoking (non-smokers and smokers), BP (2018 ESC/ESH Guidelines classification), and BMI (underweight, normal, and overweight) were developed, and the group-specific HLEs were calculated using a multistate life table. Results At age 65, smokers had shorter HLE than non-smokers for all BMI and BP groups. The HLE of men who were overweight, hypertensive (Grade 2 or 3), and smokers was 14.05 years (95% confidence interval: 15.77-21.36); in contrast, the HLE of men who were normal weight, normotensive, and non-smokers was 19.04 years (16.46-21.61). Among all BMI and smoking status groups, HLE decreased linearly as BP increased regardless of sex. The HLE distribution showed a slight inverted U-shape as BMI increased in both sexes. Conclusions This study showed that HLE at age 65 was considerably shorter in smokers and individuals with higher BP. Furthermore, both underweight and overweight had modest effects on HLE at age 65. Key messages HLE was considerably shorter in smokers and individuals with higher BP. In addition, both underweight and overweight had modest effects on HLE.


2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Tomoko Imai ◽  
Ayako Sezaki ◽  
Keiko Miyamoto ◽  
Chisato Abe ◽  
Fumiya Kawase ◽  
...  

Abstract Background Traditional Japanese diets are considered to be health and longevity. We created a Traditional Japanese Diet Score (TJDS) and investigated the relationship between the TJDS and healthy life expectancy (HALE) longitudinally using global database. Methods Average food (g/day/capita) and energy supply (kcal/day/capita) by countries were identified by the Food and Agriculture Organization of the United Nations Statistics Division database. The sum of characterizing traditional Japanese foods supply (beneficial food components in Japanese diet; rice, fish, soybeans, vegetables, eggs, seaweeds, food components not use so much in Japanese diet; wheat, milk, and red meat) were divided as tertile (beneficial food components;-1, 0, 1, not use so much food components; 1, 0, -1). HALE values by country were derived from the Global Burden of Disease 2017 database. The longitudinal effects of TJDS on the rate of change in HALE from 1990 to 2013 were evaluated using a generalized mixed-effect model (GLMM), which takes into account the dependence of repeated observations within countries. The interaction between TJDS and survey year was applied to access the effects on HALE. This study covered 137 countries with populations of 1 million or greater. Results Longitudinal analysis controlled for covariates showed that smooth term of the interaction between TJDS and survey year was significant (p < 0.001). The TJDS was negative associated with HALE in 1990, and in 1991, but positive associated after 2002. Conclusions The relationship between the TJDS as a healthy eating style and HALE is getting stronger since the 21st century. Key messages Well-balanced eating habits of traditional Japanese diets is supports healthy life expectancy.


2007 ◽  
Vol 13 (1) ◽  
pp. 23-40
Author(s):  
John Stewart Russell Ritchie

ABSTRACTThis Presidential Address is delivered towards the end of the 150th anniversary year of the Faculty of Actuaries, and is timed to coincide with the International Actuarial Association and Groupe Consultatif holding meetings in Edinburgh. It deals with the growing globalisation of the Profession, reviews the key developments arising out of the Morris Review and the implications of current changes. It then moves on to examine communication and the role the Profession can play with the media. A comparison between actuarial practice in life and pensions follows, with suggestions for a closer alignment between pension expectation and pension reality. Comment is made about the prospects for healthy life expectancy. Finally, the relationship between the Faculty and the Institute of Actuaries is debated, and a consultation with Faculty members is launched.


2020 ◽  
Author(s):  
Xinlei Miao ◽  
Xiuhua Guo ◽  
Yue Cai ◽  
Xiang Zhang ◽  
Qun Meng

