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History of cardiovascular epidemiology in Japan

Published:August 26, 2022DOI:https://doi.org/10.1016/j.jjcc.2022.07.021

      Highlights

      • We introduced the history of cardiovascular epidemiologic studies by three patterns.
      • They are international, unique Japanese cohort studies, and meta-analysis in Japan.
      • Most of them are an association between hypertension and cardiovascular disease.
      • Changes in life style and low-salt diets are needed for the eradication of hypertension.

      Abstract

      There are several patterns of epidemiological study in Japan. One is the international collaborative studies, such as Seven Countries Study, NI-HON-SAN Study, International Study of Salt and Blood Pressure (INTERSALT), International Study of Macro-and Micro-nutrients and Blood Pressure (INTERMAP), and Monitoring of Cardiovascular Disease (MONICA). The next one is the several cohort studies in Japanese unique surveys, such as Hisayama Study, Osaka-Akita Study, Tanno-Sobetsu Study, Suita Study, Ohazama Study, National Integrated Project for Prospective Observation of Noncommunicable Disease and Its Trends in the Aged (NIPPON DATA), Japan Collaborative Cohort (JACC), and Japan Public Health Center-Based Study (JPHC). Finally, some recent special meta-analysis in Japan are Japan Arteriosclerosis Longitudinal Study (JALS) and Evidence for Cardio-vascular Prevention from Observational Cohorts in Japan (EPOCH-JAPAN). The aim of this review is to introduce the history of epidemiologcal study, especially, cardiovascular epidemiology from the mid-20th century to in the early 21st century by dividing three patterns.

      Abbreviations:

      CHD (coronary heart disease), USA (United State of America), HOMA-R (homeostasis model assessment), ECG (electrocardiogram), CVD (cardio-vascular disease), BP (blood pressure), HbA1c (glycosylated hemoglobin A1c)

