Of the Three Classifications of Healthy Lifestyle Habits, Which One is the Most Closely Associated with the Prevention of Metabolic Syndrome in Japanese?
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- Wada Takashi
- Shimbashi Medical Checkup Office, Jikei University School of Medicine
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- Fukumoto Tsutomu
- Shimbashi Medical Checkup Office, Jikei University School of Medicine
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- Ito Kyoko
- Shimbashi Medical Checkup Office, Jikei University School of Medicine
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- Hasegawa Yasutaka
- Central Research Laboratory, Hitachi, Ltd.
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- Osaki Takanobu
- Central Research Laboratory, Hitachi, Ltd.
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- Ban Hideyuki
- Central Research Laboratory, Hitachi, Ltd.
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Objective Metabolic syndrome is associated with a high risk of cardiovascular morbidity and mortality. The predominant cause of metabolic syndrome is an unhealthy lifestyle. Healthy habits are represented by Breslow's 7 healthy practices, Morimoto's 8 items and Ikeda's 6 healthy habits. This study was done to determine which set of healthy habits was most likely to result in a reduced risk of developing the metabolic syndrome.<br> Methods From April 1, 2000 through March 31, 2007, 6,765 males and 2,789 females underwent a medical check-up at Jikei University Hospital in Japan. They completed a simple, self-administered lifestyle questionnaire based on the 3 classifications of healthy habits. The responses were divided into 3 groups (poor, moderate and favorable) according to each of the healthy habit criteria. The incidence of metabolic syndrome was defined in participants who were newly diagnosed during the follow-up using Japanese-specific diagnostic criteria. The Kaplan-Meier cumulative 7-year incidence was calculated. Kaplan-Meier curves were compared using the long-rank test adjusted for age.<br> Results In females, Breslow's, Morimoto's and Ikeda's healthy habits showed significant differences in the incidence between poor and moderate groups, and between poor and favorable groups. In males, a significant difference was observed among the poor, moderate and favorable groups for Ikeda's healthy habits. However, no significant difference was observed for Breslow's healthy practices. Morimoto's items only showed a significant difference between the poor and moderate groups.<br> Conclusion Among the 3 models tested, Ikeda's healthy habits were the most useful for decreasing the risk of metabolic syndrome in Japanese.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 48 (9), 647-655, 2009
一般社団法人 日本内科学会