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Body mass index, weight change and risk of stroke and stroke subtypes: the Japan Public Health Center-based prospective (JPHC) study
Objective: The Japan Public Health Center-based prospective Study examined the association of body mass index (BMI) and weight change with incident stroke in Japanese individuals, for whom BMI levels are generally low. Methods: We used initial data from 1990 to 1994 and 5-year follow-up surveys from...
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| Published in: | International Journal of Obesity 2011-02, Vol.35 (2), p.283-291 |
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| container_end_page | 291 |
| container_issue | 2 |
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| container_title | International Journal of Obesity |
| container_volume | 35 |
| creator | Saito, I Iso, H Kokubo, Y Inoue, M Tsugane, S |
| description | Objective: The Japan Public Health Center-based prospective Study examined the association of body mass index (BMI) and weight change with incident stroke in Japanese individuals, for whom BMI levels are generally low. Methods: We used initial data from 1990 to 1994 and 5-year follow-up surveys from 1995 to 1999. We calculated weight change over a 5-year period for 32 847 men and 38 875 women, aged 45–74 years, with no history of cardiovascular disease or cancer. Subjects were followed from the 1995–1999 survey to the end of 2005, and hazard ratios of self-reported BMI levels and weight change for incident stroke were estimated using Cox's proportional hazard models adjusted for potential confounders. Results: During the follow-up period (median 7.9 years) there were 2019 incident strokes, including subtypes. Multivariable-adjusted hazard ratios for all stroke events by BMI levels of 27.0–29.9 and 30 kg m–2 versus 23.0–24.9 kg m–2 were 1.09 (95% confidence interval 0.88, 1.36) and 1.25 (0.86, 1.84) in men (P for trend=0.22), and 1.29 (1.01, 1.65) and 2.16 (1.60, 2.93) in women (P for trend |
| doi_str_mv | 10.1038/ijo.2010.131 |
| format | article |
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Methods: We used initial data from 1990 to 1994 and 5-year follow-up surveys from 1995 to 1999. We calculated weight change over a 5-year period for 32 847 men and 38 875 women, aged 45–74 years, with no history of cardiovascular disease or cancer. Subjects were followed from the 1995–1999 survey to the end of 2005, and hazard ratios of self-reported BMI levels and weight change for incident stroke were estimated using Cox's proportional hazard models adjusted for potential confounders. Results: During the follow-up period (median 7.9 years) there were 2019 incident strokes, including subtypes. Multivariable-adjusted hazard ratios for all stroke events by BMI levels of 27.0–29.9 and 30 kg m–2 versus 23.0–24.9 kg m–2 were 1.09 (95% confidence interval 0.88, 1.36) and 1.25 (0.86, 1.84) in men (P for trend=0.22), and 1.29 (1.01, 1.65) and 2.16 (1.60, 2.93) in women (P for trend <0.001), respectively. A weight change of 10% in the previous 5 years was associated with total strokes and ischemic strokes in women. Conclusion: Higher BMI levels and a weight gain of 10% over 5 years were associated with an increased risk of stroke in women, whereas this association was weak in men.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/ijo.2010.131</identifier><identifier>PMID: 20603628</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group</publisher><subject>692/499 ; 692/699/2743/393 ; 692/699/75/593/1370/534 ; 692/700/478/174 ; Aged ; Alcohol Drinking - adverse effects ; Alcohol Drinking - ethnology ; Alcohol Drinking - mortality ; Biological and medical sciences ; Body Mass Index ; Cancer ; Cardiovascular diseases ; Complications and side effects ; confidence interval ; Development and progression ; Diabetes ; Environmental health ; Epidemiology ; Female ; Health aspects ; Health hazards ; Health informatics ; Health Promotion and Disease Prevention ; Health risks ; Humans ; Hypertension ; Internal Medicine ; Ischemia ; Japan - epidemiology ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; men ; Metabolic Diseases ; Middle Aged ; Miscellaneous ; neoplasms ; Neurology ; Obesity ; original-article ; Polls & surveys ; Prevalence ; Prevention ; Prognosis ; Prospective Studies ; Public Health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Questionnaires ; risk ; Risk Factors ; Sex Factors ; Smoking - adverse