      Keywords

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      References

        • Koga Y.
        • Hashimoto R.
        • Adachi H.
        • Tsuruta M.
        • Tashiro H.
        • Toshima H.
        Recent trends in cardiovascular disease and risk factors in the seven countries study.
        in: Toshima H. Koga Y. Blackburn H. Keys A. Lessons for science from the seven countries study. A 35-year collaborative experience in cardiovascular disease epidemiology. Springer-Verlag, Tokyo1994: 63-74
        • Ministry of Health and Welfare
        National survey on circulatory disorders, 1990. Japan Cardiovascular Research Foundation, Osaka1993: 1-96
        • Ueshima H.
        Explanation for the Japanese paradox: prevention of increase in coronary heart disease and reduction in stroke.
        J Atheroscler Thromb. 2007; 14: 278-286
        • Keys A.
        • Aravanis C.
        • Blackburn H.W.
        • Van Buchem F.S.
        • Buzina R.
        • Djordjević B.D.
        • et al.
        Epidemiological studies related to coronary heart disease: characteristics of men aged 40–59 in seven countries.
        Acta Med Scand Suppl. 1966; 460: 1-392
        • Keys A.
        Coronary heart disease in seven countries.
        Circulation. 1970; 41: 1-195
        • Menotti A.
        • Blackburn H.
        • Kromhout D.
        • Nissinen A.
        • Fidanza F.
        • Giampaoli S.
        • et al.
        Changes in population cholesterol levels and coronary heart disease deaths in seven countries.
        Eur Heart J. 1997; 18: 566-571
        • Kromhout D.
        • Keys A.
        • Aravanis C.
        • Buzina R.
        • Fidanza F.
        • Giampaoli S.
        • et al.
        Food consumption patterns in the 1960s in seven countries.
        Am J Clin Nutr. 1989; 49: 889-894
        • Kromhout D.
        • Menotti A.
        • Bloemberg B.
        • Aravanis C.
        • Blackburn H.
        • Buzina R.
        • et al.
        Dietary saturated and trans fatty acids and cholesterol and 25-year mortality from coronary heart disease: the Seven Countries Study.
        Prev Med. 1995; 24: 308-315
        • Verschuren W.M.
        • Jacobs D.R.
        • Bloemberg B.P.
        • Kromhout D.
        • Menotti A.
        • Aravanis C.
        • et al.
        Serum total cholesterol and long-term coronary heart disease mortality in different cultures. Twenty-five-year follow-up of the seven countries study.
        JAMA. 1995; 274: 131-136
        • Takeya Y.
        • Popper J.S.
        • Shimizu Y.
        • Kato H.
        • Rhoads G.G.
        • Kagan A.
        Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: incidence of stroke in Japan and Hawaii.
        Stroke. 1984; 15: 15-23
        • Curb J.D.
        • Kodama K.
        The NI-HON-SAN study.
        J Epidemiol. 1996; 6: S197-S201
        • Intersalt Cooperative Research Group
        Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24-hour urinary sodium and potassium excretion.
        BMJ. 1988; 297: 319-328
        • Stamler J.
        • Elliott P.
        • Dennis B.
        • Dyer A.R.
        • Kesteloot H.
        • Liu K.
        • et al.
        INTERMAP: background, aims, design, methods, and descriptive statistics (nondietary).
        J Hum Hypertens. 2003; 17: 591-608
        • Anderson C.A.
        • Appel L.J.
        • Okuda N.
        • Brown I.J.
        • Chan Q.
        • Zhao L.
        • et al.
        Dietary sources of sodium in China, Japan, the United Kingdom, and the United States, women and men aged 40 to 59 years: the INTERMAP study.
        J Am Diet Assoc. 2010; 110: 736-745
        • Tunstall-Pedoe H.
        • Kuulasmaa K.
        • Amouyel P.
        • Arveiler D.
        • Rajakangas A.M.
        • Pajak A.
        Myocardial infarction and coronary deaths in the World Health Organization MONICA project. Registration procedures, event rates, and case-fatality rates in 38 populations from 21 countries in four continents.
        Circulation. 1994; 90: 583-612
        • Ueda K.
        • Omae T.
        • Hirota Y.
        • Takeshita M.
        • Katsuki S.
        • Tanaka K.
        • et al.
        Decreasing trend in incidence and mortality from stroke in Hisayama residents,Japan.
        Stroke. 1981; 12: 154-160
        • Kiyohara Y.
        • Ueda K.
        • Hasuo Y.
        • Fujii I.
        • Yanai T.
        • Wada J.
        • et al.
        Hematocrit as a risk factor of cerebral infarction: long-term prospective population survey in a Japanese rural community.
        Stroke. 1986; 17: 687-692
        • Ninomiya T.
        • Kiyohara Y.
        • Kubo M.
        • Tanizaki Y.
        • Doi Y.
        • Okubo K.
        • et al.
        Chronic kidney disease and cardiovascular disease in a general Japanese population: the Hisayama Study.
        Kidney Int. 2005; 68: 228-236
        • Ueshima H.
        • Iida M.
        • Shimamoto T.
        • Konishi M.
        • Tanigaki M.
        • Doi M.
        • et al.
        Dietary intake and serum total cholesterol level: their relationship to different lifestyles in several Japanese populations.
        Circulation. 1982; 66: 519-526
        • Mitsumata K.
        • Saitoh S.
