874Impact of overweight on diabetes prevalence: 20-year trends in National Health and Nutrition Survey, Japan

Abstract Background Increasing trend of diabetes is significant public health threats. This is a consecutive cross-sectional study aimed to estimate the attribution of overweight for diabetes prevalence in Japan. Methods We used individual data aged 20 years and older of National Health and Nutrition Survey in 1997 (2349 men and 3588 women), 2002 (2075 and 3087), 2007 (1614 and 2346), 2012 (5538 and 7981), and 2016 (4327 and 6270). Diabetes was defined as glycated haemoglobin (HbA1c) >6.5% or currently being treated. We estimated multivariable-adjusted odds ratio (OR) and 95% confidence interval (CI) for the association between diabetes and overweight (body mass index >25kg/m2) after adjusting for the number of steps per day, total energy intake (kcal/kg), fat energy ratio (%), smoking and drinking status by logistic regression. Results There was significant association between diabetes and overweight in all years: multivariable-adjusted OR (95%CI) were 1.78 (1.32-2.40) in 1997, 1.46 (1.10-1.93) in 2002, 1.77 (1.35-2.32) in 2007, 1.79 (1.55-2.07) in 2012, and 2.15 (1.82-2.54) in 2016 for men and 2.53 (1.92-3.32), 2.53 (1.87-3.42), 2.91 (2.15-3.95), 2.94 (2.51-3.45), and 2.72 (2.27-3.25), for women, respectively. The estimated population attribution on diabetes prevalence due to overweight was 14.8%, 11.9%, 18.1%, 18.0%, and 24.6% for men and 27.0%, 29.4%, 29.9%, 29.5%, and 26.7% for women. Conclusions Overweight was a risk factor for diabetes consistently for 20 years. That attribution was increasing among men but decreasing after peaking in 2007 among women. Key messages The present study suggested a high burden of diabetes due to overweight in Japan.

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Dietary patterns and abnormal glucose tolerance among Japanese: findings from the National Health and Nutrition Survey, 2012

Public Health Nutrition ◽

10.1017/s1368980019000120 ◽

2019 ◽

Vol 22 (13) ◽

pp. 2460-2468 ◽

Cited By ~ 3

Author(s):

Emiko Okada ◽

Kunihiko Takahashi ◽

Koshi Nakamura ◽

Shigekazu Ukawa ◽

Saeka Takabayashi ◽

...

Keyword(s):

Glucose Tolerance ◽

National Health ◽

Dietary Patterns ◽

Cross Sectional Study ◽

Abnormal Glucose Tolerance ◽

Nutrition Survey ◽

Cross Sectional ◽

Logistic Regression Models ◽

Health And Nutrition ◽

Hba1c Levels

AbstractObjectivePrevious studies have associated dietary patterns with diabetes risk in Western countries, but such studies among the Japanese population are scarce. The present study aimed to investigate dietary patterns associated with abnormal glucose tolerance determined by elevated glycated Hb (HbA1c) levels.DesignThe 2012 National Health and Nutrition Survey (NHNS) database was used for the cross-sectional study. Dietary patterns were analysed by factor analysis of twenty-five food items from the dietary intake survey and household-based semi-weighed dietary records. OR and 95 % CI for elevated HbA1c levels (≥6·5 %) according to dietary patterns were estimated using logistic regression models.SettingJapan.ParticipantsThe study population comprised 9550 Japanese aged ≥40 years registered in the nationwide NHNS.ResultsThree dietary patterns were identified: (i) high-bread and low-rice; (ii) high-meat and low-fish; and (iii) vegetable. The high-bread and low-rice pattern, characterised by high frequent consumption of bread, milk and dairy products, and fruits, and low rice intake, was associated with marginally decreased prevalence of elevated HbA1c levels (P trend=0·047). The vegetable pattern, characterised by vegetables, mushrooms, soyabeans and soybean products, was significantly inversely associated with elevated HbA1c levels (4th v. 1st quartile: multivariable OR=0·68; 95 % CI 0·49, 0·95; P trend=0·007).ConclusionsOur findings suggest that the vegetable pattern is associated with decreased prevalence of elevated HbA1c levels among Japanese.

