Global Association between Traditional Japanese Diet Score and All-Cause, Cardiovascular Disease, and Total Cancer Mortality: A Cross-Sectional and Longitudinal Ecological Study
Global Association between Traditional Japanese Diet Score and All-Cause, Cardiovascular Disease, and Total Cancer Mortality: A Cross-Sectional and Longitudinal Ecological Study
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日本传统饮食评分与全因死亡率、心血管疾病死亡率和总癌症死亡率之间的全球关联：横断面和纵向生态学研究
DOI：
10.1080/27697061.2022.2130472
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Shimokata Hiroshi
中科院分区：
文献类型：
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作者：
Abe Chisato;Imai Tomoko;Sezaki Ayako;Miyamoto Keiko;Kawase Fumiya;Shirai Yoshiro;Sanada Masayo;Inden Ayaka;Kato Takumi;Sugihara Norie;Shimokata Hiroshi
对日本人进行的研究表明，传统的日本饮食有助于健康，长寿和预防几种非传染性疾病。然而，目前尚不清楚日本传统饮食模式是否与全球全因死亡率、心血管疾病和癌症死亡率相关。这项横断面和纵向生态研究的目的是阐明日本传统饮食评分（TJDS）与全因死亡率、心血管疾病死亡率和总癌症死亡率之间的全球关联。方法有关食物供应和全因死亡率、心血管疾病死亡率、总癌症死亡率的数据以及各国的协变量均来自相关的国际可用数据库。各国的TJDS是从8个食物组中计算出来的，总分在-8到8之间，分数越高表明对传统日本饮食的坚持程度越高。我们以2009年为基线，在142个人口超过100万的国家中评估了TJDS与全因、心血管疾病和总癌症死亡率之间的横断面和10年纵向关联。采用三个一般线性模型或三个不同协变量的线性混合模型进行横断面分析和纵向分析。结果在完全调整协变量的横断面模型中，TJDS与全因死亡率呈负相关（β ±标准误; −43.819 ± 11.741，p < 0.001）、心血管疾病死亡率（−22.395 ± 4.638，p < 0.001）和总癌症死亡率（−3.893 ± 1.048，p < 0.001）。在完全校正协变量的10年纵向模型中，TJDS与全因死亡率显著负相关（−31.563 ± 7.695，p < 0.001），心血管疾病死亡率（−16.249 ± 4.054，p < 0.001），总癌症死亡率（−3.499 ± 0.867，p< 0.001）。结论这项横断面和纵向生态学研究表明，传统的日本饮食与较低的全因死亡率有关，心血管疾病死亡率和癌症总死亡率。
ObjectiveStudies conducted on Japanese people have suggested that a traditional Japanese diet contributes to good health, longevity, and protection against several non-communicable diseases. However, it is unknown whether traditional Japanese dietary patterns are associated with all-cause mortality, cardiovascular disease, and cancer mortality globally. The purpose of this cross-sectional and longitudinal ecological study is to clarify the global association between the traditional Japanese diet score (TJDS) and all-cause, cardiovascular disease, and total cancer mortality.MethodsData on food supply and all-cause mortality, cardiovascular disease mortality, total cancer mortality, and covariables by country were obtained from a relevant internationally available database. TJDS by country was calculated from eight food groups and the total score ranged from −8 to 8, with higher scores indicating greater adherence to a traditional Japanese diet. We evaluated the cross-sectional and 10-year longitudinal association between TJDS and all-cause, cardiovascular disease, and total cancer mortality using 2009 as the baseline in 142 countries with populations of more than one million. A cross-sectional analysis and a longitudinal analysis were performed using three general linear models or three linear mixed models with different covariables.ResultsIn cross-sectional models controlled for fully-adjusted covariables, TJDS was negatively associated with all-cause mortality (β ± standard error; −43.819 ± 11.741,p< 0.001), cardiovascular disease mortality (−22.395 ± 4.638,p< 0.001), and total cancer mortality (−3.893 ± 1.048,p< 0.001). In 10-year longitudinal models controlled for fully-adjusted covariables, TJDS was significantly negatively associated with all-cause mortality (−31.563 ± 7.695,p< 0.001), cardiovascular disease mortality (−16.249 ± 4.054,p< 0.001), and total cancer mortality (−3.499 ± 0.867,p< 0.001).ConclusionsThis cross-sectional and longitudinal ecological study suggests that the traditional Japanese diet is associated with lower all-cause mortality, cardiovascular disease mortality, and total cancer mortality, worldwide.