Abstract Background Socio-Demographic Index (SDI) is an index to evaluate social development. Healthy life expectancy (HLE/HALE) can comprehensively measure the population health. This paper analyzes the relationship and trend of Socio-Demographic Index, life expectancy (LE) and healthy life expectancy, which provides a reference for improving population health. Methods We used R Studio (version 1.2.5033) for correlation matrix analysis of SDI, HALE and LE. Meanwhile, we divided provinces into 3 regions according to the 2019 Chinese Health Statistics Yearbook and analyzed the distribution by ArcGIS 10.5 of healthy life expectancy and SDI of 31 provinces and cities in China.Results From 1990 to 2016, socio-demographic, life expectancy and healthy life expectancy showed a gradual increasing trend, and the level in eastern provinces were higher than western provinces in China. There is a correlation between socio-demographic (included its composition that education for aged 15 and older, Gross Domestic Product and total fertility rates under the age of 25), healthy life expectancy and life expectancy. Total fertility rates under the age of 25 has a negative correlation with other variables.Conclusions There is a strong positive correlation between healthy life expectancy, life expectancy and socio-demographic index. The government should consider take the implementation of personalized policies to steadily improve the development of SDI, at the same time to improve healthy life expectancy from improving maternal health and reducing infant mortality, paying attention to adult health, reducing the early death rate of chronic diseases.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Takafumi Monma ◽  
Fumi Takeda ◽  
Haruko Noguchi ◽  
Hideto Takahashi ◽  
Taeko Watanabe ◽  
...  

Abstract Background With the increase of overall life expectancy in Japan, effective and beneficial lifestyle approaches and practices are crucial for individuals to have a long, productive and healthy life. Although previous studies suggest that exercise or sports, especially when performed with others, from midlife level have a positive impact on enhancing healthy life expectancy, there is paucity of information regarding these contexts and possible associations. The present study intends to clarify the relationship between engagement in exercise or sports among middle-aged persons and healthy life expectancy through an ecological study in all prefectures in Japan. Methods We tabulated (1) the ratios of middle-aged individuals engaged in exercise or sports and (2) the different methods by which they are engaged in exercise or sports for each prefecture by using data from the 2005–2010 Longitudinal Survey of Middle-aged and Elderly Persons by the Ministry of Health, Labour and Welfare of Japan. Weighted multiple linear regression analyses were performed by sex, using healthy life expectancy in 2010 of each prefecture calculated by Hashimoto (2013) as a criterion variable; indices of (1) and (2) of each year as explanatory variables; and age, living conditions, employment, and chronic diseases as adjusted variables. Results For middle-aged males, the ratio of those engaged in exercise or sports in each year from 2005 to 2010 was positively correlated with healthy life expectancy; this relationship was found in the ratio of middle-aged engaging in exercise or sports “with families or friends”. For females, such a relationship could only be found in the ratio of middle-aged females engaged in exercise or sports in 2008, and those engaging in exercise or sports “with families or friends” in 2006, 2008 and 2010. Conclusion Prefectures with a higher ratio of middle-aged individuals engaging in exercise or sports, especially when done with families or friends, have longer healthy life expectancies. This was particularly evident for males. Thus, exercise or sports with families or friends in midlife seems to be more effective in promoting healthy life expectancy for males than females in Japan.


Author(s):  
M. Mazharul Islam ◽  

Objectives: The objective of this study was to examine the life expectancy (LE) and healthy life expectancy (HLE) of Omani adults with age and gender differentials, focusing on whether the higher LE of women than men is a gain or burden for women. Method: Data for the study come from multiple sources such as the 2010 population census, the 2008 World Health Survey in Oman, and secondary data published in the Statistical Yearbook of Oman. The life table and the modified life table proposed by Sullivan were used for estimating the LE and HLE of adult people of age 20 and above, respectively. Results: LE in Oman reached 76 years for both sexes in recent times. However, since 2010 LE has been stalled in the vicinity of 76 years in Oman. Women had higher LE than men (79 years versus 74 years). In terms of HLE, men outweighed women in Oman. At the age of 20, the gap between male-female LE was found to be 4.7 years in favor of females, whereas the gap between male-female HLE was found to be 5.8 years in favor of males. Females spent a relatively long time in poor health status than males (20.8 years versus 10.8 years) and the proportion of life spent in poor health was greater for females than males (35.0% vs. 19.3%). This revealed the paradox of less mortality but higher morbidity among women, supporting the “Failure of Success” hypothesis. Conclusion: Appropriate health policy and strategy need to be taken to reduce the gender gap in LE and HLE in Oman.


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