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Association between metabolic associated fatty liver disease and Osteoarthritis using data from the Korean National Health and Nutrition Examination Survey (KNHANES)

10.21203/rs.3.rs-424466/v1 ◽

2021 ◽

Author(s):

A lum Han

Keyword(s):

Liver Disease ◽

Fatty Liver ◽

National Health ◽

Fatty Liver Disease ◽

Cross Sectional Study ◽

Osteoarthritis Of The Knee ◽

Nutrition Survey ◽

Cross Sectional ◽

Knee Oa ◽

Health And Nutrition

Abstract Osteoarthritis of the knee (knee OA) is on the rise due to the aging population and increasing obesity. In addition to mechanical stress attributed to weight and age, osteoarthritis is associated with obesity and metabolic dysregulation. Here, a cross-sectional study targeting retrospectively registered 17,476 adults aged 50 years or older who were enrolled in the National Health and Nutrition Survey (2010–2011) was performed to analyze the association between the newly named metabolic associated fatty liver disease (MAFLD) and knee OA. Fatty liver index (FLI) ≥ 60 confirmed the presence of MAFLD, and FLI < 30 indicated the absence of MAFLD. Knee OA was diagnosed according to the Kellgren–Lawrence scale based on knee radiography results. A complex sample logistic regression analysis was performed. Statistically significant factors were adjusted to estimate probability ratios, and 95% confidence intervals were used to investigate the association between knee OA and MAFLD. The probability of knee OA was 1.479 times higher in the presence of MAFLD than that in the normal group. The results indicate that MAFLD is significantly associated with knee OA, suggesting that these two disorders should be managed simultaneously.

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Association between the Portion Sizes of Traditional Japanese Seasonings—Soy Sauce and Miso—and Blood Pressure: Cross-Sectional Study Using National Health and Nutrition Survey, 2012–2016 Data

Nutrients ◽

10.3390/nu10121865 ◽

2018 ◽

Vol 10 (12) ◽

pp. 1865 ◽

Cited By ~ 3

Author(s):

Emiko Okada ◽

Aki Saito ◽

Hidemi Takimoto

Keyword(s):

Blood Pressure ◽

National Health ◽

Cross Sectional Study ◽

Portion Size ◽

Soy Sauce ◽

Sectional Study ◽

Nutrition Survey ◽

Cross Sectional ◽

Health And Nutrition ◽

Portion Sizes

While previous studies have reported the association between food portion size and health outcomes, the association between food seasonings and blood pressure (BP) has not been clarified. This study aimed to investigate the association between the portion sizes of traditional Japanese seasonings and BP. Data on 25,738 Japanese participants (10,154 men and 15,584 women) aged ≥20 years registered in the 2012–2016 National Health and Nutrition Survey (NHNS) were used for this cross-sectional study. The portion sizes of soy sauce or miso were calculated from the reported weight of soy sauce or miso, and the number of dishes. Regression models were used to estimate BP and prevalence of hypertension, and their 95% confidence intervals according to the portion size of soy sauce or miso. We did not observe an association between the portion sizes of soy sauce or miso and BP. A larger portion size of soy sauce or miso was associated with a higher prevalence of hypertension in the crude model among women, but no significant associations were observed in the multivariate model in both sexes. Our findings suggest that the portion sizes of soy sauce or miso are not associated with BP among Japanese adults.

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Cross-sectional study of the association between age-related macular degeneration and arthritis in the National Health and Nutrition Examination Survey 2005–2008

BMJ Open ◽

10.1136/bmjopen-2019-035805 ◽

2020 ◽

Vol 10 (12) ◽

pp. e035805

Author(s):

Zhuoting Zhu ◽

Huan Liao ◽

Sen Liu ◽

Jian Zhang ◽

Yifan Chen ◽

...