effects ; Smoking - ethnology ; Smoking - mortality ; Stroke ; Stroke (Disease) ; Stroke - classification ; Stroke - etiology ; Stroke - mortality ; Surveys ; Vascular diseases and vascular malformations of the nervous system ; Waist Circumference ; weight gain ; Weight Gain - ethnology ; Weight Gain - physiology ; Weight Loss - ethnology ; Weight Loss - physiology ; women ; Womens health</subject><ispartof>International Journal of Obesity, 2011-02, Vol.35 (2), p.283-291</ispartof><rights>Macmillan Publishers Limited 2011</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2011 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Feb 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c637t-3520eccb88b6192294b564c49b7dc37332afcc8efef5d9c346437f7530d1ad4e3</citedby><cites>FETCH-LOGICAL-c637t-3520eccb88b6192294b564c49b7dc37332afcc8efef5d9c346437f7530d1ad4e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2727,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23923607$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20603628$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saito, I</creatorcontrib><creatorcontrib>Iso, H</creatorcontrib><creatorcontrib>Kokubo, Y</creatorcontrib><creatorcontrib>Inoue, M</creatorcontrib><creatorcontrib>Tsugane, S</creatorcontrib><title>Body mass index, weight change and risk of stroke and stroke subtypes: the Japan Public Health Center-based prospective (JPHC) study</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Objective: The Japan Public Health Center-based prospective Study examined the association of body mass index (BMI) and weight change with incident stroke in Japanese individuals, for whom BMI levels are generally low. Methods: We used initial data from 1990 to 1994 and 5-year follow-up surveys from 1995 to 1999. We calculated weight change over a 5-year period for 32 847 men and 38 875 women, aged 45–74 years, with no history of cardiovascular disease or cancer. Subjects were followed from the 1995–1999 survey to the end of 2005, and hazard ratios of self-reported BMI levels and weight change for incident stroke were estimated using Cox's proportional hazard models adjusted for potential confounders. Results: During the follow-up period (median 7.9 years) there were 2019 incident strokes, including subtypes. Multivariable-adjusted hazard ratios for all stroke events by BMI levels of 27.0–29.9 and 30 kg m–2 versus 23.0–24.9 kg m–2 were 1.09 (95% confidence interval 0.88, 1.36) and 1.25 (0.86, 1.84) in men (P for trend=0.22), and 1.29 (1.01, 1.65) and 2.16 (1.60, 2.93) in women (P for trend <0.001), respectively. A weight change of 10% in the previous 5 years was associated with total strokes and ischemic strokes in women. Conclusion: Higher BMI levels and a weight gain of 10% over 5 years were associated with an increased risk of stroke in women, whereas this association was weak in men.</description><subject>692/499</subject><subject>692/699/2743/393</subject><subject>692/699/75/593/1370/534</subject><subject>692/700/478/174</subject><subject>Aged</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Alcohol Drinking - ethnology</subject><subject>Alcohol Drinking - mortality</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Cancer</subject><subject>Cardiovascular diseases</subject><subject>Complications and side effects</subject><subject>confidence interval</subject><subject>Development and progression</subject><subject>Diabetes</subject><subject>Environmental health</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health hazards</subject><subject>Health informatics</subject><subject>Health Promotion and Disease Prevention</subject><subject>Health risks</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Internal Medicine</subject><subject>Ischemia</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>men</subject><subject>Metabolic Diseases</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>neoplasms</subject><subject>Neurology</subject><subject>Obesity</subject><subject>original-article</subject><subject>Polls & surveys</subject><subject>Prevalence</subject><subject>Prevention</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Public Health</subject><subject>Public health. 