        • Ohnishi H.
        • Akasaka H.
        • Miura T.
        Effects of parental hypertension on longitudinal trends in blood pressure and plasma metabolic profile: mixed-effects model analysis.
        Hypertension. 2012; 60: 1124-1130
        • Ohnishi H.
        • Saitoh S.
        • Takagi S.
        • Ohata J.
        • Isobe T.
        • Kikuchi Y.
        • et al.
        Pulse wave velocity as an indicator of atherosclerosis in impaired fasting glucose: the Tanno and Sobetsu study.
        Diabetes Care. 2003; 26: 437-440
        • Ohnishi H.
        • Saitoh S.
        • Ura N.
        • Takagi S.
        • Obara F.
        • Akasaka H.
        • et al.
        Relationship between insulin resistance and accumulation of coronary risk factors.
        Diabetes Obes Metab. 2002; 4: 388-393
        • Kokubo Y.
        • Kamide K.
        • Okamura T.
        • Watanabe M.
        • Higashiyama A.
        • Kawanishi K.
        • et al.
        Impact of high-normal blood pressure on the risk of cardiovascular disease in a Japanese urban cohort: the Suita study.
        Hypertension. 2008; 52: 652-659
        • Imai Y.
        • Nagai K.
        • Sakuma M.
        • Sakuma H.
        • Nakatsuka H.
        • Satoh H.
        • et al.
        Ambulatory blood pressure of adults in Ohasama,Japan.
        Hypertension. 1993; 22: 900-912
        • Ohkubo T.
        • Imai Y.
        • Tsuji I.
        • Nagai K.
        • Watanabe N.
        • Minami N.
        • et al.
        Relation between nocturnal decline in blood pressure and mortality.The Ohasama Study.
        Am J Hypertens. 1997; 10: 1201-1207
        • Nakamura Y.
        • Yamamoto T.
        • Okamura T.
        • Kadowaki T.
        • Hayakawa T.
        • Kita Y.
        • et al.
        Combined cardiovascular risk factors and outcome: NIPPON DATA80, 1980–1994.
        Circ J. 2006; 70: 960-964
        • Inohara T.
        • Kohsaka S.
        • Okamura T.
        • Watanabe M.
        • Nakamura Y.
        • Higashiyama A.
        • et al.
        Long-term outcome of healthy participants with atrial premature complex: a 15-year follow-up of the NIPPON DATA 90 cohort.
        PLoS One. 2013; 8e80853
        • Ohno Y.
        • Tamakoshi A.
        • JACC Study Group
        Japan collaborative cohort study for evaluation of cancer risk sponsored by monbusho (JACC study).
        J Epidemiol. 2001; 11: 144-150
        • Iso H.
        • Date C.
        • Yamamoto A.
        • Toyoshima H.
        • Tanabe N.
        • Kikuchi S.
        • et al.
        Perceived mental stress and mortality from cardiovascular disease among Japanese men and women: the Japan Collaborative Cohort Study for Evaluation of Cancer Risk Sponsored by Monbusho (JACC Study).
        Circulation. 2002; 106: 1229-1236
        • Iso H.
        • Baba S.
        • Mannami T.
        • Sasaki S.
        • Okada K.
        • Konishi M.
        • et al.
        Alcohol consumption and risk of stroke among middle-aged men: the JPHC Study Cohort I.
        Stroke. 2004; 35: 1124-1129
        • Hayashi R.
        • Iso H.
        • Yamagishi K.
        • Yatsuya H.
        • Saito I.
        • Kokubo Y.
        • et al.
        Working hours and risk of acute myocardial infarction and stroke among middle-aged Japanese men - the Japan Public Health Center-based Prospective Study Cohort II.
        Circ J. 2019; 83: 1072-1079
        • Japan Arteriosclerosis Longitudinal Study (JALS) Group
        Japan Arteriosclerosis Longitudinal Study-Existing Cohorts Combine (JALS-ECC): rationale, design, and population characteristics.
        Circ J. 2008; 72: 1563-1568
        • Miura K.
        • Nakagawa H.
        • Ohashi Y.
        • Harada A.
        • Taguri M.
        • Kushiro T.
        • et al.
        Four blood pressure indexes and the risk of stroke and myocardial infarction in Japanese men and women: a meta-analysis of 16 cohort studies.
        Circulation. 2009; 119: 1892-1898
        • Murakami Y.
        • Hozawa A.
        • Okamura T.
        • Ueshima H.
        Evidence for Cardiovascular Prevention from Observational Cohorts in Japan Research Group (EPOCH-JAPAN). Relation of blood pressure and all-cause mortality in 180,000 Japanese participants: pooled analysis of 13 cohort studies.
        Hypertension. 2008; 51: 1483-1491
        • Satoh M.
        • Ohkubo T.
        • Asayama K.
        • Murakami Y.
        • Sugiyama D.
        • Yamada M.
        • et al.
        Lifetime risk of stroke and coronary heart disease deaths according to blood pressure level: EPOCH-JAPAN (Evidence for Cardiovascular Prevention from Observational Cohorts in Japan).
        Hypertension. 2019; 73: 52-59
        • Ueshima H.
        • Sekikawa A.
        • Miura K.
        • Turin T.C.
        • Takashima N.
        • Kita Y.
        • et al.
        Cardiovascular disease and risk factors in Asia: a selected review.
        Circulation. 2008; 118: 2702-2709
        • Adachi H.
        • Enomoto M.
        • Fukami A.
        • Nakamura S.
        • Nohara Y.
        • Kono S.
        • et al.
        Trends in nutritional intake and coronary risk factors over 60 years among Japanese men in Tanushimaru.
        Heart Vessels. 2020; 35: 901-908