Keyword(s):

Macular Degeneration ◽

National Health ◽

Logistic Models ◽

Cross Sectional Study ◽

Age Related Macular Degeneration ◽

Nutrition Examination Survey ◽

Sectional Study ◽

Cross Sectional ◽

Health And Nutrition ◽

Age Related

ObjectiveTo explore the association between age-related macular degeneration (AMD) and arthritis in a representative sample of the US population.DesignPopulation-based, cross-sectional study.SettingThe National Health and Nutrition Examination Survey (NHANES) 2005–2008.ParticipantsA total of 4813 participants aged 40 years and older with available information on AMD and arthritis in the 2005–2008 NHANES.MethodsThe status and types of arthritis were obtained from questionnaires. Non-mydriatic fundus photographs were collected. The types of AMD were assessed using the modified Wisconsin Age-Related Maculopathy Grading Classification Scheme. The association between arthritis and AMD was evaluated using logistic regression models.ResultsAfter adjusting for covariates, participants with any or early AMD had significantly lower odds of having any type of arthritis (any AMD: OR=0.56, 95% CI: 0.36–0.86; early AMD: OR=0.55, 95% CI: 0.34–0.88) or osteoarthritis (OA) (any AMD: OR=0.43, 95% CI: 0.26–0.71; early AMD: OR=0.44, 95% CI: 0.25–0.76) compared with those without AMD. When considering AMD as the outcome, significant negative associations were also found between any arthritis or OA and any (any arthritis: OR=0.64, 95% CI: 0.43–0.94; OA: OR=0.52, 95% CI: 0.33–0.82) or early AMD (any arthritis: OR=0.61, 95% CI: 0.40–0.93; OA: OR=0.51, 95% CI: 0.31–0.86) in the multivariable logistic models. There was no significant association between different types of arthritis and late AMD.ConclusionsPeople with arthritis, especially those with OA, were less likely to have AMD compared with those without arthritis and vice versa. Further studies are needed to confirm this potential protective effect of arthritis and/or arthritis treatment on AMD and to explore the underlying mechanisms.

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Seroprevalence ofBordetella pertussisin the Mexican population: a cross-sectional study

Epidemiology and Infection ◽

10.1017/s0950268813001313 ◽

2013 ◽

Vol 142 (4) ◽

pp. 706-713 ◽

Cited By ~ 7

Author(s):

C. CONDE-GLEZ ◽

E. LAZCANO-PONCE ◽

R. ROJAS ◽

R. DeANTONIO ◽

L. ROMANO-MAZZOTTI ◽

...

Keyword(s):

Socioeconomic Status ◽

Disease Burden ◽

Public Health Intervention ◽

Booster Vaccination ◽

Cross Sectional Study ◽

Serum Samples ◽

Nutrition Survey ◽

Cross Sectional ◽

Health And Nutrition ◽

Sources Of Infection

SUMMARYSerum samples collected during the National Health and Nutrition survey (ENSANUT 2006) were obtained from subjects aged 1–95 years (January–October 2010) and analysed to assess the seroprevalence ofBordetella pertussis(BP) in Mexico. Subjects' gender, age, geographical region and socioeconomic status were extracted from the survey and compiled into a subset database. A total of 3344 subjects (median age 29 years, range 1–95 years) were included in the analysis. Overall, BP seroprevalence was 47·4%. BP seroprevalence was significantly higher in males (53·4%,P = 0·0007) and highest in children (59·3%) decreasing with advancing age (P = 0·0008). BP seroprevalence was not significantly different between regions (P = 0·1918) and between subjects of socioeconomic status (P = 0·0808). Women, adolescents and young adults were identified as potential sources of infection to infants. Booster vaccination for adolescents and primary contacts (including mothers) for newborns and infants may provide an important public health intervention to reduce the disease burden.

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