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Hygiene-occupational medicine</topic><topic>Questionnaires</topic><topic>risk</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Smoking - adverse effects</topic><topic>Smoking - ethnology</topic><topic>Smoking - mortality</topic><topic>Stroke</topic><topic>Stroke (Disease)</topic><topic>Stroke - classification</topic><topic>Stroke - etiology</topic><topic>Stroke - mortality</topic><topic>Surveys</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Waist Circumference</topic><topic>weight gain</topic><topic>Weight Gain - ethnology</topic><topic>Weight Gain - physiology</topic><topic>Weight Loss - ethnology</topic><topic>Weight Loss - physiology</topic><topic>women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saito, I</creatorcontrib><creatorcontrib>Iso, H</creatorcontrib><creatorcontrib>Kokubo, Y</creatorcontrib><creatorcontrib>Inoue, M</creatorcontrib><creatorcontrib>Tsugane, S</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agriculture Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology Journals</collection><collection>ProQuest Biological Science Journals</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saito, I</au><au>Iso, H</au><au>Kokubo, Y</au><au>Inoue, M</au><au>Tsugane, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Body mass index, weight change and risk of stroke and stroke subtypes: the Japan Public Health Center-based prospective (JPHC) study</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><addtitle>Int J Obes (Lond)</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>35</volume><issue>2</issue><spage>283</spage><epage>291</epage><pages>283-291</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><coden>IJOBDP</coden><abstract>Objective: The Japan Public Health Center-based prospective Study examined the association of body mass index (BMI) and weight change with incident stroke in Japanese individuals, for whom BMI levels are generally low. Methods: We used initial data from 1990 to 1994 and 5-year follow-up surveys from 1995 to 1999. We calculated weight change over a 5-year period for 32 847 men and 38 875 women, aged 45–74 years, with no history of cardiovascular disease or cancer. Subjects were followed from the 1995–1999 survey to the end of 2005, and hazard ratios of self-reported BMI levels and weight change for incident stroke were estimated using Cox's proportional hazard models adjusted for potential confounders. Results: During the follow-up period (median 7.9 years) there were 2019 incident strokes, including subtypes. Multivariable-adjusted hazard ratios for all stroke events by BMI levels of 27.0–29.9 and 30 kg m–2 versus 23.0–24.9 kg m–2 were 1.09 (95% confidence interval 0.88, 1.36) and 1.25 (0.86, 1.84) in men (P for trend=0.22), and 1.29 (1.01, 1.65) and 2.16 (1.60, 2.93) in women (P for trend <0.001), respectively. A weight change of 10% in the previous 5 years was associated with total strokes and ischemic strokes in women. Conclusion: Higher BMI levels and a weight gain of 10% over 5 years were associated with an increased risk of stroke in women, whereas this association was weak in men.</abstract><cop>London</cop><pub>Nature Publishing Group</pub><pmid>20603628</pmid><doi>10.1038/ijo.2010.131</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | 692/499 692/699/2743/393 692/699/75/593/1370/534 692/700/478/174 Aged Alcohol Drinking - adverse effects Alcohol Drinking - ethnology Alcohol Drinking - mortality Biological and medical sciences Body Mass Index Cancer Cardiovascular diseases Complications and side effects confidence interval Development and progression Diabetes Environmental health Epidemiology Female Health aspects Health hazards Health informatics Health Promotion and Disease Prevention Health risks Humans Hypertension Internal Medicine Ischemia Japan - epidemiology Male Medical sciences Medicine Medicine & Public Health men Metabolic Diseases Middle Aged Miscellaneous neoplasms Neurology Obesity original-article Polls & surveys Prevalence Prevention Prognosis Prospective Studies Public Health Public health. Hygiene Public health. Hygiene-occupational medicine Questionnaires risk Risk Factors Sex Factors Smoking - adverse effects Smoking - ethnology Smoking - mortality Stroke Stroke (Disease) Stroke - classification Stroke - etiology Stroke - mortality Surveys Vascular diseases and vascular malformations of the nervous system Waist Circumference weight gain Weight Gain - ethnology Weight Gain - physiology Weight Loss - ethnology Weight Loss - physiology women Womens health |
| title | Body mass index, weight change and risk of stroke and stroke subtypes: the Japan Public Health Center-based prospective (JPHC) study |
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