GEOGRAPHICAL-DISTRIBUTION OF CEREBROVASCULAR-DISEASE MORTALITY AND FOOD INTAKES IN JAPAN
GEOGRAPHICAL-DISTRIBUTION OF CEREBROVASCULAR-DISEASE MORTALITY AND FOOD INTAKES IN JAPAN
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DOI：
10.1016/0277-9536(87)90212-7
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发表时间：
1987-01-01
影响因子：
5.4
通讯作者：
SHIGEMATSU, I
中科院分区：
文献类型：
--
作者：
OMURA, T;HISAMATSU, S;SHIGEMATSU, I
本研究的重点是分析脑血管病死亡率与食物摄入量之间的关系。为此，计算了1969年至1978年日本3341个基本行政单位（区、市、镇和村）的脑血管病标准化死亡率（SMR）。1974-1974年卫生和福利部全国营养调查在600个地区（占全国18%）的1040个随机抽样的人口普查区中获得了主要营养素摄入量和30种选定的食物。我们的分析表明，日本脑血管疾病SMR的地理分布模式从东日本较高到西日本较低，城市化程度较低的地区较高，城市化程度较高的地区较低。与脑血管疾病正相关的食物有大米和其他淀粉类食物、猪肉、藻类（海藻）和咸食物，如味噌（豆酱）、泡菜、酱料和咸鱼。所有这些食物，除了猪肉，都是日本传统饮食的一部分。相反，死亡率与小麦、黄油和人造黄油、牛肉和鸡蛋的摄入量呈负相关，这些食物被认为是欧洲饮食的代表。使用逐步多元回归分析，味噌和咸鱼被选为脑血管病死亡率的正相关，牛肉和鸡蛋为负相关。根据这些结果，这四种食物是有用的负面和积极的指标，改善饮食摄入量有关的脑血管疾病的发生率降低。
The present study focusses on an analysis of the relationship between cerebrovascular disease mortality and food intake. For this purpose, standardized mortality ratios (SMRs) from cerebrovascular disease were calculated for 3341 basic administrative units (wards, cities, towns and villages) between 1969 and 1978 in Japan. The major nutrient intakes and 30 selected food items were obtained from the 1974-1974 Ministry of Health and Welfare, National Nutrition Surveys in 1040 randomly sampled census tracts in 600 areas (18% of the nation). Our analysis demonstrates that the geographical pattern of cerebrovascular disease SMRs in Japan vary from higher in East Japan to lower in the West, and higher in the less urbanized areas, and lower in the more urban ones. Foods positively associated with cerebrovascular disease were rice and other starchy foods, pork, algae (seaweed), and salty foods such as miso (soybean paste), pickled vegetables, soy sauce and salted fish. All of these foods, with the exception of pork, are part of the traditional Japanese diet. On the contrary, mortality was negatively associated with intakes of wheat, butter and margarine, beef and eggs, items considered to bre representative of a European diet. Using a stepwise multiple regression analysis, miso and salted fish were selected as positive, and beef and eggs as negative correlates of cerebrovascular disease mortality. According to these results, it is suggested that these four foods are useful as negative and positive indicators of improvement in dietary intakes as related to the reduction in the occurrence of cerebrovascular disease.